Lutheran Hospital of Indiana — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,134 – $27,746 · median $12,921 | 47 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,725 – $65,203 · median $28,749 | 47 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,725 – $26,947 · median $12,783 | 47 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,725 – $24,516 · median $11,549 | 47 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,725 – $42,922 · median $19,879 | 47 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,725 – $28,295 · median $13,466 | 47 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,725 – $24,540 · median $11,561 | 47 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $275 – $98,229 · median $32,791 | 47 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $325 – $59,966 · median $20,036 | 47 plans |
| 795 | NORMAL NEWBORN | $275 – $7,725 · median $2,409 | 47 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,134 – $30,504 · median $14,072 | 47 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,134 – $25,528 · median $12,063 | 47 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,134 – $24,499 · median $11,541 | 47 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,134 – $32,811 · median $13,013 | 47 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,134 – $19,672 · median $9,092 | 47 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,134 – $20,003 · median $8,130 | 47 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,371 – $49,170 · median $19,580 | 46 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,789 – $29,690 · median $14,510 | 46 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,888 – $25,985 · median $12,643 | 46 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,614 – $49,550 · median $23,649 | 46 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,834 – $25,764 · median $12,532 | 46 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,952 – $18,017 · median $8,506 | 46 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,482 – $36,691 · median $17,839 | 46 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,992 – $22,296 · median $10,744 | 46 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,142 – $43,493 · median $21,091 | 46 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,908 – $41,977 · median $12,684 | 46 plans |
| 100 | SEIZURES WITH MCC | $11,185 – $47,786 · median $23,134 | 46 plans |
| 101 | SEIZURES WITHOUT MCC | $5,213 – $23,204 · median $11,218 | 46 plans |
| 102 | HEADACHES WITH MCC | $6,473 – $39,312 · median $13,856 | 46 plans |
| 103 | HEADACHES WITHOUT MCC | $4,830 – $21,628 · median $9,608 | 46 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,864 – $38,233 · median $18,588 | 46 plans |
| 149 | DYSEQUILIBRIUM | $4,340 – $19,615 · median $9,342 | 46 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,263 – $19,296 · median $8,909 | 46 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,668 – $23,534 · median $7,923 | 46 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,991 – $20,792 · median $8,590 | 46 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,915 – $42,557 · median $20,646 | 46 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,882 – $138,001 · median $53,262 | 46 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,576 – $61,743 · median $29,995 | 46 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,055 – $47,249 · median $22,878 | 46 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,933 – $42,564 · median $16,764 | 46 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,649 – $22,754 · median $10,005 | 46 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,199 – $43,726 · median $21,202 | 46 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,185 – $27,207 · median $13,259 | 46 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,353 – $26,046 · median $9,369 | 46 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,000 – $38,794 · median $13,040 | 46 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,134 – $34,579 · median $15,200 | 46 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,397 – $33,449 · median $13,698 | 46 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,868 – $21,787 · median $10,478 | 46 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,708 – $17,010 · median $7,534 | 46 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,591 – $32,992 · median $13,357 | 46 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,630 – $16,689 · median $7,812 | 46 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,609 – $24,834 · median $12,064 | 46 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,869 – $17,675 · median $8,327 | 46 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,663 – $20,941 · median $9,586 | 46 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,502 – $238,421 · median $113,430 | 46 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $56,496 – $234,281 · median $111,446 | 46 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $37,972 – $158,040 · median $74,906 | 46 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,486 – $158,040 · median $53,023 | 46 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,342 – $184,258 · median $90,321 | 46 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $30,797 – $128,507 · median $60,751 | 46 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,107 – $121,552 · median $57,418 | 46 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $28,571 – $119,346 · median $58,795 | 46 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,188 – $76,611 · median $37,429 | 46 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $48,683 – $202,123 · median $96,241 | 46 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $35,012 – $145,854 · median $69,490 | 46 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $44,151 – $183,471 · median $87,094 | 46 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,547 – $131,594 · median $62,231 | 46 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $33,891 – $141,242 · median $66,855 | 46 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,190 – $101,315 · median $49,780 | 46 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,438 – $77,640 · median $37,943 | 46 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,306 – $52,400 · median $25,330 | 46 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,438 – $44,713 · median $21,672 | 46 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,604 – $53,626 · median $25,937 | 46 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,631 – $55,247 · median $18,131 | 46 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,146 – $76,435 · median $37,341 | 46 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,678 – $49,814 · median $24,099 | 46 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,785 – $79,067 · median $38,656 | 46 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,918 – $46,686 · median $22,610 | 46 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,413 – $40,491 · median $19,663 | 46 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,264 – $39,878 · median $19,371 | 46 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,308 – $30,937 · median $11,423 | 46 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,176 – $18,937 · median $8,987 | 46 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,439 – $48,832 · median $23,632 | 46 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,997 – $26,177 · median $8,603 | 46 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,459 – $15,985 · median $5,503 | 46 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,779 – $54,346 · median $26,297 | 46 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,180 – $29,850 · median $13,248 | 46 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,414 – $32,265 · median $15,748 | 46 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,903 – $33,918 · median $10,552 | 46 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,269 – $30,869 · median $7,035 | 46 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,429 – $40,558 · median $19,694 | 46 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,165 – $27,123 · median $13,217 | 46 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,156 – $18,856 · median $7,548 | 46 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,888 – $50,529 · median $8,367 | 46 plans |
