Eskenazi Health — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $162,972 – $448,492 · median $199,228 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,448 – $402,089 · median $183,646 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,032 – $123,264 · median $53,151 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,206 – $97,056 · median $42,104 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,151 – $67,573 · median $29,676 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $286,778 – $1,340,327 · median $615,980 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $174,604 · median $74,793 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,299 – $177,318 · median $75,936 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,031 – $126,848 · median $54,744 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,846 – $98,557 · median $43,901 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,383 – $129,535 · median $55,794 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,909 – $90,931 · median $39,522 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,009 – $104,532 · median $45,255 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,258 – $75,860 · median $33,169 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,766 – $63,877 · median $28,118 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,230 – $137,128 · median $58,995 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,525 – $81,906 · median $35,717 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,923 – $58,961 · median $26,046 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,866 – $98,818 · median $42,847 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,240 – $57,140 · median $25,278 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,133 – $46,186 · median $20,660 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,571 – $92,695 · median $40,266 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,298 – $59,963 · median $26,468 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,939 – $51,005 · median $22,692 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,253 – $81,179 · median $35,411 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,253 – $46,506 · median $20,796 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,655 – $36,911 · median $16,108 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,684 – $90,330 · median $39,269 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,172 – $59,626 · median $26,326 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,365 – $49,473 · median $22,046 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,304 – $54,643 · median $24,225 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,007 – $32,514 · median $13,040 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,400 – $44,231 · median $19,836 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,296 – $35,954 · median $15,440 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,145 – $64,614 · median $23,278 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,615 – $40,890 · median $12,405 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,037 – $51,264 · median $22,801 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,305 – $38,643 · median $17,316 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,786 – $31,926 · median $12,629 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,557 – $68,656 · median $30,132 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,542 – $49,946 · median $22,245 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,682 – $42,318 · median $19,030 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,126 – $54,171 · median $24,026 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,733 – $34,451 · median $14,391 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,234 – $27,786 · median $9,741 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,063 – $43,334 · median $19,458 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,703 – $31,705 · median $12,475 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,084 – $30,054 · median $11,323 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,222 – $49,092 · median $21,886 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,014 – $35,201 · median $14,915 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,705 – $29,042 · median $10,617 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,753 – $45,174 · median $18,332 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,927 – $34,968 · median $14,752 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,098 – $48,759 · median $21,745 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,972 – $32,423 · median $12,976 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,758 – $45,188 · median $20,240 | 15 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,588 – $34,066 · median $13,864 | 15 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,070 – $27,348 · median $9,435 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,615 – $54,142 · median $18,479 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,457 – $32,177 · median $8,411 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,643 – $60,884 · median $26,856 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,573 – $42,026 · median $18,907 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,270 – $33,218 · median $13,531 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,231 – $59,784 · median $26,393 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,974 – $40,428 · median $17,344 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,722 – $31,755 · median $10,485 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,727 – $42,438 · median $19,081 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,153 – $35,570 · median $12,716 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,519 – $31,214 · median $12,133 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,862 – $50,798 · median $22,605 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,051 – $35,299 · median $14,983 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,002 – $29,835 · median $11,170 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,746 – $87,828 · median $38,214 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,229 – $62,445 · median $27,514 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,229 – $62,445 · median $27,514 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,258 – $86,528 · median $37,666 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,496 – $57,823 · median $25,566 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,595 – $42,085 · median $18,932 | 15 plans |
| 100 | SEIZURES WITH MCC | $15,097 – $54,091 · median $23,993 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $7,009 – $32,520 · median $13,044 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,817 – $37,343 · median $16,409 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,465 – $31,070 · median $10,084 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,160 – $59,594 · median $26,312 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,989 – $37,801 · median $16,729 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,642 – $44,878 · median $20,109 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,688 – $47,668 · median $21,285 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,202 – $35,702 · median $15,264 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,845 – $37,418 · median $13,797 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,158 – $27,584 · median $9,599 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,108 – $30,117 · median $11,367 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,915 – $40,272 · median $18,168 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,279 – $30,573 · median $10,110 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,335 – $62,727 · median $27,633 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,439 – $33,666 · median $13,843 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,635 – $42,192 · median $18,977 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,186 – $30,326 · median $11,513 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,441 – $41,673 · median $18,758 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,160 – $99,601 · median $43,177 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,338 – $57,401 · median $25,388 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,957 – $45,717 · median $20,463 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,109 – $80,794 · median $35,249 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,358 – $49,455 · median $22,039 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,010 – $37,856 · median $16,767 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,445 – $60,354 · median $26,633 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,466 – $39,073 · median $17,616 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,089 – $30,066 · median $11,332 | 15 plans |
