Elkhart General Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $164,093 – $494,921 · median $242,037 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,086 – $322,982 · median $157,951 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $42,166 – $127,177 · median $62,195 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $32,594 – $98,307 · median $48,076 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $22,279 – $67,197 · median $32,862 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $92,911 – $280,229 · median $137,043 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,843 – $138,266 · median $67,618 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,997 – $126,668 · median $61,946 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $333,848 – $1,006,920 · median $492,426 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,158 – $166,362 · median $81,358 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,834 – $183,482 · median $89,730 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,927 – $123,439 · median $60,367 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,565 – $74,089 · median $36,233 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,301 – $133,617 · median $65,344 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,243 – $91,216 · median $44,609 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,151 – $106,018 · median $51,847 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,037 – $72,499 · median $35,455 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,505 – $58,828 · median $28,769 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,450 – $140,099 · median $68,514 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,375 – $79,550 · median $38,903 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,971 – $51,187 · median $25,032 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,639 – $104,475 · median $51,092 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,475 – $49,690 · median $24,300 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,856 – $38,775 · median $18,963 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,925 – $90,256 · median $44,139 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,481 – $55,741 · median $27,260 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,020 – $45,301 · median $22,154 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,451 – $76,764 · median $37,541 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,544 – $37,835 · median $18,503 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,088 – $27,410 · median $13,405 | 18 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,851 – $90,034 · median $44,030 | 18 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,998 – $51,268 · median $25,072 | 18 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,357 – $40,286 · median $19,701 | 18 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,003 – $42,235 · median $20,655 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,570 – $22,833 · median $11,166 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,805 – $35,604 · median $17,412 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,883 – $23,775 · median $11,627 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,960 – $54,169 · median $26,491 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,016 – $30,210 · median $14,774 | 18 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,216 – $39,861 · median $19,494 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,593 – $28,935 · median $14,150 | 18 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,111 – $21,448 · median $10,489 | 18 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,315 – $64,289 · median $31,440 | 18 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,585 – $40,974 · median $20,038 | 18 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,853 – $32,733 · median $16,008 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,547 – $46,892 · median $22,932 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,811 – $23,558 · median $11,521 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,291 – $15,959 · median $7,804 | 18 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,355 – $34,247 · median $16,748 | 18 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,683 – $20,156 · median $9,857 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,176 – $18,626 · median $9,109 | 18 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,871 – $38,819 · median $18,984 | 18 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,932 – $23,924 · median $11,700 | 18 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,846 – $17,633 · median $8,623 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,403 – $37,408 · median $18,294 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,969 – $24,036 · median $11,754 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,824 – $44,712 · median $21,866 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,380 – $19,242 · median $9,410 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,993 – $42,205 · median $20,640 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,924 – $20,883 · median $10,213 | 18 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,670 – $53,295 · median $26,063 | 18 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,791 – $32,547 · median $15,917 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,389 – $22,287 · median $10,899 | 18 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,564 – $52,975 · median $25,907 | 18 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,071 – $30,376 · median $14,855 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,072 – $21,329 · median $10,431 | 18 plans |
| 088 | CONCUSSION WITH MCC | $10,451 – $31,521 · median $15,415 | 18 plans |
| 089 | CONCUSSION WITH CC | $8,493 – $25,617 · median $12,528 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,364 – $19,195 · median $9,387 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,577 – $40,950 · median $20,026 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,909 – $23,854 · median $11,666 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,156 – $18,568 · median $9,080 | 18 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,209 – $82,064 · median $40,133 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,940 – $60,141 · median $29,411 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,940 – $60,141 · median $29,411 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,923 – $84,219 · median $41,186 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,742 – $53,512 · median $26,169 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,533 – $31,768 · median $15,536 | 18 plans |
| 100 | SEIZURES WITH MCC | $14,973 – $45,162 · median $22,086 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $6,978 – $21,046 · median $10,293 | 18 plans |
| 102 | HEADACHES WITH MCC | $8,666 – $26,137 · median $12,782 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $6,465 – $19,501 · median $9,537 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,176 – $54,822 · median $26,810 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,460 – $31,549 · median $15,429 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,866 – $35,790 · median $17,503 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,978 – $42,161 · median $20,618 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,387 – $25,297 · median $12,371 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,994 – $27,125 · median $13,265 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,075 – $18,323 · median $8,961 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,174 – $18,621 · median $9,107 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,229 – $30,852 · median $15,088 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,936 – $17,903 · median $8,755 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,776 – $50,599 · median $24,745 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,849 – $23,674 · median $11,578 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,544 – $34,818 · median $17,027 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,851 – $20,664 · median $10,106 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,553 – $28,814 · median $14,091 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,975 – $99,457 · median $48,638 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,862 – $50,858 · median $24,872 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,342 – $37,224 · median $18,204 | 18 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,965 – $87,362 · median $42,724 | 18 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,397 – $40,407 · median $19,761 | 18 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,295 – $28,035 · median $13,710 | 18 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $16,370 – $49,373 · median $24,145 | 18 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $9,830 – $29,648 · median $14,499 | 18 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,162 – $18,586 · median $9,090 | 18 plans |
