IU Health North 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 | $211,014 – $1,467,135 · median $361,243 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,685 – $593,254 · median $146,369 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $159,968 – $1,111,203 · median $273,724 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $104,603 – $725,162 · median $178,803 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,017 – $539,786 · median $133,222 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,419 – $242,761 · median $60,189 | 16 plans |
| 007 | LUNG TRANSPLANT | $97,837 – $677,982 · median $167,202 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,684 – $293,418 · median $72,644 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $54,480 – $375,669 · median $92,869 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,554 – $285,539 · median $70,707 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,258 – $220,720 · median $54,769 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,240 – $150,871 · median $37,594 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,837 – $629,173 · median $155,201 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,125 – $310,438 · median $76,829 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,390 – $284,397 · median $70,426 | 16 plans |
| 018 | Chimeric antigen receptor (car) t-cell and other immunotherapies | $324,831 – $2,260,749 · median $556,379 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,172 – $373,518 · median $92,340 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,684 – $411,955 · median $101,791 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,350 – $277,146 · median $68,643 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,460 – $166,346 · median $41,399 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,628 – $299,998 · median $74,262 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,975 – $204,800 · median $50,854 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,741 – $238,033 · median $59,026 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,948 – $162,776 · median $40,522 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,546 – $132,081 · median $32,974 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,715 – $314,553 · median $77,841 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,218 – $178,607 · median $44,414 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,085 – $114,925 · median $28,756 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,244 – $234,568 · median $58,174 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,603 – $111,564 · median $27,929 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,089 – $87,058 · median $21,904 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,665 – $202,643 · median $50,324 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,552 – $125,150 · median $31,270 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,190 – $101,711 · median $25,507 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,321 – $172,351 · median $42,876 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,786 – $84,948 · median $21,385 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,429 – $61,541 · median $15,629 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,594 – $202,145 · median $50,202 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,112 – $115,109 · median $28,801 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,575 – $90,450 · median $22,738 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,203 – $94,827 · median $23,814 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,955 – $51,264 · median $13,103 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,067 – $79,938 · median $20,153 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,259 – $53,379 · median $13,623 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,046 – $121,621 · median $30,402 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,331 – $67,829 · median $17,175 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,438 – $89,497 · median $22,504 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,920 – $64,965 · median $16,471 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,509 – $48,154 · median $12,338 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,304 – $144,342 · median $35,989 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,797 – $91,995 · median $23,118 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,143 – $73,493 · median $18,568 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,702 – $105,282 · median $26,385 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,189 – $52,892 · median $13,503 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,742 – $35,830 · median $9,308 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,630 – $76,891 · median $19,404 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,093 – $45,254 · median $11,625 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,601 – $41,820 · median $10,780 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,103 – $87,157 · median $21,928 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,307 – $53,714 · median $13,705 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,281 – $39,589 · median $10,232 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,649 – $83,990 · median $21,149 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,343 – $53,965 · median $13,767 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,000 – $100,387 · median $25,181 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,799 – $43,202 · median $11,120 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,193 – $94,759 · median $23,797 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,327 – $46,887 · median $12,026 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,764 – $119,658 · median $29,920 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,083 – $73,074 · median $18,465 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,779 – $50,039 · median $12,801 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,661 – $118,941 · median $29,743 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,384 – $68,200 · median $17,267 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,471 – $47,887 · median $12,272 | 16 plans |
| 088 | CONCUSSION WITH MCC | $10,753 – $70,771 · median $17,899 | 16 plans |
| 089 | CONCUSSION WITH CC | $8,852 – $57,515 · median $14,640 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,784 – $43,097 · median $11,094 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,789 – $91,942 · median $23,105 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,284 – $53,557 · median $13,666 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,582 – $41,689 · median $10,748 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,028 – $184,251 · median $45,802 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,968 – $135,029 · median $33,699 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,968 – $135,029 · median $33,699 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,721 – $189,089 · median $46,991 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,834 – $120,145 · median $30,039 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,832 – $71,326 · median $18,035 | 16 plans |
| 100 | SEIZURES WITH MCC | $15,145 – $101,397 · median $25,430 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $7,380 – $47,254 · median $12,116 | 16 plans |
