IU Health Ball Memorial 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 | $212,215 – $976,521 · median $378,323 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $86,150 – $394,868 · median $152,979 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $160,869 – $739,613 · median $286,540 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,179 – $482,666 · median $186,994 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,437 – $359,280 · median $139,192 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,588 – $161,581 · median $62,600 | 16 plans |
| 007 | LUNG TRANSPLANT | $98,373 – $451,263 · median $174,828 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,896 – $195,298 · median $75,662 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $54,761 – $250,044 · median $96,872 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,759 – $190,054 · median $73,630 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,409 – $146,911 · median $56,916 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,332 – $100,419 · median $38,904 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,332 – $418,776 · median $162,242 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,351 – $206,626 · median $80,051 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,595 – $189,294 · median $73,336 | 16 plans |
| 018 | Chimeric antigen receptor (car) t-cell and other immunotherapies | $326,701 – $1,504,748 · median $582,968 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,451 – $248,612 · median $96,317 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,996 – $274,196 · median $106,229 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,549 – $184,468 · median $71,466 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,565 – $110,720 · median $42,895 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,845 – $199,678 · median $77,359 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,112 – $136,314 · median $52,811 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,906 – $158,434 · median $61,380 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,050 – $108,343 · median $41,974 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,622 – $87,913 · median $34,059 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,945 – $209,365 · median $81,112 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,334 – $118,881 · median $46,057 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,147 – $76,494 · median $29,635 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,406 – $156,128 · median $60,487 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,662 – $74,257 · median $28,769 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,127 – $57,945 · median $22,525 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,801 – $134,878 · median $52,254 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,622 – $83,299 · median $32,272 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,241 – $67,699 · median $26,228 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,431 – $114,717 · median $44,443 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,822 – $56,541 · median $22,000 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,446 – $40,961 · median $16,173 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,729 – $134,547 · median $52,126 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,173 – $76,616 · median $29,682 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,616 – $60,203 · median $23,370 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,247 – $63,117 · median $24,459 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,963 – $34,121 · median $13,614 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,100 – $53,206 · median $20,753 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,268 – $35,529 · median $14,141 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,113 – $80,951 · median $31,362 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,353 – $45,146 · median $17,738 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,479 – $59,569 · median $23,132 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,940 – $43,240 · median $17,025 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,515 – $32,051 · median $12,840 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,391 – $96,074 · median $37,221 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,839 – $61,231 · median $23,754 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,170 – $48,917 · median $19,148 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,756 – $70,075 · median $27,149 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,198 – $35,205 · median $14,019 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,737 – $23,849 · median $9,772 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,660 – $51,178 · median $19,994 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,096 – $30,121 · median $12,118 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,601 – $27,835 · median $11,263 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,141 – $58,012 · median $22,550 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,317 – $35,752 · median $14,224 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,279 – $26,351 · median $10,708 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,684 – $55,903 · median $21,761 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,353 – $35,919 · median $14,287 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,050 – $66,817 · median $25,886 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,800 – $28,755 · median $11,607 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,238 – $63,071 · median $24,442 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,332 – $31,208 · median $12,525 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,830 – $79,644 · median $30,856 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,109 – $48,638 · median $19,044 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,786 – $33,306 · median $13,309 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,726 – $79,167 · median $30,671 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,406 – $45,394 · median $17,830 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,476 – $31,874 · median $12,773 | 16 plans |
| 088 | CONCUSSION WITH MCC | $10,777 – $47,105 · median $18,470 | 16 plans |
| 089 | CONCUSSION WITH CC | $8,865 – $38,282 · median $15,170 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,785 – $28,685 · median $11,581 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,831 – $61,197 · median $23,741 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,294 – $35,647 · median $14,185 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,582 – $27,748 · median $11,230 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,148 – $122,637 · median $47,512 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,047 – $89,875 · median $34,819 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,047 – $89,875 · median $34,819 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,846 – $125,857 · median $48,759 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,900 – $79,968 · median $30,981 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,857 – $47,474 · median $18,609 | 16 plans |
| 100 | SEIZURES WITH MCC | $15,195 – $67,490 · median $26,147 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $7,385 – $31,452 · median $12,616 | 16 plans |
