IU Health University 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 | $226,868 – $1,467,135 · median $443,104 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $92,759 – $593,254 · median $180,785 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $172,245 – $1,111,203 · median $336,262 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $113,003 – $725,162 · median $220,381 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $84,554 – $539,786 · median $164,735 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,972 – $242,761 · median $75,576 | 16 plans |
| 007 | LUNG TRANSPLANT | $105,762 – $677,982 · median $206,219 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $46,746 – $293,418 · median $90,782 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $59,368 – $375,669 · median $115,472 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,537 – $285,539 · median $88,416 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $35,589 – $220,720 · median $68,959 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $24,870 – $150,871 · median $47,992 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $98,272 – $629,173 · median $191,568 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,358 – $310,438 · median $95,891 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $45,361 – $284,397 · median $88,074 | 16 plans |
| 018 | Chimeric antigen receptor (car) t-cell and other immunotherapies | $348,658 – $2,260,749 · median $681,329 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $59,038 – $373,518 · median $114,826 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $64,937 – $411,955 · median $126,364 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $44,249 – $277,146 · median $85,897 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,245 – $166,346 · median $52,638 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,756 – $299,998 · median $92,757 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $33,146 – $204,800 · median $64,180 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $38,246 – $238,033 · median $74,156 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,697 – $162,776 · median $51,566 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,987 – $132,081 · median $42,352 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,989 – $314,553 · median $97,126 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,127 – $178,607 · median $56,318 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,354 – $114,925 · median $37,202 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,714 – $234,568 · median $73,116 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,838 – $111,564 · median $36,193 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,077 – $87,058 · median $28,837 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,815 – $202,643 · median $63,533 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,923 – $125,150 · median $40,271 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,326 – $101,711 · median $33,236 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,167 – $172,351 · median $54,440 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,753 – $84,948 · median $28,204 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,161 – $61,541 · median $21,177 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,739 – $202,145 · median $63,384 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,382 – $115,109 · median $37,257 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,598 – $90,450 · median $29,855 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,269 – $94,827 · median $31,169 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,584 – $51,264 · median $18,093 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,985 – $79,938 · median $26,700 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,909 – $53,379 · median $18,728 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,381 – $121,621 · median $39,212 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,126 – $67,829 · median $23,065 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,452 – $89,497 · median $29,569 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,687 – $64,965 · median $22,205 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,107 – $48,154 · median $17,159 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,868 – $144,342 · median $46,033 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,835 – $91,995 · median $30,319 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,996 – $73,493 · median $24,765 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,874 – $105,282 · median $34,308 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,834 – $52,892 · median $18,581 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,216 – $35,830 · median $13,406 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,517 – $76,891 · median $25,785 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,662 – $45,254 · median $16,289 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,135 – $41,820 · median $15,258 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,092 – $87,157 · median $28,867 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,960 – $53,714 · median $18,828 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,793 – $39,589 · median $14,588 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,606 – $83,990 · median $27,916 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,999 – $53,965 · median $18,904 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,123 – $100,387 · median $32,838 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,347 – $43,202 · median $15,672 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,259 – $94,759 · median $31,149 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,913 – $46,887 · median $16,779 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,080 – $119,658 · median $38,623 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,931 – $73,074 · median $24,640 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,396 – $50,039 · median $17,725 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,970 – $118,941 · median $38,408 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,183 – $68,200 · median $23,176 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,066 – $47,887 · median $17,079 | 16 plans |
| 088 | CONCUSSION WITH MCC | $12,578 – $70,771 · median $23,948 | 16 plans |
| 089 | CONCUSSION WITH CC | $10,543 – $57,515 · median $19,969 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,331 – $43,097 · median $15,641 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,827 – $91,942 · median $30,303 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,936 – $53,557 · median $18,781 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,115 – $41,689 · median $15,218 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,993 – $184,251 · median $58,012 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,439 – $135,029 · median $43,237 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,439 – $135,029 · median $43,237 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,735 – $189,089 · median $59,464 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,155 – $120,145 · median $38,769 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,663 – $71,326 · median $24,115 | 16 plans |
| 100 | SEIZURES WITH MCC | $17,278 – $101,397 · median $33,141 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $8,969 – $47,254 · median $16,889 | 16 plans |
