Dupont Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,134 – $27,998 · median $12,735 | 48 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,725 – $61,196 · median $28,812 | 48 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,725 – $27,722 · median $12,598 | 48 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,725 – $25,267 · median $11,382 | 48 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,725 – $41,865 · median $19,603 | 48 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,725 – $29,082 · median $13,272 | 48 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,725 – $25,291 · median $11,394 | 48 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $275 – $99,683 · median $33,571 | 48 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $325 – $61,054 · median $20,568 | 48 plans |
| 795 | NORMAL NEWBORN | $275 – $7,078 · median $2,465 | 48 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,134 – $30,287 · median $13,869 | 48 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,134 – $26,289 · median $11,889 | 48 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,134 – $25,250 · median $11,374 | 48 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,134 – $28,180 · median $12,825 | 48 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,134 – $20,376 · median $8,647 | 48 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,134 – $18,462 · median $8,012 | 48 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,371 – $41,219 · median $19,565 | 47 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,789 – $30,491 · median $14,174 | 47 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,888 – $26,750 · median $11,940 | 47 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,614 – $50,539 · median $23,549 | 47 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,834 – $26,527 · median $12,182 | 47 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,952 – $18,706 · median $8,253 | 47 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,482 – $37,526 · median $17,710 | 47 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,992 – $23,026 · median $10,423 | 47 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,142 – $44,425 · median $21,176 | 47 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,908 – $31,483 · median $12,335 | 47 plans |
| 100 | SEIZURES WITH MCC | $11,185 – $48,759 · median $22,680 | 47 plans |
| 101 | SEIZURES WITHOUT MCC | $5,213 – $23,942 · median $10,569 | 47 plans |
| 102 | HEADACHES WITH MCC | $6,473 – $29,484 · median $13,516 | 47 plans |
| 103 | HEADACHES WITHOUT MCC | $4,830 – $22,351 · median $9,608 | 47 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,864 – $39,115 · median $18,508 | 47 plans |
| 149 | DYSEQUILIBRIUM | $4,340 – $20,319 · median $9,063 | 47 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,263 – $19,997 · median $8,644 | 47 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,703 – $24,276 · median $8,254 | 47 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,991 – $18,867 · median $8,333 | 47 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,915 – $43,480 · median $20,104 | 47 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,882 – $115,001 · median $52,482 | 47 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,576 – $62,849 · median $29,556 | 47 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,055 – $48,216 · median $22,415 | 47 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,933 – $35,244 · median $16,563 | 47 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,649 – $21,600 · median $9,707 | 47 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,199 – $44,660 · median $20,680 | 47 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,185 – $27,983 · median $12,914 | 47 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,353 – $20,372 · median $9,089 | 47 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $6,588 – $39,681 · median $13,492 | 47 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,134 – $31,928 · median $14,896 | 47 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,397 – $28,864 · median $13,357 | 47 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,868 – $22,512 · median $9,872 | 47 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,708 – $17,689 · median $7,518 | 47 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,346 – $33,824 · median $13,357 | 47 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,630 – $17,365 · median $7,578 | 47 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,609 – $25,588 · median $11,373 | 47 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,869 – $18,361 · median $8,079 | 47 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,663 – $21,658 · median $9,455 | 47 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,502 – $241,211 · median $111,768 | 47 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $56,496 – $237,031 · median $109,813 | 47 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $37,972 – $160,064 · median $73,808 | 47 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,614 – $160,064 · median $54,422 | 47 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,342 – $186,531 · median $86,190 | 47 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $27,771 – $130,249 · median $59,861 | 47 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,107 – $123,228 · median $56,577 | 47 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $28,571 – $121,001 · median $55,535 | 47 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,188 – $77,859 · median $36,881 | 47 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $48,683 – $204,567 · median $94,626 | 47 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $35,012 – $147,761 · median $68,053 | 47 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $44,151 – $185,737 · median $85,818 | 47 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,547 – $133,366 · median $61,319 | 47 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $30,103 – $143,106 · median $65,876 | 47 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,190 – $102,798 · median $47,364 | 47 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,438 – $78,898 · median $37,388 | 47 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,306 – $53,416 · median $25,417 | 47 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,438 – $45,656 · median $21,795 | 47 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,604 – $54,655 · median $25,967 | 47 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,631 – $41,435 · median $18,021 | 47 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,146 – $77,681 · median $36,201 | 47 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,678 – $50,806 · median $24,256 | 47 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,785 – $80,337 · median $37,381 | 47 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,918 – $47,648 · median $22,622 | 47 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,413 – $41,394 · median $19,653 | 47 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,264 – $40,775 · median $18,784 | 47 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,308 – $24,338 · median $11,083 | 47 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,176 – $19,635 · median $8,719 | 47 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,439 – $49,815 · median $23,195 | 47 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,997 – $18,893 · median $8,347 | 47 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,027 – $16,655 · median $5,663 | 47 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,779 – $55,382 · median $26,290 | 47 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,180 – $27,962 · median $12,903 | 47 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,414 – $33,089 · median $15,480 | 47 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,903 – $22,656 · median $10,237 | 47 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,269 – $19,293 · median $6,825 | 47 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,429 – $41,462 · median $19,119 | 47 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,165 – $27,899 · median $12,872 | 47 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,151 – $19,553 · median $7,548 | 47 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,888 – $37,897 · median $8,117 | 47 plans |