| 149 | DYSEQUILIBRIUM | $5,811 – $17,526 · median $8,571 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $10,294 – $31,047 · median $15,183 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,675 – $17,115 · median $8,370 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,140 – $27,566 · median $13,481 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,707 – $17,213 · median $8,418 | 18 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $12,087 – $36,457 · median $17,829 | 18 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $7,085 – $21,371 · median $10,451 | 18 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,343 – $16,115 · median $7,881 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,273 – $40,032 · median $19,577 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,034 – $21,214 · median $10,375 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,477 – $16,521 · median $8,079 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,649 – $104,505 · median $51,107 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,513 – $58,854 · median $28,782 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,799 – $44,635 · median $21,828 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,896 – $87,154 · median $42,622 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,942 – $42,051 · median $20,565 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,564 – $31,861 · median $15,581 | 18 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $23,011 – $69,403 · median $33,941 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,619 – $32,029 · median $15,664 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,223 – $18,771 · median $9,180 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,081 – $36,438 · median $17,820 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,545 – $22,758 · median $11,130 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,837 – $17,605 · median $8,609 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,653 – $41,179 · median $20,138 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,280 – $24,973 · median $12,213 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,828 – $17,577 · median $8,596 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,828 – $35,674 · median $17,446 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,227 – $24,812 · median $12,134 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,080 – $18,339 · median $8,969 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,049 – $36,341 · median $17,772 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,647 – $23,063 · median $11,279 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,545 – $16,723 · median $8,178 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,551 – $28,807 · median $14,088 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,564 – $25,829 · median $12,631 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,517 – $19,657 · median $9,613 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,963 – $14,970 · median $7,321 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,162 – $30,649 · median $14,988 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,230 – $18,792 · median $9,190 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,859 – $14,655 · median $7,167 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,590 – $44,005 · median $21,520 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,338 – $22,131 · median $10,823 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,537 – $16,700 · median $8,167 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,638 – $41,135 · median $20,117 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,499 – $25,633 · median $12,536 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,528 – $16,674 · median $8,154 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,508 – $22,646 · median $11,075 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,180 – $15,623 · median $7,640 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,242 – $18,827 · median $9,207 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,156 – $42,695 · median $20,879 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,276 – $21,944 · median $10,732 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,747 – $150,042 · median $73,377 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,250 – $64,093 · median $31,344 | 18 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $84,068 – $253,558 · median $124,000 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $76,978 – $232,174 · median $113,542 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $75,631 – $228,112 · median $111,556 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,834 – $153,320 · median $74,980 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,834 – $153,320 · median $74,980 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,361 – $179,040 · median $87,558 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,228 – $124,348 · median $60,811 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,966 – $117,525 · median $57,475 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,249 – $115,362 · median $56,417 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,349 – $73,439 · median $35,915 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,172 – $196,565 · median $96,129 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,870 – $141,365 · median $69,134 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $59,105 – $178,268 · median $87,180 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $42,232 – $127,377 · median $62,293 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,370 – $136,842 · median $66,921 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,384 – $97,673 · median $47,766 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,050 – $114,762 · median $56,124 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,037 – $66,467 · median $32,505 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,703 – $32,281 · median $15,787 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,684 – $74,449 · median $36,408 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,474 – $49,688 · median $24,299 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,974 – $42,147 · median $20,611 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,272 – $106,384 · median $52,026 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,873 – $50,891 · median $24,888 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,554 – $34,848 · median $17,042 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,968 – $81,339 · median $39,778 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,067 – $60,523 · median $29,598 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,774 – $41,545 · median $20,317 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,854 – $62,897 · median $30,759 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,127 – $39,591 · median $19,362 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,444 – $25,468 · median $12,455 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,292 – $73,266 · median $35,830 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,633 – $47,151 · median $23,059 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,148 – $75,848 · median $37,093 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,616 – $44,082 · median $21,558 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,601 – $38,005 · median $18,586 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,637 – $71,291 · median $34,864 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,826 – $77,895 · median $38,094 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $27,972 – $84,368 · median $41,259 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $47,379 – $142,900 · median $69,884 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $36,806 – $111,011 · median $54,289 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,173 – $160,376 · median $78,431 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,650 – $98,475 · median $48,158 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,791 – $123,031 · median $60,167 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,494 – $82,924 · median $40,554 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,737 – $59,530 · median $29,113 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $31,894 – $96,197 · median $47,044 | 18 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $25,448 – $76,755 · median $37,536 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,125 – $166,264 · median $81,310 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,437 – $140,060 · median $68,495 | 18 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,706 – $107,692 · median $52,666 | 18 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,033 – $129,791 · median $63,473 | 18 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,881 – $84,093 · median $41,125 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $12,401 – $37,404 · median $18,292 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $7,106 – $21,431 · median $10,481 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $5,590 – $16,861 · median $8,246 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $15,314 – $46,188 · median $22,588 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $5,351 – $16,140 · median $7,893 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $4,630 – $13,965 · median $6,829 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $17,107 – $51,597 · median $25,233 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,273 – $24,952 · median $12,203 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,922 – $63,102 · median $30,860 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,196 – $39,801 · median $19,464 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,188 – $21,678 · median $10,602 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,925 – $29,935 · median $14,640 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,564 – $19,797 · median $9,681 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,376 – $13,198 · median $6,454 | 18 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $12,075 – $36,420 · median $17,811 | 18 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,901 – $14,783 · median $7,230 | 18 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,518 – $10,612 · median $5,190 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,622 – $38,071 · median $18,618 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,253 – $24,892 · median $12,173 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,564 – $16,782 · median $8,207 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,251 – $27,902 · median $13,645 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,205 – $15,697 · median $7,677 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $9,200 – $27,748 · median $13,570 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,838 – $17,607 · median $8,611 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,183 – $36,744 · median $17,969 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,060 – $21,294 · median $10,413 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,308 – $28,074 · median $13,730 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,688 – $17,155 · median $8,389 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,377 – $13,200 · median $6,455 | 18 plans |
| 311 | ANGINA PECTORIS | $5,426 – $16,367 · median $8,004 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,738 – $20,324 · median $9,939 | 18 plans |
| 313 | CHEST PAIN | $5,566 – $16,789 · median $8,210 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,121 – $48,622 · median $23,778 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,447 – $22,462 · median $10,985 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,273 – $15,905 · median $7,778 | 18 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $51,694 – $155,913 · median $76,248 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,503 – $104,064 · median $50,892 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,595 – $56,086 · median $27,428 | 18 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,035 – $63,443 · median $31,026 | 18 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,630 – $41,109 · median $20,104 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,455 – $100,905 · median $49,347 | 18 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,361 – $73,474 · median $35,932 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,820 – $74,859 · median $36,609 | 18 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,558 – $116,294 · median $56,873 | 18 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,896 – $56,993 · median $27,872 | 18 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,387 – $37,362 · median $18,271 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,536 – $107,179 · median $52,415 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,533 – $55,897 · median $27,336 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,011 – $39,241 · median $19,191 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,992 – $84,426 · median $41,288 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $18,108 – $54,615 · median $26,709 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,663 – $38,192 · median $18,677 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,607 – $83,265 · median $40,720 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,302 – $49,170 · median $24,046 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,867 – $35,793 · median $17,504 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,968 – $60,225 · median $29,452 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,633 – $35,086 · median $17,159 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,171 – $27,659 · median $13,527 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,747 – $53,528 · median $26,177 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,118 – $30,518 · median $14,925 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,731 – $20,300 · median $9,928 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,265 – $58,105 · median $28,416 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,786 – $35,548 · median $17,384 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,028 – $27,230 · median $13,317 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,435 – $67,668 · median $33,092 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,007 – $39,230 · median $19,185 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,398 – $31,362 · median $15,337 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,961 – $102,430 · median $50,092 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,979 – $54,225 · median $26,518 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,807 – $32,596 · median $15,941 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,307 – $37,119 · median $18,153 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,733 – $23,322 · median $11,406 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,418 – $16,341 · median $7,991 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,708 – $41,344 · median $20,219 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,893 – $23,807 · median $11,643 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,624 – $16,961 · median $8,295 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,534 – $49,869 · median $24,388 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,351 – $28,205 · median $13,793 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,146 – $21,552 · median $10,540 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,132 – $42,625 · median $20,845 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,582 – $22,868 · median $11,183 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,874 – $14,699 · median $7,189 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,170 – $45,754 · median $22,376 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,377 – $25,265 · median $12,355 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,189 – $18,668 · median $9,129 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,674 – $32,195 · median $15,745 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,608 – $19,932 · median $9,748 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,233 – $36,895 · median $18,043 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,548 – $22,765 · median $11,133 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,267 – $15,886 · median $7,769 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,417 – $34,435 · median $16,840 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,106 – $18,416 · median $9,006 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,206 – $12,685 · median $6,203 | 18 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,805 – $29,574 · median $14,463 | 18 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,027 – $18,178 · median $8,890 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,364 – $37,292 · median $18,237 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,234 – $21,818 · median $10,670 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,017 – $15,133 · median $7,401 | 18 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,515 – $55,843 · median $27,310 | 18 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,702 – $35,294 · median $17,260 | 18 plans |
| 399 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $8,850 – $26,692 · median $13,053 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,083 – $93,748 · median $45,847 | 18 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $42,293 – $127,559 · median $62,382 | 18 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $22,422 – $67,626 · median $33,072 | 18 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,160 – $51,756 · median $25,311 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,566 – $83,141 · median $40,660 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,833 – $50,769 · median $24,828 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,275 – $37,021 · median $18,105 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,538 – $77,025 · median $37,668 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,255 – $49,025 · median $23,975 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,837 – $38,719 · median $18,935 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,543 – $83,071 · median $40,625 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,978 – $48,191 · median $23,567 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,540 – $31,789 · median $15,546 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,449 – $55,645 · median $27,213 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,078 – $39,444 · median $19,290 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,559 – $31,847 · median $15,575 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,340 – $79,445 · median $38,852 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,433 – $40,514 · median $19,813 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,820 – $32,633 · median $15,959 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,107 – $96,838 · median $47,358 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,915 – $51,017 · median $24,949 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,599 – $34,983 · median $17,108 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $85,205 – $256,988 · median $125,678 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,807 – $168,321 · median $82,316 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,464 – $131,092 · median $64,109 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $69,654 – $210,082 · median $102,739 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,586 – $134,475 · median $65,764 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,216 – $45,894 · median $22,444 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,166 – $24,628 · median $12,044 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,508 – $16,614 · median $8,125 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,200 – $42,827 · median $20,944 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,745 – $26,375 · median $12,898 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,597 – $19,897 · median $9,730 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,603 – $38,012 · median $18,590 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,503 – $19,615 · median $9,592 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,804 – $14,490 · median $7,086 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,875 – $41,848 · median $20,465 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,463 – $22,509 · median $11,008 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,409 – $16,315 · median $7,979 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,918 – $38,961 · median $19,054 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,461 – $25,519 · median $12,480 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,396 – $19,291 · median $9,434 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,656 – $155,799 · median $76,192 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,786 – $98,885 · median $48,359 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,203 – $124,274 · median $60,775 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,974 – $75,325 · median $36,837 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,967 – $195,947 · median $95,826 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,101 – $139,045 · median $67,999 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,259 – $97,295 · median $47,581 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $30,616 – $128,783 · median $54,441 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $19,559 – $62,025 · median $26,220 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,063 – $132,899 · median $64,993 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,080 – $72,627 · median $35,518 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,099 – $42,524 · median $20,796 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $29,966 – $121,378 · median $51,310 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,521 – $82,232 · median $34,762 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,659 – $64,077 · median $27,087 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,623 – $70,727 · median $29,898 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,327 – $44,977 · median $19,013 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,331 – $112,594 · median $55,063 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,776 – $68,696 · median $33,595 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,874 – $56,925 · median $27,839 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,189 – $100,100 · median $48,953 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,594 – $53,064 · median $25,950 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,124 – $27,519 · median $13,458 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,708 – $80,553 · median $39,394 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,012 – $57,343 · median $28,043 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,371 – $43,345 · median $21,198 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,515 – $67,908 · median $33,210 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,193 – $48,839 · median $23,884 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,609 – $38,031 · median $18,599 | 18 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $21,430 – $64,634 · median $31,609 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,949 – $75,248 · median $36,800 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,166 – $48,759 · median $23,845 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,108 – $36,520 · median $17,860 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,675 – $41,247 · median $20,171 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,634 – $26,041 · median $12,735 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $28,385 – $85,613 · median $41,868 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $19,607 – $59,136 · median $28,920 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $15,512 – $46,787 · median $22,881 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,030 – $84,543 · median $41,345 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,946 – $42,063 · median $20,570 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,341 – $28,175 · median $13,779 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,323 – $70,345 · median $34,401 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,577 – $46,980 · median $20,613 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,467 – $73,796 · median $36,089 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,515 – $40,762 · median $19,934 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,405 – $31,383 · median $15,348 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,578 – $65,082 · median $31,828 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,451 – $43,585 · median $21,315 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,860 – $41,804 · median $20,444 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,431 – $31,460 · median $15,385 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,965 – $42,121 · median $20,599 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,708 – $35,312 · median $17,269 | 18 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $23,352 – $70,431 · median $34,444 | 18 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $16,076 – $48,487 · median $23,712 | 18 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $12,798 – $38,600 · median $18,877 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,171 – $36,709 · median $17,952 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,903 – $23,838 · median $11,658 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,638 – $74,311 · median $36,341 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,066 – $48,456 · median $23,697 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,880 – $35,832 · median $17,523 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,893 – $87,145 · median $42,617 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,464 – $46,640 · median $22,809 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,549 – $34,834 · median $17,035 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,190 – $66,926 · median $32,730 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,372 – $49,380 · median $24,149 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,120 – $36,555 · median $17,877 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,232 – $18,796 · median $9,192 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,911 – $29,893 · median $14,619 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,244 – $18,831 · median $9,209 | 18 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $7,378 – $22,252 · median $10,882 | 18 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $5,569 – $16,796 · median $8,214 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,228 – $45,929 · median $22,461 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,022 – $30,227 · median $14,782 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,087 – $18,360 · median $8,979 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,657 – $41,191 · median $20,144 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,948 – $23,971 · median $11,723 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,834 – $17,595 · median $8,605 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,186 – $57,867 · median $28,300 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,917 – $26,895 · median $13,153 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,465 – $19,498 · median $9,535 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,928 – $45,024 · median $22,019 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,333 – $28,149 · median $13,766 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,758 – $20,382 · median $9,968 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,958 – $39,083 · median $19,113 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,432 – $22,415 · median $10,962 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,022 – $30,227 · median $14,782 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,418 – $19,356 · median $9,466 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,219 – $30,821 · median $15,073 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,421 – $19,368 · median $9,472 | 18 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $11,495 – $34,671 · median $16,956 | 18 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $6,905 – $20,827 · median $10,185 | 18 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,418 – $43,485 · median $21,266 | 18 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,706 – $26,258 · median $12,841 | 18 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,215 – $18,745 · median $9,167 | 18 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $11,015 – $33,223 · median $16,247 | 18 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $6,923 – $20,881 · median $10,212 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,934 – $35,993 · median $17,602 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,533 – $22,721 · median $11,111 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,793 – $17,472 · median $8,544 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,738 – $68,579 · median $33,538 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,062 – $39,395 · median $19,266 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,862 – $26,729 · median $13,072 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,649 – $152,763 · median $74,707 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,838 – $80,945 · median $39,585 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,893 – $41,902 · median $20,492 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,891 – $114,284 · median $55,890 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,493 – $61,808 · median $30,227 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,419 – $37,457 · median $18,318 | 18 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,037 – $75,514 · median $36,930 | 18 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,359 – $40,293 · median $19,705 | 18 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,157 – $33,650 · median $16,456 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,895 – $44,924 · median $21,970 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,331 – $40,209 · median $19,664 | 18 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,550 – $49,916 · median $24,411 | 18 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,914 – $44,982 · median $21,998 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $14,962 – $45,127 · median $22,069 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $9,171 – $27,662 · median $13,528 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,701 – $20,212 · median $9,884 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,395 – $49,450 · median $24,183 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,369 – $25,241 · median $12,344 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,888 – $38,873 · median $19,010 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,746 – $26,379 · median $12,901 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,948 – $17,941 · median $8,774 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,053 – $24,288 · median $11,878 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,677 – $14,107 · median $6,899 | 18 plans |