| 304 | HYPERTENSION WITH MCC | $6,872 – $30,035 · median $14,683 | 46 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,361 – $22,632 · median $9,385 | 46 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,953 – $30,368 · median $10,214 | 46 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,249 – $19,237 · median $9,144 | 46 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,269 – $15,205 · median $5,130 | 46 plans |
| 313 | CHEST PAIN | $4,158 – $18,863 · median $8,949 | 46 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,042 – $68,430 · median $24,813 | 46 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,563 – $24,647 · median $9,036 | 46 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,115 – $75,392 · median $29,047 | 46 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,545 – $111,005 · median $54,625 | 46 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,910 – $87,811 · median $43,028 | 46 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,916 – $63,141 · median $30,694 | 46 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,804 – $37,986 · median $18,471 | 46 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,985 – $30,501 · median $14,909 | 46 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,338 – $27,262 · median $11,488 | 46 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,557 – $45,200 · median $21,903 | 46 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,664 – $25,060 · median $12,178 | 46 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,641 – $23,713 · median $7,835 | 46 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,138 – $45,748 · median $19,124 | 46 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,638 – $32,570 · median $12,125 | 46 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,935 – $21,226 · median $8,468 | 46 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,324 – $31,896 · median $10,845 | 46 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,502 – $27,911 · median $9,690 | 46 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,236 – $39,764 · median $19,317 | 46 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,404 – $37,074 · median $11,630 | 46 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,748 – $18,649 · median $8,066 | 46 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,781 – $58,473 · median $27,804 | 46 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,769 – $41,958 · median $20,361 | 46 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,887 – $34,214 · median $16,675 | 46 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,607 – $45,407 · median $21,556 | 46 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,532 – $31,043 · median $13,978 | 46 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,928 – $22,032 · median $10,606 | 46 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,414 – $42,744 · median $19,666 | 46 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,858 – $21,744 · median $10,455 | 46 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,589 – $16,520 · median $7,723 | 46 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,041 – $18,828 · median $8,697 | 46 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,649 – $41,466 · median $20,126 | 46 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,517 – $73,847 · median $36,047 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,139 – $47,598 · median $23,045 | 46 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,014 – $71,776 · median $35,011 | 46 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,099 – $59,778 · median $28,416 | 46 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,819 – $70,973 · median $34,610 | 46 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,646 – $62,031 · median $27,616 | 46 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,588 – $49,443 · median $23,922 | 46 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,661 – $35,931 · median $14,245 | 46 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,829 – $21,626 · median $10,393 | 46 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,089 – $41,589 · median $13,977 | 46 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,552 – $24,599 · median $11,945 | 46 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,794 – $21,481 · median $10,317 | 46 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,633 – $46,117 · median $16,178 | 46 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,797 – $21,492 · median $10,324 | 46 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,172 – $23,035 · median $11,130 | 46 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,914 – $38,440 · median $18,687 | 46 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,627 – $37,508 · median $12,102 | 46 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,350 – $19,560 · median $6,590 | 46 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,533 – $63,384 · median $13,981 | 46 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,443 – $38,728 · median $9,563 | 46 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,015 – $26,508 · median $12,907 | 46 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,494 – $18,492 · median $7,520 | 46 plans |
| 602 | CELLULITIS WITH MCC | $8,208 – $35,533 · median $17,303 | 46 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,029 – $28,398 · median $10,824 | 46 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,290 – $39,327 · median $11,385 | 46 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,234 – $23,294 · median $7,842 | 46 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,675 – $70,381 · median $33,369 | 46 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,711 – $37,603 · median $18,288 | 46 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,659 – $37,389 · median $18,187 | 46 plans |
| 637 | DIABETES WITH MCC | $8,297 – $35,899 · median $17,477 | 46 plans |
| 638 | DIABETES WITH CC | $5,176 – $31,666 · median $11,139 | 46 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,587 – $16,515 · median $7,721 | 46 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,646 – $33,496 · median $11,263 | 46 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,494 – $25,571 · median $9,672 | 46 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,214 – $35,552 · median $11,953 | 46 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,919 – $32,443 · median $12,708 | 46 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,437 – $24,536 · median $9,549 | 46 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,386 – $77,426 · median $37,836 | 46 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,568 – $45,248 · median $21,926 | 46 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,962 – $45,661 · median $18,779 | 46 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,863 – $71,156 · median $34,701 | 46 plans |
| 682 | RENAL FAILURE WITH MCC | $8,553 – $39,155 · median $17,978 | 46 plans |
| 683 | RENAL FAILURE WITH CC | $5,058 – $24,509 · median $10,885 | 46 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,467 – $17,177 · median $7,461 | 46 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,675 – $20,991 · median $10,061 | 46 plans |
| 693 | URINARY STONES WITH MCC | $7,764 – $33,707 · median $16,435 | 46 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,514 – $20,330 · median $9,716 | 46 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,979 – $18,127 · median $6,110 | 46 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,862 – $25,875 · median $12,588 | 46 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,599 – $28,911 · median $14,117 | 46 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,787 – $47,426 · median $8,150 | 46 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,596 – $45,362 · median $21,980 | 46 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,818 – $25,697 · median $12,244 | 46 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,295 – $30,215 · median $7,091 | 46 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $275 – $44,587 · median $14,982 | 46 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,110 – $35,129 · median $17,111 | 46 plans |