| 102 | HEADACHES WITH MCC | $9,033 – $39,059 · median $15,461 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $6,884 – $29,142 · median $11,752 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,324 – $81,926 · median $31,740 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,786 – $47,147 · median $18,486 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,160 – $53,485 · median $20,857 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,223 – $63,005 · median $24,417 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,761 – $37,804 · median $14,992 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,354 – $40,536 · median $16,014 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,503 – $27,382 · median $11,093 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,599 – $27,828 · median $11,260 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,560 – $46,105 · median $18,096 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,367 – $26,755 · median $10,859 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,957 – $75,616 · median $29,295 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,236 – $35,379 · median $14,085 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,845 – $52,032 · median $20,313 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,261 – $30,881 · median $12,402 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,900 – $43,059 · median $16,957 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,781 – $148,629 · median $57,582 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,040 – $76,003 · median $29,445 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,624 – $55,628 · median $21,658 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,864 – $130,554 · median $50,579 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,655 – $60,385 · median $23,437 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,648 – $41,895 · median $16,522 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,559 – $73,783 · median $28,585 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,171 – $44,307 · median $17,424 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,588 – $27,776 · median $11,241 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,244 – $26,190 · median $10,648 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $10,624 – $46,397 · median $18,206 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,111 – $25,577 · median $10,418 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,496 – $41,195 · median $16,260 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,143 – $25,723 · median $10,473 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,376 – $54,482 · median $21,230 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,490 – $31,936 · median $12,797 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,787 – $24,082 · median $9,859 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,534 – $59,824 · median $23,228 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,439 – $31,703 · median $12,710 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,919 – $24,688 · median $10,086 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,416 – $156,173 · median $60,504 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,630 – $87,951 · median $34,074 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,025 – $66,702 · median $25,842 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,796 – $130,244 · median $50,459 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,188 – $62,841 · median $24,356 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,887 – $47,614 · median $18,661 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,047 – $103,716 · median $40,181 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,942 – $47,864 · median $18,754 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,648 – $28,051 · median $11,344 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,370 – $54,454 · median $21,219 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,939 – $34,010 · median $13,572 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,270 – $26,309 · median $10,692 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,905 – $61,538 · median $23,869 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,656 – $37,320 · median $14,811 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,261 – $26,267 · median $10,676 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,122 – $53,311 · median $20,792 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,604 – $37,080 · median $14,721 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,508 – $27,406 · median $11,103 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,338 – $54,307 · median $21,164 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,038 – $34,466 · median $13,743 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,984 – $24,992 · median $10,199 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,898 – $43,049 · median $16,953 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,934 – $38,599 · median $15,289 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,935 – $29,375 · median $11,839 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,416 – $22,371 · median $9,219 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,495 – $45,802 · median $17,983 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,654 – $28,082 · median $11,355 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,315 – $21,901 · median $9,043 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,821 – $65,761 · median $25,477 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,736 – $33,072 · median $13,222 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,977 – $24,957 · median $10,186 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,891 – $61,472 · median $23,844 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,870 – $38,306 · median $15,179 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,969 – $24,918 · median $10,172 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,903 – $33,842 · median $13,510 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,628 – $23,347 · median $9,584 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,666 – $28,135 · median $11,375 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,396 – $63,803 · median $24,719 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,675 – $32,794 · median $13,118 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,165 – $224,224 · median $86,868 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,327 – $95,781 · median $37,107 | 16 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $86,052 – $394,415 · median $152,804 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $82,693 – $378,919 · median $146,800 | 16 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $43,669 – $198,863 · median $77,043 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,767 – $346,962 · median $134,420 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,451 – $340,891 · median $132,068 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,227 – $229,123 · median $88,767 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,227 – $229,123 · median $88,767 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,557 – $267,558 · median $103,657 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,843 – $185,827 · median $71,993 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,633 – $175,631 · median $68,043 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,933 – $172,397 · median $66,790 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,354 – $109,747 · median $42,518 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,234 – $293,748 · median $113,804 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,355 – $211,257 · median $81,845 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,307 – $266,405 · median $103,210 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,824 – $190,353 · median $73,746 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,890 – $204,497 · median $79,226 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,203 – $145,963 · median $56,549 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,738 – $171,502 · median $66,443 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,096 – $99,329 · median $38,482 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,023 – $48,241 · median $18,895 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,681 – $111,256 · median $43,103 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,661 – $74,253 · median $28,767 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,219 – $62,984 · median $24,410 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,025 – $158,981 · median $61,592 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,051 – $76,051 · median $29,464 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,855 – $52,077 · median $20,330 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,913 – $121,553 · median $47,092 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,171 – $90,446 · median $35,041 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,024 – $62,085 · median $24,073 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,940 – $93,994 · median $36,415 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,391 – $59,165 · median $22,981 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,817 – $38,059 · median $15,087 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,298 – $109,490 · median $42,418 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,840 – $70,462 · median $27,298 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,134 – $113,347 · median $43,913 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,846 – $65,876 · median $25,522 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,877 – $56,796 · median $22,095 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,659 – $106,538 · median $41,275 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,797 – $116,407 · median $45,098 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $27,894 – $126,080 · median $48,846 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,852 – $213,550 · median $82,733 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,523 – $165,895 · median $64,271 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,512 – $239,667 · median $92,852 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,463 – $147,162 · median $57,013 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,416 – $183,858 · median $71,230 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,426 – $123,923 · median $48,010 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,849 – $88,962 · median $34,466 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,725 – $143,757 · median $55,694 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,428 – $114,703 · median $44,438 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,419 – $248,466 · median $96,260 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,932 – $209,306 · median $81,089 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,449 – $160,936 · median $62,350 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $42,606 – $193,960 · median $75,144 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,805 – $125,669 · median $48,686 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,683 – $55,896 · median $21,759 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,509 – $32,027 · median $12,831 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,029 – $25,197 · median $10,276 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,528 – $69,023 · median $26,741 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,796 – $24,120 · median $9,874 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,091 – $20,869 · median $8,658 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,280 – $77,107 · median $29,873 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,650 – $37,289 · median $14,799 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,006 – $94,300 · median $36,534 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,459 – $59,479 · median $23,099 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,589 – $32,396 · median $12,969 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,264 – $44,735 · median $17,584 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,980 – $29,584 · median $11,917 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,843 – $19,723 · median $8,229 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,364 – $54,426 · median $21,209 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,356 – $22,092 · median $9,115 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,005 – $15,858 · median $6,783 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,899 – $56,893 · median $22,131 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,630 – $37,198 · median $14,765 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,003 – $25,079 · median $10,232 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,605 – $41,697 · median $16,448 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,652 – $23,458 · median $9,626 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $9,555 – $41,467 · median $16,362 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,271 – $26,312 · median $10,693 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,469 – $54,910 · median $21,390 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,465 – $31,821 · median $12,754 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,661 – $41,955 · median $16,544 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,124 – $25,636 · median $10,440 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,843 – $19,726 · median $8,230 | 16 plans |
| 311 | ANGINA PECTORIS | $5,869 – $24,458 · median $10,000 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,151 – $30,372 · median $12,212 | 16 plans |
| 313 | CHEST PAIN | $6,006 – $25,089 · median $10,236 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,316 – $72,661 · median $28,150 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,843 – $33,567 · median $13,407 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,719 – $23,768 · median $9,742 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,067 – $232,998 · median $90,268 | 16 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,861 – $84,404 · median $32,700 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,273 – $155,514 · median $60,249 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,734 – $83,815 · median $32,472 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,116 – $94,809 · median $36,731 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,883 – $61,434 · median $23,830 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,250 – $150,793 · median $58,420 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,365 – $109,800 · median $42,539 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,814 – $111,870 · median $43,340 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,235 – $173,791 · median $67,330 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,027 – $85,171 · median $32,997 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,669 – $55,834 · median $21,735 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,282 – $160,170 · median $62,053 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,672 – $83,533 · median $32,362 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,278 – $58,642 · median $22,786 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,913 – $126,167 · median $48,879 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $18,257 – $81,616 · median $31,620 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,938 – $57,074 · median $22,199 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,537 – $124,432 · median $48,207 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,494 – $73,480 · median $28,467 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,161 – $53,489 · median $20,858 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,074 – $90,000 · median $34,868 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,932 – $52,433 · median $20,463 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,526 – $41,334 · median $16,312 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,905 – $79,992 · median $30,991 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,452 – $45,606 · median $17,910 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,143 – $30,337 · median $12,199 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,388 – $86,833 · median $33,641 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,081 – $53,123 · median $20,721 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,388 – $40,693 · median $16,072 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,485 – $101,123 · median $39,177 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,274 – $58,625 · median $22,779 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,726 – $46,868 · median $18,382 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,744 – $153,072 · median $59,303 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,131 – $81,034 · median $31,394 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,125 – $48,711 · median $19,071 | 16 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,537 – $119,821 · median $46,421 | 16 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,802 – $84,129 · median $32,593 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,591 – $55,471 · median $21,600 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,122 – $34,853 · median $13,888 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,861 – $24,420 · median $9,986 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,959 – $61,785 · median $23,961 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,279 – $35,578 · median $14,159 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,061 – $25,347 · median $10,332 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,720 – $74,525 · median $28,872 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,703 – $42,150 · median $16,617 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,549 – $32,208 · median $12,899 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,374 – $63,698 · median $24,678 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,974 – $34,173 · median $13,634 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,329 – $21,967 · median $9,068 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,387 – $68,375 · median $26,490 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,751 – $37,756 · median $14,973 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,614 – $27,898 · median $11,286 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,995 – $48,112 · median $18,847 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,024 – $29,786 · median $11,993 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,518 – $55,137 · median $21,475 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,941 – $34,020 · median $13,576 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,713 – $23,741 · median $9,731 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,721 – $51,461 · median $20,100 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,533 – $27,521 · median $11,146 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,676 – $18,956 · median $7,942 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,147 – $44,195 · median $17,382 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,456 – $27,166 · median $11,013 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,646 – $55,729 · median $21,696 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,635 – $32,605 · median $13,047 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,469 – $22,615 · median $9,310 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,655 – $83,453 · median $32,331 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,999 – $52,743 · median $20,579 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,213 – $39,888 · median $15,771 | 16 plans |
| 402 | Single level combined anterior and posterior spinal fusion except cervical | $30,932 – $140,098 · median $54,277 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,883 – $190,625 · median $73,852 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,471 – $101,060 · median $39,153 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,331 – $77,344 · median $29,965 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,497 – $124,247 · median $48,136 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,012 – $75,870 · median $29,394 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,559 – $55,325 · median $21,545 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,516 – $115,107 · median $44,595 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,447 – $73,264 · median $28,384 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,109 – $57,862 · median $22,494 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,474 – $124,142 · median $48,095 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,176 – $72,016 · median $27,900 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,864 – $47,506 · median $18,620 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,591 – $83,156 · median $32,216 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,343 – $58,945 · median $22,899 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,883 – $47,593 · median $18,653 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,300 – $118,724 · median $45,996 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,690 – $60,545 · median $23,497 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,137 – $48,767 · median $19,092 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,933 – $144,715 · median $56,066 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,092 – $76,240 · median $29,537 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,899 – $52,279 · median $20,406 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,804 – $384,045 · median $148,786 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,085 – $251,539 · median $97,451 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,027 – $195,904 · median $75,897 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,612 – $313,949 · median $121,630 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,123 – $200,960 · median $77,856 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,432 – $68,584 · median $26,571 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,545 – $36,804 · median $14,618 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,949 – $24,828 · median $10,138 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,439 – $64,002 · median $24,795 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,110 – $39,414 · median $15,594 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,012 – $29,734 · median $11,973 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,880 – $56,806 · median $22,099 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,921 – $29,312 · median $11,815 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,261 – $21,653 · median $8,951 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,122 – $62,538 · median $24,243 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,858 – $33,637 · median $13,433 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,852 – $24,382 · median $9,971 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,187 – $58,224 · median $22,629 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,833 – $38,135 · median $15,116 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,816 – $28,828 · median $11,634 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,030 – $232,827 · median $90,202 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,596 – $147,775 · median $57,251 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,819 – $185,715 · median $71,950 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,965 – $112,567 · median $43,610 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,034 – $292,825 · median $113,446 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,603 – $207,790 · median $80,502 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,081 – $145,398 · median $56,330 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,280 – $192,454 · median $74,561 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,657 – $92,690 · median $35,910 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,613 – $198,605 · median $76,943 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,091 – $108,535 · median $42,048 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,341 – $63,549 · median $24,621 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,881 – $181,387 · median $70,273 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,202 – $122,888 · median $47,609 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,322 – $95,757 · median $37,098 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,476 – $105,695 · median $40,948 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,136 – $67,214 · median $26,040 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,036 – $168,261 · median $65,187 