| 102 | HEADACHES WITH MCC | $10,723 – $58,682 · median $20,319 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $8,436 – $43,783 · median $15,847 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,606 – $123,087 · median $39,652 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,587 – $70,834 · median $23,967 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,049 – $80,357 · median $26,826 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,244 – $94,659 · median $31,119 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,433 – $56,798 · median $19,754 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,063 – $60,902 · median $20,986 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,030 – $41,139 · median $15,053 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,133 – $41,809 · median $15,254 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,347 – $69,268 · median $23,497 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,886 – $40,197 · median $14,770 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,151 – $113,606 · median $36,806 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,874 – $53,154 · median $18,660 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,714 – $78,174 · median $26,170 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,837 – $46,395 · median $16,631 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,645 – $64,693 · median $22,124 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,986 – $223,301 · median $69,734 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,241 – $114,187 · median $36,981 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,543 – $83,576 · median $27,792 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,818 – $196,146 · median $61,583 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,640 – $90,723 · median $29,937 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,377 – $62,944 · median $21,599 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,729 – $110,852 · median $35,980 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,933 – $66,567 · median $22,686 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,121 – $41,731 · median $15,231 | 16 plans |
| 149 | DYSEQUILIBRIUM | $7,756 – $39,349 · median $14,516 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $12,415 – $69,708 · median $23,629 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,614 – $38,427 · median $14,239 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,215 – $61,892 · median $21,283 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,648 – $38,647 · median $14,305 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,279 – $81,854 · median $27,275 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,080 – $47,982 · median $17,107 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,270 – $36,181 · median $13,524 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,510 – $89,880 · median $29,684 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,027 – $47,631 · median $17,002 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,409 – $37,092 · median $13,832 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $37,725 – $234,636 · median $73,137 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,995 – $132,139 · median $42,369 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,096 – $100,214 · median $32,786 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,747 – $195,680 · median $61,443 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,206 – $94,413 · median $31,045 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,695 – $71,535 · median $24,178 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,630 – $155,823 · median $49,479 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,753 – $71,912 · median $24,291 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,185 – $42,144 · median $15,355 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,272 – $81,812 · median $27,262 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,558 – $51,097 · median $18,042 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,783 – $39,527 · median $14,569 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,906 – $92,455 · median $30,457 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,322 – $56,070 · median $19,535 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,773 – $39,464 · median $14,550 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,009 – $80,095 · median $26,747 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,266 – $55,709 · median $19,427 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,036 – $41,176 · median $15,064 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,238 – $81,592 · median $27,196 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,664 – $51,782 · median $18,248 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,479 – $37,548 · median $13,975 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,643 – $64,677 · median $22,119 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,617 – $57,991 · median $20,112 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,490 – $44,134 · median $15,952 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,875 – $33,611 · median $12,655 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,277 – $68,813 · median $23,360 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,192 – $42,191 · median $15,369 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,767 – $32,904 · median $12,416 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,879 – $98,801 · median $32,362 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,342 – $49,688 · median $17,620 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,471 – $37,495 · median $13,960 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,890 – $92,356 · median $30,427 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,549 – $57,552 · median $19,980 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,462 – $37,438 · median $13,942 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,520 – $50,845 · median $17,967 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,100 – $35,077 · median $13,151 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,204 – $42,270 · median $15,393 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,428 – $95,858 · median $31,479 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,278 – $49,269 · median $17,494 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,415 – $336,876 · median $103,827 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,801 – $143,903 · median $45,901 | 16 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $92,655 – $592,573 · median $180,581 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $89,082 – $569,292 · median $173,593 | 16 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $47,568 – $298,773 · median $92,389 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $81,714 – $521,279 · median $159,180 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $80,314 – $512,159 · median $156,443 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $54,545 – $344,237 · median $106,036 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $54,545 – $344,237 · median $106,036 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,406 – $401,982 · median $123,370 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,562 – $279,188 · median $86,510 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,211 – $263,870 · median $81,912 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,466 – $259,011 · median $80,454 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,021 – $164,886 · median $52,199 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $69,445 – $441,331 · median $135,182 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,425 – $317,395 · median $97,979 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $63,140 – $400,249 · median $122,850 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $45,606 – $285,989 · median $88,552 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,867 – $307,239 · median $94,930 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,371 – $219,296 · median $68,532 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,259 – $257,666 · median $80,050 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,619 – $149,232 · median $47,500 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,840 – $72,477 · median $24,460 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,369 – $167,153 · median $52,880 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,837 – $111,559 · median $36,192 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,239 – $94,628 · median $31,109 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,372 – $238,855 · median $74,403 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,252 – $114,260 · median $37,003 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,724 – $78,242 · median $26,191 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $29,743 – $182,623 · median $57,524 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,571 – $135,887 · median $43,495 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,032 – $93,277 · median $30,704 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,389 – $141,217 · median $45,094 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,358 – $88,890 · median $29,387 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,492 – $57,180 · median $19,868 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,961 – $164,498 · median $52,083 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,963 – $105,863 · median $34,482 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,851 – $170,294 · median $53,823 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,906 – $98,973 · median $32,414 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,812 – $85,330 · median $28,318 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $26,281 – $160,064 · median $50,752 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,556 – $174,890 · median $55,202 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $30,787 – $189,424 · median $59,565 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $50,954 – $320,840 · median $99,013 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,966 – $249,242 · median $77,521 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $56,976 – $360,079 · median $110,792 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $35,647 – $221,097 · median $69,073 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $44,108 – $276,230 · median $85,622 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $30,289 – $186,183 · median $58,592 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,228 – $133,657 · median $42,825 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $34,862 – $215,982 · median $67,537 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,163 – $172,330 · median $54,434 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $59,004 – $373,298 · median $114,760 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $49,976 – $314,464 · median $97,099 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,823 – $241,792 · median $75,285 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $46,437 – $291,407 · median $90,178 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $30,692 – $188,806 · median $59,379 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,605 – $83,979 · median $27,913 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,101 – $48,118 · median $17,148 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,527 – $37,856 · median $14,068 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,631 – $103,701 · median $33,833 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,278 – $36,239 · median $13,544 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,529 – $31,354 · median $11,892 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $19,495 – $115,847 · median $37,479 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,314 – $56,023 · median $19,521 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,459 – $141,678 · median $45,233 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,431 – $89,361 · median $29,529 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,186 – $48,673 · median $17,315 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,031 – $67,211 · median $22,879 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,538 – $44,448 · median $16,046 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,264 – $29,632 · median $11,309 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,266 – $81,770 · median $27,250 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,811 – $33,192 · median $12,513 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,373 – $23,826 · median $9,346 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,835 – $85,477 · median $28,362 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,294 – $55,887 · median $19,480 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,499 – $37,678 · median $14,015 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,331 – $62,646 · median $21,509 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,126 – $35,244 · median $13,207 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $11,278 – $62,300 · median $21,405 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,784 – $39,532 · median $14,571 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,377 – $82,498 · median $27,468 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,054 – $47,809 · median $17,055 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,390 – $63,033 · median $21,625 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,628 – $38,516 · median $14,266 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,265 – $29,637 · median $11,311 | 16 plans |
| 311 | ANGINA PECTORIS | $7,356 – $36,747 · median $13,716 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,720 – $45,631 · median $16,402 | 16 plans |
| 313 | CHEST PAIN | $7,502 – $37,694 · median $14,019 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,470 – $109,166 · median $35,474 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,456 – $50,432 · median $17,843 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,197 – $35,710 · median $13,365 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $55,438 – $350,058 · median $107,784 | 16 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $21,178 – $126,809 · median $40,770 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $37,573 – $233,646 · median $72,840 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,042 – $125,925 · median $40,504 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $23,577 – $142,442 · median $45,462 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,881 – $92,298 · median $30,410 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $36,484 – $226,552 · median $70,710 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,033 – $164,964 · median $52,223 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $27,510 – $168,074 · median $53,156 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,787 – $261,105 · median $81,082 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,354 – $127,961 · median $41,115 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,590 – $83,885 · median $27,885 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,646 – $240,641 · median $74,939 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,977 – $125,501 · median $40,377 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,238 – $88,105 · median $29,151 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,807 – $189,555 · median $59,604 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $20,535 – $122,621 · median $39,512 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,876 – $85,749 · median $28,444 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,407 – $186,947 · median $58,822 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,659 – $110,397 · median $35,843 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,050 – $80,362 · median $26,827 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,468 – $135,217 · median $43,293 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,806 – $78,776 · median $26,351 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,247 – $62,101 · median $21,346 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,160 – $120,182 · median $38,780 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,232 – $68,520 · median $23,272 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,712 – $45,579 · median $16,386 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,738 – $130,458 · median $41,865 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,965 – $79,812 · median $26,662 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,099 – $61,138 · median $21,056 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,032 – $151,928 · median $48,310 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,234 – $88,079 · median $29,144 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,523 – $70,415 · median $23,841 