| 102 | HEADACHES WITH MCC | $9,019 – $58,682 · median $14,927 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $6,882 – $43,783 · median $11,263 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,256 – $123,087 · median $30,763 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,762 – $70,834 · median $17,914 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,128 – $80,357 · median $20,256 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,179 – $94,659 · median $23,773 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,749 – $56,798 · median $14,463 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,337 – $60,902 · median $15,472 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,503 – $41,139 · median $10,613 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,599 – $41,809 · median $10,778 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,537 – $69,268 · median $17,529 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,368 – $40,197 · median $10,381 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,896 – $113,606 · median $28,431 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,226 – $53,154 · median $13,567 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,814 – $78,174 · median $19,719 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,257 – $46,395 · median $11,905 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,881 – $64,693 · median $16,404 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,628 – $223,301 · median $55,404 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,979 – $114,187 · median $28,574 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,589 – $83,576 · median $21,048 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,734 – $196,146 · median $48,727 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,614 – $90,723 · median $22,805 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,630 – $62,944 · median $15,974 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,501 – $110,852 · median $27,754 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,150 – $66,567 · median $16,865 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,588 – $41,731 · median $10,758 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,246 – $39,349 · median $10,173 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $10,600 – $69,708 · median $17,638 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,114 – $38,427 · median $9,946 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,479 – $61,892 · median $15,716 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,146 – $38,647 · median $10,000 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,342 – $81,854 · median $20,624 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,484 – $47,982 · median $12,295 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,792 – $36,181 · median $9,394 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,493 – $89,880 · median $22,597 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,434 – $47,631 · median $12,209 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,923 – $37,092 · median $9,618 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,254 – $234,636 · median $58,191 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,554 – $132,139 · median $32,988 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,975 – $100,214 · median $25,139 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,667 – $195,680 · median $48,612 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,143 – $94,413 · median $23,712 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,862 – $71,535 · median $18,087 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,951 – $155,823 · median $38,812 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,916 – $71,912 · median $18,180 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,647 – $42,144 · median $10,860 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,336 – $81,812 · median $20,614 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,931 – $51,097 · median $13,061 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,272 – $39,527 · median $10,216 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,863 – $92,455 · median $23,231 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,644 – $56,070 · median $14,284 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,263 – $39,464 · median $10,201 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,090 – $80,095 · median $20,192 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,593 – $55,709 · median $14,195 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,508 – $41,176 · median $10,622 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,305 – $81,592 · median $20,560 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,030 – $51,782 · median $13,230 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,988 – $37,548 · median $9,730 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,879 – $64,677 · median $16,401 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,920 – $57,991 · median $14,757 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,933 – $44,134 · median $11,349 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,423 – $33,611 · median $8,762 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,472 – $68,813 · median $17,417 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,654 – $42,191 · median $10,872 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,322 – $32,904 · median $8,588 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,773 – $98,801 · median $24,791 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,729 – $49,688 · median $12,715 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,980 – $37,495 · median $9,717 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,848 – $92,356 · median $23,206 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,857 – $57,552 · median $14,649 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,972 – $37,438 · median $9,703 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,895 – $50,845 · median $13,000 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,634 – $35,077 · median $9,122 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,665 – $42,270 · median $10,891 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,351 – $95,858 · median $24,068 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,669 – $49,269 · median $12,612 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,917 – $336,876 · median $83,330 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,241 – $143,903 · median $35,881 | 16 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $85,588 – $592,573 · median $146,202 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $82,249 – $569,292 · median $140,477 | 16 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $43,452 – $298,773 · median $73,961 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,363 – $521,279 · median $128,672 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,055 – $512,159 · median $126,429 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,972 – $344,237 · median $85,140 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,972 – $344,237 · median $85,140 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,254 – $401,982 · median $99,338 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,643 – $279,188 · median $69,145 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,446 – $263,870 · median $65,379 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,749 – $259,011 · median $64,184 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,250 – $164,886 · median $41,040 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $63,897 – $441,331 · median $109,014 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,123 – $317,395 · median $78,540 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,005 – $400,249 · median $98,912 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,618 – $285,989 · median $70,818 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,666 – $307,239 · median $76,043 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,054 – $219,296 · median $54,419 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,557 – $257,666 · median $63,853 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,005 – $149,232 · median $37,191 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,998 – $72,477 · median $18,319 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,575 – $167,153 · median $41,598 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,602 – $111,559 · median $27,928 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,174 – $94,628 · median $23,765 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,859 – $238,855 · median $59,228 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,990 – $114,260 · median $28,592 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,824 – $78,242 · median $19,736 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,794 – $182,623 · median $45,402 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,092 – $135,887 · median $33,910 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,981 – $93,277 · median $23,433 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,856 – $141,217 · median $35,221 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,351 – $88,890 · median $22,354 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,804 – $57,180 · median $14,557 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,195 – $164,498 · median $40,945 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,786 – $105,863 · median $26,528 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,026 – $170,294 · median $42,370 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,797 – $98,973 · median $24,833 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,841 – $85,330 · median $21,479 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,559 – $160,064 · median $39,855 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,685 – $174,890 · median $43,500 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $27,769 – $189,424 · median $47,074 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,617 – $320,840 · median $79,387 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,348 – $249,242 · median $61,782 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,244 – $360,079 · median $89,035 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,312 – $221,097 · median $54,862 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,219 – $276,230 · median $68,418 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,305 – $186,183 · median $46,277 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,772 – $133,657 · median $33,362 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,578 – $215,982 · median $53,604 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,318 – $172,330 · median $42,871 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,140 – $373,298 · median $92,285 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,702 – $314,464 · median $77,819 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,280 – $241,792 · median $59,950 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $42,396 – $291,407 · median $72,150 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,681 – $188,806 · median $46,922 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,647 – $83,979 · median $21,147 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,504 – $48,118 · median $12,329 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,032 – $37,856 · median $9,806 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,475 – $103,701 · median $25,996 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,800 – $36,239 · median $9,408 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,100 – $31,354 · median $8,211 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,217 – $115,847 · median $28,982 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,638 – $56,023 · median $14,273 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,922 – $141,678 · median $35,334 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,419 – $89,361 · median $22,470 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,584 – $48,673 · median $12,465 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,242 – $67,211 · median $17,024 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,978 – $44,448 · median $11,427 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,853 – $29,632 · median $7,812 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,330 – $81,770 · median $20,604 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,363 – $33,192 · median $8,659 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,020 – $23,826 · median $6,468 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,862 – $85,477 · median $21,515 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,618 – $55,887 · median $14,239 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,007 – $37,678 · median $9,762 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,587 – $62,646 · median $15,901 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,658 – $35,244 · median $9,163 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $9,538 – $62,300 · median $15,816 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,273 – $39,532 · median $10,218 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,435 – $82,498 · median $20,782 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,460 – $47,809 · median $12,253 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,643 – $63,033 · median $15,996 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,127 – $38,516 · median $9,968 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,854 – $29,637 · median $7,814 | 16 plans |
| 311 | ANGINA PECTORIS | $5,873 – $36,747 · median $9,533 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,147 – $45,631 · median $11,717 | 16 plans |
| 313 | CHEST PAIN | $6,009 – $37,694 · median $9,766 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,259 – $109,166 · median $27,340 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,836 – $50,432 · median $12,898 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,724 – $35,710 · median $9,278 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $50,807 – $350,058 · median $86,571 | 16 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,790 – $126,809 · median $31,678 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,112 – $233,646 · median $57,947 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,663 – $125,925 · median $31,460 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,032 – $142,442 · median $35,522 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,840 – $92,298 · median $23,192 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,094 – $226,552 · median $56,203 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,262 – $164,964 · median $41,060 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,708 – $168,074 · median $41,824 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,050 – $261,105 · median $64,699 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,955 – $127,961 · median $31,961 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,634 – $83,885 · median $21,124 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,115 – $240,641 · median $59,667 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,602 – $125,501 · median $31,356 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,239 – $88,105 · median $22,161 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,788 – $189,555 · median $47,106 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $18,189 – $122,621 · median $30,648 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,901 – $85,749 · median $21,582 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,414 – $186,947 · median $46,465 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,436 – $110,397 · median $27,642 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,128 – $80,362 · median $20,257 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,995 – $135,217 · median $33,745 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,901 – $78,776 · median $19,867 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,509 – $62,101 · median $15,767 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,839 – $120,182 · median $30,048 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,430 – $68,520 · median $17,345 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,140 – $45,579 · median $11,705 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,313 – $130,458 · median $32,575 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,049 – $79,812 · median $20,122 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,371 – $61,138 · median $15,530 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,392 – $151,928 · median $37,854 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,235 – $88,079 · median $22,155 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,702 – $70,415 · median $17,811 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,585 – $229,976 · median $57,045 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,064 – $121,747 · median $30,433 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,099 – $73,184 · median $18,492 | 16 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,421 – $180,021 · median $44,762 | 16 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,730 – $126,396 · median $31,576 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,555 – $83,341 · median $20,990 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,113 – $52,363 · median $13,373 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,865 – $36,689 · median $9,519 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,916 – $92,827 · median $23,322 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,269 – $53,452 · median $13,641 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,065 – $38,082 · median $9,861 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,661 – $111,967 · median $28,029 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,685 – $63,326 · median $16,068 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,543 – $48,390 · median $12,396 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,328 – $95,701 · median $24,029 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,966 – $51,343 · median $13,122 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,336 – $33,003 · median $8,613 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,336 – $102,727 · median $25,756 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,738 – $56,724 · median $14,445 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,614 – $41,914 · median $10,803 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,970 – $72,284 · median $18,271 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,021 – $44,751 · median $11,501 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,483 – $82,838 · median $20,866 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,933 – $51,112 · median $13,065 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,718 – $35,668 · median $9,268 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,691 – $77,315 · median $19,508 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,533 – $41,348 · median $10,664 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,688 – $28,480 · median $7,546 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,126 – $66,399 · median $16,824 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,457 – $40,814 · median $10,533 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,611 – $83,728 · median $21,085 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,629 – $48,987 · median $12,543 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,476 – $33,977 · median $8,852 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,585 – $125,380 · median $31,327 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,968 – $79,242 · median $19,982 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,198 – $59,928 · median $15,233 | 16 plans |
| 402 | Single level combined anterior and posterior spinal fusion except cervical | $30,790 – $210,485 · median $52,252 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,677 – $286,397 · median $70,918 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,379 – $151,834 · median $37,831 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,268 – $116,203 · median $29,070 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,375 – $186,670 · median $46,397 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,951 – $113,988 · median $28,525 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,524 – $83,121 · median $20,936 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,405 – $172,938 · median $43,020 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,389 – $110,072 · median $27,563 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,071 – $86,932 · median $21,873 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,352 – $186,513 · median $46,358 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,120 – $108,198 · median $27,102 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,839 – $71,373 · median $18,047 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,521 – $124,935 · median $31,217 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,304 – $88,560 · median $22,273 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,858 – $71,504 · median $18,079 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,184 – $178,372 · median $44,356 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,649 – $90,963 · median $22,864 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,111 – $73,268 · median $18,513 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,785 – $217,422 · median $53,958 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,030 – $114,543 · median $28,662 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,868 – $78,545 · median $19,811 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,353 – $576,993 · median $142,371 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,802 – $377,915 · median $93,421 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,815 – $294,329 · median $72,868 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,250 – $471,680 · median $116,476 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,904 – $301,925 · median $74,736 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,381 – $103,041 · median $25,834 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,533 – $55,295 · median $14,094 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,953 – $37,302 · median $9,669 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,394 – $96,157 · median $24,141 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,096 – $59,216 · median $15,058 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,010 – $44,673 · median $11,482 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,843 – $85,346 · median $21,483 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,919 – $44,039 · median $11,326 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,269 – $32,532 · median $8,497 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,078 – $93,958 · median $23,600 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,851 – $50,536 · median $12,924 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,857 – $36,631 · median $9,505 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,149 – $87,477 · median $22,007 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,820 – $57,295 · median $14,585 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,815 – $43,312 · median $11,147 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,770 – $349,802 · median $86,508 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,444 – $222,019 · median $55,088 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,619 – $279,021 · median $69,104 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,858 – $169,121 · median $42,082 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,698 – $439,943 · median $108,673 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,376 – $312,186 · median $77,259 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,932 – $218,448 · median $54,210 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,071 – $289,146 · median $71,594 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,575 – $139,259 · median $34,739 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,396 – $298,386 · median $73,866 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,989 – $163,064 · median $40,592 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,296 – $95,476 · median $23,974 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,687 – $272,518 · median $67,505 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,082 – $184,628 · median $45,895 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,236 – $143,866 · median $35,872 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,377 – $158,797 · median $39,543 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,086 – $100,984 · median $25,328 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,858 – $252,797 · median $62,656 