| 813 | COAGULATION DISORDERS | $8,809 – $38,005 · median $18,480 | 46 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,856 – $25,852 · median $12,576 | 46 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,650 – $16,772 · median $7,855 | 46 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,176 – $55,982 · median $27,115 | 46 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,694 – $29,303 · median $14,315 | 46 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,966 – $22,189 · median $10,688 | 46 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,421 – $69,480 · median $19,680 | 46 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,835 – $25,766 · median $11,822 | 46 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,957 – $63,372 · median $21,281 | 46 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,555 – $32,845 · median $11,204 | 46 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,804 – $21,939 · median $7,452 | 46 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,022 – $22,419 · median $9,777 | 46 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,218 – $47,922 · median $23,199 | 46 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,910 – $26,073 · median $12,688 | 46 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,716 – $48,487 · median $15,821 | 46 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,175 – $86,040 · median $17,699 | 46 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,711 – $56,574 · median $20,247 | 46 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,753 – $22,122 · median $7,242 | 46 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,943 – $44,284 · median $18,743 | 46 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,623 – $35,258 · median $14,166 | 46 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,706 – $31,525 · median $9,119 | 46 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,625 – $37,892 · median $7,802 | 46 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,211 – $14,965 · median $6,646 | 46 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $122,576 – $506,259 · median $248,547 | 45 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $79,992 – $330,989 · median $165,494 | 45 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,497 – $131,390 · median $65,695 | 45 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $16,264 – $101,961 · median $46,688 | 45 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,642 – $70,248 · median $34,749 | 45 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $249,381 – $1,028,177 · median $514,089 | 45 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $45,442 – $188,786 · median $94,393 | 45 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,572 – $127,580 · median $63,790 | 45 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,349 – $107,281 · median $38,313 | 45 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,092 – $137,955 · median $68,978 | 45 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,591 – $94,733 · median $47,170 | 45 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $26,257 – $109,822 · median $54,824 | 45 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,956 – $75,653 · median $37,491 | 45 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,570 – $61,717 · median $30,421 | 45 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $34,698 – $144,563 · median $70,357 | 45 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,702 – $82,841 · median $39,950 | 45 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,677 – $53,928 · median $26,470 | 45 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,875 – $108,248 · median $52,467 | 45 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,307 – $52,402 · median $25,696 | 45 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,603 – $41,276 · median $20,051 | 45 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,353 – $93,754 · median $46,673 | 45 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,805 – $58,570 · median $28,825 | 45 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,220 – $47,929 · median $23,426 | 45 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $19,012 – $80,001 · median $38,550 | 45 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,298 – $93,528 · median $46,558 | 45 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,697 – $54,011 · median $26,512 | 45 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,977 – $42,816 · median $20,833 | 45 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,460 – $44,803 · median $21,841 | 45 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,655 – $25,025 · median $12,452 | 45 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,818 – $38,043 · median $18,584 | 45 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,266 – $56,968 · median $26,995 | 45 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,706 – $45,496 · median $15,171 | 45 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,872 – $42,383 · median $20,613 | 45 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,166 – $31,245 · median $15,563 | 45 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,312 – $25,674 · median $11,773 | 45 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,922 – $67,284 · median $33,245 | 45 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,148 – $43,517 · median $21,188 | 45 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,107 – $37,135 · median $17,284 | 45 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,613 – $26,516 · median $10,225 | 45 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,614 – $60,661 · median $20,074 | 45 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,925 – $41,514 · median $13,068 | 45 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,367 – $19,724 · median $9,679 | 45 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,265 – $39,883 · median $13,468 | 45 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,953 – $26,663 · median $13,125 | 45 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,074 – $47,327 · median $23,121 | 45 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,766 – $24,938 · median $10,563 | 45 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,706 – $44,772 · median $21,195 | 45 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,495 – $33,487 · median $10,487 | 45 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,199 – $56,077 · median $27,560 | 45 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,061 – $34,927 · median $17,199 | 45 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,520 – $36,544 · median $12,234 | 45 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,120 – $55,751 · median $27,395 | 45 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,523 – $32,714 · median $16,215 | 45 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,282 – $23,491 · median $9,450 | 45 plans |
| 088 | CONCUSSION WITH MCC | $7,807 – $33,881 · median $16,734 | 45 plans |
| 089 | CONCUSSION WITH CC | $6,344 – $27,863 · median $10,638 | 45 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,754 – $21,317 · median $10,537 | 45 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,599 – $20,677 · median $10,193 | 45 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,325 – $85,403 · median $41,212 | 45 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,895 – $63,056 · median $31,100 | 45 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,895 – $63,056 · median $25,580 | 45 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,858 – $87,600 · median $43,551 | 45 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,253 – $56,298 · median $19,004 | 45 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,868 – $38,139 · median $16,846 | 45 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,578 – $57,634 · median $28,350 | 45 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,814 – $47,578 · median $16,747 | 45 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,442 – $54,394 · median $21,802 | 45 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,265 – $27,537 · median $13,768 | 45 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,718 – $29,400 · median $12,191 | 45 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,538 – $20,428 · median $10,058 | 45 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,612 – $20,732 · median $10,222 | 45 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,641 – $35,999 · median $16,431 | 45 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,434 – $20,000 · median $9,604 | 45 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,532 – $53,329 · median $26,166 | 45 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,863 – $40,218 · median $12,941 | 45 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,623 – $37,242 · median $18,228 | 45 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,118 – $22,814 · median $11,343 | 45 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,136 – $31,121 · median $15,508 | 45 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,632 – $103,133 · median $51,431 | 45 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,596 – $53,593 · median $26,300 | 45 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,219 – $39,695 · median $19,318 | 45 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,637 – $90,804 · median $43,873 | 45 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,008 – $42,939 · median $20,895 | 45 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,943 – $44,350 · median $15,155 | 45 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,228 – $52,079 · median $19,340 | 45 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,343 – $31,972 · median $15,886 | 45 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,603 – $43,101 · median $10,203 | 45 plans |