| 304 | HYPERTENSION WITH MCC | $6,872 – $30,839 · median $13,935 | 47 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,361 – $20,403 · median $9,105 | 47 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,450 – $31,175 · median $10,599 | 47 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,249 – $19,937 · median $8,871 | 47 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,636 – $15,868 · median $5,395 | 47 plans |
| 313 | CHEST PAIN | $4,158 – $19,561 · median $8,431 | 47 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,042 – $52,320 · median $24,929 | 47 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,970 – $25,399 · median $9,036 | 47 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,115 – $60,934 · median $28,758 | 47 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,545 – $112,581 · median $51,712 | 47 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,910 – $89,165 · median $42,398 | 47 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,916 – $64,260 · median $30,245 | 47 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,804 – $38,865 · median $18,382 | 47 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,985 – $31,309 · median $14,164 | 47 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,338 – $24,463 · median $11,145 | 47 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,557 – $46,148 · median $21,406 | 47 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,664 – $25,816 · median $11,484 | 47 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,641 – $17,411 · median $7,601 | 47 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,138 – $40,252 · median $19,079 | 47 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,638 – $25,711 · median $11,772 | 47 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,935 – $18,632 · median $8,215 | 47 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,965 – $32,718 · median $11,124 | 47 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,502 – $20,991 · median $9,400 | 47 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,236 – $40,660 · median $19,284 | 47 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,404 – $27,805 · median $11,283 | 47 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,748 – $17,857 · median $7,826 | 47 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,781 – $59,547 · median $27,945 | 47 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,769 – $42,875 · median $20,397 | 47 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,887 – $35,057 · median $15,994 | 47 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,607 – $46,357 · median $21,508 | 47 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,532 – $29,425 · median $13,639 | 47 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,928 – $22,759 · median $10,289 | 47 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,414 – $41,402 · median $19,657 | 47 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,858 – $22,469 · median $9,850 | 47 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,589 – $17,195 · median $7,493 | 47 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,041 – $19,073 · median $8,437 | 47 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,649 – $42,378 · median $20,148 | 47 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,517 – $75,068 · median $35,519 | 47 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,139 – $48,569 · median $22,587 | 47 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,014 – $72,978 · median $34,111 | 47 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,099 – $60,865 · median $28,588 | 47 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,819 – $72,167 · median $33,750 | 47 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,646 – $63,140 · median $27,616 | 47 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,588 – $50,431 · median $23,496 | 47 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,661 – $29,960 · median $13,908 | 47 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,829 – $22,349 · median $10,083 | 47 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,683 – $42,503 · median $14,451 | 47 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,552 – $25,351 · median $11,257 | 47 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,794 – $22,203 · median $9,720 | 47 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,633 – $34,588 · median $15,938 | 47 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,797 – $22,214 · median $10,015 | 47 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,172 – $23,772 · median $10,798 | 47 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,914 – $39,324 · median $18,437 | 47 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,627 – $28,131 · median $11,749 | 47 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,360 – $20,264 · median $6,890 | 47 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,533 – $45,274 · median $13,641 | 47 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,443 – $27,663 · median $9,277 | 47 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,015 – $27,278 · median $12,560 | 47 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,494 – $16,801 · median $7,295 | 47 plans |
| 602 | CELLULITIS WITH MCC | $8,208 – $36,389 · median $17,138 | 47 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,029 – $23,182 · median $10,501 | 47 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,290 – $29,496 · median $11,045 | 47 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,076 – $24,033 · median $8,171 | 47 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,675 – $71,569 · median $33,484 | 47 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,711 – $38,479 · median $17,663 | 47 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,659 – $38,263 · median $18,080 | 47 plans |
| 637 | DIABETES WITH MCC | $8,297 – $36,758 · median $16,985 | 47 plans |
| 638 | DIABETES WITH CC | $5,176 – $23,789 · median $10,806 | 47 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,587 – $17,190 · median $7,274 | 47 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,427 – $34,332 · median $11,673 | 47 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,494 – $20,957 · median $9,384 | 47 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,440 – $36,408 · median $12,379 | 47 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,919 – $26,879 · median $12,359 | 47 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,437 – $20,720 · median $9,264 | 47 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,386 – $78,682 · median $36,646 | 47 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,568 – $46,196 · median $22,066 | 47 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,962 – $39,520 · median $18,712 | 47 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,863 – $72,352 · median $33,832 | 47 plans |
| 682 | RENAL FAILURE WITH MCC | $8,553 – $37,821 · median $17,858 | 47 plans |
| 683 | RENAL FAILURE WITH CC | $5,058 – $23,299 · median $10,560 | 47 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,467 – $16,688 · median $7,238 | 47 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,675 – $21,708 · median $9,479 | 47 plans |
| 693 | URINARY STONES WITH MCC | $7,764 – $34,546 · median $15,749 | 47 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,514 – $21,041 · median $9,154 | 47 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,562 – $18,817 · median $6,398 | 47 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,862 – $26,639 · median $12,239 | 47 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,599 – $29,704 · median $13,381 | 47 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,787 – $35,570 · median $7,906 | 47 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,596 – $46,311 · median $21,486 | 47 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,818 – $26,459 · median $11,798 | 47 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,295 – $22,661 · median $6,879 | 47 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $275 – $45,529 · median $15,480 | 47 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,110 – $35,981 · median $16,933 | 47 plans |
