IU Health Arnett Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $212,011 – $1,184,122 · median $350,299 | 30 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $86,171 – $478,814 · median $141,648 | 30 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $160,756 – $896,850 · median $265,315 | 30 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,166 – $585,277 · median $173,143 | 30 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,471 – $435,660 · median $128,881 | 30 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,699 – $195,932 · median $57,963 | 30 plans |
| 007 | LUNG TRANSPLANT | $98,372 – $547,198 · median $161,878 | 30 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,994 – $236,817 · median $70,058 | 30 plans |
| 010 | PANCREAS TRANSPLANT | $54,838 – $303,202 · median $89,696 | 30 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,859 – $230,458 · median $68,176 | 30 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,525 – $178,143 · median $52,700 | 30 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,467 – $121,768 · median $36,040 | 30 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,343 – $507,804 · median $150,224 | 30 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,445 – $250,554 · median $74,121 | 30 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,695 – $229,536 · median $67,904 | 30 plans |
| 018 | Chimeric antigen receptor (car) t-cell and other immunotherapies | $326,292 – $1,824,646 · median $539,785 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,528 – $301,465 · median $89,183 | 30 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,063 – $332,488 · median $98,360 | 30 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,651 – $223,684 · median $66,173 | 30 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,696 – $134,258 · median $39,718 | 30 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,942 – $242,128 · median $71,629 | 30 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,233 – $165,293 · median $48,899 | 30 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,019 – $192,116 · median $56,834 | 30 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,181 – $131,376 · median $38,865 | 30 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,761 – $106,603 · median $31,621 | 30 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,037 – $253,875 · median $75,104 | 30 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,461 – $144,154 · median $42,645 | 30 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,291 – $92,756 · median $27,586 | 30 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,519 – $189,319 · median $56,006 | 30 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,807 – $90,043 · median $26,795 | 30 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,278 – $70,264 · median $21,032 | 30 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,922 – $163,553 · median $48,384 | 30 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,763 – $101,008 · median $29,991 | 30 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,388 – $82,091 · median $24,478 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,560 – $139,104 · median $41,151 | 30 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,974 – $68,561 · median $20,535 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,603 – $49,670 · median $15,030 | 30 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,851 – $163,151 · median $48,265 | 30 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,317 – $92,904 · median $27,629 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,766 – $73,002 · median $21,829 | 30 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,397 – $76,535 · median $22,859 | 30 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,124 – $41,375 · median $12,613 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,253 – $64,518 · median $19,357 | 30 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,428 – $43,082 · median $13,111 | 30 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,255 – $98,160 · median $29,161 | 30 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,509 – $54,744 · median $16,509 | 30 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,629 – $72,233 · median $21,605 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,096 – $52,433 · median $15,835 | 30 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,676 – $38,865 · median $11,882 | 30 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,527 – $116,499 · median $34,505 | 30 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,989 – $74,249 · median $22,193 | 30 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,325 – $59,316 · median $17,841 | 30 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,902 – $84,973 · median $25,318 | 30 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,358 – $42,689 · median $12,996 | 30 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,901 – $28,919 · median $8,983 | 30 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,814 – $62,058 · median $18,640 | 30 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,258 – $36,524 · median $11,200 | 30 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,764 – $33,753 · median $10,392 | 30 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,292 – $70,344 · median $21,055 | 30 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,476 – $43,353 · median $13,189 | 30 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,442 – $31,952 · median $9,867 | 30 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,836 – $67,788 · median $20,310 | 30 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,513 – $43,555 · median $13,248 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,197 – $81,022 · median $24,166 | 30 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,963 – $34,868 · median $10,717 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,387 – $76,480 · median $22,843 | 30 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,493 – $37,843 · median $11,584 | 30 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,972 – $96,576 · median $28,699 | 30 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,264 – $58,978 · median $17,743 | 30 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,947 – $40,386 · median $12,325 | 30 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,869 – $95,997 · median $28,530 | 30 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,562 – $55,044 · median $16,596 | 30 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,637 – $38,650 · median $11,819 | 30 plans |
| 088 | CONCUSSION WITH MCC | $10,933 – $57,119 · median $17,201 | 30 plans |
| 089 | CONCUSSION WITH CC | $9,024 – $46,420 · median $14,083 | 30 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,947 – $34,783 · median $10,692 | 30 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,981 – $74,206 · median $22,180 | 30 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,454 – $43,226 · median $13,152 | 30 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,745 – $33,647 · median $10,361 | 30 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,274 – $148,709 · median $43,993 | 30 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,186 – $108,982 · median $32,314 | 30 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,186 – $108,982 · median $32,314 | 30 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,970 – $152,613 · median $45,148 | 30 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,042 – $96,969 · median $28,813 | 30 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,012 – $57,567 · median $17,331 | 30 plans |
| 100 | SEIZURES WITH MCC | $15,343 – $81,838 · median $24,404 | 30 plans |
| 101 | SEIZURES WITHOUT MCC | $7,546 – $38,138 · median $11,670 | 30 plans |
| 102 | HEADACHES WITH MCC | $9,192 – $47,363 · median $14,358 | 30 plans |