| 150 | EPISTAXIS WITH MCC | $7,689 – $33,398 · median $16,520 | 45 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,239 – $19,196 · median $9,395 | 45 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,827 – $29,850 · median $14,903 | 45 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,029 – $38,913 · median $18,971 | 45 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,254 – $23,375 · median $9,378 | 45 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,092 – $19,230 · median $9,069 | 45 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,585 – $90,592 · median $44,912 | 45 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,415 – $44,615 · median $21,745 | 45 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,891 – $34,228 · median $16,888 | 45 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $15,620 – $72,497 · median $24,468 | 45 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,025 – $38,894 · median $18,962 | 45 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,636 – $55,466 · median $12,474 | 45 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,360 – $19,695 · median $9,664 | 45 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,835 – $38,114 · median $18,616 | 45 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,145 – $27,043 · median $9,137 | 45 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,542 – $20,444 · median $8,862 | 45 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,712 – $25,260 · median $12,630 | 45 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,142 – $23,013 · median $9,180 | 45 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,654 – $20,905 · median $10,316 | 45 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,899 – $46,607 · median $22,756 | 45 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,481 – $88,850 · median $12,148 | 45 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,136 – $52,105 · median $9,167 | 45 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,188 – $43,681 · median $21,272 | 45 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,348 – $27,879 · median $13,940 | 45 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,130 – $43,655 · median $9,153 | 45 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,574 – $45,271 · median $22,078 | 45 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,435 – $25,945 · median $12,046 | 45 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $37,160 – $167,394 · median $77,349 | 45 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,874 – $67,084 · median $33,144 | 45 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $52,104 – $260,220 · median $127,336 | 45 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,423 – $118,735 · median $59,346 | 45 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,462 – $69,504 · median $33,379 | 45 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,995 – $40,978 · median $17,079 | 45 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,348 – $110,195 · median $55,013 | 45 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,145 – $84,664 · median $42,062 | 45 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,990 – $63,445 · median $31,298 | 45 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,289 – $44,099 · median $21,484 | 45 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,577 – $65,865 · median $31,587 | 45 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,805 – $42,108 · median $20,473 | 45 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,307 – $28,973 · median $13,855 | 45 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,656 – $74,422 · median $36,866 | 45 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,292 – $81,153 · median $39,664 | 45 plans |
| 265 | AICD LEAD PROCEDURES | $20,895 – $87,752 · median $43,628 | 45 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $35,392 – $147,418 · median $71,764 | 45 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $27,494 – $114,911 · median $57,406 | 45 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $39,720 – $165,233 · median $82,616 | 45 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $24,389 – $102,132 · median $50,923 | 45 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,471 – $127,164 · median $61,785 | 45 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,538 – $86,281 · median $42,882 | 45 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,744 – $62,433 · median $30,784 | 45 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,825 – $99,810 · median $48,310 | 45 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,010 – $79,991 · median $39,691 | 45 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $41,178 – $171,235 · median $83,497 | 45 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $34,688 – $144,523 · median $70,317 | 45 plans |
| 277 | CELLULITIS AGE >17 W CC | $26,672 – $111,528 · median $55,690 | 45 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $13,709 – $134,055 · median $45,229 | 45 plans |
| 279 | CELLULITIS AGE 0-17 | $20,077 – $87,471 · median $29,518 | 45 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,628 – $66,074 · median $32,631 | 45 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,857 – $42,322 · median $20,582 | 45 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,369 – $24,606 · median $11,900 | 45 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,020 – $38,875 · median $18,954 | 45 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,661 – $34,577 · median $8,115 | 45 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,628 – $45,644 · median $5,825 | 45 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,910 – $30,192 · median $15,095 | 45 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,100 – $39,205 · median $19,101 | 45 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,274 – $25,899 · median $11,689 | 45 plans |
| 311 | ANGINA PECTORIS | $4,053 – $22,094 · median $8,984 | 45 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,033 – $22,467 · median $11,156 | 45 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,939 – $24,346 · median $8,731 | 45 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,773 – $107,830 · median $52,261 | 45 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,891 – $58,922 · median $29,003 | 45 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,713 – $66,421 · median $31,861 | 45 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,181 – $43,655 · median $17,584 | 45 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $24,991 – $104,609 · median $50,674 | 45 plans |
| 324 | URINARY STONES W/O CC | $18,197 – $76,647 · median $25,867 | 45 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,540 – $78,059 · median $37,810 | 45 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,802 – $120,297 · median $60,138 | 45 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,253 – $39,835 · median $19,381 | 45 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,844 – $58,729 · median $28,905 | 45 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,719 – $41,751 · median $20,292 | 45 plans |