| 813 | COAGULATION DISORDERS | $8,809 – $38,884 · median $18,392 | 47 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,856 – $26,615 · median $12,227 | 47 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,650 – $17,449 · median $7,401 | 47 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,176 – $57,033 · median $26,718 | 47 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,694 – $30,100 · median $13,978 | 47 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,966 – $22,918 · median $10,369 | 47 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,421 – $49,628 · median $19,671 | 47 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,835 – $26,529 · median $11,822 | 47 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $6,344 – $64,493 · median $21,928 | 47 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,162 – $33,675 · median $11,449 | 47 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,781 – $22,666 · median $7,804 | 47 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,022 – $23,150 · median $9,777 | 47 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,218 – $48,896 · median $23,407 | 47 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,910 – $26,839 · median $12,339 | 47 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $5,422 – $49,467 · median $16,819 | 47 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,175 – $61,457 · median $17,069 | 47 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,711 – $42,635 · median $20,277 | 47 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,726 – $22,850 · median $7,769 | 47 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,943 – $39,444 · median $18,673 | 47 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,623 – $29,802 · median $13,828 | 47 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,623 – $21,492 · median $9,652 | 47 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,625 – $27,066 · median $7,569 | 47 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,211 – $15,625 · median $6,511 | 47 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $122,576 – $511,601 · median $243,401 | 46 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $79,992 – $334,660 · median $164,610 | 46 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,497 – $133,160 · median $62,545 | 46 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $24,347 – $103,450 · median $48,512 | 46 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,642 – $71,435 · median $33,585 | 46 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $249,381 – $1,087,218 · median $514,896 | 46 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $45,442 – $191,102 · median $93,513 | 46 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,572 – $129,313 · median $62,912 | 46 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,349 – $89,401 · median $37,760 | 46 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,092 – $139,787 · median $68,099 | 46 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,591 – $96,153 · median $45,109 | 46 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $26,257 – $111,386 · median $52,211 | 46 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,956 – $76,892 · median $36,129 | 46 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,570 – $62,823 · median $29,570 | 46 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $34,621 – $146,458 · median $68,900 | 46 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,702 – $84,148 · median $39,512 | 46 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,677 – $54,959 · median $26,286 | 46 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,875 – $109,797 · median $51,471 | 46 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,307 – $53,419 · median $25,557 | 46 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,603 – $42,186 · median $19,762 | 46 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,353 – $95,164 · median $44,649 | 46 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,805 – $59,646 · median $28,089 | 46 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,220 – $48,903 · median $23,418 | 46 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $19,012 – $81,280 · median $38,176 | 46 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,298 – $94,937 · median $45,887 | 46 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,697 – $55,043 · median $26,326 | 46 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,977 – $43,741 · median $20,975 | 46 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,460 – $45,747 · median $21,924 | 46 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,655 – $25,780 · median $11,637 | 46 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,818 – $38,923 · median $18,146 | 46 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,416 – $58,028 · median $27,335 | 46 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,482 – $34,122 · median $16,065 | 46 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,872 – $43,305 · median $20,316 | 46 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,166 – $32,060 · median $14,865 | 46 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,312 – $24,355 · median $11,432 | 46 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,922 – $68,443 · median $32,765 | 46 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,148 – $44,449 · median $21,310 | 46 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,107 – $35,969 · median $17,295 | 46 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,613 – $21,451 · median $9,928 | 46 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,614 – $43,329 · median $20,260 | 46 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,925 – $31,135 · median $12,752 | 46 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,367 – $20,429 · median $8,987 | 46 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,962 – $40,780 · median $14,001 | 46 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,953 – $27,018 · median $12,812 | 46 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,074 – $48,296 · median $23,131 | 46 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,766 – $22,085 · median $10,256 | 46 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,453 – $45,716 · median $21,510 | 46 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,172 – $23,774 · median $11,131 | 46 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,199 – $57,129 · median $27,313 | 46 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,061 – $35,777 · median $17,204 | 46 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,520 – $25,219 · median $11,880 | 46 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,120 – $56,800 · median $27,157 | 46 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,523 – $33,543 · median $15,481 | 46 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,197 – $24,233 · median $9,450 | 46 plans |
| 088 | CONCUSSION WITH MCC | $7,807 – $34,721 · median $16,065 | 46 plans |
| 089 | CONCUSSION WITH CC | $5,851 – $28,645 · median $10,638 | 46 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,754 – $22,037 · median $10,065 | 46 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,599 – $21,391 · median $9,463 | 46 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,325 – $86,735 · median $40,718 | 46 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,895 – $64,174 · median $30,208 | 46 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,069 – $64,174 · median $25,580 | 46 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,858 – $88,952 · median $41,752 | 46 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,313 – $57,352 · median $19,691 | 46 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,868 – $34,976 · median $16,824 | 46 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,578 – $58,700 · median $27,758 | 46 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,814 – $34,750 · median $16,717 | 46 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,442 – $45,671 · median $21,888 | 46 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,265 – $28,317 · median $12,893 | 46 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,705 – $30,198 · median $12,191 | 46 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,538 – $21,139 · median $9,767 | 46 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,612 – $21,447 · median $9,491 | 46 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,641 – $34,032 · median $16,378 | 46 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,434 – $20,708 · median $9,125 | 46 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,532 – $54,355 · median $25,622 | 46 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,863 – $30,164 · median $12,619 | 46 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,623 – $38,114 · median $17,745 | 46 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,118 – $23,549 · median $10,532 | 46 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,136 – $31,935 · median $15,127 | 46 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,632 – $104,633 · median $49,063 | 46 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,596 – $54,621 · median $26,126 | 46 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,219 – $40,591 · median $19,483 | 46 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,637 – $92,187 · median $43,260 | 46 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,008 – $43,866 · median $20,856 | 46 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,943 – $33,263 · median $14,943 | 46 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,637 – $53,092 · median $19,340 | 46 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,343 – $32,794 · median $15,608 | 46 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,603 – $32,326 · median $9,907 | 46 plans |