| 103 | HEADACHES WITHOUT MCC | $7,046 – $35,337 · median $10,854 | 30 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,466 – $99,343 · median $29,505 | 30 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,942 – $57,170 · median $17,216 | 30 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,313 – $64,856 · median $19,455 | 30 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,373 – $76,399 · median $22,819 | 30 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,920 – $45,841 · median $13,915 | 30 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,511 – $49,154 · median $14,880 | 30 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,665 – $33,203 · median $10,232 | 30 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,762 – $33,744 · median $10,389 | 30 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,716 – $55,906 · median $16,848 | 30 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,530 – $32,443 · median $10,010 | 30 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,101 – $91,691 · median $27,276 | 30 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,396 – $42,900 · median $13,058 | 30 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,999 – $63,094 · median $18,942 | 30 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,422 – $37,445 · median $11,468 | 30 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,057 – $52,213 · median $15,771 | 30 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,897 – $180,226 · median $53,316 | 30 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,185 – $92,160 · median $27,412 | 30 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,777 – $67,454 · median $20,213 | 30 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,987 – $158,309 · median $46,833 | 30 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,806 – $73,222 · median $21,893 | 30 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,805 – $50,802 · median $15,360 | 30 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,704 – $89,469 · median $26,628 | 30 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,327 – $53,726 · median $16,212 | 30 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,751 – $33,681 · median $10,371 | 30 plans |
| 149 | DYSEQUILIBRIUM | $6,408 – $31,758 · median $9,811 | 30 plans |
| 150 | EPISTAXIS WITH MCC | $10,779 – $56,261 · median $16,951 | 30 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,275 – $31,014 · median $9,594 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,654 – $49,953 · median $15,113 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,307 – $31,192 · median $9,646 | 30 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,528 – $66,064 · median $19,808 | 30 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,651 – $38,726 · median $11,841 | 30 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,952 – $29,202 · median $9,066 | 30 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,684 – $72,542 · median $21,695 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,600 – $38,443 · median $11,759 | 30 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,083 – $29,937 · median $9,280 | 30 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,529 – $189,374 · median $56,023 | 30 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,770 – $106,649 · median $31,634 | 30 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,172 – $80,883 · median $24,126 | 30 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,920 – $157,933 · median $46,721 | 30 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,337 – $76,201 · median $22,762 | 30 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,043 – $57,736 · median $17,381 | 30 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,180 – $125,765 · median $37,205 | 30 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,097 – $58,040 · median $17,469 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,810 – $34,014 · median $10,468 | 30 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,522 – $66,030 · median $19,798 | 30 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,099 – $41,240 · median $12,574 | 30 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,433 – $31,902 · median $9,852 | 30 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,055 – $74,621 · median $22,301 | 30 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,816 – $45,254 · median $13,743 | 30 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,424 – $31,851 · median $9,838 | 30 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,275 – $64,644 · median $19,394 | 30 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,764 – $44,962 · median $13,658 | 30 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,671 – $33,233 · median $10,240 | 30 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,491 – $65,853 · median $19,746 | 30 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,198 – $41,793 · median $12,735 | 30 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,148 – $30,305 · median $9,387 | 30 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,055 – $52,201 · median $15,768 | 30 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,092 – $46,805 · median $14,195 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,097 – $35,620 · median $10,936 | 30 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,581 – $27,127 · median $8,461 | 30 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,651 – $55,539 · median $16,740 | 30 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,817 – $34,053 · median $10,479 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,480 – $26,557 · median $8,295 | 30 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,969 – $79,742 · median $23,793 | 30 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,897 – $40,103 · median $12,242 | 30 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,141 – $30,262 · median $9,375 | 30 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,041 – $74,540 · median $22,278 | 30 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,029 – $46,450 · median $14,092 | 30 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,132 – $30,216 · median $9,361 | 30 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,063 – $41,037 · median $12,515 | 30 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,792 – $28,310 · median $8,806 | 30 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,828 – $34,116 · median $10,498 | 30 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,545 – $77,367 · median $23,101 | 30 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,836 – $39,765 · median $12,144 | 30 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,252 – $271,892 · median $80,434 | 30 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,464 – $116,144 · median $34,401 | 30 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $86,073 – $478,265 · median $141,485 | 30 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $82,720 – $459,474 · median $135,926 | 30 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $43,765 – $241,139 · median $71,336 | 30 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,806 – $420,723 · median $124,463 | 30 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,493 – $413,362 · median $122,285 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,312 – $277,833 · median $82,191 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,312 – $277,833 · median $82,191 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,627 – $324,439 · median $95,979 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,945 – $225,332 · median $66,660 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,739 – $212,969 · median $63,003 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,039 – $209,047 · median $61,843 | 30 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,485 – $133,079 · median $39,369 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,294 – $356,197 · median $105,374 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,447 – $256,169 · median $75,783 | 30 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,378 – $323,040 · median $95,565 | 30 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,924 – $230,821 · median $68,284 | 30 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,984 – $247,972 · median $73,358 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,320 – $176,994 · median $52,360 | 30 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,846 – $207,962 · median $61,521 | 30 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,231 – $120,445 · median $35,655 | 30 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,178 – $58,496 · median $17,602 | 30 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,812 – $134,909 · median $39,910 | 30 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,806 – $90,039 · median $26,794 | 30 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,368 – $76,374 · median $22,812 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,137 – $192,780 · median $57,030 | 30 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,195 – $92,219 · median $27,429 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,008 – $63,149 · median $18,958 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,039 – $147,395 · median $43,604 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,309 – $109,674 · median $32,516 | 30 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,173 – $75,284 · median $22,494 | 30 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,077 – $113,976 · median $33,769 | 30 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,542 – $71,743 · median $21,463 | 30 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,975 – $46,150 · median $14,004 | 30 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,429 – $132,766 · median $39,276 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,986 – $85,442 · median $25,454 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,264 – $137,444 · median $40,660 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,994 – $79,881 · median $23,834 | 30 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,029 – $68,870 · median $20,625 | 30 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,791 – $129,187 · median $38,218 | 30 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,926 – $141,154 · median $41,758 | 30 plans |