| 333 | RECTAL RESECTION WITH CC | $13,526 – $75,823 · median $28,242 | 45 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,459 – $40,681 · median $19,757 | 45 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,622 – $86,628 · median $43,058 | 45 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,178 – $52,340 · median $25,427 | 45 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,865 – $38,236 · median $18,670 | 45 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,690 – $37,515 · median $18,349 | 45 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,850 – $38,011 · median $14,972 | 45 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,257 – $88,498 · median $27,680 | 45 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,178 – $32,859 · median $11,099 | 45 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,028 – $23,228 · median $11,144 | 45 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,391 – $60,980 · median $20,583 | 45 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,744 – $29,507 · median $14,754 | 45 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,759 – $70,728 · median $34,992 | 45 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,716 – $41,739 · median $20,286 | 45 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,767 – $38,482 · median $16,662 | 45 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,368 – $106,164 · median $52,968 | 45 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,430 – $57,025 · median $28,041 | 45 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,073 – $35,020 · median $17,221 | 45 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,193 – $39,588 · median $19,271 | 45 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,776 – $30,463 · median $12,762 | 45 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,047 – $21,896 · median $8,970 | 45 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,240 – $43,895 · median $21,380 | 45 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,896 – $26,018 · median $13,009 | 45 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,201 – $19,039 · median $8,792 | 45 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,137 – $52,585 · median $17,752 | 45 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,332 – $48,390 · median $20,647 | 45 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,257 – $27,504 · median $13,752 | 45 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,623 – $20,779 · median $10,248 | 45 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,974 – $41,698 · median $17,039 | 45 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,936 – $25,764 · median $10,941 | 45 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,529 – $36,852 · median $18,055 | 45 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,561 – $28,672 · median $10,109 | 45 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,142 – $14,680 · median $6,963 | 45 plans |
| 397 | COAGULATION DISORDERS | $13,831 – $58,675 · median $28,878 | 45 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,741 – $49,474 · median $18,443 | 45 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,611 – $63,134 · median $14,479 | 45 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $31,592 – $131,780 · median $64,060 | 45 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,749 – $70,685 · median $34,971 | 45 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,818 – $59,656 · median $26,764 | 45 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $20,591 – $86,502 · median $41,753 | 45 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,574 – $53,503 · median $26,254 | 45 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,169 – $39,488 · median $19,226 | 45 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,077 – $80,267 · median $39,831 | 45 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,142 – $54,990 · median $25,352 | 45 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,589 – $45,258 · median $20,022 | 45 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $20,574 – $86,430 · median $41,718 | 45 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,935 – $50,874 · median $24,920 | 45 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,873 – $59,635 · median $16,856 | 45 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,676 – $82,734 · median $27,920 | 45 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,034 – $52,093 · median $20,951 | 45 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,082 – $35,015 · median $17,238 | 45 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,984 – $100,464 · median $48,632 | 45 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $5,243 – $53,755 · median $24,229 | 45 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,481 – $37,411 · median $16,614 | 45 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,366 – $83,909 · median $24,266 | 45 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,479 – $31,621 · median $11,696 | 45 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,115 – $18,685 · median $9,120 | 45 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,364 – $44,408 · median $21,640 | 45 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,575 – $24,694 · median $11,773 | 45 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,320 – $27,763 · median $13,881 | 45 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,778 – $21,414 · median $10,589 | 45 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $48,530 – $201,493 · median $98,404 | 45 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,437 – $143,489 · median $69,828 | 45 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,097 – $100,930 · median $48,861 | 45 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $31,895 – $133,028 · median $66,514 | 45 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,362 – $64,976 · median $32,074 | 45 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,915 – $137,223 · median $66,741 | 45 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,987 – $75,784 · median $36,473 | 45 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,532 – $45,098 · median $21,990 | 45 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $30,061 – $125,479 · median $60,955 | 45 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,366 – $85,575 · median $41,296 | 45 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,870 – $67,068 · median $33,135 | 45 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $27,886 – $116,801 · median $58,224 | 45 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,792 – $103,789 · median $50,270 | 45 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,142 – $55,842 · median $27,440 | 45 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,816 – $45,850 · median $14,901 | 45 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,950 – $83,863 · median $41,656 | 45 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,202 – $60,203 · median $28,797 | 45 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,735 – $49,845 · median $22,415 | 45 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,096 – $51,535 · median $25,255 | 45 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,419 – $40,517 · median $19,684 | 45 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,008 – $67,636 · median $33,424 | 45 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,637 – $81,861 · median $38,912 | 45 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,076 – $51,454 · median $25,214 | 45 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,045 – $38,977 · median $18,999 | 45 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,215 – $43,795 · median $21,329 | 45 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,450 – $34,704 · median $14,148 | 45 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,203 – $89,021 · median $42,994 | 45 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,938 – $87,930 · median $43,719 | 45 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,418 – $55,634 · median $21,751 | 45 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,978 – $30,470 · median $15,218 | 45 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,422 – $73,457 · median $27,947 | 45 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,635 – $49,640 · median $24,294 | 45 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,277 – $76,975 · median $38,161 | 45 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,095 – $43,301 · median $21,079 | 45 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,773 – $33,741 · median $16,672 | 45 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,119 – $71,466 · median $33,655 | 45 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,795 – $46,179 · median $22,539 | 45 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,353 – $44,363 · median $21,618 | 45 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,792 – $33,819 · median $16,707 | 45 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,432 – $44,687 · median $21,782 | 45 