Lutheran Kosciusko Hospital — 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 – $24,199 · median $9,128 | 38 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,725 – $55,441 · median $20,222 | 38 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,725 – $23,939 · median $9,036 | 38 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,725 – $21,629 · median $8,215 | 38 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,725 – $37,249 · median $13,762 | 38 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,725 – $25,219 · median $9,490 | 38 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,725 – $21,652 · median $8,223 | 38 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $275 – $91,660 · median $31,658 | 38 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $325 – $55,308 · median $19,306 | 38 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $275 – $94,157 · median $32,507 | 38 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $275 – $33,329 · median $11,837 | 38 plans |
| 795 | NORMAL NEWBORN | $275 – $4,512 · median $2,137 | 38 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,134 – $26,353 · median $9,893 | 38 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,134 – $22,591 · median $8,557 | 38 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,134 – $21,613 · median $8,210 | 38 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,134 – $24,370 · median $9,189 | 38 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,134 – $17,027 · median $6,581 | 38 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,134 – $15,225 · median $5,941 | 38 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,371 – $36,641 · median $13,611 | 37 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,789 – $26,545 · median $10,009 | 37 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,888 – $23,025 · median $8,753 | 37 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,614 – $45,412 · median $16,740 | 37 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,834 – $22,815 · median $8,678 | 37 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,952 – $15,455 · median $6,052 | 37 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,482 – $33,166 · median $12,371 | 37 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,992 – $19,520 · median $7,502 | 37 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,142 – $39,658 · median $14,687 | 37 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,908 – $23,101 · median $8,780 | 37 plans |
| 100 | SEIZURES WITH MCC | $11,185 – $43,737 · median $16,143 | 37 plans |
| 101 | SEIZURES WITHOUT MCC | $5,213 – $20,382 · median $7,810 | 37 plans |
| 102 | HEADACHES WITH MCC | $6,473 – $25,312 · median $9,569 | 37 plans |
| 103 | HEADACHES WITHOUT MCC | $4,830 – $18,885 · median $7,276 | 37 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,864 – $34,661 · median $12,904 | 37 plans |
| 149 | DYSEQUILIBRIUM | $4,340 – $16,973 · median $6,593 | 37 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,263 – $16,670 · median $6,485 | 37 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $20,696 · median $7,545 | 37 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,991 – $15,606 · median $6,106 | 37 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,915 – $38,769 · median $14,370 | 37 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,882 – $101,208 · median $37,851 | 37 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,576 – $56,997 · median $20,874 | 37 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,055 – $43,226 · median $15,960 | 37 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,933 – $31,019 · median $11,688 | 37 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,649 – $18,178 · median $7,023 | 37 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,199 – $39,880 · median $14,766 | 37 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,185 – $24,185 · median $9,167 | 37 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,353 – $17,022 · median $6,611 | 37 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,000 – $35,194 · median $12,471 | 37 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,134 – $27,898 · median $10,491 | 37 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,397 – $25,014 · median $9,462 | 37 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,868 – $19,037 · median $7,330 | 37 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,708 – $14,498 · median $5,710 | 37 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,591 – $29,682 · median $11,128 | 37 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,630 – $14,193 · median $5,601 | 37 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,609 – $21,932 · median $8,363 | 37 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,869 – $15,130 · median $5,936 | 37 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,663 – $18,233 · median $7,043 | 37 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,502 – $224,848 · median $80,762 | 37 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $56,496 – $220,914 · median $79,359 | 37 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $37,972 – $148,483 · median $53,515 | 37 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,972 – $148,483 · median $52,476 | 37 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,342 – $173,391 · median $62,402 | 37 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $30,797 – $120,425 · median $43,504 | 37 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,107 – $113,817 · median $41,147 | 37 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $28,571 – $111,722 · median $40,399 | 37 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,188 – $71,122 · median $26,015 | 37 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $48,683 – $190,363 · median $68,458 | 37 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $35,012 – $136,905 · median $49,385 | 37 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $44,151 – $172,643 · median $62,136 | 37 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,547 – $123,358 · median $44,551 | 37 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $33,891 – $132,524 · median $47,821 | 37 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,190 – $94,591 · median $34,287 | 37 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,438 – $72,100 · median $28,181 | 37 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,306 – $48,120 · median $19,040 | 37 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,438 – $40,817 · median $15,599 | 37 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,604 – $49,285 · median $19,065 | 37 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,631 – $33,749 · median $12,579 | 37 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,146 – $70,955 · median $25,854 | 37 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,678 – $45,663 · median $16,830 | 37 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,785 – $73,454 · median $26,969 | 37 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,918 – $42,691 · median $15,769 | 37 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,413 – $36,806 · median $13,670 | 37 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,264 – $36,224 · median $13,462 | 37 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,308 – $20,755 · median $7,943 | 37 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,176 – $16,329 · median $6,364 | 37 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,439 – $44,730 · median $16,497 | 37 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,997 – $15,631 · median $6,115 | 37 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,459 – $13,524 · median $5,363 | 37 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,779 – $49,969 · median $18,366 | 37 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,180 – $24,165 · median $9,159 | 37 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,414 – $28,991 · median $10,881 | 37 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,903 – $19,172 · median $7,378 | 37 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,269 – $12,781 · median $5,098 | 37 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,429 – $36,869 · median $13,692 | 37 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,165 – $24,106 · median $9,138 | 37 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,156 – $16,252 · median $6,336 | 37 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,888 – $15,202 · median $5,962 | 37 plans |
| 304 | HYPERTENSION WITH MCC | $6,872 – $26,872 · median $10,125 | 37 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,361 – $17,052 · median $6,621 | 37 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,953 – $27,189 · median $9,910 | 37 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,249 – $16,614 · median $6,465 | 37 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,269 – $12,784 · median $4,856 | 37 plans |
| 313 | CHEST PAIN | $4,158 – $16,259 · median $6,339 | 37 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,042 – $47,088 · median $17,338 | 37 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,563 – $21,753 · median $8,299 | 37 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,115 – $55,195 · median $20,231 | 37 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,545 – $103,798 · median $37,572 | 37 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,910 – $81,762 · median $31,461 | 37 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,916 – $58,325 · median $21,347 | 37 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,804 – $34,426 · median $12,821 | 37 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,985 – $27,315 · median $10,283 | 37 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,338 – $20,872 · median $7,985 | 37 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,557 – $41,280 · median $15,266 | 37 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,664 – $22,146 · median $8,439 | 37 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,641 – $14,236 · median $5,617 | 37 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,138 – $35,731 · median $13,286 | 37 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,638 – $22,047 · median $8,404 | 37 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,935 – $15,385 · median $6,027 | 37 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,324 – $28,641 · median $10,756 | 37 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,502 – $17,605 · median $6,819 | 37 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,236 – $36,115 · median $13,423 | 37 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,404 – $21,130 · median $8,077 | 37 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,748 – $14,656 · median $5,767 | 37 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,781 – $53,889 · median $19,765 | 37 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,769 – $38,200 · median $14,167 | 37 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,887 – $30,842 · median $11,542 | 37 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,607 – $41,476 · median $15,336 | 37 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,532 – $25,542 · median $9,651 | 37 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,928 – $19,269 · median $7,413 | 37 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,414 – $36,813 · median $13,672 | 37 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,858 – $18,996 · median $7,315 | 37 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,589 – $14,032 · median $5,544 | 37 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,041 – $15,801 · median $6,175 | 37 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,649 – $37,732 · median $14,000 | 37 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $45,370 – $176,974 · median $77,107 | 37 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,239 – $82,602 · median $35,878 | 37 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,517 – $68,495 · median $24,976 | 37 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,139 – $43,558 · median $16,079 | 37 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,014 – $66,529 · median $24,275 | 37 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,099 – $55,129 · median $20,207 | 37 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,819 – $65,765 · median $24,002 | 37 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,646 – $57,270 · median $20,971 | 37 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,588 – $45,311 · median $16,704 | 37 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,661 – $26,046 · median $9,831 | 37 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,829 – $18,883 · median $7,275 | 37 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $37,850 · median $13,373 | 37 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,552 – $21,708 · median $8,283 | 37 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,794 – $18,745 · median $7,226 | 37 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,633 – $29,849 · median $11,187 | 37 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,797 – $18,757 · median $7,230 | 37 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,172 – $20,222 · median $7,753 | 37 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,914 – $34,857 · median $12,974 | 37 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,627 – $22,004 · median $8,388 | 37 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $16,921 · median $6,262 | 37 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,533 – $25,547 · median $9,653 | 37 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,443 – $17,375 · median $6,737 | 37 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,015 – $23,521 · median $8,930 | 37 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,494 – $13,662 · median $5,412 | 37 plans |