| 602 | CELLULITIS WITH MCC | $10,988 – $33,141 · median $16,207 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,733 – $20,307 · median $9,931 | 18 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,381 – $34,326 · median $16,787 | 18 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,082 – $21,359 · median $10,445 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,699 – $35,284 · median $17,255 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,007 – $21,135 · median $10,336 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,945 – $51,108 · median $24,994 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,818 – $32,628 · median $15,957 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,961 – $81,318 · median $39,768 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,459 – $43,611 · median $21,328 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,965 – $33,071 · median $16,173 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,323 – $67,327 · median $32,926 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,372 – $37,315 · median $18,249 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,661 – $35,172 · median $17,201 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,516 – $82,992 · median $40,587 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,869 – $41,829 · median $20,456 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,678 – $29,191 · median $14,276 | 18 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,349 – $70,422 · median $34,439 | 18 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,592 – $34,962 · median $17,098 | 18 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,269 – $30,973 · median $15,147 | 18 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,812 – $86,900 · median $42,498 | 18 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,844 – $50,804 · median $24,846 | 18 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,283 – $34,032 · median $16,643 | 18 plans |
| 637 | DIABETES WITH MCC | $11,107 – $33,500 · median $16,383 | 18 plans |
| 638 | DIABETES WITH CC | $6,929 – $20,897 · median $10,220 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,803 – $14,485 · median $7,084 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $10,326 – $31,143 · median $15,230 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,016 – $18,146 · median $8,874 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,994 – $33,160 · median $16,217 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,726 – $38,383 · median $18,771 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,924 – $23,901 · median $11,688 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,940 – $17,915 · median $8,761 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,347 – $109,625 · median $53,611 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,650 – $86,410 · median $42,258 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,174 – $121,168 · median $59,256 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,641 – $65,273 · median $31,921 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,364 – $49,354 · median $24,136 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,614 – $74,239 · median $36,306 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,148 – $42,671 · median $20,868 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,997 – $36,184 · median $17,696 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,644 – $59,248 · median $28,975 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,218 – $30,819 · median $15,072 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,005 – $24,143 · median $11,807 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,669 – $71,387 · median $34,911 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,753 – $35,447 · median $17,335 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,094 – $24,411 · median $11,938 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,130 – $72,779 · median $35,592 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $13,524 – $40,790 · median $19,948 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,552 – $25,794 · median $12,614 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,575 – $68,087 · median $33,298 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,999 – $36,189 · median $17,698 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,556 – $22,788 · median $11,144 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,877 – $41,855 · median $20,469 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,346 – $25,171 · median $12,310 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,483 – $97,971 · median $47,912 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,080 – $54,531 · median $26,668 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,690 – $38,274 · median $18,717 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $11,450 – $34,533 · median $16,888 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $6,771 – $20,422 · median $9,987 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,641 – $13,998 · median $6,845 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,944 – $42,058 · median $20,568 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,101 – $24,432 · median $11,948 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,110 – $18,428 · median $9,012 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,970 – $27,055 · median $13,231 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,258 – $18,876 · median $9,231 | 18 plans |
| 693 | URINARY STONES WITH MCC | $10,394 – $31,351 · median $15,332 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,043 – $18,227 · median $8,914 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,843 – $26,671 · median $13,043 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,327 – $16,066 · median $7,857 | 18 plans |
| 697 | URETHRAL STRICTURE | $8,333 – $25,132 · median $12,290 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,790 – $38,577 · median $18,866 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,847 – $23,667 · median $11,574 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,334 – $16,087 · median $7,867 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,464 – $46,642 · median $22,810 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,861 – $35,774 · median $17,495 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,991 – $54,262 · median $26,537 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,833 – $32,673 · median $15,978 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,110 – $48,589 · median $23,762 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,502 – $25,642 · median $12,540 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,623 – $35,056 · median $17,144 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,175 – $24,656 · median $12,058 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,297 – $52,169 · median $25,513 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,372 – $34,300 · median $16,774 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,616 – $44,082 · median $21,558 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,384 – $31,318 · median $15,316 | 18 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $13,991 – $42,198 · median $20,637 | 18 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,834 – $26,645 · median $13,031 | 18 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,069 – $15,289 · median $7,477 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,047 – $27,286 · median $13,344 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,582 – $16,835 · median $8,233 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,464 – $34,578 · median $16,910 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,271 – $18,915 · median $9,250 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,185 – $24,686 · median $12,073 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,195 – $15,669 · median $7,663 | 18 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,467 – $49,667 · median $24,289 | 18 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,402 – $31,374 · median $15,343 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,635 – $83,349 · median $40,761 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,931 – $48,048 · median $23,498 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,353 – $34,242 · median $16,746 | 18 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $27,699 – $83,542 · median $40,856 | 18 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $13,990 – $42,196 · median $20,635 | 18 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $11,025 – $33,253 · median $16,262 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,185 – $42,783 · median $20,923 