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $37,010 – $229,976 · median $71,738 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,401 – $121,747 · median $39,250 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,948 – $73,184 · median $24,673 | 16 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $29,344 – $180,021 · median $56,742 | 16 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,114 – $126,396 · median $40,645 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,507 – $83,341 · median $27,721 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,753 – $52,363 · median $18,423 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,347 – $36,689 · median $13,696 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,963 – $92,827 · median $30,569 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,920 – $53,452 · median $18,750 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,561 – $38,082 · median $14,136 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,900 – $111,967 · median $36,314 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,435 – $63,326 · median $21,713 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,143 – $48,390 · median $17,230 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,404 – $95,701 · median $31,432 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,596 – $51,343 · median $18,116 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,782 – $33,003 · median $12,450 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,482 – $102,727 · median $33,541 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,422 – $56,724 · median $19,732 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,149 – $41,914 · median $15,286 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,810 – $72,284 · median $24,402 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,585 – $44,751 · median $16,138 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,430 – $82,838 · median $27,570 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,561 – $51,112 · median $18,047 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,191 – $35,668 · median $13,351 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,582 – $77,315 · median $25,912 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,062 – $41,348 · median $15,116 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,088 – $28,480 · median $10,920 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,907 – $66,399 · median $22,636 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,981 – $40,814 · median $14,956 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,566 – $83,728 · median $27,838 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,235 – $48,987 · median $17,409 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,931 – $33,977 · median $12,779 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,958 – $125,380 · median $40,341 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,878 – $79,242 · median $26,491 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,914 – $59,928 · median $20,693 | 16 plans |
| 402 | Single level combined anterior and posterior spinal fusion except cervical | $34,019 – $210,485 · median $65,887 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,668 – $286,397 · median $88,674 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $25,018 – $151,834 · median $48,281 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,550 – $116,203 · median $37,586 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $30,364 – $186,670 · median $58,738 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,210 – $113,988 · median $36,921 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,473 – $83,121 · median $27,655 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,257 – $172,938 · median $54,616 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,609 – $110,072 · median $35,745 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,058 – $86,932 · median $28,799 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $30,340 – $186,513 · median $58,691 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,321 – $108,198 · median $35,183 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,670 – $71,373 · median $24,129 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,890 – $124,935 · median $40,207 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,308 – $88,560 · median $29,288 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,690 – $71,504 · median $24,168 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,091 – $178,372 · median $56,247 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,677 – $90,963 · median $30,009 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,961 – $73,268 · median $24,698 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $35,083 – $217,422 · median $67,969 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,295 – $114,543 · median $37,088 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,771 – $78,545 · median $26,282 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $90,264 – $576,993 · median $175,904 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $59,713 – $377,915 · median $116,146 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,886 – $294,329 · median $91,055 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $74,102 – $471,680 · median $144,292 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $48,051 – $301,925 · median $93,335 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,530 – $103,041 · median $33,635 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,203 – $55,295 · median $19,303 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,441 – $37,302 · median $13,901 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,474 – $96,157 · median $31,568 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,805 – $59,216 · median $20,480 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,573 – $44,673 · median $16,114 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,814 – $85,346 · median $28,323 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,475 – $44,039 · median $15,924 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,710 – $32,532 · median $12,290 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,136 – $93,958 · median $30,908 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,472 – $50,536 · median $17,874 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,339 – $36,631 · median $13,677 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,141 – $87,477 · median $28,963 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,510 – $57,295 · median $19,903 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,364 – $43,312 · median $15,705 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,399 – $349,802 · median $107,707 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,789 – $222,019 · median $69,349 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,536 – $279,021 · median $86,460 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,671 – $169,121 · median $53,471 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $69,232 – $439,943 · median $134,765 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $49,626 – $312,186 · median $96,415 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $35,241 – $218,448 · median $68,277 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,090 – $289,146 · median $89,499 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,088 – $139,259 · median $44,507 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,508 – $298,386 · median $92,273 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,741 – $163,064 · median $51,652 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,369 – $95,476 · median $31,364 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $43,538 – $272,518 · median $84,508 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $30,051 – $184,628 · median $58,125 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $23,795 – $143,866 · median $45,890 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,087 – $158,797 · median $50,372 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,214 – $100,984 · median $33,017 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,512 – $252,797 · median $78,588 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $25,387 – $154,237 · median $49,003 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,331 – $127,809 · median $41,070 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,207 – $224,746 · median $70,168 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,001 – $119,140 · median $38,467 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,199 – $61,787 · median $21,251 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,472 – $180,859 · median $56,994 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,475 – $128,747 · median $41,351 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,652 – $97,319 · median $31,917 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,115 – $152,468 · median $48,472 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,545 – $109,653 · median $35,620 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,821 – $85,388 · median $28,336 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,987 – $145,117 · median $46,265 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,644 – $168,948 · median $53,419 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,517 – $109,475 · median $35,566 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,300 – $81,995 · median $27,317 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,929 – $92,607 · median $30,503 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,690 – $58,468 · median $20,255 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $31,216 – $192,219 · median $60,404 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,093 – $132,772 · median $42,560 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,838 – $105,046 · median $34,237 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,847 – $189,816 · median $59,683 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,210 – $94,440 · median $31,053 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,425 – $63,258 · median $21,693 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,955 – $157,939 · median $50,114 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $17,904 – $105,481 · median $34,367 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,144 – $165,687 · median $52,440 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,762 – $91,518 · median $30,176 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,530 – $70,462 · median $23,855 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $24,141 – $146,122 · median $46,567 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,735 – $97,858 · median $32,079 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,121 – $93,858 · median $30,878 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,557 – $70,635 · median $23,907 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,230 – $94,570 · median $31,092 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,884 – $79,283 · median $26,503 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,984 – $158,132 · median $50,172 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,423 – $108,863 · median $35,382 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,017 – $86,665 · median $28,719 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,365 – $82,419 · median $27,445 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,930 – $53,520 · median $18,770 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $27,321 – $166,844 · median $52,787 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,413 – $108,795 · median $35,362 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,063 – $80,451 · median $26,854 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $31,743 – $195,659 · median $61,437 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,787 – $104,716 · median $34,138 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,719 – $78,210 · median $26,181 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,777 – $150,264 · median $47,810 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,731 – $110,868 · median $35,984 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,312 – $82,074 · median $27,341 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,193 – $42,202 · median $15,372 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,017 – $67,117 · median $22,851 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,205 – $42,280 · median $15,396 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,384 – $49,960 · median $17,701 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,504 – $37,710 · median $14,024 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,542 – $103,120 · median $33,658 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,132 – $67,865 · median $23,076 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,043 – $41,223 · median $15,078 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,910 – $92,482 · median $30,465 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,976 – $53,819 · median $18,860 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,780 – $39,506 · median $14,563 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,656 – $129,924 · median $41,705 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,984 – $60,384 · median $20,830 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,435 – $43,778 · median $15,845 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,230 – $101,088 · median $33,049 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,416 – $63,201 · median $21,676 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,740 – $45,762 · median $16,441 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,183 – $87,749 · median $29,045 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,440 – $50,327 · median $17,811 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,132 – $67,865 · median $23,076 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,386 – $43,458 · median $15,749 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,337 – $69,200 · median $23,477 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,390 – $43,484 · median $15,757 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,663 – $77,844 · median $26,071 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,893 – $46,762 · median $16,741 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,700 – $97,633 · median $32,012 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,764 – $58,955 · median $20,401 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,176 – $42,087 · median $15,338 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,164 – $74,593 · median $25,095 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,912 – $46,882 · median $16,777 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,119 – $80,812 · median $26,962 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,546 – $51,013 · median $18,017 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,737 – $39,228 · median $14,480 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,347 – $153,975 · median $48,924 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,291 – $88,450 · median $29,255 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,927 – $60,012 · median $20,719 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,353 – $342,985 · median $105,661 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,607 – $181,738 · median $57,258 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,155 – $94,078 · median $30,944 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,094 – $256,593 · median $79,727 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,013 – $138,772 · median $44,360 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,623 – $84,100 · median $27,949 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,736 – $169,545 · median $53,598 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,600 – $90,466 · median $29,860 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,311 – $75,551 · median $25,383 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,196 – $100,863 · median $32,981 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,571 – $90,278 · median $29,804 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,916 – $112,072 · median $36,346 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,216 – $100,994 · median $33,020 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $17,266 – $101,319 · median $33,118 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $11,248 – $62,106 · median $21,347 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,681 – $45,380 · median $16,326 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,755 – $111,025 · median $36,031 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,414 – $56,672 · median $19,716 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,111 – $87,278 · median $28,903 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,806 – $59,227 · median $20,483 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,899 – $40,280 · median $14,796 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,086 – $54,531 · median $19,073 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,578 – $31,674 · median $12,000 | 16 plans |