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,818 – $102,660 · median $39,772 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,005 – $85,070 · median $32,958 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,989 – $149,590 · median $57,954 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,755 – $79,299 · median $30,722 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,481 – $41,125 · median $16,234 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,658 – $120,379 · median $46,637 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,141 – $85,693 · median $33,199 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,607 – $64,775 · median $25,095 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,563 – $101,482 · median $39,316 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,386 – $72,985 · median $28,276 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,886 – $56,834 · median $22,109 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,502 – $96,590 · median $37,421 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,940 – $112,452 · median $43,566 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,361 – $72,866 · median $28,230 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,396 – $54,576 · median $21,265 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,927 – $61,639 · median $23,907 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,002 – $38,916 · median $15,408 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,297 – $127,941 · median $49,567 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,721 – $88,373 · median $34,237 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,722 – $69,919 · median $27,088 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,951 – $126,341 · median $48,947 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,192 – $62,859 · median $24,363 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,693 – $42,104 · median $16,600 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,352 – $105,123 · median $40,727 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,784 – $70,208 · median $27,200 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,470 – $110,281 · median $42,725 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,770 – $60,914 · median $23,635 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,733 – $46,899 · median $18,393 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,647 – $97,259 · median $37,680 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,685 – $65,134 · median $25,234 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,108 – $62,472 · median $24,218 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,758 – $47,014 · median $18,436 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,210 – $62,946 · median $24,395 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,005 – $52,771 · median $20,590 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,380 – $105,252 · median $40,777 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,272 – $72,459 · median $28,072 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,070 – $57,684 · median $22,427 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,458 – $54,858 · median $21,370 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,289 – $35,623 · median $14,176 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,637 – $111,051 · median $43,023 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,262 – $72,413 · median $28,054 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,174 – $53,548 · median $20,880 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,793 – $130,230 · median $50,454 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,674 – $69,699 · median $27,003 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,850 – $52,056 · median $20,322 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,245 – $100,015 · median $38,748 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,562 – $73,793 · median $28,589 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,408 – $54,628 · median $21,284 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,656 – $28,089 · median $11,358 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,250 – $44,673 · median $17,561 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,667 – $28,142 · median $11,378 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,775 – $33,254 · median $13,290 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,008 – $25,100 · median $10,240 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,444 – $68,636 · median $26,591 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,358 – $45,171 · median $17,747 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,515 – $27,438 · median $11,114 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,909 – $61,555 · median $23,875 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,332 – $35,822 · median $14,250 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,267 – $26,295 · median $10,687 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,311 – $86,477 · median $33,503 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,279 – $40,191 · median $15,885 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,883 – $29,138 · median $11,750 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,151 – $67,284 · median $26,067 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,685 – $42,066 · median $16,586 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,169 – $30,459 · median $12,244 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,226 – $58,405 · median $22,697 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,828 – $33,497 · median $13,381 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,358 – $45,171 · median $17,747 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,837 – $28,926 · median $11,671 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,551 – $46,059 · median $18,079 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,841 – $28,943 · median $11,677 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,798 – $51,813 · median $20,231 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,314 – $31,124 · median $12,493 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,652 – $64,984 · median $25,176 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,073 – $39,240 · median $15,529 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,639 – $28,013 · median $11,329 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,328 – $49,649 · median $19,422 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,331 – $31,205 · median $12,523 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,226 – $53,788 · median $20,970 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,927 – $33,954 · median $13,552 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,227 – $26,110 · median $10,618 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,780 – $102,486 · median $39,705 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,328 – $58,872 · median $22,872 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,225 – $39,944 · median $15,792 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,047 – $228,290 · median $88,444 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,785 – $120,964 · median $46,864 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,139 – $62,618 · median $24,273 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,584 – $170,787 · median $66,166 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,587 – $92,366 · median $35,784 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,700 – $55,977 · median $21,789 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,026 – $112,849 · median $43,720 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,618 – $60,214 · median $23,374 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,467 – $50,286 · median $19,660 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,118 – $67,134 · median $26,009 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,591 – $60,088 · median $23,327 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,735 – $74,595 · median $28,899 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,137 – $67,221 · median $26,043 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $15,184 – $67,437 · median $26,127 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $9,527 – $41,338 · median $16,313 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,114 – $30,205 · median $12,149 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,584 – $73,898 · median $28,629 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,743 – $37,721 · median $14,960 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,158 – $58,092 · median $22,580 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,112 – $39,421 · median $15,596 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,379 – $26,811 · median $10,880 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,434 – $36,296 · median $14,427 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,137 – $21,082 · median $8,737 | 16 plans |