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,723 – $154,237 · median $38,422 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,933 – $127,809 · median $31,924 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,835 – $224,746 · median $55,759 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,690 – $119,140 · median $29,792 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,464 – $61,787 · median $15,690 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,541 – $180,859 · median $44,968 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,067 – $128,747 · median $32,154 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,560 – $97,319 · median $24,427 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,469 – $152,468 · median $37,987 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,329 – $109,653 · median $27,460 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,849 – $85,388 · median $21,493 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,415 – $145,117 · median $36,180 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,833 – $168,948 · median $42,039 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,304 – $109,475 · median $27,416 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,363 – $81,995 · median $20,659 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,884 – $92,607 · median $23,268 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,988 – $58,468 · median $14,874 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,170 – $192,219 · median $47,761 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,645 – $132,772 · median $33,144 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,668 – $105,046 · median $26,327 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,826 – $189,816 · median $47,170 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,147 – $94,440 · median $23,719 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,675 – $63,258 · median $16,052 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,254 – $157,939 · median $39,332 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,731 – $105,481 · median $26,434 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,365 – $165,687 · median $41,237 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,728 – $91,518 · median $23,000 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,708 – $70,462 · median $17,823 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,559 – $146,122 · median $36,427 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,638 – $97,858 · median $24,559 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,064 – $93,858 · median $23,576 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,733 – $70,635 · median $17,865 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,166 – $94,570 · median $23,751 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,974 – $79,283 · median $19,992 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,282 – $158,132 · median $39,380 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,216 – $108,863 · median $27,265 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,032 – $86,665 · median $21,807 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,423 – $82,419 · median $20,763 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,279 – $53,520 · median $13,657 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,531 – $166,844 · median $41,522 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,206 – $108,795 · median $27,248 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,141 – $80,451 · median $20,279 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,664 – $195,659 · median $48,607 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,621 – $104,716 · median $26,246 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,820 – $78,210 · median $19,728 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,153 – $150,264 · median $37,445 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,503 – $110,868 · median $27,758 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,374 – $82,074 · median $20,678 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,655 – $42,202 · median $10,874 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,229 – $67,117 · median $17,000 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,667 – $42,280 · median $10,894 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,768 – $49,960 · median $12,782 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,011 – $37,710 · median $9,770 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,392 – $103,120 · median $25,853 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,336 – $67,865 · median $17,185 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,515 – $41,223 · median $10,634 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,866 – $92,482 · median $23,237 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,322 – $53,819 · median $13,731 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,269 – $39,506 · median $10,211 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,236 – $129,924 · median $32,444 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,263 – $60,384 · median $15,345 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,881 – $43,778 · median $11,262 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,101 – $101,088 · median $25,354 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,667 – $63,201 · median $16,038 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,166 – $45,762 · median $11,750 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,188 – $87,749 · median $22,074 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,821 – $50,327 · median $12,872 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,336 – $67,865 · median $17,185 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,836 – $43,458 · median $11,183 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,528 – $69,200 · median $17,513 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,839 – $43,484 · median $11,190 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,767 – $77,844 · median $19,638 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,309 – $46,762 · median $11,995 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,605 – $97,633 · median $24,504 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,058 – $58,955 · median $14,994 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,639 – $42,087 · median $10,846 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,301 – $74,593 · median $18,839 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,327 – $46,882 · median $12,025 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,193 – $80,812 · median $20,368 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,919 – $51,013 · median $13,041 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,229 – $39,228 · median $10,143 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,686 – $153,975 · median $38,358 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,288 – $88,450 · median $22,246 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,210 – $60,012 · median $15,254 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,793 – $342,985 · median $84,832 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,667 – $181,738 · median $45,184 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,095 – $94,078 · median $23,630 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,403 – $256,593 · median $63,590 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,505 – $138,772 · median $34,619 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,664 – $84,100 · median $21,176 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,919 – $169,545 · median $42,186 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,577 – $90,466 · median $22,742 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,438 – $75,551 · median $19,074 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,069 – $100,863 · median $25,298 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,550 – $90,278 · median $22,695 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,676 – $112,072 · median $28,054 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,087 – $100,994 · median $25,330 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $15,134 – $101,319 · median $25,410 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $9,510 – $62,106 · median $15,768 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,111 – $45,380 · median $11,656 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,526 – $111,025 · median $27,797 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,731 – $56,672 · median $14,432 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,120 – $87,278 · median $21,958 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,097 – $59,227 · median $15,060 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,380 – $40,280 · median $10,402 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,424 – $54,531 · median $13,906 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,146 – $31,674 · median $8,286 | 16 plans |