| 602 | CELLULITIS WITH MCC | $8,208 – $32,096 · median $11,989 | 37 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,029 – $19,667 · median $7,554 | 37 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,290 – $20,685 · median $7,918 | 37 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,234 – $20,468 · median $7,467 | 37 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,675 – $65,203 · median $23,802 | 37 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,711 – $34,063 · median $12,691 | 37 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,659 – $33,859 · median $12,618 | 37 plans |
| 637 | DIABETES WITH MCC | $8,297 – $32,443 · median $12,113 | 37 plans |
| 638 | DIABETES WITH CC | $5,176 – $20,238 · median $7,758 | 37 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,587 – $14,028 · median $5,543 | 37 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,713 – $30,160 · median $10,761 | 37 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,494 – $17,573 · median $6,808 | 37 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $32,114 · median $11,424 | 37 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,919 – $23,146 · median $8,796 | 37 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,437 – $17,350 · median $6,728 | 37 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,386 – $71,896 · median $26,190 | 37 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,568 – $41,325 · median $15,282 | 37 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,962 – $35,043 · median $13,041 | 37 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,863 – $65,939 · median $24,064 | 37 plans |
| 682 | RENAL FAILURE WITH MCC | $8,553 – $33,444 · median $12,470 | 37 plans |
| 683 | RENAL FAILURE WITH CC | $5,058 – $19,777 · median $7,594 | 37 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,467 – $13,556 · median $5,374 | 37 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,675 – $18,280 · median $7,060 | 37 plans |
| 693 | URINARY STONES WITH MCC | $7,764 – $30,361 · median $11,370 | 37 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,514 – $17,652 · median $6,836 | 37 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,979 – $15,559 · median $5,799 | 37 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,862 – $22,921 · median $8,715 | 37 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,599 – $25,804 · median $9,744 | 37 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,787 – $14,807 · median $5,821 | 37 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,596 – $41,433 · median $15,321 | 37 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,818 – $22,751 · median $8,655 | 37 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,295 – $12,883 · median $5,134 | 37 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $275 – $40,697 · median $14,341 | 37 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $134,216 · median $46,119 | 37 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,110 – $31,712 · median $11,852 | 37 plans |
| 813 | COAGULATION DISORDERS | $8,809 – $34,444 · median $12,827 | 37 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,856 – $22,898 · median $8,707 | 37 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,650 – $14,272 · median $5,630 | 37 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,176 – $51,523 · median $18,921 | 37 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,694 – $26,177 · median $10,280 | 37 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,966 – $19,418 · median $7,466 | 37 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,421 – $36,840 · median $13,682 | 37 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,835 – $22,817 · median $8,678 | 37 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $58,544 · median $20,405 | 37 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,555 – $29,542 · median $11,078 | 37 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,905 – $19,181 · median $7,062 | 37 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,022 – $19,637 · median $7,544 | 37 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,218 – $43,865 · median $16,188 | 37 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,910 – $23,108 · median $8,782 | 37 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $44,403 · median $15,600 | 37 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,175 – $31,967 · median $12,090 | 37 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,711 – $37,974 · median $14,086 | 37 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,950 – $19,355 · median $7,089 | 37 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,943 – $34,970 · median $13,015 | 37 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,623 – $25,897 · median $9,777 | 37 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,623 – $18,077 · median $6,987 | 37 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,625 – $14,175 · median $5,596 | 37 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,211 – $12,556 · median $5,017 | 37 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $122,576 – $479,305 · median $195,535 | 36 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $79,992 – $312,791 · median $128,107 | 36 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,497 – $123,164 · median $51,321 | 36 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $24,347 – $95,205 · median $40,000 | 36 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,642 – $65,077 · median $27,800 | 36 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $249,381 – $1,062,727 · median $431,106 | 36 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $161,113 · median $55,265 | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $45,442 – $177,692 · median $73,402 | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,572 – $119,544 · median $49,855 | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,349 – $71,752 · median $30,503 | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,092 – $129,401 · median $53,847 | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,591 – $88,338 · median $37,219 | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $26,257 – $102,673 · median $43,024 | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,956 – $70,212 · median $29,879 | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,570 – $56,972 · median $24,518 | 36 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $34,698 – $135,679 · median $56,389 | 36 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,702 – $77,040 · median $32,644 | 36 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,677 – $49,572 · median $21,521 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,875 – $101,178 · median $42,418 | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,307 – $48,122 · median $20,934 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,603 – $37,551 · median $16,654 | 36 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,353 – $87,408 · median $36,842 | 36 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,805 – $53,982 · median $23,307 | 36 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,220 – $43,872 · median $19,213 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $19,012 – $74,342 · median $31,552 | 36 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,298 – $87,193 · median $36,755 | 36 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,697 – $49,651 · median $21,553 | 36 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,977 – $39,015 · median $17,246 | 36 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,460 – $40,903 · median $18,011 | 36 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,655 – $22,112 · median $10,233 | 36 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,818 – $34,480 · median $15,410 | 36 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,416 – $52,460 · median $22,691 | 36 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,482 – $29,257 · median $13,295 | 36 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,872 – $38,604 · median $17,080 | 36 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,166 – $28,022 · median $12,793 | 36 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,312 – $20,771 · median $9,652 | 36 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,922 – $62,261 · median $26,659 | 36 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,148 – $39,681 · median $17,516 | 36 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,107 – $31,700 · median $14,285 | 36 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,613 – $18,038 · median $8,468 | 36 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,614 – $37,594 · median $16,671 | 36 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,925 – $23,169 · median $10,691 | 36 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,367 – $17,076 · median $8,051 | 36 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,265 – $36,228 · median $12,837 | 36 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,953 – $23,277 · median $10,738 | 36 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,074 – $43,301 · median $18,982 | 36 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,766 – $18,635 · median $8,726 | 36 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,948 – $34,918 · median $16,117 | 36 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,546 – $22,535 · median $8,587 | 36 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,995 – $15,055 · median $7,255 | 36 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,453 – $40,873 · median $17,999 | 36 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,172 – $20,224 · median $9,415 | 36 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,199 – $51,613 · median $22,348 | 36 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,061 – $31,520 · median $14,211 | 36 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,520 – $21,584 · median $10,004 | 36 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,120 – $51,304 · median $22,223 | 36 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,523 – $29,417 · median $13,360 | 36 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,282 – $20,656 · median $8,679 | 36 plans |
| 088 | CONCUSSION WITH MCC | $7,807 – $30,526 · median $13,809 | 36 plans |
| 089 | CONCUSSION WITH CC | $6,344 – $24,808 · median $10,013 | 36 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,754 – $18,589 · median $8,707 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,599 – $17,982 · median $8,443 | 36 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,325 – $79,475 · median $33,630 | 36 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,895 – $58,243 · median $25,033 | 36 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,895 – $58,243 · median $23,449 | 36 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,858 – $81,561 · median $34,475 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,253 – $51,823 · median $18,135 | 36 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,868 – $30,766 · median $13,906 | 36 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,578 – $53,092 · median $22,947 | 36 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,814 – $30,553 · median $13,820 | 36 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,442 – $40,830 · median $17,982 | 36 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,265 – $24,499 · median $11,267 | 36 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,718 – $26,270 · median $11,051 | 36 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,538 – $17,745 · median $8,341 | 36 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,612 – $18,034 · median $8,466 | 36 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,641 – $29,878 · median $13,547 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,434 – $17,338 · median $8,165 | 36 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,532 – $49,003 · median $21,291 | 36 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,863 – $22,927 · median $10,586 | 36 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,623 – $33,719 · median $15,102 | 36 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,118 – $20,012 · median $9,323 | 36 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,136 – $27,904 · median $12,742 | 36 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,632 – $96,319 · median $40,451 | 36 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,596 – $49,253 · median $21,392 | 36 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,219 – $36,050 · median $16,046 | 36 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,637 – $84,605 · median $35,708 | 36 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,008 – $39,132 · median $17,294 | 36 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,943 – $27,150 · median $12,416 | 36 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,228 – $47,815 · median $18,469 | 36 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,343 – $28,713 · median $13,075 | 36 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,603 – $18,000 · median $8,451 | 36 plans |