| 602 | CELLULITIS WITH MCC | $11,302 – $49,527 · median $19,376 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,145 – $30,347 · median $12,203 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,686 – $51,297 · median $20,038 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,486 – $31,919 · median $12,790 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,996 – $52,729 · median $20,574 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,413 – $31,584 · median $12,665 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,121 – $76,375 · median $29,589 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,136 – $48,760 · median $19,089 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,906 – $121,522 · median $47,080 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,693 – $65,172 · median $25,249 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,279 – $49,422 · median $19,337 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,375 – $100,614 · median $38,980 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,654 – $55,764 · median $21,709 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,960 – $52,562 · median $20,511 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,448 – $124,024 · median $48,049 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,116 – $62,510 · median $24,232 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,023 – $43,624 · median $17,168 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,377 – $105,238 · median $40,771 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,892 – $52,248 · median $20,394 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,600 – $46,286 · median $18,164 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,714 – $129,864 · median $50,312 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,023 – $75,922 · median $29,414 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,591 – $50,858 · median $19,874 | 16 plans |
| 637 | DIABETES WITH MCC | $11,418 – $50,063 · median $19,577 | 16 plans |
| 638 | DIABETES WITH CC | $7,336 – $31,229 · median $12,532 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,259 – $21,646 · median $8,948 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,655 – $46,540 · median $18,259 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,445 – $27,117 · median $10,994 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,308 – $49,555 · median $19,387 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,000 – $57,360 · median $22,306 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,309 – $35,717 · median $14,211 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,370 – $26,772 · median $10,865 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,075 – $163,825 · median $63,469 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,555 – $129,132 · median $50,028 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $24,958 – $112,535 · median $43,598 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,813 – $181,074 · median $70,151 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,709 – $97,544 · median $37,791 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,553 – $73,755 · median $28,574 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,613 – $110,943 · median $42,981 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,389 – $63,768 · median $24,705 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,288 – $54,074 · median $21,077 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,758 – $88,540 · median $34,302 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,550 – $46,056 · median $18,078 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,388 – $36,080 · median $14,347 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,689 – $106,681 · median $41,330 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,049 – $52,973 · median $20,665 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,474 – $36,480 · median $14,496 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,140 – $108,761 · median $42,136 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $13,779 – $60,956 · median $23,651 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,922 – $38,547 · median $15,269 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,621 – $101,750 · median $39,420 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,289 – $54,081 · median $21,080 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,949 – $34,055 · median $13,589 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,124 – $62,549 · median $24,247 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,721 – $37,616 · median $14,921 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,300 – $146,409 · median $56,722 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,230 – $81,491 · median $31,571 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,964 – $57,196 · median $22,245 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $11,753 – $51,607 · median $20,154 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $7,182 – $30,518 · median $12,266 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,102 – $20,918 · median $8,676 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,190 – $62,852 · median $24,360 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,481 – $36,512 · median $14,508 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,537 – $27,539 · median $11,152 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,331 – $40,432 · median $15,974 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,682 – $28,208 · median $11,402 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,722 – $46,850 · median $18,375 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,472 – $27,239 · median $11,040 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,206 – $39,857 · median $15,759 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,771 – $24,009 · median $9,832 | 16 plans |
| 697 | URETHRAL STRICTURE | $8,708 – $37,557 · median $14,899 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,063 – $57,649 · median $22,414 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,234 – $35,369 · median $14,081 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,778 – $24,040 · median $9,844 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,675 – $69,702 · median $27,004 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,155 – $53,461 · median $20,848 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,143 – $81,090 · median $31,416 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,150 – $48,826 · median $19,114 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,306 – $72,612 · median $28,131 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,873 – $38,320 · median $15,185 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,922 – $52,387 · median $20,446 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,554 – $36,846 · median $14,633 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,465 – $77,961 · median $30,204 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,677 – $51,258 · median $20,024 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,846 – $65,876 · median $25,522 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,711 – $46,802 · median $18,357 