| 602 | CELLULITIS WITH MCC | $13,136 – $74,409 · median $25,040 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,714 – $45,594 · median $16,391 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,544 – $77,069 · median $25,839 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,076 – $47,955 · median $17,099 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,874 – $79,221 · median $26,485 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,999 – $47,453 · median $16,949 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,326 – $114,747 · median $37,149 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,959 – $73,258 · median $24,695 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,736 – $182,576 · median $57,509 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,743 – $97,916 · median $32,096 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,112 – $74,252 · median $24,993 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,915 – $151,164 · median $48,080 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,574 – $83,781 · median $27,853 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,836 – $78,969 · median $26,409 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,313 – $186,335 · median $58,638 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,130 – $93,916 · median $30,896 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,775 – $65,541 · median $22,378 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,981 – $158,111 · median $50,166 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,764 – $78,498 · median $26,268 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,389 – $69,540 · median $23,579 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,659 – $195,109 · median $61,272 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,222 – $114,067 · median $36,945 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,443 – $76,409 · median $25,641 | 16 plans |
| 637 | DIABETES WITH MCC | $13,260 – $75,216 · median $25,282 | 16 plans |
| 638 | DIABETES WITH CC | $8,917 – $46,919 · median $16,788 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,708 – $32,522 · median $12,287 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,448 – $69,923 · median $23,693 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,969 – $40,741 · median $14,934 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,143 – $74,451 · median $25,053 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,942 – $86,178 · median $28,573 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,952 – $53,662 · median $18,812 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,890 – $40,223 · median $14,778 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $39,489 – $246,132 · median $76,588 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,490 – $194,010 · median $60,942 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $27,664 – $169,074 · median $53,456 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,466 – $272,047 · median $84,367 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,207 – $146,552 · median $46,696 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,722 – $110,810 · median $35,967 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,296 – $166,681 · median $52,738 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,420 – $95,806 · median $31,463 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,185 – $81,241 · median $27,091 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,131 – $133,024 · median $42,635 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,336 – $69,195 · median $23,475 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,036 – $54,206 · median $18,976 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $26,314 – $160,279 · median $50,816 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,931 – $79,587 · median $26,595 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,128 – $54,808 · median $19,157 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,794 – $163,404 · median $51,754 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $15,771 – $91,581 · median $30,195 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,605 – $57,913 · median $20,088 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,177 – $152,871 · median $48,593 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,186 – $81,252 · median $27,094 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,569 – $51,165 · median $18,063 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,139 – $93,974 · median $30,913 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,390 – $56,515 · median $19,669 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $35,474 – $219,966 · median $68,733 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,506 – $122,433 · median $39,456 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,904 – $85,932 · median $28,499 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $13,616 – $77,535 · median $25,978 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $8,753 – $45,851 · median $16,468 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,540 – $31,428 · median $11,917 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,208 – $94,429 · median $31,050 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,135 – $54,855 · median $19,171 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,066 – $41,375 · median $15,124 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,039 – $60,745 · median $20,939 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,221 – $42,380 · median $15,426 | 16 plans |
| 693 | URINARY STONES WITH MCC | $12,519 – $70,389 · median $23,833 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,997 – $40,924 · median $14,989 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,907 – $59,881 · median $20,679 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,253 – $36,071 · median $13,487 | 16 plans |
| 697 | URETHRAL STRICTURE | $10,376 – $56,426 · median $19,642 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,009 – $86,613 · median $28,703 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,872 – $53,138 · median $18,655 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,260 – $36,118 · median $13,503 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,788 – $104,722 · median $34,139 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,043 – $80,320 · median $26,815 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,414 – $121,831 · median $39,275 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,975 – $73,357 · median $24,724 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,459 – $109,093 · median $35,452 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,552 – $57,573 · median $19,986 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,796 – $78,708 · median $26,330 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,212 – $55,358 · median $19,322 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,692 – $117,129 · median $37,864 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,535 – $77,011 · median $25,821 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,906 – $98,973 · median $32,414 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,508 – $70,315 · median $23,811 