| 150 | EPISTAXIS WITH MCC | $7,689 – $30,068 · median $13,623 | 36 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,239 – $16,575 · median $7,834 | 36 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,827 – $26,696 · median $12,219 | 36 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,029 – $35,307 · median $15,745 | 36 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,254 – $20,545 · median $8,623 | 36 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,092 – $15,999 · median $7,584 | 36 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,585 – $84,404 · median $35,626 | 36 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,415 – $40,724 · median $17,939 | 36 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,891 – $30,856 · median $13,943 | 36 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $67,213 · median $23,364 | 36 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,025 – $35,289 · median $15,738 | 36 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,636 – $22,040 · median $10,202 | 36 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,360 – $17,049 · median $8,039 | 36 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,835 – $34,548 · median $15,438 | 36 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,145 – $24,029 · median $9,037 | 36 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,542 – $17,761 · median $7,868 | 36 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,712 – $22,336 · median $10,330 | 36 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,142 – $16,196 · median $7,670 | 36 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,654 – $18,199 · median $8,537 | 36 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,899 – $42,617 · median $18,705 | 36 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,481 – $21,432 · median $9,938 | 36 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,136 – $16,173 · median $7,660 | 36 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,188 – $39,837 · median $17,579 | 36 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,348 – $24,824 · median $11,408 | 36 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,130 – $16,148 · median $7,649 | 36 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,574 – $41,347 · median $18,191 | 36 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,435 – $21,252 · median $9,860 | 36 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $37,160 – $145,308 · median $60,288 | 36 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,874 – $62,071 · median $26,583 | 36 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $62,798 – $245,558 · median $100,883 | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,423 – $111,141 · median $46,453 | 36 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,462 – $64,370 · median $27,513 | 36 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,995 – $31,262 · median $14,107 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,348 – $103,028 · median $43,167 | 36 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,145 – $78,772 · median $33,346 | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,990 – $58,614 · median $25,183 | 36 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,289 – $40,234 · median $17,740 | 36 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,577 – $60,912 · median $26,113 | 36 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,805 – $38,342 · median $16,974 | 36 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,307 – $24,664 · median $11,338 | 36 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,656 – $69,042 · median $29,405 | 36 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,292 – $75,437 · median $31,995 | 36 plans |
| 265 | AICD LEAD PROCEDURES | $20,895 – $81,706 · median $34,533 | 36 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $35,392 – $138,391 · median $57,487 | 36 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $27,494 – $107,508 · median $44,982 | 36 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $39,720 – $155,316 · median $64,341 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $24,389 – $95,368 · median $40,066 | 36 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,471 – $119,149 · median $49,695 | 36 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,538 – $80,308 · median $33,967 | 36 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,744 – $57,652 · median $24,793 | 36 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,825 – $93,162 · median $39,172 | 36 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,010 – $74,333 · median $31,548 | 36 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $41,178 – $161,018 · median $66,650 | 36 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $34,688 – $135,640 · median $56,373 | 36 plans |
| 277 | CELLULITIS AGE >17 W CC | $26,672 – $104,295 · median $43,680 | 36 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $125,695 · median $43,232 | 36 plans |
| 279 | CELLULITIS AGE 0-17 | $20,827 – $81,439 · median $28,197 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,628 – $61,111 · median $26,194 | 36 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,857 – $38,545 · median $17,056 | 36 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,369 – $20,994 · median $9,749 | 36 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,192 – $27,731 · median $10,790 | 36 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,947 – $17,835 · median $6,868 | 36 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,020 – $35,271 · median $15,730 | 36 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,661 – $14,317 · median $6,856 | 36 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,628 – $10,277 · median $5,088 | 36 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,910 – $27,022 · median $12,360 | 36 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,100 – $35,585 · median $15,857 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,274 – $20,622 · median $9,587 | 36 plans |