| 149 | DYSEQUILIBRIUM | $5,684 – $28,987 · median $10,579 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $10,511 – $41,860 · median $18,837 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,764 – $29,200 · median $10,727 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,629 – $36,842 · median $15,687 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,412 – $28,261 · median $9,385 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,367 – $46,810 · median $20,924 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $32,761 · median $11,073 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,113 – $27,464 · median $9,516 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,452 – $47,038 · median $21,020 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,153 – $32,903 · median $11,156 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,016 – $27,204 · median $9,335 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,050 – $148,105 · median $67,240 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,140 – $64,875 · median $28,539 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,174 – $51,631 · median $22,956 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,279 – $91,917 · median $39,937 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,895 – $50,885 · median $22,641 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,295 – $41,286 · median $18,595 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $76,062 · median $33,254 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,715 – $42,405 · median $19,067 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,194 – $30,346 · median $11,527 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,292 – $46,612 · median $20,840 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,544 – $33,948 · median $14,040 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,853 – $29,437 · median $10,893 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,291 – $49,275 · median $21,963 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,443 – $36,345 · median $15,713 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,369 – $30,812 · median $11,852 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,070 – $46,019 · median $20,590 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,122 – $35,489 · median $12,669 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,914 – $29,600 · median $9,224 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,979 – $45,871 · median $18,740 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,635 – $34,189 · median $14,085 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,583 – $28,717 · median $10,390 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,410 – $38,923 · median $17,512 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,540 – $36,603 · median $15,893 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,533 – $31,250 · median $12,158 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,921 – $26,953 · median $7,676 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,020 – $40,552 · median $15,629 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,236 – $30,457 · median $11,605 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,735 – $26,456 · median $8,812 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,327 – $52,039 · median $23,128 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,528 – $61,340 · median $29,481 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,326 – $28,032 · median $9,912 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,424 – $49,630 · median $22,112 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,422 – $36,288 · median $15,673 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,149 – $27,559 · median $9,582 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,351 – $33,433 · median $13,681 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,297 – $27,955 · median $9,858 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,167 – $30,275 · median $9,717 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,355 – $52,114 · median $23,159 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,888 – $32,198 · median $12,819 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,178 – $198,778 · median $90,999 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,408 – $68,258 · median $29,965 | 15 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $82,840 – $234,771 · median $101,270 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $80,566 – $228,705 · median $98,489 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,390 – $209,566 · median $89,717 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,108 – $144,803 · median $62,230 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,240 – $134,487 · median $57,882 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,838 – $170,755 · median $73,170 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,278 – $121,252 · median $52,303 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $34,923 – $106,971 · median $46,283 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,894 – $114,895 · median $49,624 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,621 – $76,827 · median $33,577 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,438 – $185,690 · median $79,466 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,452 – $137,720 · median $59,245 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,438 – $172,355 · median $73,844 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,456 – $121,728 · median $52,504 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,745 – $133,167 · median $57,326 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,270 – $97,226 · median $42,175 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,302 – $115,983 · median $50,082 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,145 – $72,890 · median $31,917 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,482 – $44,450 · median $19,929 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,794 – $82,621 · median $36,019 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,131 – $59,517 · median $26,280 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,723 – $50,429 · median $22,449 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,161 – $112,938 · median $48,799 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,586 – $60,730 · median $26,791 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,882 – $45,518 · median $20,379 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,086 – $83,400 · median $36,347 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,414 – $65,605 · median $28,846 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,303 – $49,307 · median $21,976 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,897 – $66,893 · median $29,389 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,879 – $48,177 · median $21,500 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,782 – $31,916 · median $12,622 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,334 – $70,726 · median $31,005 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,366 – $49,475 · median $22,047 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,902 – $82,909 · median $36,141 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,430 – $52,313 · median $23,243 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,542 – $44,610 · median $19,996 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,395 – $68,224 · median $29,950 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,578 – $84,713 · median $36,901 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $27,126 – $86,175 · median $37,517 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,556 – $135,329 · median $58,237 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,776 – $109,245 · median $47,242 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,702 – $191,954 · median $87,041 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,639 – $98,212 · median $42,591 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,033 – $117,932 · median $50,903 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,192 – $83,684 · median $36,467 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,027 – $64,575 · median $28,412 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,735 – $93,133 · median $40,450 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,733 – $77,125 · median $33,702 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,739 – $157,156 · median $67,438 | 15 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $47,104 – $139,458 · median $59,978 | 15 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,374 – $108,174 · median $46,790 | 15 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $115,301 · median $49,795 | 15 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $78,817 · median $34,415 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,482 – $47,117 · median $21,053 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,010 – $32,522 · median $13,045 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,514 – $28,533 · median $10,262 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,869 – $53,485 · median $23,737 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,635 – $28,855 · median $10,487 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,269 – $25,213 · median $6,659 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,831 – $58,716 · median $25,942 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,286 – $35,927 · median $15,421 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,771 – $69,226 · median $30,372 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,990 – $45,804 · median $20,500 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,445 – $33,682 · median $13,855 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,922 – $40,290 · median $18,175 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,549 – $31,293 · median $12,188 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,172 – $24,955 · median $7,765 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,338 – $38,732 · median $17,379 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,006 – $29,845 · median $9,868 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,459 – $47,056 · median $21,027 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,356 – $28,113 · median $9,969 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,359 – $22,785 · median $6,251 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,301 – $46,634 · median $20,849 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,141 – $35,540 · median $15,151 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,425 – $28,295 · median $8,462 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,846 – $37,420 · median $16,463 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,113 – $27,464 · median $9,516 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $8,934 – $37,653 · median $16,626 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,709 – $29,052 · median $10,624 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,387 – $44,196 · median $19,822 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,045 – $32,615 · median $13,110 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,170 – $38,284 · median $14,303 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,622 – $28,821 · median $10,463 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,255 – $25,174 · median $6,636 | 15 plans |
| 311 | ANGINA PECTORIS | $5,310 – $27,989 · median $9,882 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,626 – $31,498 · median $12,331 | 15 plans |
| 313 | CHEST PAIN | $5,425 – $28,295 · median $10,096 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,376 – $57,503 · median $25,431 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,318 – $33,343 · median $11,414 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,191 – $27,673 · median $9,662 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,404 – $102,919 · median $44,575 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,602 – $60,774 · median $26,810 | 15 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,648 – $71,564 · median $31,358 | 15 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $13,758 – $50,520 · median $21,459 | 15 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $32,390 – $100,214 · median $43,435 | 15 plans |
| 324 | URINARY STONES W/O CC | $21,061 – $78,628 · median $34,336 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,764 – $71,874 · median $31,489 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,622 – $118,720 · median $55,418 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,464 – $63,072 · median $27,779 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,117 – $46,145 · median $20,643 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,918 – $106,957 · median $46,277 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,974 – $61,766 · median $27,228 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,555 – $47,311 · median $21,135 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,377 – $84,177 · median $36,675 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $16,161 – $56,931 · median $25,190 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,612 – $47,465 · median $21,200 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,553 – $87,315 · median $37,997 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,063 – $56,667 · median $25,079 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,673 – $44,961 · median $20,144 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,490 – $68,475 · median $30,056 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,320 – $44,020 · median $19,747 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,470 – $39,083 · median $17,623 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,998 – $66,269 · median $29,520 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $39,359 · median $14,932 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,699 – $31,693 · median $12,467 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,392 – $62,881 · median $27,698 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,441 – $44,340 · median $19,882 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,384 – $36,189 · median $15,604 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,303 – $73,312 · median $32,095 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,936 – $48,327 · median $21,563 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,138 – $40,866 · median $18,418 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,438 – $101,270 · median $43,962 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,125 – $59,501 · median $26,273 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,305 – $41,310 · median $18,605 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,699 – $47,697 · median $21,297 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,738 – $34,465 · median $14,401 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,308 – $27,983 · median $9,878 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,292 – $49,279 · median $21,964 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,827 – $34,702 · median $14,567 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,516 – $28,539 · median $9,255 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $56,649 · median $25,043 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,343 – $38,746 · median $17,389 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,715 – $31,735 · median $12,496 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,826 – $50,702 · median $22,564 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,497 – $33,822 · median $13,952 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,842 – $26,740 · median $9,011 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,633 – $52,854 · median $22,824 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,282 – $35,915 · median $15,413 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,698 – $29,023 · median $10,604 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,613 – $39,466 · median $17,828 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,613 – $31,463 · median $12,307 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,355 – $46,780 · median $20,911 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,547 – $33,956 · median $14,046 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,097 – $27,421 · median $9,486 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,178 – $43,638 · median $19,587 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,096 – $30,084 · median $11,344 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,161 – $24,925 · median $7,744 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,768 – $39,878 · median $15,235 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,934 – $29,652 · median $11,043 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,593 – $47,413 · median $21,178 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,158 – $32,918 · median $13,321 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,839 – $26,734 · median $9,006 | 15 plans |
| 397 | COAGULATION DISORDERS | $18,842 – $64,080 · median $28,203 | 15 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,507 – $44,517 · median $19,957 | 15 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,546 – $36,619 · median $15,904 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,281 – $123,929 · median $53,431 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,356 – $70,785 · median $31,030 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,241 – $57,144 · median $25,280 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,625 – $84,838 · median $36,954 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,942 – $56,347 · median $24,944 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,795 – $45,285 · median $20,281 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,808 – $69,325 · median $30,414 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,209 – $57,059 · median $25,244 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,642 – $47,545 · median $21,233 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,644 – $84,889 · median $36,975 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,042 – $53,945 · median $23,931 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,419 – $41,616 · median $18,734 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,072 – $62,026 · median $27,337 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,611 – $47,461 · median $21,198 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,019 – $40,549 · median $18,285 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,833 – $85,410 · median $37,195 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,453 – $47,040 · median $21,020 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,174 – $43,628 · median $19,582 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,930 – $96,320 · median $41,793 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,363 – $60,135 · median $26,541 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,755 – $45,178 · median $20,236 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,898 – $53,785 · median $23,884 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,135 – $35,524 · median $15,140 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,296 – $27,953 · median $9,857 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,875 – $50,832 · median $21,642 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,575 – $36,698 · median $15,959 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,971 – $29,752 · median $11,112 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,651 – $47,569 · median $21,244 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,541 – $31,273 · median $12,174 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,677 – $26,302 · median $8,705 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,375 – $52,167 · median $23,182 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,347 – $33,423 · median $12,393 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,344 – $28,078 · median $9,945 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,809 – $47,989 · median $21,420 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,247 – $35,822 · median $15,348 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,063 – $29,997 · median $11,283 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,402 – $185,595 · median $79,425 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,644 – $130,230 · median $56,088 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,835 – $101,402 · median $43,936 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,665 – $138,664 · median $59,676 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,777 – $71,909 · median $31,503 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,071 – $123,367 · median $53,195 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,422 – $73,629 · median $32,228 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,202 – $49,037 · median $21,862 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,741 – $117,153 · median $50,575 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,046 – $83,295 · median $36,303 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,948 – $67,031 · median $29,447 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,856 – $80,121 · median $34,965 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,338 – $52,067 · median $23,140 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,936 – $117,839 · median $56,991 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,031 – $72,586 · median $31,789 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,002 – $61,841 · median $27,260 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,103 – $104,783 · median $45,361 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,405 – $57,580 · median $25,463 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,845 – $37,416 · median $16,460 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,151 – $83,575 · median $36,421 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,783 – $61,257 · median $27,013 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,504 – $49,842 · median $22,202 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,364 – $73,475 · median $32,163 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,778 – $55,909 · median $24,759 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,063 – $46,001 · median $20,583 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,377 – $65,508 · median $28,805 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,480 – $79,119 · median $34,543 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,128 – $56,842 · median $25,152 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,016 – $45,875 · median $20,530 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,945 – $53,688 · median $23,823 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,417 – $38,943 · median $17,526 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,004 – $85,850 · median $37,380 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,258 – $62,523 · median $27,547 