| 150 | EPISTAXIS WITH MCC | $7,689 – $34,234 · median $16,449 | 46 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,239 – $19,897 · median $8,723 | 46 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,827 – $30,651 · median $14,049 | 46 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,029 – $39,801 · median $19,109 | 46 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,158 – $24,115 · median $9,378 | 46 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,092 – $19,285 · median $8,806 | 46 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,585 – $91,973 · median $43,161 | 46 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,415 – $45,558 · median $21,432 | 46 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,891 – $35,072 · median $16,238 | 46 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $9,043 – $73,705 · median $25,305 | 46 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,025 – $39,782 · median $19,100 | 46 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,636 – $41,600 · median $12,131 | 46 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,360 – $20,400 · median $9,373 | 46 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,835 – $38,995 · median $18,181 | 46 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,970 – $27,818 · median $9,551 | 46 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,542 – $21,156 · median $8,862 | 46 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,712 – $26,018 · median $11,754 | 46 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,142 – $19,493 · median $8,914 | 46 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,654 – $21,622 · median $9,577 | 46 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,899 – $47,569 · median $22,427 | 46 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,481 – $74,042 · median $11,796 | 46 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,136 – $37,218 · median $8,902 | 46 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,188 – $44,615 · median $21,388 | 46 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,348 – $28,662 · median $13,663 | 46 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,130 – $32,741 · median $8,888 | 46 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,574 – $46,220 · median $22,148 | 46 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,435 – $24,866 · median $11,697 | 46 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $37,160 – $156,690 · median $76,470 | 46 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,874 – $68,241 · median $32,096 | 46 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $37,217 – $263,217 · median $124,699 | 46 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,423 – $120,384 · median $56,440 | 46 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,462 – $70,684 · median $33,235 | 46 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,995 – $35,503 · median $17,074 | 46 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,348 – $111,762 · median $52,387 | 46 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,145 – $85,988 · median $40,370 | 46 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,990 – $64,567 · median $30,383 | 46 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,289 – $45,037 · median $21,588 | 46 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,577 – $67,010 · median $31,522 | 46 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,805 – $43,026 · median $20,491 | 46 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,307 – $28,492 · median $13,575 | 46 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,656 – $75,649 · median $35,550 | 46 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,292 – $82,444 · median $38,718 | 46 plans |
| 265 | AICD LEAD PROCEDURES | $20,895 – $89,105 · median $42,999 | 46 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $35,392 – $149,340 · median $70,278 | 46 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $27,494 – $116,523 · median $54,606 | 46 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $39,720 – $167,325 · median $81,737 | 46 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $24,389 – $103,623 · median $50,189 | 46 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,471 – $128,893 · median $60,506 | 46 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,538 – $87,620 · median $41,131 | 46 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,744 – $63,545 · median $30,351 | 46 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,825 – $101,279 · median $47,499 | 46 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,010 – $81,271 · median $38,171 | 46 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,255 – $173,384 · median $81,768 | 46 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $31,643 – $146,417 · median $68,871 | 46 plans |
| 277 | CELLULITIS AGE >17 W CC | $26,672 – $113,109 · median $54,886 | 46 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $7,937 – $135,850 · median $46,642 | 46 plans |
| 279 | CELLULITIS AGE 0-17 | $11,624 – $88,822 · median $30,496 | 46 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,628 – $67,221 · median $32,160 | 46 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,857 – $43,242 · median $20,738 | 46 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,369 – $24,593 · median $11,555 | 46 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,020 – $39,763 · median $19,091 | 46 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,661 – $21,610 · median $7,880 | 46 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,628 – $34,233 · median $5,656 | 46 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,910 – $30,997 · median $14,220 | 46 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,100 – $40,096 · median $18,727 | 46 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,274 – $24,197 · median $11,350 | 46 plans |
| 311 | ANGINA PECTORIS | $4,053 – $19,126 · median $8,724 | 46 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,033 – $23,198 · median $10,358 | 46 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,939 – $18,651 · median $8,478 | 46 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,773 – $109,375 · median $51,274 | 46 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,891 – $60,001 · median $28,673 | 46 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,713 – $67,572 · median $31,784 | 46 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $9,671 – $44,588 · median $17,584 | 46 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $23,923 – $106,123 · median $49,758 | 46 plans |
| 324 | URINARY STONES W/O CC | $11,583 – $77,895 · median $26,744 | 46 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,540 – $79,320 · median $37,262 | 46 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,802 – $121,961 · median $59,270 | 46 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,253 – $40,732 · median $19,042 | 46 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,844 – $59,807 · median $28,581 | 46 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,719 – $42,666 · median $20,466 | 46 plans |