| 265 | AICD LEAD PROCEDURES | $28,019 – $152,883 · median $45,228 | 30 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,943 – $258,949 · median $76,605 | 30 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,633 – $201,163 · median $59,510 | 30 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,593 – $290,619 · median $85,974 | 30 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,580 – $178,447 · median $52,790 | 30 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,519 – $222,945 · median $65,954 | 30 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,552 – $150,268 · median $44,454 | 30 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,988 – $107,874 · median $31,991 | 30 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,843 – $174,319 · median $51,569 | 30 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,557 – $139,087 · median $41,146 | 30 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,497 – $301,288 · median $89,130 | 30 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,025 – $253,803 · median $75,083 | 30 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,560 – $195,150 · median $57,731 | 30 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $42,704 – $235,194 · median $69,578 | 30 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,930 – $152,385 · median $45,080 | 30 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,835 – $67,780 · median $20,308 | 30 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,670 – $38,836 · median $11,873 | 30 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,193 – $30,554 · median $9,460 | 30 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,674 – $83,697 · median $24,946 | 30 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,960 – $29,248 · median $9,079 | 30 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,256 – $25,306 · median $7,930 | 30 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,423 – $93,500 · median $27,803 | 30 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,809 – $45,216 · median $13,732 | 30 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,143 – $114,348 · median $33,878 | 30 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,610 – $72,123 · median $21,573 | 30 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,750 – $39,284 · median $12,004 | 30 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,420 – $54,246 · median $16,364 | 30 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,142 – $35,874 · median $11,010 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,008 – $23,916 · median $7,525 | 30 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,516 – $65,997 · median $19,788 | 30 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,521 – $26,789 · median $8,363 | 30 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,172 – $19,230 · median $6,204 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,050 – $68,988 · median $20,660 | 30 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,789 – $45,106 · median $13,700 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,167 – $30,410 · median $9,418 | 30 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,762 – $50,561 · median $15,290 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,817 – $28,445 · median $8,845 | 30 plans |
| 304 | HYPERTENSION WITH MCC | $9,713 – $50,282 · median $15,209 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,434 – $31,906 · median $9,854 | 30 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,621 – $66,584 · median $19,959 | 30 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,626 – $38,586 · median $11,800 | 30 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,818 – $50,874 · median $15,381 | 30 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,288 – $31,086 · median $9,615 | 30 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,009 – $23,920 · median $7,527 | 30 plans |
| 311 | ANGINA PECTORIS | $6,033 – $29,658 · median $9,199 | 30 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,312 – $36,829 · median $11,288 | 30 plans |
| 313 | CHEST PAIN | $6,169 – $30,423 · median $9,422 | 30 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,462 – $88,108 · median $26,231 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,004 – $40,703 · median $12,417 | 30 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,884 – $28,821 · median $8,955 | 30 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,150 – $282,531 · median $83,581 | 30 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,002 – $102,348 · median $30,381 | 30 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,387 – $188,575 · median $55,786 | 30 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,875 – $101,634 · median $30,173 | 30 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,253 – $114,965 · median $34,058 | 30 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,033 – $74,494 · median $22,264 | 30 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,365 – $182,850 · median $54,093 | 30 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,496 – $133,142 · median $39,388 | 30 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,944 – $135,652 · median $40,130 | 30 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,341 – $210,738 · median $62,343 | 30 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,168 – $103,277 · median $30,652 | 30 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,821 – $67,704 · median $20,285 | 30 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,394 – $194,221 · median $57,456 | 30 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,814 – $101,291 · median $30,073 | 30 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,429 – $71,109 · median $21,278 | 30 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,038 – $152,989 · median $45,259 | 30 plans |
| 333 | RECTAL RESECTION WITH CC | $18,399 – $98,967 · median $29,396 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,089 – $69,208 · median $20,724 | 30 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,662 – $150,885 · median $44,636 | 30 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,639 – $89,101 · median $26,521 | 30 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,314 – $64,860 · median $19,457 | 30 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,213 – $109,134 · median $32,358 | 30 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,085 – $63,580 · median $19,084 | 30 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,684 – $50,122 · median $15,162 | 30 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,048 – $96,998 · median $28,822 | 30 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,608 – $55,302 · median $16,671 | 30 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,305 – $36,786 · median $11,276 | 30 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,528 – $105,293 · median $31,239 | 30 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,234 – $64,416 · median $19,327 | 30 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,545 – $49,344 · median $14,935 | 30 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,619 – $122,621 · median $36,289 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,425 – $71,088 · median $21,272 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,881 – $56,832 · median $17,117 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,858 – $185,613 · median $54,910 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,273 – $98,262 · median $29,190 | 30 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,280 – $59,067 · median $17,769 | 30 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,665 – $145,295 · median $42,983 | 30 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,943 – $102,014 · median $30,284 | 30 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,743 – $67,264 · median $20,157 | 30 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,282 – $42,262 · median $12,872 | 30 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,025 – $29,612 · median $9,185 | 30 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,109 – $74,921 · median $22,388 | 30 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,439 – $43,141 · median $13,128 | 30 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,225 – $30,736 · median $9,513 | 30 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,865 – $90,369 · median $26,890 | 30 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,860 – $51,110 · median $15,450 | 30 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,710 – $39,055 · median $11,937 | 30 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,523 – $77,240 · median $23,064 | 30 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,135 – $41,439 · median $12,632 | 30 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,494 – $26,637 · median $8,318 | 30 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,534 – $82,911 · median $24,717 | 30 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,910 – $45,782 · median $13,897 | 30 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,777 – $33,829 · median $10,414 | 30 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,150 – $58,340 · median $17,557 | 30 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,186 – $36,119 · median $11,081 | 30 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,670 – $66,859 · median $20,039 | 30 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,102 – $41,253 · median $12,577 | 30 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,878 – $28,788 · median $8,945 | 30 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,875 – $62,401 · median $18,740 | 30 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,696 – $33,372 · median $10,281 | 30 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,843 – $22,986 · median $7,254 | 30 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,303 – $53,591 · median $16,173 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,619 – $32,941 · median $10,155 | 30 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,798 – $67,577 · median $20,248 | 30 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,796 – $39,537 · median $12,077 | 30 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,634 – $27,423 · median $8,547 | 30 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,796 – $101,194 · median $30,045 | 30 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,152 – $63,956 · median $19,193 | 30 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,371 – $48,368 · median $14,651 | 30 plans |
| 402 | Single level combined anterior and posterior spinal fusion except cervical | $31,052 – $169,882 · median $50,256 | 30 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,983 – $231,151 · median $68,381 | 30 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,606 – $122,545 · median $36,267 | 30 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,475 – $93,787 · median $27,886 | 30 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,622 – $150,661 · median $44,570 | 30 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,156 – $92,000 · median $27,365 | 30 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,711 – $67,087 · median $20,106 | 30 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,645 – $139,578 · median $41,291 | 30 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,592 – $88,839 · median $26,444 | 30 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,260 – $70,163 · median $21,002 | 30 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,599 – $150,534 · median $44,533 | 30 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,322 – $87,326 · median $26,004 | 30 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,019 – $57,605 · median $17,343 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,732 – $100,835 · median $29,940 | 30 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,494 – $71,477 · median $21,385 | 30 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,038 – $57,711 · median $17,373 | 30 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,427 – $143,964 · median $42,589 | 30 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,840 – $73,416 · median $21,950 | 30 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,292 – $59,134 · median $17,788 | 30 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,050 – $175,481 · median $51,913 | 30 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,236 – $92,448 · median $27,496 | 30 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,052 – $63,394 · median $19,029 | 30 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,829 – $465,690 · median $137,765 | 30 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,162 – $305,015 · median $90,233 | 30 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,125 – $237,552 · median $70,275 | 30 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,664 – $380,692 · median $112,620 | 30 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,219 – $243,683 · median $72,089 | 30 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,579 – $83,164 · median $24,791 | 30 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,704 – $44,629 · median $13,561 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,113 – $30,106 · median $9,329 | 30 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,588 – $77,608 · median $23,172 | 30 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,269 – $47,794 · median $14,483 | 30 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,174 – $36,055 · median $11,063 | 30 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,031 – $68,882 · median $20,629 | 30 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,083 – $35,544 · median $10,914 | 30 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,426 – $26,257 · median $8,207 | 30 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,271 – $75,833 · median $22,654 | 30 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,019 – $40,788 · median $12,442 | 30 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,016 – $29,565 · median $9,172 | 30 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,338 – $70,602 · median $21,130 | 30 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,992 – $46,243 · median $14,032 | 30 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,978 – $34,957 · median $10,743 | 30 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,113 – $282,324 · median $83,520 | 30 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,712 – $179,191 · median $53,010 | 30 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,921 – $225,197 · median $66,620 | 30 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,095 – $136,497 · median $40,380 | 30 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,094 – $355,077 · median $105,043 | 30 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,697 – $251,965 · median $74,539 | 30 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,198 – $176,309 · median $52,158 | 30 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,379 – $233,369 · median $69,038 | 30 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,795 – $112,396 · median $33,309 | 30 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,709 – $240,827 · median $71,244 | 30 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,223 – $131,609 · median $38,934 | 30 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,490 – $77,059 · median $23,012 | 30 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,984 – $219,949 · median $65,068 | 30 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,328 – $149,013 · median $44,083 | 30 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,458 – $116,114 · median $34,393 | 30 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,608 – $128,165 · median $37,915 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,283 – $81,504 · median $24,307 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,144 – $204,032 · median $60,359 | 30 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,952 – $124,485 · median $36,832 | 30 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,146 – $103,155 · median $30,616 | 30 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,105 – $181,392 · median $53,661 | 30 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,898 – $96,157 · median $28,577 | 30 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,639 – $49,868 · median $15,088 | 30 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,785 – $145,971 · median $43,183 | 30 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,281 – $103,911 · median $30,837 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,755 – $78,546 · median $23,445 | 30 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,697 – $123,056 · median $36,416 | 30 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,532 – $88,501 · median $26,346 | 30 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,037 – $68,916 · median $20,639 | 30 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,638 – $117,124 · median $34,687 | 30 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,070 – $136,358 · median $40,339 | 30 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,506 – $88,357 · median $26,304 | 30 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,549 – $66,178 · median $19,841 | 30 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,077 – $74,743 · median $22,337 | 30 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,161 – $47,189 · median $14,307 | 30 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,421 – $155,140 · median $45,895 | 30 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,861 – $107,160 · median $31,783 | 30 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,868 – $84,783 · median $25,262 | 30 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,075 – $153,200 · median $45,321 | 30 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,341 – $76,222 · median $22,768 | 30 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,851 – $51,056 · median $15,434 | 30 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,485 – $127,472 · median $37,710 | 30 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,931 – $85,133 · median $25,365 | 30 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,601 – $133,725 · median $39,560 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,920 – $73,864 · median $22,081 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,888 – $56,870 · median $17,128 | 30 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,783 – $117,935 · median $34,923 | 30 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,833 – $78,981 · median $23,572 | 30 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,257 – $75,753 · median $22,631 | 30 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,913 – $57,009 · median $17,169 | 30 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,360 – $76,328 · median $22,799 | 30 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,158 – $63,989 · median $19,203 | 30 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,513 – $127,628 · median $37,756 | 30 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,418 – $87,863 · median $26,160 | 30 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,221 – $69,947 · median $20,939 | 30 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,610 – $66,520 · median $19,941 | 30 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,448 – $43,196 · median $13,144 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,767 – $134,659 · median $39,836 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,408 – $87,808 · median $26,144 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,326 – $64,932 · median $19,478 | 30 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,917 – $157,916 · median $46,716 | 30 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,821 – $84,516 · median $25,185 | 30 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,004 – $63,123 · median $18,951 | 30 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,380 – $121,277 · median $35,897 | 30 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,707 – $89,481 · median $26,632 | 30 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,560 – $66,242 · median $19,859 | 30 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,819 – $34,061 · median $10,482 | 30 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,406 – $54,170 · median $16,342 | 30 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,830 – $34,124 · median $10,500 | 30 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,936 – $40,323 · median $12,306 | 30 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,172 – $30,436 · median $9,425 | 30 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,591 – $83,228 · median $24,809 | 30 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,514 – $54,774 · median $16,518 | 30 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,678 – $33,271 · median $10,251 | 30 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,059 – $74,642 · median $22,307 | 30 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,491 – $43,437 · median $13,214 | 30 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,430 – $31,885 · median $9,848 | 30 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,451 – $104,862 · median $31,114 | 30 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,437 – $48,736 · median $14,758 | 30 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,045 – $35,333 · median $10,852 | 30 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,298 – $81,588 · median $24,331 | 30 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,842 – $51,009 · median $15,420 | 30 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,331 – $36,934 · median $11,319 | 30 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,377 – $70,822 · median $21,194 | 30 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,989 – $40,619 · median $12,393 | 30 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,514 – $54,774 · median $16,518 | 30 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,999 – $35,075 · median $10,777 | 30 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,706 – $55,851 · median $16,832 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,003 – $35,096 · median $10,783 | 30 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,951 – $62,827 · median $18,864 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,475 – $37,741 · median $11,554 | 30 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,801 – $78,799 · median $23,519 | 30 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,231 – $47,582 · median $14,422 | 30 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,802 – $33,968 · median $10,455 | 30 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,483 – $60,204 · median $18,100 | 30 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,493 – $37,838 · median $11,582 | 30 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,378 – $65,223 · median $19,563 | 30 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,087 – $41,172 · median $12,554 | 30 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,390 – $31,661 · median $9,782 | 30 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,914 – $124,273 · median $36,770 | 30 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,478 – $71,388 · median $21,359 | 30 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,383 – $48,436 · median $14,671 | 30 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,132 – $276,823 · median $81,893 | 30 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,912 – $146,681 · median $43,393 | 30 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,289 – $75,930 · median $22,683 | 30 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,691 – $207,095 · median $61,265 | 30 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,725 – $112,003 · median $33,194 | 30 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,852 – $67,877 · median $20,336 | 30 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,156 – $136,840 · median $40,481 | 30 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,769 – $73,015 · median $21,833 | 30 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,621 – $60,977 · median $18,325 | 30 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,266 – $81,407 · median $24,279 | 30 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,742 – $72,863 · median $21,789 | 30 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,880 – $90,453 · median $26,915 | 30 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,285 – $81,512 · median $24,309 | 30 plans |