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,235 – $63,061 · median $24,438 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,198 – $39,819 · median $15,745 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,520 – $22,849 · median $9,398 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,406 – $40,777 · median $16,103 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,021 – $25,159 · median $10,262 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,767 – $51,673 · median $20,179 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,694 – $28,267 · median $11,424 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,564 – $36,891 · median $14,650 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,643 – $23,417 · median $9,610 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,654 – $74,222 · median $28,755 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,730 – $46,885 · median $18,388 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,564 – $124,557 · median $48,256 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,130 – $71,804 · median $27,818 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,659 – $51,171 · median $19,991 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,627 – $124,846 · median $48,368 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,235 – $63,057 · median $24,437 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,338 – $49,694 · median $19,439 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,425 – $63,935 · median $24,770 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,938 – $43,233 · median $17,022 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,043 – $71,403 · median $27,663 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,159 – $39,637 · median $15,677 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,687 – $60,531 · median $23,492 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,061 – $29,957 · median $12,057 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,045 – $48,342 · median $18,933 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,959 – $89,471 · median $34,663 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,714 – $51,426 · median $20,086 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,477 – $64,176 · median $24,863 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,783 – $37,905 · median $15,030 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,822 – $33,470 · median $13,370 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,382 – $49,896 · median $19,514 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,962 – $34,114 · median $13,612 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,580 – $23,124 · median $9,501 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,177 – $35,107 · median $13,983 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,876 – $19,880 · median $8,287 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,865 – $37,341 · median $14,467 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,330 – $58,883 · median $22,876 | 16 plans |
| 770 | Abortion with d&c, aspiration curettage or hysterotomy | $8,141 – $34,940 · median $13,920 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,512 – $22,814 · median $9,385 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $6,922 – $29,316 · median $11,817 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,720 – $85,550 · median $32,850 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,574 – $36,940 · median $14,311 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,865 – $33,376 · median $13,335 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,026 – $57,478 · median $22,268 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,002 – $38,916 · median $15,077 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,865 – $33,410 · median $13,348 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,179 – $62,799 · median $24,341 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,455 – $207,107 · median $80,237 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,223 – $141,440 · median $54,797 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,065 – $85,345 · median $33,064 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,058 – $145,294 · median $56,290 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,714 – $51,429 · median $20,088 | 16 plans |
| 795 | NORMAL NEWBORN | $2,000 – $6,962 · median $3,456 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,865 – $40,665 · median $15,755 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,865 – $34,860 · median $13,720 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,865 – $33,351 · median $12,921 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,772 – $157,814 · median $61,140 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,786 – $97,896 · median $37,927 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,985 – $66,518 · median $25,770 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,657 – $138,830 · median $53,785 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,607 – $64,775 · median $25,095 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,809 – $47,251 · median $18,525 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,718 – $37,606 · median $14,569 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,262 – $26,274 · median $10,679 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,660 – $23,493 · median $9,639 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,243 – $76,936 · median $29,807 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,128 – $44,112 · median $17,351 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,472 – $36,470 · median $14,493 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,174 – $48,934 · median $19,155 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,502 – $31,996 · median $12,819 | 16 plans |
| 813 | COAGULATION DISORDERS | $12,088 – $53,151 · median $20,732 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,630 – $74,107 · median $28,710 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,226 – $35,334 · median $14,068 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,341 – $22,023 · median $9,089 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,799 – $79,505 · median $30,802 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,323 – $40,393 · median $15,960 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,062 – $29,964 · median $12,059 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,861 – $204,365 · median $79,175 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,475 – $78,006 · median $30,221 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,661 – $41,955 · median $16,544 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,194 – $159,762 · median $61,895 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,679 – $78,947 · median $30,586 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,759 – $47,021 · median $18,439 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,896 – $163,003 · median $63,150 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,023 – $80,536 · median $31,201 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,436 – $59,371 · median $23,058 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,433 – $110,113 · median $42,660 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,934 – $52,443 · median $20,467 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,650 – $41,902 · median $16,524 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,018 – $25,145 · median $10,257 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,517 – $18,221 · median $7,667 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,030 – $191,301 · median $74,114 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,321 – $72,682 · median $28,158 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,778 – $42,495 · median $16,746 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,852 – $167,411 · median $64,858 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,333 – $72,738 · median $28,180 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,473 – $50,314 · median $19,671 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,999 – $112,723 · median $43,671 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,889 – $56,848 · median $22,114 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,199 – $35,208 · median $14,021 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,633 – $69,511 · median $26,930 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,762 – $42,422 · median $16,719 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,999 – $29,675 · median $11,951 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,147 – $90,338 · median $34,999 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,448 – $45,586 · median $17,902 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,983 – $29,598 · median $11,922 | 16 plans |