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,257 – $94,743 · median $31,144 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,898 – $59,824 · median $20,662 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,985 – $34,328 · median $12,898 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,119 – $61,263 · median $21,094 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,518 – $37,799 · median $14,051 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,631 – $77,634 · median $26,008 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,234 – $42,469 · median $15,452 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,223 – $55,426 · median $19,342 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,116 – $35,181 · median $13,186 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,830 – $111,512 · median $36,178 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,527 – $70,441 · median $23,849 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,435 – $187,136 · median $58,878 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,272 – $107,879 · median $35,087 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,515 – $76,880 · median $25,782 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,502 – $187,570 · median $59,009 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,256 – $94,738 · median $31,142 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,175 – $74,661 · median $25,116 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,458 – $96,057 · median $31,539 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,685 – $64,954 · median $22,202 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,180 – $107,277 · median $34,906 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,856 – $59,552 · median $20,580 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,673 – $90,942 · median $30,003 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,624 – $45,008 · median $16,215 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,863 – $72,629 · median $24,506 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,346 – $134,422 · median $43,055 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,574 – $77,263 · median $25,897 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,514 – $96,419 · median $31,647 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,457 – $56,950 · median $19,799 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,434 – $50,285 · median $17,799 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,221 – $74,964 · median $25,207 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,583 – $51,254 · median $18,089 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,049 – $34,741 · median $13,037 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,812 – $52,746 · median $18,537 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,301 – $29,867 · median $11,389 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,898 – $56,101 · median $13,915 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,293 – $88,466 · median $29,260 | 16 plans |
| 770 | Abortion with d&c, aspiration curettage or hysterotomy | $9,773 – $52,494 · median $18,462 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,977 – $34,276 · median $12,880 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $8,476 – $44,045 · median $15,925 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,720 – $128,532 · median $35,551 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,234 – $55,499 · median $16,184 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,898 – $50,144 · median $13,689 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,720 – $86,356 · median $24,308 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,690 – $58,468 · median $16,919 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,898 – $50,196 · median $13,689 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,196 – $94,351 · median $31,026 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $49,469 – $311,160 · median $96,107 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $34,328 – $212,501 · median $66,492 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $21,395 – $128,223 · median $41,194 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $35,217 – $218,291 · median $68,230 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,575 – $77,268 · median $25,898 | 16 plans |
| 795 | NORMAL NEWBORN | $2,000 – $10,460 · median $4,527 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,898 – $61,096 · median $14,905 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,898 – $52,374 · median $13,689 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,898 – $50,107 · median $13,689 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,103 – $237,102 · median $73,877 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,288 – $147,081 · median $46,854 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,054 – $99,937 · median $32,703 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $33,726 – $208,580 · median $65,315 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,652 – $97,319 · median $31,917 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,611 – $70,991 · median $24,014 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,388 – $56,499 · median $16,431 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,775 – $39,474 · median $13,770 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,134 – $35,296 · median $13,143 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,456 – $115,590 · median $37,402 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,888 – $66,274 · median $22,598 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,126 – $54,793 · median $19,152 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,000 – $73,519 · median $24,773 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,094 – $48,071 · median $17,134 | 16 plans |
| 813 | COAGULATION DISORDERS | $13,972 – $79,854 · median $26,675 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,803 – $111,339 · median $36,126 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,864 – $53,086 · median $18,640 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,795 – $33,087 · median $12,478 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,048 – $119,449 · median $38,560 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,030 – $60,688 · median $20,921 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,626 – $45,018 · median $16,218 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,836 – $307,040 · median $94,871 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,702 – $117,197 · median $37,884 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,390 – $63,033 · median $21,625 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,552 – $240,028 · median $74,755 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,919 – $118,611 · median $38,309 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,558 – $70,645 · median $23,910 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $39,300 – $244,897 · median $76,217 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,286 – $120,998 · median $39,025 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,406 – $89,199 · median $29,480 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $27,105 – $165,435 · median $52,364 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,809 – $78,791 · median $26,356 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,378 – $62,954 · median $21,602 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,515 – $37,778 · median $14,044 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,918 – $27,375 · median $10,546 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $45,824 – $287,413 · median $88,979 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,475 – $109,198 · median $35,483 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,515 – $63,844 · median $21,869 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,316 – $251,520 · median $78,205 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,488 – $109,282 · median $35,508 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,318 – $75,593 · median $25,395 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,707 – $169,357 · median $53,541 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,824 – $85,409 · median $28,342 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,835 – $52,897 · median $18,583 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,744 – $104,434 · median $34,053 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,498 – $63,735 · median $21,836 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,559 – $44,584 · median $16,087 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,546 – $135,725 · median $43,446 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,227 – $68,488 · median $23,263 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,541 – $44,469 · median $16,053 | 16 plans |