| 602 | CELLULITIS WITH MCC | $11,275 – $74,409 · median $18,794 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,142 – $45,594 · median $11,708 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,656 – $77,069 · median $19,448 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,481 – $47,955 · median $12,289 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,965 – $79,221 · median $19,977 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,409 – $47,453 · median $12,165 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,060 – $114,747 · median $28,712 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,109 – $73,258 · median $18,510 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,787 – $182,576 · median $45,390 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,646 – $97,916 · median $24,573 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,252 – $74,252 · median $18,755 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,282 – $151,164 · median $37,666 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,619 – $83,781 · median $21,098 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,929 – $78,969 · median $19,915 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,326 – $186,335 · median $46,314 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,072 – $93,916 · median $23,590 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,003 – $65,541 · median $16,613 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,279 – $158,111 · median $39,375 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,861 – $78,498 · median $19,799 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,576 – $69,540 · median $17,596 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,585 – $195,109 · median $48,472 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,962 – $114,067 · median $28,545 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,561 – $76,409 · median $19,285 | 16 plans |
| 637 | DIABETES WITH MCC | $11,390 – $75,216 · median $18,992 | 16 plans |
| 638 | DIABETES WITH CC | $7,332 – $46,919 · median $12,034 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,267 – $32,522 · median $8,494 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,631 – $69,923 · median $17,690 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,446 – $40,741 · median $10,515 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,281 – $74,451 · median $18,804 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,962 – $86,178 · median $21,687 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,299 – $53,662 · median $13,692 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,372 – $40,223 · median $10,388 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,902 – $246,132 · median $61,018 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,427 – $194,010 · median $48,201 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $24,851 – $169,074 · median $42,070 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,619 – $272,047 · median $67,390 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,621 – $146,552 · median $36,532 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,495 – $110,810 · median $27,744 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,508 – $166,681 · median $41,482 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,343 – $95,806 · median $24,055 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,254 – $81,241 · median $20,473 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,681 – $133,024 · median $33,206 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,527 – $69,195 · median $17,511 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,377 – $54,206 · median $13,826 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,590 – $160,279 · median $39,907 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,017 – $79,587 · median $20,067 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,463 – $54,808 · median $13,974 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,038 – $163,404 · median $40,676 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $13,737 – $91,581 · median $23,016 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,909 – $57,913 · median $14,737 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,527 – $152,871 · median $38,086 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,256 – $81,252 · median $20,476 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,941 – $51,165 · median $13,078 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,080 – $93,974 · median $23,604 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,708 – $56,515 · median $14,394 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,150 – $219,966 · median $54,584 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,162 – $122,433 · median $30,602 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,927 – $85,932 · median $21,627 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $11,723 – $77,535 · median $19,562 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $7,179 – $45,851 · median $11,771 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,110 – $31,428 · median $8,228 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,146 – $94,429 · median $23,716 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,470 – $54,855 · median $13,986 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,537 – $41,375 · median $10,671 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,315 – $60,745 · median $15,434 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,681 – $42,380 · median $10,918 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,698 – $70,389 · median $17,805 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,472 – $40,924 · median $10,560 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,191 – $59,881 · median $15,221 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,776 – $36,071 · median $9,367 | 16 plans |
| 697 | URETHRAL STRICTURE | $8,695 – $56,426 · median $14,372 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,025 – $86,613 · median $21,794 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,224 – $53,138 · median $13,563 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,783 – $36,118 · median $9,378 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,622 – $104,722 · median $26,247 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,122 – $80,320 · median $20,247 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,076 – $121,831 · median $30,454 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,124 – $73,357 · median $18,535 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,249 – $109,093 · median $27,322 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,860 – $57,573 · median $14,654 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,891 – $78,708 · median $19,850 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,542 – $55,358 · median $14,109 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,401 – $117,129 · median $29,298 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,648 – $77,011 · median $19,433 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,797 – $98,973 · median $24,833 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,687 – $70,315 · median $17,787 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,191 – $94,743 · median $23,793 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,183 – $59,824 · median $15,207 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,526 – $34,328 · median $8,938 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,389 – $61,263 · median $15,561 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,024 – $37,799 · median $9,792 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,737 – $77,634 · median $19,587 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,694 – $42,469 · median $10,940 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,552 – $55,426 · median $14,126 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,649 – $35,181 · median $9,148 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,596 – $111,512 · median $27,917 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,705 – $70,441 · median $17,818 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,441 – $187,136 · median $46,511 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,075 – $107,879 · median $27,023 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,629 – $76,880 · median $19,401 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,504 – $187,570 · median $46,618 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,190 – $94,738 · median $23,792 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,311 – $74,661 · median $18,855 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,379 – $96,057 · median $24,116 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,919 – $64,954 · median $16,469 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,988 – $107,277 · median $26,875 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,144 – $59,552 · median $15,140 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,646 – $90,942 · median $22,859 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,058 – $45,008 · median $11,564 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,019 – $72,629 · median $18,356 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,881 – $134,422 · median $33,550 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,684 – $77,263 · median $19,495 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,431 – $96,419 · median $24,205 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,771 – $56,950 · median $14,501 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,815 – $50,285 · median $12,862 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,354 – $74,964 · median $18,930 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,954 – $51,254 · median $13,100 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,586 – $34,741 · median $9,040 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,168 – $52,746 · median $13,467 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,887 – $29,867 · median $7,867 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,898 – $56,101 · median $13,526 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,291 – $88,466 · median $22,250 | 16 plans |
| 770 | Abortion with d&c, aspiration curettage or hysterotomy | $8,132 – $52,494 · median $13,405 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,519 – $34,276 · median $8,925 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $6,920 – $44,045 · median $11,327 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,720 – $128,532 · median $31,303 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,563 – $55,499 · median $13,751 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,794 – $50,144 · median $12,639 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,988 – $86,356 · median $21,031 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,988 – $58,468 · median $14,239 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,802 – $50,196 · median $12,645 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,134 – $94,351 · median $23,697 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,228 – $311,160 · median $77,007 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,079 – $212,501 · median $52,748 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,992 – $128,223 · median $32,026 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,910 – $218,291 · median $54,172 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,685 – $77,268 · median $19,496 | 16 plans |
| 795 | NORMAL NEWBORN | $2,000 – $10,460 · median $3,372 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,898 – $61,096 · median $14,025 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,898 – $52,374 · median $13,081 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,789 – $50,107 · median $12,634 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,607 – $237,102 · median $58,797 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,697 – $147,081 · median $36,662 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,936 – $99,937 · median $25,070 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,517 – $208,580 · median $51,784 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,560 – $97,319 · median $24,427 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,784 – $70,991 · median $17,953 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,706 – $56,499 · median $13,875 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,264 – $39,474 · median $10,204 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,665 – $35,296 · median $10,832 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,181 – $115,590 · median $28,919 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,108 – $66,274 · median $16,793 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,461 – $54,793 · median $13,970 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,147 – $73,519 · median $18,575 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,497 – $48,071 · median $12,317 | 16 plans |
| 813 | COAGULATION DISORDERS | $12,055 – $79,854 · median $20,132 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,571 – $111,339 · median $27,874 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,216 – $53,086 · median $13,551 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,348 – $33,087 · median $8,633 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,734 – $119,449 · median $29,868 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,307 – $60,688 · median $15,420 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,059 – $45,018 · median $11,567 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,638 – $307,040 · median $75,994 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,411 – $117,197 · median $29,314 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,643 – $63,033 · median $15,996 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,027 – $240,028 · median $59,517 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,614 – $118,611 · median $29,662 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,735 – $70,645 · median $17,868 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,725 – $244,897 · median $60,714 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,956 – $120,998 · median $30,249 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,396 – $89,199 · median $22,430 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,329 – $165,435 · median $41,175 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,903 – $78,791 · median $19,871 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,632 – $62,954 · median $15,977 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,021 – $37,778 · median $9,787 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,529 – $27,375 · median $7,290 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $41,823 – $287,413 · median $71,168 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,264 – $109,198 · median $27,348 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,759 – $63,844 · median $16,196 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,675 – $251,520 · median $62,342 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,276 – $109,282 · median $27,368 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,444 – $75,593 · median $19,085 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,892 – $169,357 · median $42,140 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,852 – $85,409 · median $21,498 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,189 – $52,897 · median $13,504 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,581 – $104,434 · median $26,176 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,744 – $63,735 · median $16,169 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,997 – $44,584 · median $11,460 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,068 – $135,725 · median $33,870 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,425 – $68,488 · median $17,338 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,981 – $44,469 · median $11,432 | 16 plans |