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,746 – $37,746 · median $18,452 | 45 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,443 – $73,545 · median $36,421 | 45 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,009 – $51,176 · median $25,073 | 45 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,560 – $41,097 · median $19,961 | 45 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,092 – $39,170 · median $19,085 | 45 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,904 – $26,557 · median $13,025 | 45 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,404 – $77,500 · median $37,319 | 45 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,001 – $51,145 · median $25,058 | 45 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,874 – $38,276 · median $18,687 | 45 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,583 – $90,583 · median $45,064 | 45 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,551 – $49,293 · median $24,118 | 45 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,627 – $37,259 · median $18,235 | 45 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 45 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,562 – $52,086 · median $23,451 | 45 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,053 – $39,013 · median $19,015 | 45 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,655 – $20,910 · median $10,318 | 45 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,404 – $32,222 · median $15,997 | 45 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,664 – $20,946 · median $10,337 | 45 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,511 – $24,433 · median $12,215 | 45 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,160 – $26,589 · median $9,220 | 45 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,681 – $48,568 · median $16,397 | 45 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,486 – $32,562 · median $16,148 | 45 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,547 – $38,329 · median $10,079 | 45 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,202 – $43,738 · median $21,300 | 45 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,937 – $26,184 · median $13,092 | 45 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,358 – $19,686 · median $9,659 | 45 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $11,910 – $60,738 · median $20,502 | 45 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,151 – $47,646 · median $23,283 | 45 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,972 – $30,444 · median $14,036 | 45 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,048 – $22,526 · median $7,614 | 45 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,486 – $32,562 · median $16,148 | 45 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,587 – $37,092 · median $18,161 | 45 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,158 – $22,980 · median $10,134 | 45 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,770 – $47,702 · median $22,487 | 45 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,503 – $33,484 · median $14,258 | 45 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,643 – $21,259 · median $10,290 | 45 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,228 – $35,616 · median $12,082 | 45 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,985 – $168,531 · median $37,646 | 45 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,757 – $41,908 · median $20,372 | 45 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,620 – $28,996 · median $14,498 | 45 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,802 – $157,472 · median $59,671 | 45 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,047 – $84,263 · median $40,650 | 45 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,378 – $44,463 · median $21,668 | 45 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,094 – $118,248 · median $39,898 | 45 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,308 – $64,755 · median $31,962 | 45 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,277 – $47,827 · median $19,424 | 45 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,702 – $78,727 · median $39,050 | 45 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,979 – $42,823 · median $18,014 | 45 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,334 – $45,843 · median $17,699 | 45 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,126 – $47,544 · median $23,231 | 45 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,958 – $42,737 · median $20,793 | 45 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,363 – $52,633 · median $25,813 | 45 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,141 – $47,603 · median $23,261 | 45 plans |
| 592 | SKIN ULCERS WITH MCC | $11,176 – $47,750 · median $22,898 | 45 plans |
| 593 | SKIN ULCERS WITH CC | $6,851 – $29,947 · median $12,032 | 45 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,006 – $31,161 · median $11,095 | 45 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,247 – $52,157 · median $25,571 | 45 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,251 – $27,480 · median $9,285 | 45 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,628 – $41,375 · median $19,881 | 45 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,501 – $36,740 · median $18,005 | 45 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,739 – $37,717 · median $18,439 | 45 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,658 – $53,847 · median $26,429 | 45 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,081 – $35,010 · median $17,236 | 45 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,140 – $84,643 · median $42,051 | 45 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,801 – $46,205 · median $22,552 | 45 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,191 – $42,657 · median $17,437 | 45 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,242 – $48,824 · median $19,359 | 45 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,554 – $86,350 · median $41,678 | 45 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,360 – $44,389 · median $21,631 | 45 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,230 – $39,293 · median $15,679 | 45 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,441 – $73,535 · median $36,416 | 45 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,671 – $38,829 · median $16,486 | 45 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,522 – $90,333 · median $43,641 | 45 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,583 – $53,538 · median $26,272 | 45 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,429 – $51,836 · median $17,872 | 45 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,506 – $40,876 · median $19,849 | 45 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,009 – $129,788 · median $62,632 | 45 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,166 – $68,287 · median $33,754 | 45 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,223 – $52,060 · median $25,522 | 45 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,674 – $62,145 · median $30,638 | 45 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,633 – $33,166 · median $16,416 | 45 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,979 – $26,360 · median $13,180 | 45 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,680 – $74,520 · median $33,134 | 45 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,779 – $37,884 · median $18,513 | 45 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,046 – $53,995 · median $13,317 | 45 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,025 – $75,939 · median $37,635 | 45 plans |
| 666 | PROSTATECTOMY WITH CC | $10,102 – $43,329 · median $21,093 | 45 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,388 – $28,043 · median $14,022 | 45 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,963 – $41,519 · median $18,849 | 45 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,644 – $24,979 · median $12,490 | 45 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,366 – $44,416 · median $21,644 | 45 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,234 – $50,237 · median $13,704 | 45 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,264 – $101,619 · median $50,663 | 45 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,505 – $57,337 · median $28,199 | 45 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,479 – $47,696 · median $19,794 | 45 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,416 – $44,622 · median $15,222 | 45 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,051 – $27,755 · median $13,328 | 45 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,564 – $51,680 · median $10,116 | 45 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,701 – $29,329 · median $14,665 | 45 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,601 – $28,937 · median $9,776 | 45 plans |