| 333 | RECTAL RESECTION WITH CC | $13,526 – $58,487 · median $27,956 | 46 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,459 – $41,586 · median $19,465 | 46 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,622 – $87,971 · median $41,518 | 46 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,178 – $52,884 · median $25,303 | 46 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,865 – $39,117 · median $18,242 | 46 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,690 – $38,390 · median $18,441 | 46 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,850 – $30,747 · median $14,743 | 46 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,257 – $73,748 · median $27,427 | 46 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,419 – $33,689 · median $11,567 | 46 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,028 – $23,174 · median $10,821 | 46 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,122 – $62,079 · median $21,314 | 46 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,744 – $30,306 · median $13,878 | 46 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,759 – $71,920 · median $33,811 | 46 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,716 – $42,654 · median $19,994 | 46 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,767 – $34,558 · median $16,627 | 46 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,368 – $107,693 · median $52,204 | 46 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,430 – $58,086 · median $27,362 | 46 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,073 – $35,827 · median $17,228 | 46 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,193 – $40,483 · median $19,432 | 46 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,776 – $26,284 · median $12,431 | 46 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,047 – $19,100 · median $8,710 | 46 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,240 – $44,831 · median $21,072 | 46 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,896 – $26,783 · median $12,134 | 46 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,201 – $19,738 · median $8,644 | 46 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,711 – $53,604 · median $18,404 | 46 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,332 – $49,368 · median $20,647 | 46 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,257 – $28,283 · median $13,231 | 46 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,623 – $21,495 · median $9,951 | 46 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,974 – $35,415 · median $17,032 | 46 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,936 – $22,795 · median $10,624 | 46 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,529 – $37,721 · median $17,550 | 46 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,561 – $21,236 · median $9,816 | 46 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,142 – $15,337 · median $6,761 | 46 plans |
| 397 | COAGULATION DISORDERS | $13,831 – $59,751 · median $28,138 | 46 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,741 – $38,604 · median $18,542 | 46 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,611 – $45,096 · median $14,227 | 46 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $31,592 – $133,553 · median $62,733 | 46 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,749 – $71,876 · median $33,791 | 46 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,818 – $55,545 · median $26,563 | 46 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $20,591 – $87,843 · median $41,235 | 46 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,574 – $54,530 · median $25,704 | 46 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,169 – $40,382 · median $18,868 | 46 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,077 – $81,549 · median $38,301 | 46 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,142 – $52,735 · median $25,233 | 46 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,589 – $42,129 · median $20,211 | 46 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $20,574 – $87,771 · median $41,202 | 46 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,935 – $51,876 · median $24,466 | 46 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,873 – $44,726 · median $16,834 | 46 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $12,008 – $84,040 · median $28,854 | 46 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,034 – $43,976 · median $21,086 | 46 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,082 – $35,866 · median $17,246 | 46 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,984 – $101,939 · median $47,807 | 46 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,635 – $54,784 · median $26,203 | 46 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,664 – $38,285 · median $18,391 | 46 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,366 – $59,935 · median $23,707 | 46 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,100 – $27,628 · median $13,128 | 46 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,115 – $19,381 · median $8,474 | 46 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,364 – $45,349 · median $21,328 | 46 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,575 – $25,447 · median $11,472 | 46 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,320 – $28,545 · median $13,006 | 46 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,778 – $22,135 · median $9,832 | 46 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $48,530 – $203,931 · median $96,366 | 46 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $33,214 – $145,374 · median $68,382 | 46 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,097 – $102,409 · median $48,026 | 46 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $31,895 – $134,813 · median $65,635 | 46 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,362 – $66,113 · median $31,611 | 46 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,664 – $139,048 · median $65,359 | 46 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,987 – $77,024 · median $36,191 | 46 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,532 – $46,045 · median $21,673 | 46 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $30,061 – $127,192 · median $59,693 | 46 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,366 – $86,907 · median $40,799 | 46 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,870 – $68,224 · median $32,088 | 46 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $27,886 – $118,153 · median $57,384 | 46 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,792 – $105,296 · median $49,372 | 46 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,142 – $56,891 · median $27,201 | 46 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,816 – $34,388 · median $14,669 | 46 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,950 – $85,180 · median $40,353 | 46 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,202 – $61,294 · median $28,858 | 46 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,735 – $46,889 · median $22,465 | 46 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,096 – $52,543 · median $25,142 | 46 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,419 – $41,421 · median $19,383 | 46 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,008 – $68,798 · median $32,356 | 46 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,637 – $79,721 · median $38,351 | 46 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,076 – $52,461 · median $25,103 | 46 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,045 – $39,866 · median $18,613 | 46 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,215 – $44,730 · median $21,443 | 46 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,450 – $29,082 · median $13,881 | 46 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,203 – $90,387 · median $42,421 | 46 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,938 – $89,285 · median $41,908 | 46 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,418 – $45,570 · median $21,840 | 46 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,978 – $31,278 · median $14,359 | 46 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,371 – $74,674 · median $27,947 | 46 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,635 – $50,630 · median $24,236 | 46 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,277 – $78,226 · median $37,610 | 46 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,095 – $44,231 · median $21,206 | 46 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,773 – $34,580 · median $16,637 | 46 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,119 – $69,258 · median $33,169 | 46 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,795 – $47,137 · median $22,582 | 46 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,353 – $45,303 · median $21,714 | 46 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,792 – $34,659 · median $16,674 | 46 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,432 – $45,630 · median $21,869 | 46 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,746 – $38,623 · median $17,997 | 46 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,443 – $74,763 · median $35,137 | 46 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,009 – $52,181 · median $24,609 | 46 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,560 – $42,006 · median $20,153 | 46 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,092 – $40,060 · median $18,709 | 46 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,904 – $26,815 · median $12,706 | 46 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,404 – $78,756 · median $36,999 | 46 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,001 – $52,149 · median $24,594 | 46 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,874 – $39,158 · median $18,262 | 46 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,583 – $91,963 · median $43,909 | 46 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,551 – $50,280 · median $24,071 | 46 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,627 – $38,131 · median $18,318 | 46 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,575 – $71,157 · median $33,456 | 46 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,230 – $53,100 · median $25,406 | 46 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,053 – $39,902 · median $19,157 | 46 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,655 – $21,627 · median $9,580 | 46 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,404 – $33,046 · median $15,867 | 46 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,664 – $21,663 · median $9,598 | 46 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,511 – $25,183 · median $11,861 | 46 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,160 – $19,568 · median $8,953 | 46 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,710 – $49,548 · median $17,012 | 46 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,486 – $33,389 · median $15,405 | 46 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,547 – $23,956 · median $9,787 | 46 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,202 – $44,672 · median $20,993 | 46 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,937 – $26,951 · median $12,493 | 46 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,358 – $20,391 · median $8,968 | 46 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $6,895 – $61,834 · median $21,230 | 46 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,151 – $48,617 · median $22,947 | 46 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,972 – $31,251 · median $14,036 | 46 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,451 – $23,258 · median $7,985 | 46 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,486 – $33,389 · median $15,405 | 46 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,587 – $37,963 · median $18,239 | 46 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,158 – $23,717 · median $10,134 | 46 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,770 – $47,033 · median $22,533 | 46 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,503 – $29,305 · median $13,996 | 46 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,643 – $21,574 · median $9,992 | 46 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,645 – $36,473 · median $12,522 | 46 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,985 – $140,442 · median $38,120 | 46 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,757 – $42,825 · median $20,541 | 46 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,620 – $29,790 · median $13,623 | 46 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,852 – $159,490 · median $59,671 | 46 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,047 – $85,583 · median $40,181 | 46 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,378 – $45,404 · median $21,762 | 46 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,002 – $119,892 · median $41,163 | 46 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,308 – $65,889 · median $31,000 | 46 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,277 – $40,831 · median $19,596 | 46 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,702 – $79,994 · median $37,576 | 46 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,908 – $43,748 · median $18,014 | 46 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,334 – $36,912 · median $17,741 | 46 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,126 – $48,514 · median $23,234 | 46 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,958 – $43,662 · median $20,493 | 46 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,363 – $53,652 · median $25,667 | 46 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,141 – $48,574 · median $22,925 | 46 plans |
| 592 | SKIN ULCERS WITH MCC | $11,176 – $48,723 · median $22,996 | 46 plans |
| 593 | SKIN ULCERS WITH CC | $6,618 – $30,750 · median $12,032 | 46 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,006 – $23,371 · median $10,773 | 46 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,247 – $53,172 · median $25,401 | 46 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,640 – $28,259 · median $9,702 | 46 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,628 – $42,287 · median $19,702 | 46 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,501 – $37,608 · median $17,494 | 46 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,739 – $38,594 · median $17,983 | 46 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,658 – $54,878 · median $26,247 | 46 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,081 – $35,861 · median $16,629 | 46 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,140 – $85,967 · median $40,360 | 46 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,801 – $47,163 · median $22,227 | 46 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,191 – $36,317 · median $17,459 | 46 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,242 – $40,684 · median $19,527 | 46 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,554 – $87,690 · median $41,164 | 46 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,360 – $45,330 · median $21,319 | 46 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,230 – $32,324 · median $15,560 | 46 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,441 – $74,754 · median $35,133 | 46 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,671 – $34,157 · median $16,437 | 46 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,522 – $91,711 · median $43,039 | 46 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,583 – $54,566 · median $25,721 | 46 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,429 – $37,306 · median $17,927 | 46 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,506 – $41,783 · median $19,562 | 46 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,009 – $126,976 · median $61,754 | 46 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,166 – $69,455 · median $33,267 | 46 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,223 – $53,073 · median $25,393 | 46 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,674 – $63,255 · median $29,772 | 46 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,633 – $33,999 · median $15,707 | 46 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,979 – $27,129 · median $12,869 | 46 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,567 – $75,747 · median $33,134 | 46 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,779 – $38,762 · median $18,066 | 46 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,046 – $40,496 · median $13,012 | 46 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,025 – $77,180 · median $36,264 | 46 plans |
| 666 | PROSTATECTOMY WITH CC | $10,102 – $44,260 · median $20,789 | 46 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,388 – $28,828 · median $13,146 | 46 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,963 – $39,525 · median $18,978 | 46 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,644 – $25,735 · median $11,614 | 46 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,366 – $45,356 · median $21,739 | 46 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,234 – $37,678 · median $13,417 | 46 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,264 – $103,105 · median $48,350 | 46 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,505 – $58,400 · median $27,508 | 46 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,479 – $41,670 · median $19,994 | 46 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,372 – $45,565 · median $15,644 | 46 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,051 – $27,426 · median $13,023 | 46 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,564 – $38,760 · median $9,823 | 46 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,701 – $30,126 · median $13,789 | 46 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,243 – $29,730 · median $10,207 | 46 plans |