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,337 – $52,065 · median $23,139 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,772 – $85,230 · median $37,119 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,003 – $53,842 · median $23,888 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,209 – $41,057 · median $18,498 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,200 – $65,035 · median $28,606 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,827 – $37,369 · median $16,428 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,096 – $78,093 · median $34,110 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,571 – $50,023 · median $22,278 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,625 – $42,164 · median $18,965 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,125 – $67,504 · median $29,647 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,345 – $49,421 · median $22,024 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,345 – $49,421 · median $22,024 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,400 – $44,231 · median $19,836 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,739 – $53,136 · median $23,590 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,814 – $40,002 · median $18,054 | 15 plans |
| 509 | ARTHROSCOPY | $13,358 – $49,455 · median $22,039 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,734 – $71,793 · median $31,455 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,913 – $53,603 · median $23,787 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,226 – $46,435 · median $20,766 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,449 – $44,362 · median $19,892 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,753 – $34,506 · median $14,429 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,515 – $76,545 · median $33,458 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,298 – $54,627 · median $24,219 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,351 – $44,101 · median $19,782 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,254 – $86,516 · median $37,661 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,995 – $53,820 · median $23,878 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,898 – $42,894 · median $19,273 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,164 – $72,941 · median $31,939 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,031 – $56,582 · median $25,043 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,596 – $44,754 · median $20,057 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,190 – $30,336 · median $11,520 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,113 – $40,799 · median $18,390 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,166 – $30,273 · median $11,476 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,988 – $32,465 · median $13,006 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,106 – $27,446 · median $9,503 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $54,844 · median $23,988 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,841 – $40,073 · median $17,946 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,653 – $31,571 · median $12,382 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,183 – $51,654 · median $22,965 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,067 – $35,343 · median $15,014 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,747 – $29,153 · median $10,695 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $65,076 · median $28,623 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,803 – $37,306 · median $16,384 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,674 – $28,961 · median $10,560 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,320 – $54,686 · median $24,243 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,164 – $38,268 · median $14,294 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,275 – $31,311 · median $10,225 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $48,435 · median $20,240 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,329 – $33,374 · median $13,640 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,931 – $40,314 · median $18,185 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,347 – $30,754 · median $11,257 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,240 – $41,138 · median $18,533 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,209 – $30,386 · median $11,555 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,784 – $45,257 · median $20,269 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,569 – $31,346 · median $10,246 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,116 – $51,475 · median $22,890 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,659 – $36,921 · median $16,115 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,217 – $30,409 · median $11,571 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,129 – $43,509 · median $17,359 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,797 – $31,954 · median $12,649 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,933 – $45,652 · median $20,436 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,754 – $34,508 · median $14,431 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $28,999 · median $8,873 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,890 – $186,776 · median $89,846 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,732 – $47,784 · median $21,334 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,687 – $36,996 · median $16,167 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,829 – $138,724 · median $59,668 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,348 – $84,100 · median $36,642 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,183 – $54,323 · median $24,090 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $123,251 · median $53,146 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,249 – $67,832 · median $29,785 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,854 – $48,110 · median $21,472 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,785 – $79,932 · median $34,886 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,482 – $49,786 · median $21,030 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,944 – $43,016 · median $19,324 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,317 – $49,344 · median $21,992 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,492 – $47,143 · median $21,064 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,569 – $55,351 · median $24,524 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,095 – $54,087 · median $23,991 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $15,637 – $55,531 · median $24,390 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $9,298 – $38,625 · median $14,502 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,454 – $31,039 · median $12,011 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,084 – $56,724 · median $25,103 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,221 – $35,753 · median $12,823 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,358 – $49,455 · median $20,836 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,204 – $35,708 · median $15,269 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,501 – $31,165 · median $12,099 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,274 – $33,228 · median $13,538 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,559 – $25,985 · median $8,484 | 15 plans |