| 697 | URETHRAL STRICTURE | $6,224 – $27,368 · median $13,684 | 45 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,554 – $41,074 · median $19,949 | 45 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,984 – $18,148 · median $6,715 | 45 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,552 – $49,295 · median $24,120 | 45 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,860 – $38,217 · median $18,661 | 45 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,439 – $57,063 · median $28,060 | 45 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,092 – $35,055 · median $17,256 | 45 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,034 – $51,280 · median $25,126 | 45 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,351 – $27,889 · median $13,944 | 45 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,682 – $37,484 · median $18,336 | 45 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,106 – $26,883 · median $13,442 | 45 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,920 – $54,929 · median $19,973 | 45 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,495 – $36,714 · median $17,993 | 45 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,918 – $46,686 · median $22,796 | 45 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,756 – $34,437 · median $16,642 | 45 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,451 – $52,316 · median $21,821 | 45 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,758 – $29,565 · median $14,782 | 45 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,170 – $26,347 · median $9,242 | 45 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,564 – $36,997 · median $18,119 | 45 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,685 – $21,031 · median $10,383 | 45 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,114 – $26,914 · median $12,328 | 45 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $21,785 · median $8,602 | 45 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,301 – $52,378 · median $25,684 | 45 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,770 – $33,731 · median $16,668 | 45 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,643 – $86,713 · median $43,101 | 45 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,900 – $50,729 · median $24,847 | 45 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,481 – $36,655 · median $17,967 | 45 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,691 – $86,910 · median $41,955 | 45 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,450 – $51,724 · median $21,820 | 45 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,236 – $51,162 · median $17,519 | 45 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,165 – $31,240 · median $14,960 | 45 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,834 – $50,455 · median $24,708 | 45 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,569 – $85,132 · median $14,394 | 45 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,032 – $43,039 · median $20,946 | 45 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,965 – $25,423 · median $11,004 | 45 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,012 – $34,725 · median $15,034 | 45 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,828 – $62,780 · median $30,960 | 45 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,523 – $39,008 · median $18,044 | 45 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,636 – $45,526 · median $22,207 | 45 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,282 – $27,606 · median $13,803 | 45 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,547 – $24,580 · median $8,307 | 45 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,269 – $45,296 · median $17,580 | 45 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,654 – $25,020 · median $12,510 | 45 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,832 – $17,523 · median $8,494 | 45 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,759 – $55,678 · median $20,376 | 45 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,791 – $25,583 · median $12,792 | 45 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,781 – $17,311 · median $8,380 | 45 plans |
| 779 | ABORTION WITHOUT D&C | $4,859 – $21,747 · median $10,769 | 45 plans |
| 799 | SPLENECTOMY WITH MCC | $26,154 – $109,399 · median $53,033 | 45 plans |
| 800 | SPLENECTOMY WITH CC | $16,224 – $68,527 · median $33,876 | 45 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,024 – $47,123 · median $23,018 | 45 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,008 – $96,449 · median $48,040 | 45 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,735 – $45,934 · median $22,415 | 45 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,831 – $33,981 · median $16,779 | 45 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,751 – $54,230 · median $18,307 | 45 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,311 – $50,006 · median $15,827 | 45 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,044 – $26,627 · median $13,313 | 45 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,303 – $23,575 · median $11,753 | 45 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,282 – $52,300 · median $25,644 | 45 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,869 – $141,152 · median $68,677 | 45 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,928 – $54,960 · median $26,993 | 45 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,953 – $38,313 · median $15,173 | 45 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,477 – $110,727 · median $55,284 | 45 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,084 – $55,601 · median $27,319 | 45 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,793 – $33,824 · median $16,709 | 45 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $27,014 – $112,938 · median $54,777 | 45 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,347 – $56,685 · median $27,868 | 45 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,839 – $42,248 · median $20,544 | 45 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,249 – $76,861 · median $37,303 | 45 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,691 – $39,658 · median $18,353 | 45 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,944 – $30,332 · median $15,157 | 45 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,167 – $18,902 · median $9,236 | 45 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,020 – $14,179 · median $4,798 | 45 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $31,704 – $132,241 · median $44,618 | 45 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,045 – $51,328 · median $25,151 | 45 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,043 – $30,736 · median $12,339 | 45 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,745 – $140,494 · median $57,930 | 45 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,055 – $51,366 · median $25,170 | 45 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,339 – $36,070 · median $17,707 | 45 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,682 – $78,641 · median $33,758 | 45 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,520 – $49,165 · median $24,053 | 45 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,051 – $30,686 · median $10,366 | 45 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,918 – $26,046 · median $10,900 | 45 plans |
| 849 | RADIOTHERAPY | $15,647 – $79,832 · median $32,671 | 45 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $28,520 – $119,137 · median $57,831 | 45 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,539 – $49,243 · median $24,093 | 45 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,646 – $37,337 · median $18,270 | 45 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,269 – $109,869 · median $53,265 | 45 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,367 – $52,652 · median $17,774 | 45 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,044 – $34,858 · median $17,168 | 45 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,532 – $45,098 · median $21,990 | 45 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,763 – $25,469 · median $12,735 | 45 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,126 – $22,850 · median $11,363 | 45 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,653 – $37,683 · median $18,282 | 45 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,088 – $57,515 · median $25,240 | 45 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,955 – $26,258 · median $13,129 | 45 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,214 – $19,094 · median $9,340 | 45 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $39,916 – $166,039 · median $80,937 | 45 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,523 – $37,165 · median $11,244 | 45 plans |