| 697 | URETHRAL STRICTURE | $6,224 – $28,146 · median $12,809 | 46 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,554 – $41,982 · median $20,142 | 46 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,693 – $18,838 · median $6,715 | 46 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,552 – $50,283 · median $24,072 | 46 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,860 – $39,098 · median $18,776 | 46 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,439 – $58,124 · median $27,785 | 46 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,092 – $35,907 · median $16,652 | 46 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,034 – $52,286 · median $24,658 | 46 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,351 – $28,672 · median $13,668 | 46 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,682 – $38,359 · median $17,866 | 46 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,106 – $27,657 · median $12,566 | 46 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,985 – $55,970 · median $19,973 | 46 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,495 – $37,581 · median $18,058 | 46 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,918 – $47,648 · median $22,467 | 46 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,756 – $34,512 · median $16,605 | 46 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,451 – $45,709 · median $21,906 | 46 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,758 – $30,364 · median $13,907 | 46 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,170 – $19,609 · median $8,974 | 46 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,564 – $37,867 · median $17,623 | 46 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,685 – $21,749 · median $9,640 | 46 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,114 – $27,688 · median $12,328 | 46 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $18,409 · median $8,352 | 46 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,301 – $53,395 · median $25,175 | 46 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,770 – $34,570 · median $16,632 | 46 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,643 – $88,057 · median $41,335 | 46 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,900 – $51,729 · median $24,757 | 46 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,481 – $37,522 · median $18,030 | 46 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,691 – $88,256 · median $41,428 | 46 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,450 – $45,706 · median $21,905 | 46 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,236 – $36,544 · median $17,548 | 46 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,165 – $32,055 · median $15,421 | 46 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,834 – $51,454 · median $24,626 | 46 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,569 – $60,809 · median $14,138 | 46 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,032 – $43,967 · median $20,644 | 46 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,965 – $22,913 · median $10,685 | 46 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,012 – $35,573 · median $15,034 | 46 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,828 – $63,895 · median $30,070 | 46 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,523 – $37,697 · median $18,113 | 46 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,636 – $46,477 · median $22,270 | 46 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,282 – $28,386 · median $13,520 | 46 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,438 – $25,332 · median $8,697 | 46 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,269 – $36,643 · median $17,614 | 46 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,654 – $25,775 · median $11,688 | 46 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,832 – $18,207 · median $7,886 | 46 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,759 – $42,832 · median $20,544 | 46 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,791 – $26,344 · median $12,463 | 46 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,781 – $17,994 · median $7,780 | 46 plans |
| 779 | ABORTION WITHOUT D&C | $4,859 – $22,471 · median $9,998 | 46 plans |
| 799 | SPLENECTOMY WITH MCC | $25,382 – $110,959 · median $52,012 | 46 plans |
| 800 | SPLENECTOMY WITH CC | $16,224 – $69,698 · median $33,387 | 46 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,024 – $48,089 · median $22,685 | 46 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,008 – $97,886 · median $47,347 | 46 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,735 – $46,889 · median $22,091 | 46 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,831 – $34,822 · median $16,115 | 46 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,601 – $55,264 · median $18,974 | 46 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,311 – $35,718 · median $15,728 | 46 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,044 – $27,398 · median $13,008 | 46 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,303 – $24,317 · median $10,912 | 46 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,282 – $53,316 · median $25,138 | 46 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,869 – $143,015 · median $67,255 | 46 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,928 – $56,001 · median $26,779 | 46 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,953 – $31,175 · median $14,965 | 46 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,477 – $112,300 · median $52,637 | 46 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,084 – $56,649 · median $26,692 | 46 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,793 – $34,664 · median $16,036 | 46 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $27,014 – $114,532 · median $53,678 | 46 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,347 – $57,743 · median $27,604 | 46 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,839 – $43,168 · median $20,248 | 46 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,249 – $78,111 · median $36,698 | 46 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,691 – $38,397 · median $18,444 | 46 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,944 – $31,139 · median $14,938 | 46 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,167 – $19,599 · median $8,969 | 46 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,404 – $14,831 · median $5,092 | 46 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $19,908 – $134,019 · median $46,013 | 46 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,045 – $52,334 · median $24,680 | 46 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,786 – $31,547 · median $12,339 | 46 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,745 – $117,567 · median $57,094 | 46 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,055 – $52,373 · median $24,698 | 46 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,339 – $36,931 · median $17,159 | 46 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,879 – $79,908 · median $33,758 | 46 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,520 – $50,151 · median $24,009 | 46 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,188 – $31,496 · median $10,814 | 46 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,918 – $22,718 · median $10,585 | 46 plans |
| 849 | RADIOTHERAPY | $15,647 – $67,300 · median $32,200 | 46 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $28,520 – $120,790 · median $56,634 | 46 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,539 – $50,230 · median $23,931 | 46 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,646 – $38,210 · median $17,793 | 46 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,269 – $111,434 · median $52,234 | 46 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,722 – $53,671 · median $18,427 | 46 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,044 – $35,707 · median $16,553 | 46 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,532 – $46,045 · median $21,673 | 46 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,763 – $26,229 · median $11,859 | 46 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,126 – $23,585 · median $11,033 | 46 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,653 – $38,237 · median $18,368 | 46 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,088 – $52,512 · median $25,127 | 46 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,955 – $27,026 · median $12,254 | 46 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,214 – $19,793 · median $8,672 | 46 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $39,916 – $168,138 · median $79,261 | 46 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,545 – $27,874 · median $11,934 | 46 plans |