| 849 | RADIOTHERAPY | $20,947 – $141,850 · median $35,376 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,621 – $453,351 · median $111,969 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,683 – $258,551 · median $64,071 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,605 – $104,607 · median $26,219 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,844 – $78,383 · median $19,771 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,756 – $238,138 · median $59,052 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,682 – $112,114 · median $28,065 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,061 – $72,922 · median $18,428 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,296 – $95,476 · median $23,974 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,096 – $52,243 · median $13,343 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,268 – $46,474 · median $11,925 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,853 – $78,441 · median $19,785 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,132 – $45,526 · median $11,692 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,319 – $109,585 · median $27,443 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,345 – $53,981 · median $13,771 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,082 – $38,202 · median $9,891 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,499 – $361,853 · median $89,471 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,188 – $101,696 · median $25,503 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,286 – $53,573 · median $13,670 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,622 – $202,339 · median $50,249 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,813 – $50,269 · median $12,858 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $7,668 – $49,259 · median $12,610 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,665 – $56,217 · median $14,320 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,367 – $102,942 · median $25,809 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,683 – $84,231 · median $21,209 | 16 plans |
| 885 | PSYCHOSES | $11,091 – $73,127 · median $18,478 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,185 – $108,648 · median $27,212 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,644 – $56,065 · median $14,283 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,235 – $32,297 · median $8,439 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,232 – $74,111 · median $18,720 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,706 – $91,361 · median $22,962 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,231 – $46,217 · median $11,862 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,112 – $219,705 · median $54,519 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,978 – $100,230 · median $25,142 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,385 – $61,232 · median $15,554 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,182 – $192,298 · median $47,780 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,741 – $77,660 · median $19,593 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,352 – $102,837 · median $25,784 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,430 – $200,999 · median $49,920 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,584 – $104,455 · median $26,181 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,459 – $68,724 · median $17,396 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,876 – $85,576 · median $21,539 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,252 – $46,359 · median $11,896 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,229 – $88,037 · median $22,144 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,606 – $34,883 · median $9,075 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,379 – $82,110 · median $20,687 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,038 – $44,872 · median $11,531 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,349 – $95,848 · median $24,065 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,129 – $52,473 · median $13,400 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,772 – $36,040 · median $9,359 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,738 – $91,586 · median $23,017 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,244 – $53,280 · median $13,598 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $160,908 – $1,117,763 · median $275,337 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,458 – $375,512 · median $92,830 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,786 – $168,619 · median $41,958 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,842 – $203,873 · median $50,627 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,201 – $115,732 · median $28,954 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $16,070 – $107,847 · median $27,015 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,847 – $189,963 · median $47,206 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,149 – $122,344 · median $30,580 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,828 – $106,156 · median $26,600 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,230 – $81,074 · median $20,432 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,214 – $60,038 · median $15,260 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,134 – $66,457 · median $16,838 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,613 – $41,909 · median $10,802 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,536 – $62,284 · median $15,812 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,316 – $32,862 · median $8,578 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,778 – $29,108 · median $7,691 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,142 – $352,393 · median $87,145 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,857 – $197,004 · median $48,938 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,815 – $398,925 · median $98,587 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,242 – $220,610 · median $54,742 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,708 – $154,132 · median $38,396 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,129 – $143,123 · median $35,689 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,110 – $80,236 · median $20,226 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,665 – $49,238 · median $12,604 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,563 – $320,468 · median $79,296 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,405 – $138,076 · median $34,448 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,272 – $151,091 · median $37,648 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,326 – $67,797 · median $17,168 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,381 – $47,259 · median $12,118 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,347 – $67,938 · median $17,203 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,830 – $245,630 · median $60,894 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,062 – $128,710 · median $32,145 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,472 – $89,733 · median $22,561 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,344 – $179,487 · median $44,631 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,944 – $86,047 · median $21,655 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,607 – $62,782 · median $15,935 | 16 plans |
No procedures match that keyword.