| 881 | DEPRESSIVE NEUROSES | $1,495 – $36,842 · median $11,018 | 45 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,467 – $27,273 · median $8,944 | 45 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,523 – $39,992 · median $18,840 | 45 plans |
| 885 | PSYCHOSES | $1,495 – $34,951 · median $16,357 | 45 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,481 – $27,204 · median $12,540 | 45 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,235 – $101,500 · median $50,603 | 45 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,056 – $47,256 · median $23,085 | 45 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,754 – $31,679 · median $14,775 | 45 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,212 – $89,057 · median $44,290 | 45 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,567 – $42,034 · median $18,124 | 45 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,344 – $48,440 · median $23,686 | 45 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,172 – $93,007 · median $45,634 | 45 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,522 – $69,657 · median $24,058 | 45 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,581 – $34,045 · median $16,321 | 45 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,440 – $40,603 · median $19,722 | 45 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,114 – $22,797 · median $10,944 | 45 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,848 – $17,587 · median $6,382 | 45 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,828 – $39,029 · median $18,366 | 45 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,573 – $45,267 · median $22,027 | 45 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,788 – $25,574 · median $8,642 | 45 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,976 – $18,112 · median $6,125 | 45 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,103 – $43,332 · median $20,934 | 45 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,001 – $25,940 · median $8,765 | 45 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,955 – $87,997 · median $43,752 | 45 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,496 – $57,296 · median $28,178 | 45 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,710 – $49,947 · median $24,450 | 45 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,891 – $31,922 · median $14,865 | 45 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,871 – $30,028 · median $10,144 | 45 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,872 – $161,744 · median $78,821 | 45 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,731 – $91,194 · median $44,065 | 45 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $44,005 – $182,870 · median $89,229 | 45 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,335 – $101,911 · median $49,345 | 45 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,002 – $71,729 · median $35,500 | 45 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,788 – $66,730 · median $32,964 | 45 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,851 – $38,179 · median $18,644 | 45 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,431 – $29,457 · median $12,038 | 45 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,351 – $222,266 · median $75,587 | 45 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,231 – $87,096 · median $31,802 | 45 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,667 – $70,348 · median $33,795 | 45 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,479 – $32,531 · median $14,280 | 45 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,213 – $53,466 · median $11,555 | 45 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,494 – $32,595 · median $15,648 | 45 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,095 – $113,271 · median $54,941 | 45 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,198 – $60,187 · median $29,645 | 45 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,898 – $49,085 · median $20,667 | 45 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,510 – $83,240 · median $28,091 | 45 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,492 – $40,817 · median $19,735 | 45 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,925 – $30,254 · median $15,122 | 45 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $45,637 – $176,974 · median $79,698 | 44 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,415 – $88,695 · median $44,348 | 44 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $275 – $100,858 · median $33,850 | 44 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $275 – $36,831 · median $12,381 | 44 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,853 – $93,616 · median $44,270 | 44 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,509 – $51,078 · median $24,340 | 44 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,274 – $16,413 · median $7,331 | 44 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,078 – $61,547 · median $21,329 | 44 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,487 – $33,721 · median $10,491 | 44 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $123,299 – $509,237 · median $243,225 | 44 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $34,984 – $172,240 · median $58,487 | 44 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,600 – $78,306 · median $38,434 | 44 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,489 – $94,312 · median $46,379 | 44 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,766 – $54,294 · median $25,846 | 44 plans |
| 935 | NON-EXTENSIVE BURNS | $11,897 – $50,714 · median $17,333 | 44 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $191,075 – $667,860 · median $333,930 | 43 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $15,550 – $171,334 · median $57,159 | 43 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,059 – $38,504 · median $19,252 | 43 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,546 – $25,469 · median $12,735 | 43 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,078 – $17,597 · median $8,798 | 43 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,192 – $30,938 · median $15,469 | 43 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,947 – $20,523 · median $9,868 | 43 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,793 – $273,656 · median $113,269 | 43 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $35,839 – $147,130 · median $73,565 | 43 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,858 – $146,158 · median $59,318 | 43 plans |
| 509 | ARTHROSCOPY | $12,489 – $136,253 · median $25,424 | 43 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,869 – $143,023 · median $48,254 | 43 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $31,106 – $287,407 · median $96,951 | 41 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $34,244 – $142,695 · median $71,347 | 41 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,953 – $130,872 · median $44,156 | 41 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,510 – $113,499 · median $56,749 | 41 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,741 – $98,158 · median $44,917 | 41 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,589 – $271,099 · median $136,094 | 40 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $59,543 – $246,824 · median $123,412 | 40 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,779 – $183,902 · median $59,139 | 40 plans |
| 007 | LUNG TRANSPLANT | $74,787 – $655,326 · median $214,859 | 40 plans |
| 010 | PANCREAS TRANSPLANT | $41,440 – $172,311 · median $86,156 | 40 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,353 – $177,582 · median $69,611 | 38 plans |
| 652 | KIDNEY TRANSPLANT | $23,252 – $98,158 · median $40,297 | 38 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $7,396 | 23 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $14,147 | 23 plans |
No procedures match that keyword.