| 881 | DEPRESSIVE NEUROSES | $5,434 – $27,632 · median $11,694 | 46 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,594 – $28,050 · median $9,631 | 46 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,291 – $40,891 · median $19,120 | 46 plans |
| 885 | PSYCHOSES | $8,067 – $35,801 · median $16,600 | 46 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,184 – $27,981 · median $12,727 | 46 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,235 – $102,985 · median $48,295 | 46 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,056 – $48,224 · median $22,752 | 46 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,754 – $30,349 · median $14,537 | 46 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,212 – $90,423 · median $42,438 | 46 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,567 – $37,879 · median $18,199 | 46 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,344 – $49,419 · median $23,321 | 46 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,172 – $94,411 · median $44,297 | 46 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,522 – $50,160 · median $24,014 | 46 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,581 – $33,783 · median $16,260 | 46 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,440 – $41,507 · median $19,917 | 46 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,114 – $23,532 · median $10,523 | 46 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,510 – $18,272 · median $6,382 | 46 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,058 – $39,919 · median $19,165 | 46 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,573 – $46,215 · median $21,757 | 46 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,249 – $26,335 · median $9,042 | 46 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,832 – $18,802 · median $6,455 | 46 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,103 – $44,262 · median $20,790 | 46 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,737 – $26,704 · median $9,168 | 46 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,955 – $89,353 · median $41,939 | 46 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,496 – $58,360 · median $27,489 | 46 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,710 – $50,940 · median $24,030 | 46 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,331 – $32,744 · median $15,768 | 46 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,028 – $30,831 · median $10,585 | 46 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,872 – $163,802 · median $77,189 | 46 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,731 – $92,580 · median $43,444 | 46 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $44,005 – $185,130 · median $87,382 | 46 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,335 – $103,400 · median $48,488 | 46 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,002 – $72,930 · median $34,988 | 46 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,788 – $67,883 · median $31,930 | 46 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,851 – $39,060 · median $18,213 | 46 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,431 – $24,852 · median $11,689 | 46 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,351 – $185,221 · median $79,338 | 46 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,231 – $72,580 · median $31,343 | 46 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,667 – $71,536 · median $33,632 | 46 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,479 – $33,358 · median $14,280 | 46 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,213 – $40,100 · median $11,220 | 46 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,494 – $33,423 · median $15,422 | 46 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,095 – $114,867 · median $53,835 | 46 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,198 – $61,277 · median $28,850 | 46 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,898 – $43,413 · median $20,819 | 46 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,717 – $84,551 · median $29,029 | 46 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,492 – $41,723 · median $19,491 | 46 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,925 – $31,059 · median $14,251 | 46 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,243 – $176,974 · median $80,716 | 45 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,508 – $90,058 · median $41,702 | 45 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $275 – $102,337 · median $34,795 | 45 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $275 – $37,699 · median $12,818 | 45 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,320 – $95,025 · median $45,258 | 45 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,985 – $52,082 · median $25,024 | 45 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,563 – $17,087 · median $7,896 | 45 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,078 – $44,159 · median $21,302 | 45 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,098 – $25,291 · median $11,300 | 45 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $116,417 – $514,608 · median $239,661 | 45 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $26,238 – $174,399 · median $60,458 | 45 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,600 – $79,570 · median $37,716 | 45 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,489 – $95,728 · median $44,222 | 45 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,766 – $55,329 · median $25,886 | 45 plans |
| 935 | NON-EXTENSIVE BURNS | $9,533 – $51,715 · median $17,928 | 45 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $198,405 – $674,742 · median $332,766 | 44 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $9,003 – $173,485 · median $58,412 | 44 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,611 – $39,388 · median $19,438 | 44 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,546 – $26,229 · median $13,115 | 44 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,406 – $18,282 · median $9,141 | 44 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,192 – $31,751 · median $15,831 | 44 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,947 – $21,236 · median $9,868 | 44 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $63,218 – $273,656 · median $112,043 | 44 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $35,839 – $149,050 · median $71,590 | 44 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $33,194 – $146,158 · median $59,311 | 44 plans |
| 509 | ARTHROSCOPY | $13,096 – $136,253 · median $26,292 | 44 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,819 – $144,903 · median $49,750 | 44 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $19,441 – $290,664 · median $99,795 | 42 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $34,244 – $144,572 · median $71,893 | 42 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $10,394 – $132,636 · median $45,539 | 42 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,850 – $115,098 · median $57,549 | 42 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,682 – $98,158 · median $45,604 | 42 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,589 – $274,200 · median $137,100 | 41 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $59,543 – $249,693 · median $124,847 | 41 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,779 – $153,252 · median $61,740 | 41 plans |
| 007 | LUNG TRANSPLANT | $74,787 – $706,881 · median $235,627 | 41 plans |
| 010 | PANCREAS TRANSPLANT | $41,440 – $174,471 · median $87,235 | 41 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,353 – $147,985 · median $71,739 | 39 plans |
| 652 | KIDNEY TRANSPLANT | $23,252 – $98,158 · median $41,338 | 39 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $5,689 | 23 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $10,883 | 23 plans |
No procedures match that keyword.