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,592 – $28,930 · median $14,148 | 18 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,842 – $47,780 · median $23,366 | 18 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,794 – $26,524 · median $12,971 | 18 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,430 – $40,505 · median $19,809 | 18 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,646 – $20,046 · median $9,803 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,725 – $32,349 · median $15,820 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,850 – $59,870 · median $29,279 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,409 – $34,412 · median $16,829 | 18 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,238 – $42,944 · median $21,001 | 18 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,410 – $25,365 · median $12,404 | 18 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,426 – $22,397 · median $10,953 | 18 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,070 – $33,389 · median $16,328 | 18 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,569 – $22,828 · median $11,164 | 18 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,130 – $15,474 · median $7,567 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,789 – $23,493 · median $11,489 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,411 – $13,303 · median $6,506 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,064 – $39,402 · median $19,269 | 18 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,752 – $23,381 · median $11,434 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,594 – $15,266 · median $7,092 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $5,903 – $19,617 · median $9,113 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,779 – $105,603 · median $49,057 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,713 – $65,509 · median $30,431 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,395 – $44,511 · median $20,677 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,956 – $92,900 · median $43,156 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,044 – $43,345 · median $20,136 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,515 – $31,619 · median $14,688 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,493 – $51,483 · median $23,916 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,883 – $29,518 · median $13,712 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,344 – $24,404 · median $11,337 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,854 – $32,745 · median $15,211 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,443 – $21,410 · median $9,946 | 18 plans |
| 813 | COAGULATION DISORDERS | $10,703 – $35,566 · median $16,522 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,923 – $49,590 · median $23,036 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,115 – $23,644 · median $10,984 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,435 – $14,737 · median $6,846 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,010 – $53,201 · median $24,714 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,134 – $27,030 · median $12,556 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,034 – $20,051 · median $9,314 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,153 – $136,753 · median $63,527 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,708 – $52,199 · median $24,248 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,448 – $28,074 · median $13,042 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,171 – $106,907 · median $49,662 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,897 – $52,828 · median $24,541 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,469 – $31,465 · median $14,617 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,824 – $109,075 · median $50,670 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,217 – $53,892 · median $25,035 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,955 – $39,729 · median $18,456 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,173 – $73,684 · median $34,229 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,560 – $35,093 · median $16,302 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,438 – $28,039 · median $13,025 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,063 – $16,826 · median $7,816 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,669 – $12,193 · median $5,664 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $38,522 – $128,011 · median $59,466 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,636 – $48,636 · median $22,593 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,557 – $28,436 · median $13,210 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,711 – $112,025 · median $52,040 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,647 – $48,673 · median $22,611 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,132 – $33,668 · median $15,640 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,699 – $75,430 · median $35,040 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,447 – $38,040 · median $17,671 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,090 – $23,560 · median $10,945 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,997 – $46,514 · median $21,608 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,542 – $28,387 · median $13,187 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,976 – $19,857 · median $9,225 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,191 – $60,451 · median $28,082 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,180 – $30,504 · median $14,170 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,960 – $19,806 · median $9,201 | 18 plans |
| 849 | RADIOTHERAPY | $19,012 – $63,179 · median $29,349 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $60,763 – $201,919 · median $93,799 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,654 – $115,156 · median $53,495 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,020 – $46,591 · median $21,643 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,506 – $34,911 · median $16,218 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,918 – $106,065 · median $49,271 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,027 – $49,935 · median $23,197 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,774 – $32,479 · median $15,088 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,797 – $42,524 · median $19,754 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,002 – $23,269 · median $10,809 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,229 – $20,699 · median $9,616 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,513 – $34,937 · median $16,230 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,102 – $20,277 · median $9,419 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,688 – $48,808 · median $22,673 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,235 – $24,043 · median $11,169 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,120 – $17,015 · median $7,904 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,499 – $161,167 · median $74,868 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,630 – $45,294 · median $21,041 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,180 – $23,861 · median $11,084 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,447 – $97,855 · median $45,457 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,434 – $44,642 · median $20,738 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,207 – $27,272 · median $12,669 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,774 – $85,648 · median $39,787 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,409 – $34,589 · median $16,068 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,783 – $45,803 · median $21,277 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,940 – $89,523 · median $41,587 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,000 – $46,523 · median $21,612 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,211 – $30,609 · median $14,219 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,470 – $38,115 · median $17,706 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,213 – $20,648 · median $9,592 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,800 – $39,211 · median $18,215 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,675 – $15,537 · median $7,217 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,005 – $36,571 · median $16,989 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,014 – $19,986 · median $9,284 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,847 – $42,690 · median $19,831 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,033 – $23,371 · median $10,857 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,830 – $16,052 · median $7,457 | 18 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,275 – $40,792 · median $18,949 | 18 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,141 – $23,730 · median $11,024 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $149,814 – $497,843 · median $231,268 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,330 – $167,250 · median $77,694 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,600 – $75,101 · median $34,888 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,325 – $90,803 · median $42,182 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,512 – $51,546 · median $23,945 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $14,455 – $48,034 · median $22,314 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,461 – $84,608 · median $39,304 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,398 – $54,491 · median $25,313 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,228 – $47,281 · median $21,964 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,047 – $26,741 · median $12,422 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,907 – $29,599 · median $13,750 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,617 – $18,666 · median $8,671 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,348 – $27,741 · median $12,887 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,405 – $14,636 · median $6,799 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,901 – $12,965 · median $6,023 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,231 – $156,953 · median $72,911 | 18 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,405 – $87,744 · median $40,761 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,468 – $177,678 · median $82,539 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,568 – $98,258 · median $45,645 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,658 – $68,649 · median $31,890 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,183 – $63,746 · median $29,612 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,754 – $35,737 · median $16,601 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,599 – $21,930 · median $10,187 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,953 – $142,734 · median $66,306 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,506 – $61,498 · median $28,568 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,251 – $67,295 · median $31,261 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,087 – $30,196 · median $14,027 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,334 – $21,049 · median $9,778 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,106 – $30,259 · median $14,057 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,922 – $109,402 · median $50,821 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,251 – $57,326 · median $26,630 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,027 – $39,966 · median $18,566 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,057 – $79,942 · median $37,136 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,533 – $38,325 · median $17,803 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,415 – $27,962 · median $12,990 | 18 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $217,394 – $653,451 · median $293,482 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $87,607 – $264,231 · median $118,269 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $79,711 – $240,416 · median $107,610 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,849 – $108,124 · median $48,396 | 17 plans |
| 007 | LUNG TRANSPLANT | $100,119 – $301,968 · median $135,160 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $43,329 – $130,686 · median $58,495 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $55,476 – $167,320 · median $74,892 | 17 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $87,506 – $263,927 · median $118,133 | 17 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $44,120 – $133,071 · median $59,562 | 17 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,726 – $56,480 · median $25,280 | 17 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,584 – $80,180 · median $35,888 | 17 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,665 – $56,296 · median $25,198 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $24,967 – $75,304 · median $33,706 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,227 – $57,247 · median $25,624 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,439 – $24,719 · median $11,064 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,721 – $22,334 · median $9,996 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,574 – $38,462 · median $17,216 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,836 – $26,041 · median $11,656 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,728 – $22,357 · median $10,007 | 17 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,245 – $42,023 · median $16,719 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $10,245 – $138,588 · median $55,139 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $10,245 – $94,646 · median $37,656 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,245 – $57,110 · median $22,722 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,245 – $97,225 · median $38,682 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,245 – $34,414 · median $13,692 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,189 – $27,212 · median $12,180 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,020 – $23,327 · median $10,441 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,716 – $22,317 · median $9,989 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,573 – $25,164 · median $11,264 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,291 – $17,581 · median $7,869 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,310 – $15,721 · median $5,473 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,120 – $90,120 · median $40,338 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,738 – $22,390 · median $10,022 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $6,602 – $21,940 · median $9,820 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,535 – $25,038 · median $11,207 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,797 – $45,849 · median $20,522 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,289 – $37,516 · median $16,792 | 17 plans |
| 885 | PSYCHOSES | $9,801 – $32,570 · median $14,578 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,562 – $48,391 · median $21,660 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,514 – $24,971 · median $11,177 | 17 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,329 – $14,385 · median $6,439 | 17 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $9,933 – $33,008 · median $14,774 | 17 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $12,245 – $40,692 · median $18,213 | 17 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $6,195 – $20,585 · median $9,214 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,866 – $36,110 · median $16,163 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,285 – $24,987 · median $9,846 | 16 plans |
| 795 | NORMAL NEWBORN | $670 – $4,659 · median $1,583 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $24,586 – $36,056 · median $27,053 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $15,867 – $23,269 · median $17,459 | 6 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $10,601 – $15,546 · median $11,664 | 6 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $19,525 – $28,634 · median $21,484 | 6 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $12,558 – $18,416 · median $13,818 | 6 plans |
| 509 | ARTHROSCOPY | $27,932 – $40,962 · median $30,734 | 6 plans |
No procedures match that keyword.