| 592 | SKIN ULCERS WITH MCC | $15,331 – $81,774 · median $24,386 | 30 plans |
| 593 | SKIN ULCERS WITH CC | $9,685 – $50,126 · median $15,163 | 30 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,276 – $36,626 · median $11,229 | 30 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,729 – $89,608 · median $26,669 | 30 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,902 – $45,740 · median $13,885 | 30 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,310 – $70,442 · median $21,083 | 30 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,270 – $47,802 · median $14,486 | 30 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,542 – $32,510 · median $10,030 | 30 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,594 – $44,012 · median $13,381 | 30 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,302 – $25,564 · median $8,006 | 30 plans |
| 602 | CELLULITIS WITH MCC | $11,456 – $60,056 · median $18,057 | 30 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,307 – $36,799 · median $11,280 | 30 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,839 – $62,202 · median $18,682 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,647 – $38,705 · median $11,835 | 30 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,149 – $63,939 · median $19,188 | 30 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,575 – $38,299 · median $11,717 | 30 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,265 – $92,612 · median $27,544 | 30 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,291 – $59,126 · median $17,786 | 30 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,033 – $147,357 · median $43,593 | 30 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,841 – $79,028 · median $23,585 | 30 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,434 – $59,929 · median $18,020 | 30 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,509 – $122,004 · median $36,109 | 30 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,806 – $67,619 · median $20,261 | 30 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,113 – $63,736 · median $19,129 | 30 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,574 – $150,390 · median $44,490 | 30 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,265 – $75,799 · median $22,645 | 30 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,179 – $52,898 · median $15,971 | 30 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,510 – $127,611 · median $37,751 | 30 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,045 – $63,356 · median $19,018 | 30 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,755 – $56,126 · median $16,912 | 30 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,837 – $157,472 · median $46,585 | 30 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,167 – $92,063 · median $27,384 | 30 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,744 – $61,670 · median $18,527 | 30 plans |
| 637 | DIABETES WITH MCC | $11,573 – $60,706 · median $18,246 | 30 plans |
| 638 | DIABETES WITH CC | $7,498 – $37,868 · median $11,591 | 30 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,425 – $26,248 · median $8,205 | 30 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,810 – $56,434 · median $17,001 | 30 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,608 – $32,882 · median $10,138 | 30 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,462 – $60,089 · median $18,067 | 30 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,151 – $69,554 · median $20,825 | 30 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,469 – $43,310 · median $13,177 | 30 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,534 – $32,464 · median $10,016 | 30 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,185 – $198,653 · median $58,768 | 30 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,679 – $156,585 · median $46,323 | 30 plans |
| 652 | KIDNEY TRANSPLANT | $25,088 – $136,459 · median $40,369 | 30 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,917 – $219,569 · median $64,955 | 30 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,845 – $118,282 · median $35,024 | 30 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,698 – $89,435 · median $26,618 | 30 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,744 – $134,528 · median $39,798 | 30 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,538 – $77,325 · median $23,089 | 30 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,440 – $65,570 · median $19,664 | 30 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,897 – $107,363 · median $31,842 | 30 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,706 – $55,847 · median $16,830 | 30 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,547 – $43,750 · median $13,305 | 30 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,822 – $129,361 · median $38,269 | 30 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,202 – $64,235 · median $19,274 | 30 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,634 – $44,236 · median $13,447 | 30 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,272 – $131,883 · median $39,015 | 30 plans |
| 666 | PROSTATECTOMY WITH CC | $13,929 – $73,915 · median $22,095 | 30 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,081 – $46,741 · median $14,177 | 30 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,755 – $123,382 · median $36,510 | 30 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,442 – $65,578 · median $19,666 | 30 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,109 – $41,295 · median $12,590 | 30 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,274 – $75,846 · median $22,658 | 30 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,880 – $45,613 · median $13,848 | 30 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,417 – $177,534 · median $52,520 | 30 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,372 – $98,815 · median $29,352 | 30 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,116 – $69,356 · median $20,767 | 30 plans |
| 682 | RENAL FAILURE WITH MCC | $11,907 – $62,578 · median $18,792 | 30 plans |
| 683 | RENAL FAILURE WITH CC | $7,344 – $37,006 · median $11,340 | 30 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,267 – $25,365 · median $7,948 | 30 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,339 – $76,214 · median $22,765 | 30 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,641 – $44,274 · median $13,458 | 30 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,699 – $33,393 · median $10,287 | 30 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,489 – $49,027 · median $14,843 | 30 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,844 – $34,205 · median $10,524 | 30 plans |
| 693 | URINARY STONES WITH MCC | $10,877 – $56,811 · median $17,111 | 30 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,635 – $33,030 · median $10,181 | 30 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,364 – $48,330 · median $14,640 | 30 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,936 – $29,113 · median $9,040 | 30 plans |
| 697 | URETHRAL STRICTURE | $8,867 – $45,541 · median $13,827 | 30 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,214 – $69,905 · median $20,927 | 30 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,393 – $42,888 · median $13,054 | 30 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,943 – $29,151 · median $9,051 | 30 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,821 – $84,521 · median $25,186 | 30 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,308 – $64,826 · median $19,447 | 30 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,285 – $98,329 · median $29,210 | 30 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,305 – $59,206 · median $17,809 | 30 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,451 – $88,049 · median $26,214 | 30 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,032 – $46,467 · median $14,097 | 30 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,075 – $63,525 · median $19,068 | 30 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,713 – $44,679 · median $13,576 | 30 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,608 – $94,535 · median $28,104 | 30 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,831 – $62,156 · median $18,669 | 30 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,994 – $79,881 · median $23,834 | 30 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,867 – $56,751 · median $17,094 | 30 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,385 – $76,467 · median $22,839 | 30 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,356 – $48,284 · median $14,626 | 30 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,685 – $27,706 · median $8,630 | 30 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,563 – $49,446 · median $14,965 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,185 – $30,507 · median $9,446 | 30 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,921 – $62,658 · median $18,815 | 30 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,857 – $34,276 · median $10,544 | 30 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,723 – $44,734 · median $13,592 | 30 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,808 – $28,395 · median $8,830 | 30 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,799 – $90,001 · median $26,783 | 30 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,885 – $56,853 · median $17,123 | 30 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,689 – $151,037 · median $44,681 | 30 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,276 – $87,069 · median $25,928 | 30 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,812 – $62,050 · median $18,638 | 30 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,752 – $151,388 · median $44,785 | 30 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,384 – $76,463 · median $22,838 | 30 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,493 – $60,258 · median $18,116 | 30 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,574 – $77,528 · median $23,148 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,095 – $52,425 · median $15,833 | 30 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,189 – $86,583 · median $25,787 | 30 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,317 – $48,064 · median $14,562 | 30 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,837 – $73,399 · median $21,945 | 30 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,223 – $36,326 · median $11,142 | 30 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,200 – $58,619 · median $17,638 | 30 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,098 – $108,491 · median $32,171 | 30 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,867 – $62,358 · median $18,728 | 30 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,626 – $77,819 · median $23,233 | 30 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,942 – $45,964 · median $13,950 | 30 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,983 – $40,585 · median $12,383 | 30 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,536 – $60,504 · median $18,187 | 30 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,122 – $41,367 · median $12,611 | 30 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,744 – $28,040 · median $8,727 | 30 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,337 – $42,571 · median $12,962 | 30 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,042 – $24,106 · median $7,581 | 30 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,865 – $45,279 · median $12,821 | 30 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,481 – $71,401 · median $21,363 | 30 plans |
| 770 | Abortion with d&c, aspiration curettage or hysterotomy | $8,301 – $42,368 · median $12,902 | 30 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,677 – $27,664 · median $8,617 | 30 plans |
| 779 | ABORTION WITHOUT D&C | $7,084 – $35,548 · median $10,915 | 30 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,720 – $103,738 · median $30,689 | 30 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,733 – $44,793 · median $13,486 | 30 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,865 – $40,471 · median $11,921 | 30 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,177 – $69,698 · median $20,619 | 30 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,161 – $47,189 · median $13,960 | 30 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,865 – $40,513 · median $11,928 | 30 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,328 – $76,150 · median $22,747 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,549 – $251,137 · median $74,294 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,342 – $171,509 · median $50,738 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,206 – $103,489 · median $30,713 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,176 – $176,182 · median $52,120 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,868 – $62,363 · median $18,729 | 30 plans |
| 795 | NORMAL NEWBORN | $2,000 – $8,442 · median $3,316 | 30 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,865 – $49,310 · median $13,484 | 30 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,865 – $42,271 · median $12,188 | 30 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,865 – $40,441 · median $11,917 | 30 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,884 – $191,364 · median $56,611 | 30 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,921 – $118,708 · median $35,149 | 30 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,132 – $80,659 · median $24,061 | 30 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,777 – $168,344 · median $49,801 | 30 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,755 – $78,546 · median $23,445 | 30 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,964 – $57,296 · median $17,253 | 30 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,877 – $45,601 · median $13,605 | 30 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,426 – $31,860 · median $9,840 | 30 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,824 – $28,488 · median $8,858 | 30 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,387 – $93,293 · median $27,742 | 30 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,285 – $53,489 · median $16,143 | 30 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,632 – $44,223 · median $13,443 | 30 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,328 – $59,337 · median $17,847 | 30 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,664 – $38,798 · median $11,862 | 30 plans |
| 813 | COAGULATION DISORDERS | $12,241 – $64,450 · median $19,337 | 30 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,774 – $89,862 · median $26,742 | 30 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,386 – $42,846 · median $13,042 | 30 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,506 – $26,705 · median $8,338 | 30 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,942 – $96,407 · median $28,650 | 30 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,481 – $48,981 · median $14,829 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,224 – $36,334 · median $11,144 | 30 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,956 – $247,811 · median $73,310 | 30 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,618 – $94,590 · median $28,120 | 30 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,818 – $50,874 · median $15,381 | 30 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,306 – $193,726 · median $57,310 | 30 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,822 – $95,731 · median $28,453 | 30 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,914 – $57,018 · median $17,171 | 30 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,007 – $197,656 · median $58,473 | 30 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,165 – $97,657 · median $29,014 | 30 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,586 – $71,992 · median $21,535 | 30 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,564 – $133,523 · median $39,500 | 30 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,087 – $63,592 · median $19,087 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,807 – $50,810 · median $15,363 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,182 – $30,490 · median $9,441 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,684 – $22,095 · median $6,995 | 30 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,129 – $231,970 · median $68,624 | 30 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,466 – $88,133 · median $26,239 | 30 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,935 – $51,529 · median $15,572 | 30 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,961 – $203,001 · median $60,054 | 30 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,478 – $88,201 · median $26,258 | 30 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,627 – $61,011 · median $18,335 | 30 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,129 – $136,687 · median $40,436 | 30 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,040 – $68,933 · median $20,644 | 30 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,359 – $42,693 · median $12,997 | 30 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,780 – $84,288 · median $25,118 | 30 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,919 – $51,440 · median $15,546 | 30 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,162 – $35,984 · median $11,042 | 30 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,286 – $109,544 · median $32,478 | 30 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,604 – $55,277 · median $16,664 | 30 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,145 – $35,891 · median $11,015 | 30 plans |