| 849 | RADIOTHERAPY | $23,486 – $141,850 · median $45,285 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,290 – $453,351 · median $138,790 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,395 – $258,551 · median $80,315 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,770 – $104,607 · median $34,105 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,746 – $78,383 · median $26,233 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $38,262 – $238,138 · median $74,188 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,922 – $112,114 · median $36,358 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,908 – $72,922 · median $24,594 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,369 – $95,476 · median $31,364 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,734 – $52,243 · median $18,386 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,849 – $46,474 · median $16,655 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,755 – $78,441 · median $26,250 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,704 – $45,526 · median $16,370 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,534 – $109,585 · median $35,599 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,001 – $53,981 · median $18,908 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,580 – $38,202 · median $14,172 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $57,248 – $361,853 · median $111,324 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,324 – $101,696 · median $33,231 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,938 – $53,573 · median $18,786 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,769 – $202,339 · median $63,442 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,432 – $50,269 · median $17,794 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $9,276 – $49,259 · median $17,491 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,344 – $56,217 · median $19,579 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,515 – $102,942 · median $33,605 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,643 – $84,231 · median $27,988 | 16 plans |
| 885 | PSYCHOSES | $12,939 – $73,127 · median $24,655 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,391 – $108,648 · median $35,318 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,321 – $56,065 · median $19,534 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,673 – $32,297 · median $12,211 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,090 – $74,111 · median $24,951 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,738 – $91,361 · median $30,129 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,810 – $46,217 · median $16,578 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,434 – $219,705 · median $68,655 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,099 – $100,230 · median $32,791 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,114 – $61,232 · median $21,085 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,228 – $192,298 · median $60,428 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,635 – $77,660 · median $26,016 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,499 – $102,837 · median $33,574 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $32,563 – $200,999 · median $63,040 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,747 – $104,455 · median $34,059 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,264 – $68,724 · median $23,334 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,850 – $85,576 · median $28,392 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,831 – $46,359 · median $16,620 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,227 – $88,037 · median $29,131 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,070 – $34,883 · median $13,085 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,318 – $82,110 · median $27,352 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,603 – $44,872 · median $16,174 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,426 – $95,848 · median $31,476 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,770 – $52,473 · median $18,456 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,248 – $36,040 · median $13,477 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,772 – $91,586 · median $30,196 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,893 – $53,280 · median $18,698 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,252 – $1,117,763 · median $338,231 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $59,344 – $375,512 · median $115,424 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,594 – $168,619 · median $53,320 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,004 – $203,873 · median $63,902 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,478 – $115,732 · median $37,444 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $18,268 – $107,847 · median $35,078 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,869 – $189,963 · median $59,727 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,492 – $122,344 · median $39,429 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,008 – $106,156 · median $34,570 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,159 – $81,074 · median $27,041 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,931 – $60,038 · median $20,726 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,916 – $66,457 · median $22,653 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,148 – $41,909 · median $15,284 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,275 – $62,284 · median $21,401 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,760 – $32,862 · median $12,402 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,184 – $29,108 · median $11,132 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $55,796 – $352,393 · median $108,485 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,950 – $197,004 · median $61,840 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $62,937 – $398,925 · median $122,452 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $35,573 – $220,610 · median $68,926 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,371 – $154,132 · median $48,971 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,681 – $143,123 · median $45,666 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,030 – $80,236 · median $26,789 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,273 – $49,238 · median $17,484 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,897 – $320,468 · median $98,902 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,907 – $138,076 · median $44,151 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,904 – $151,091 · median $48,058 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,121 – $67,797 · median $23,055 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,970 – $47,259 · median $16,890 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,143 – $67,938 · median $23,098 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $39,412 – $245,630 · median $76,437 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,469 – $128,710 · median $41,340 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,488 – $89,733 · median $29,640 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,262 – $179,487 · median $56,582 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,922 – $86,047 · median $28,534 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,352 – $62,782 · median $21,550 | 16 plans |
No procedures match that keyword.