| 602 | CELLULITIS WITH MCC | $11,172 – $43,624 · median $19,581 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,698 – $31,691 · median $12,465 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,298 – $43,959 · median $19,722 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,024 – $32,561 · median $13,072 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,245 – $46,486 · median $20,787 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,572 – $31,354 · median $10,250 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,330 – $60,048 · median $26,504 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,897 – $42,890 · median $19,271 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,391 – $92,215 · median $40,063 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,688 – $53,002 · median $23,534 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,468 – $39,079 · median $17,621 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,733 – $69,124 · median $30,330 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,144 – $46,216 · median $20,673 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,116 – $43,474 · median $19,517 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,455 – $89,720 · median $39,011 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,545 – $52,621 · median $23,373 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,628 – $34,171 · median $14,196 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,802 – $71,976 · median $31,532 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,477 – $44,437 · median $19,924 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,634 – $39,521 · median $17,851 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,004 – $93,851 · median $40,753 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,103 – $59,442 · median $26,248 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,656 – $42,247 · median $19,000 | 15 plans |
| 637 | DIABETES WITH MCC | $11,074 – $43,363 · median $19,470 | 15 plans |
| 638 | DIABETES WITH CC | $6,975 – $32,429 · median $12,980 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,765 – $26,535 · median $8,868 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $40,760 · median $15,751 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,942 – $29,675 · median $11,058 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $38,998 · median $14,721 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,603 – $47,439 · median $21,189 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,858 – $34,785 · median $14,625 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,921 – $29,620 · median $11,020 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,035 – $107,270 · median $46,409 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,406 – $84,254 · median $36,707 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $42,391 – $139,819 · median $66,120 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,460 – $71,063 · median $31,147 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,796 – $55,957 · median $24,779 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,775 – $79,904 · median $34,874 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,901 – $50,903 · median $22,649 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,437 – $44,330 · median $19,878 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,652 – $66,240 · median $29,114 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,190 – $41,004 · median $18,476 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,807 – $34,648 · median $14,528 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,722 – $77,097 · median $33,690 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,615 – $44,805 · median $20,078 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,211 – $35,727 · median $15,281 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,110 – $83,465 · median $36,375 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $12,527 – $47,236 · median $21,103 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,816 – $34,672 · median $14,545 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,176 – $72,974 · median $31,952 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,768 – $45,212 · median $20,250 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,267 – $33,210 · median $13,525 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,107 – $48,786 · median $21,756 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,322 – $36,023 · median $15,488 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,859 – $98,798 · median $42,838 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,554 – $60,644 · median $26,755 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,903 – $45,573 · median $20,402 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $11,421 – $44,287 · median $19,860 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $6,759 – $31,855 · median $12,580 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,619 – $26,146 · median $8,596 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,339 – $52,071 · median $22,366 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,005 – $35,177 · median $14,898 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,507 – $28,514 · median $10,249 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,899 – $37,562 · median $16,562 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,103 – $30,105 · median $11,358 | 15 plans |
| 693 | URINARY STONES WITH MCC | $11,181 – $43,649 · median $19,591 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,942 – $29,675 · median $11,058 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $36,700 · median $13,377 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,657 – $27,857 · median $8,205 | 15 plans |
| 697 | URETHRAL STRICTURE | $7,618 – $34,145 · median $14,177 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,782 – $47,918 · median $21,391 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,756 – $34,512 · median $14,434 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,279 – $27,906 · median $8,234 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,757 – $53,185 · median $23,611 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,273 – $43,894 · median $19,694 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,088 – $59,401 · median $26,231 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,417 – $44,277 · median $19,856 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,529 – $52,576 · median $23,354 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,134 – $35,520 · median $15,137 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,996 – $43,154 · median $19,382 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,146 – $32,885 · median $13,299 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,173 – $59,628 · median $26,327 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,793 – $42,612 · median $19,154 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,110 – $51,459 · median $22,883 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,368 – $38,811 · median $17,434 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,147 – $48,891 · median $21,801 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,539 – $36,601 · median $15,891 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,540 – $28,604 · median $10,311 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,601 – $39,434 · median $17,814 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,661 – $28,924 · median $10,535 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,174 – $43,628 · median $19,582 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,213 – $30,399 · median $11,564 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,372 – $36,154 · median $13,058 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,615 – $26,135 · median $8,589 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,990 – $56,475 · median $24,998 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,231 – $38,446 · median $17,179 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $29,943 – $93,687 · median $40,684 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,196 – $54,357 · median $24,105 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,535 – $44,592 · median $19,989 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,272 – $94,565 · median $41,054 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,827 – $50,704 · median $22,565 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,445 – $41,685 · median $18,763 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,891 – $50,875 · median $22,637 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,115 – $38,138 · median $16,964 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,859 – $53,457 · median $23,725 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,793 – $38,072 · median $17,547 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,734 – $47,790 · median $21,337 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,264 – $33,199 · median $13,518 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,359 – $41,456 · median $16,158 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,684 – $66,327 · median $29,151 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,806 – $39,980 · median $18,044 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,758 – $50,522 · median $22,488 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,442 – $36,341 · median $15,710 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,250 – $33,195 · median $11,327 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,762 – $42,531 · median $19,120 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,751 – $34,500 · median $14,425 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,867 – $26,807 · median $9,057 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,495 – $33,816 · median $12,988 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,820 – $26,683 · median $8,971 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,337 – $36,061 · median $15,515 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,566 – $42,008 · median $18,899 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,182 – $35,649 · median $15,228 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,426 – $28,297 · median $10,097 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $7,108 – $32,786 · median $13,229 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,008 – $51,187 · median $22,769 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,235 – $35,791 · median $15,327 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,642 – $31,542 · median $12,362 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,288 – $46,600 · median $20,835 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,074 – $35,362 · median $15,027 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,880 – $32,175 · median $12,803 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $50,386 · median $21,381 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $134,396 · median $57,844 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $96,168 · median $41,729 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $63,510 · median $27,963 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $98,411 · median $42,675 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $43,766 · median $17,509 | 15 plans |
| 795 | NORMAL NEWBORN | $1,519 – $17,879 · median $2,828 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,708 – $39,718 · median $17,934 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,362 – $33,463 · median $13,702 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,362 – $33,463 · median $13,702 | 15 plans |
| 799 | SPLENECTOMY WITH MCC | $36,157 – $110,261 · median $47,670 | 15 plans |
| 800 | SPLENECTOMY WITH CC | $22,157 – $72,923 · median $31,931 | 15 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $12,484 – $47,123 · median $21,055 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,260 – $86,532 · median $37,667 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,536 – $49,928 · median $22,238 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,407 – $36,250 · median $15,646 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,589 – $34,068 · median $14,124 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,502 – $28,502 · median $10,240 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,846 – $26,752 · median $9,019 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,416 – $60,277 · median $26,600 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,418 – $38,945 · median $17,527 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,238 – $33,131 · median $13,470 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,698 – $42,361 · median $19,048 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,018 – $32,544 · median $13,061 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,771 – $45,222 · median $20,254 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,897 – $56,225 · median $24,892 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,727 – $34,435 · median $14,380 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,014 – $27,200 · median $9,332 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,278 – $65,242 · median $28,693 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,794 – $39,949 · median $18,032 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,209 – $30,386 · median $11,555 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,274 – $131,912 · median $56,796 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,976 – $59,103 · median $26,105 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,697 – $37,023 · median $16,186 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,584 – $108,734 · median $47,026 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,725 – $58,434 · median $25,823 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,359 – $38,789 · median $17,418 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,314 – $110,681 · median $47,847 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,945 – $61,689 · median $27,196 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,189 – $46,336 · median $20,724 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,450 – $76,371 · median $33,384 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,121 – $43,488 · median $19,523 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,753 – $37,171 · median $16,289 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,683 – $28,985 · median $10,577 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,953 – $24,369 · median $6,165 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,816 – $125,929 · median $54,274 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,242 – $57,146 · median $25,280 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,663 – $39,598 · median $15,072 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,076 – $153,353 · median $69,832 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,423 – $54,962 · median $24,360 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,421 – $41,620 · median $18,736 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,250 – $78,504 · median $34,284 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,924 – $45,628 · median $20,425 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,999 – $35,161 · median $12,477 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,397 – $52,226 · median $23,206 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $38,067 · median $14,176 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,363 – $30,798 · median $11,842 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $65,622 · median $28,853 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,663 – $39,598 · median $15,072 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $30,435 · median $9,713 | 15 plans |