| 849 | RADIOTHERAPY | $21,168 – $114,487 · median $33,918 | 30 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $66,024 – $365,899 · median $108,244 | 30 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,973 – $208,676 · median $61,733 | 30 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,805 – $84,428 · median $25,159 | 30 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,029 – $63,263 · median $18,991 | 30 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,034 – $192,201 · median $56,859 | 30 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,886 – $90,487 · median $26,925 | 30 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,242 – $58,856 · median $17,707 | 30 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,490 – $77,059 · median $23,012 | 30 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,264 – $42,165 · median $12,843 | 30 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,434 – $37,509 · median $11,486 | 30 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,037 – $63,309 · median $19,005 | 30 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,297 – $36,744 · median $11,264 | 30 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,522 – $88,446 · median $26,330 | 30 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,515 – $43,568 · median $13,252 | 30 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,243 – $30,833 · median $9,541 | 30 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,849 – $292,051 · median $86,398 | 30 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,386 – $82,078 · median $24,474 | 30 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,456 – $43,239 · median $13,156 | 30 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,879 – $163,307 · median $48,311 | 30 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,980 – $40,572 · median $12,379 | 30 plans |
| 881 | DEPRESSIVE NEUROSES | $7,835 – $39,757 · median $12,141 | 30 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,837 – $45,372 · median $13,778 | 30 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,565 – $83,084 · median $24,767 | 30 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,871 – $67,982 · median $20,367 | 30 plans |
| 885 | PSYCHOSES | $11,272 – $59,020 · median $17,755 | 30 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,387 – $87,690 · median $26,109 | 30 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,815 – $45,250 · median $13,742 | 30 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,392 – $26,066 · median $8,152 | 30 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,413 – $59,815 · median $17,987 | 30 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,898 – $73,737 · median $22,044 | 30 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,397 – $37,302 · median $11,426 | 30 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,379 – $177,323 · median $52,458 | 30 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,175 – $80,895 · median $24,130 | 30 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,559 – $49,420 · median $14,958 | 30 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,433 – $155,203 · median $45,914 | 30 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,925 – $62,680 · median $18,821 | 30 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,550 – $83,000 · median $24,743 | 30 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,686 – $162,226 · median $47,991 | 30 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,783 – $84,305 · median $25,123 | 30 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,638 – $55,467 · median $16,720 | 30 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,065 – $69,068 · median $20,683 | 30 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,417 – $37,416 · median $11,459 | 30 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,419 – $71,054 · median $21,262 | 30 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,765 – $28,154 · median $8,760 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,565 – $66,271 · median $19,868 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,203 – $36,216 · median $11,110 | 30 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,544 – $77,359 · median $23,099 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,298 – $42,351 · median $12,898 | 30 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,931 – $29,088 · median $9,032 | 30 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,930 – $73,919 · median $22,097 | 30 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,414 – $43,002 · median $13,087 | 30 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $161,701 – $902,144 · median $266,881 | 30 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,816 – $303,075 · median $89,659 | 30 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,023 – $136,092 · median $40,260 | 30 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,099 – $164,546 · median $48,678 | 30 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,407 – $93,407 · median $27,775 | 30 plans |
| 935 | NON-EXTENSIVE BURNS | $16,272 – $87,043 · median $25,921 | 30 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,096 – $153,319 · median $45,356 | 30 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,359 – $98,743 · median $29,331 | 30 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,028 – $85,678 · median $25,523 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,416 – $65,435 · median $19,624 | 30 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,387 – $48,457 · median $14,677 | 30 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,311 – $53,637 · median $16,186 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,776 – $33,824 · median $10,413 | 30 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,710 – $50,270 · median $15,205 | 30 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,474 – $26,523 · median $8,285 | 30 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,933 – $23,493 · median $7,402 | 30 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,486 – $284,416 · median $84,139 | 30 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,110 – $159,002 · median $47,038 | 30 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,187 – $321,971 · median $95,249 | 30 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,510 – $178,054 · median $52,674 | 30 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,937 – $124,400 · median $36,807 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,351 – $115,514 · median $34,218 | 30 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,296 – $64,758 · median $19,427 | 30 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,832 – $39,740 · median $12,137 | 30 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,889 – $258,649 · median $76,516 | 30 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,625 – $111,441 · median $33,031 | 30 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,499 – $121,945 · median $36,092 | 30 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,504 – $54,719 · median $16,502 | 30 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,547 – $38,143 · median $11,671 | 30 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,525 – $54,833 · median $16,535 | 30 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,112 – $198,247 · median $58,648 | 30 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,276 – $103,881 · median $30,828 | 30 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,663 – $72,423 · median $21,661 | 30 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,588 – $144,864 · median $42,855 | 30 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,132 – $69,449 · median $20,794 | 30 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,782 – $50,671 · median $15,322 | 30 plans |
No procedures match that keyword.