| 849 | RADIOTHERAPY | $21,031 – $94,415 · median $36,578 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,968 – $301,749 · median $116,903 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,866 – $172,090 · median $66,671 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,658 – $69,626 · median $26,974 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,875 – $52,171 · median $20,365 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,921 – $158,504 · median $61,407 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,741 – $74,623 · median $28,910 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,088 – $48,537 · median $19,006 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,341 – $63,549 · median $24,621 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,104 – $34,773 · median $13,858 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,272 – $30,933 · median $12,422 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,884 – $52,210 · median $20,380 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,135 – $30,302 · median $12,186 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,377 – $72,940 · median $28,258 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,355 – $35,930 · median $14,291 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,079 – $25,427 · median $10,362 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,768 – $240,849 · median $93,309 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,238 – $67,688 · median $26,224 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,296 – $35,658 · median $14,189 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,757 – $134,676 · median $52,176 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,820 – $33,459 · median $13,366 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $7,674 – $32,787 · median $13,115 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,678 – $37,418 · median $14,847 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,418 – $68,518 · median $26,545 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,719 – $56,064 · median $21,821 | 16 plans |
| 885 | PSYCHOSES | $11,117 – $48,673 · median $19,057 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,241 – $72,316 · median $28,017 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,656 – $37,317 · median $14,809 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,227 – $21,497 · median $8,892 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,259 – $49,328 · median $19,302 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,748 – $60,810 · median $23,596 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,235 – $30,762 · median $12,358 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,262 – $146,235 · median $56,654 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,027 – $66,713 · median $25,846 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,401 – $40,756 · median $16,096 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,309 – $127,993 · median $49,587 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,771 – $51,691 · median $20,186 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,403 – $68,448 · median $26,518 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,564 – $133,784 · median $51,831 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,636 – $69,525 · median $26,935 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,482 – $45,742 · median $17,961 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,913 – $56,959 · median $22,156 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,255 – $30,856 · median $12,393 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,268 – $58,597 · median $22,769 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,600 – $23,218 · median $9,536 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,413 – $54,652 · median $21,293 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,041 – $29,867 · median $12,023 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,395 – $63,796 · median $24,716 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,138 – $34,926 · median $13,915 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,767 – $23,988 · median $9,824 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,780 – $60,960 · median $23,652 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,254 – $35,463 · median $14,116 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $161,815 – $743,980 · median $288,232 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,739 – $249,940 · median $96,831 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,893 – $112,232 · median $43,481 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,978 – $135,697 · median $52,572 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,263 – $77,031 · median $29,843 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $16,126 – $71,783 · median $27,810 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,972 – $126,439 · median $48,985 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,217 – $81,432 · median $31,548 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,882 – $70,657 · median $27,374 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,263 – $53,963 · median $21,035 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,229 – $39,961 · median $15,799 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,155 – $44,234 · median $17,396 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,614 – $27,894 · median $11,285 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,553 – $41,456 · median $16,358 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,308 – $21,873 · median $9,033 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,767 – $19,374 · median $8,098 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,404 – $234,552 · median $90,870 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,987 – $131,126 · median $50,801 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,116 – $265,523 · median $102,869 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,393 – $146,838 · median $56,888 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,803 – $102,590 · median $39,745 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,215 – $95,262 · median $36,906 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,143 – $53,405 · median $20,827 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,671 – $32,773 · median $13,110 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,798 – $213,303 · median $82,638 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,487 – $91,903 · median $35,605 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,364 – $100,566 · median $38,961 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,348 – $45,126 · median $17,730 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,385 – $31,455 · median $12,617 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,369 – $45,220 · median $17,765 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,002 – $163,490 · median $63,339 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,135 – $85,669 · median $33,190 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,513 – $59,726 · median $23,191 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,460 – $119,466 · median $46,283 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,981 – $57,273 · median $22,274 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,625 – $41,787 · median $16,481 | 16 plans |
No procedures match that keyword.