| 849 | RADIOTHERAPY | $20,312 – $68,382 · median $30,051 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,031 – $115,261 · median $49,777 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,194 – $54,351 · median $24,102 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,362 – $46,796 · median $20,918 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,307 – $105,329 · median $45,591 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,569 – $58,018 · median $25,648 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,797 – $39,957 · median $18,035 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,982 – $51,118 · median $22,740 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,604 – $34,106 · median $13,744 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,829 – $32,039 · median $12,709 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,223 – $43,760 · median $19,638 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,728 – $31,772 · median $10,495 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,306 – $57,316 · median $25,352 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,985 – $35,124 · median $14,861 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,472 – $28,421 · median $10,184 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,899 – $154,915 · median $66,493 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,920 – $53,621 · median $23,795 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,840 – $34,737 · median $14,591 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,755 – $93,525 · median $36,530 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,442 – $33,268 · median $8,911 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $1,415 – $32,366 · median $8,497 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,389 – $33,337 · median $4,716 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,624 – $51,426 · median $9,857 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,442 – $47,701 · median $15,526 | 15 plans |
| 885 | PSYCHOSES | $1,415 – $42,415 · median $13,104 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,428 – $50,262 · median $16,700 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,401 – $37,949 · median $11,057 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,171 – $26,484 · median $5,802 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,010 – $54,074 · median $36,064 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,542 – $49,944 · median $29,089 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,450 – $31,719 · median $8,201 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,691 – $103,684 · median $44,898 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,430 – $52,313 · median $23,243 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,270 – $38,552 · median $17,253 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,361 – $92,136 · median $40,030 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,533 – $47,255 · median $21,111 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,596 – $58,091 · median $25,679 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,293 – $94,622 · median $41,078 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,339 – $54,736 · median $24,265 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,645 – $39,550 · median $17,863 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,306 – $46,648 · median $20,855 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,969 – $32,413 · median $11,520 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,215 – $49,074 · median $21,878 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,050 – $27,296 · median $7,877 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,781 – $47,082 · median $15,243 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,629 – $31,768 · median $6,775 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,867 – $50,812 · median $22,611 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,725 – $34,431 · median $12,050 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,150 – $27,774 · median $8,157 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,847 – $48,090 · median $21,411 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $34,512 · median $12,097 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,136 – $78,200 · median $34,155 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,056 – $56,649 · median $25,071 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,861 – $53,463 · median $23,728 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,608 – $44,786 · median $20,071 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,490 – $36,471 · median $15,801 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,790 – $39,913 · median $11,957 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,615 – $29,940 · median $7,386 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,205 – $35,710 · median $12,798 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,457 – $25,714 · median $8,294 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,312 – $25,326 · median $6,935 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,924 – $152,315 · median $65,397 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,067 – $91,351 · median $39,699 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,760 – $165,212 · median $70,833 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,252 – $97,180 · median $42,156 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,105 – $67,449 · median $29,624 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,659 – $68,925 · median $30,246 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,407 – $44,251 · median $19,845 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,940 – $32,335 · median $12,915 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,092 – $279,089 · median $130,984 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,176 – $68,953 · median $30,969 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,708 – $74,391 · median $32,550 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,809 – $42,655 · median $16,859 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,627 – $34,169 · median $14,194 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,965 – $43,070 · median $17,102 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,150 – $110,243 · median $47,662 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,618 – $63,482 · median $27,951 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,685 – $47,660 · median $21,282 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $84,867 · median $36,966 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,049 – $48,630 · median $20,353 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,787 – $37,262 · median $16,353 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $279,551 · median $120,412 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,901 – $136,244 · median $63,372 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $136,244 · median $58,623 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $215,003 – $585,123 · median $254,947 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $102,439 – $302,974 · median $143,511 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $83,367 – $229,813 · median $98,531 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $45,078 – $216,708 · median $105,886 | 12 plans |
| 007 | LUNG TRANSPLANT | $121,488 – $934,531 · median $466,341 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $50,580 – $209,735 · median $101,564 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $60,866 – $175,531 · median $75,183 | 12 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $67,388 – $193,549 · median $82,778 | 12 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $26,897 – $137,874 · median $59,310 | 12 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $35,024 – $107,235 · median $46,395 | 12 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $50,436 – $148,340 · median $63,721 | 12 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,935 – $88,014 · median $38,292 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $23,357 – $76,119 · median $33,278 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $180,395 – $494,961 · median $209,832 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,788 – $149,285 · median $64,120 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,185 – $78,330 · median $34,210 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,903 – $101,583 · median $44,012 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,317 – $57,347 · median $25,365 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $16,702 – $58,373 · median $25,798 | 12 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $3,416 – $6,258 · median $4,837 | 2 plans |
| 999 | UNGROUPABLE | $6,534 – $11,971 · median $9,252 | 2 plans |
No procedures match that keyword.