| 311 | ANGINA PECTORIS | $4,053 – $15,850 · median $7,520 | 36 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,033 – $19,682 · median $9,180 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,939 – $15,403 · median $7,326 | 36 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,773 – $100,781 · median $42,257 | 36 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,891 – $54,316 · median $23,442 | 36 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,713 – $61,441 · median $26,327 | 36 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,181 – $39,812 · median $16,163 | 36 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $24,991 – $97,721 · median $41,018 | 36 plans |
| 324 | URINARY STONES W/O CC | $18,197 – $71,156 · median $24,703 | 36 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,540 – $72,497 · median $30,804 | 36 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,802 – $112,625 · median $47,054 | 36 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,253 – $36,183 · median $16,100 | 36 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,844 – $54,133 · median $23,368 | 36 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,719 – $38,003 · median $16,837 | 36 plans |
| 333 | RECTAL RESECTION WITH CC | $13,526 – $52,891 · median $22,865 | 36 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,459 – $36,987 · median $16,425 | 36 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,622 – $80,638 · median $34,101 | 36 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,178 – $47,618 · median $20,730 | 36 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,865 – $34,663 · median $15,484 | 36 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,690 – $33,979 · median $15,207 | 36 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,850 – $26,787 · median $12,258 | 36 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,257 – $51,839 · median $22,439 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $29,555 · median $10,570 | 36 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,028 – $19,660 · median $9,170 | 36 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,391 – $56,272 · median $19,647 | 36 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,744 – $26,371 · median $12,078 | 36 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,759 – $65,533 · median $27,984 | 36 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,716 – $37,992 · median $16,832 | 36 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,767 – $30,373 · median $13,747 | 36 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,368 – $99,198 · median $41,616 | 36 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,430 – $52,514 · median $22,713 | 36 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,073 – $31,567 · median $14,231 | 36 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,193 – $35,948 · median $16,005 | 36 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,776 – $22,586 · median $10,438 | 36 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,047 – $15,825 · median $7,509 | 36 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,240 – $40,040 · median $17,662 | 36 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,896 – $23,056 · median $10,642 | 36 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,201 – $16,426 · median $7,769 | 36 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $48,296 · median $16,937 | 36 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,332 – $44,310 · median $18,497 | 36 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,257 – $24,467 · median $11,253 | 36 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,623 – $18,079 · median $8,485 | 36 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,974 – $31,179 · median $14,073 | 36 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,936 – $19,303 · median $9,016 | 36 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,529 – $33,349 · median $14,952 | 36 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,561 – $17,835 · median $8,380 | 36 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,142 – $12,285 · median $5,975 | 36 plans |
| 397 | COAGULATION DISORDERS | $13,831 – $54,081 · median $23,347 | 36 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,741 – $34,180 · median $15,289 | 36 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,611 – $25,849 · median $11,852 | 36 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $31,592 – $123,534 · median $51,471 | 36 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,749 – $65,492 · median $27,968 | 36 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,818 – $50,123 · median $21,744 | 36 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $20,591 – $80,518 · median $34,052 | 36 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,574 – $49,168 · median $21,358 | 36 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,169 – $35,853 · median $15,966 | 36 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,077 – $74,595 · median $31,654 | 36 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,142 – $47,478 · median $20,674 | 36 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,589 – $37,497 · median $16,632 | 36 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $20,574 – $80,450 · median $34,025 | 36 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,935 – $46,670 · median $20,346 | 36 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,873 – $30,786 · median $13,914 | 36 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,676 – $76,939 · median $26,668 | 36 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,034 – $39,236 · median $17,336 | 36 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,082 – $31,603 · median $14,245 | 36 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,984 – $93,783 · median $39,424 | 36 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,635 – $49,407 · median $21,455 | 36 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,664 – $33,880 · median $15,167 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,366 – $44,446 · median $19,446 | 36 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,100 – $23,851 · median $10,986 | 36 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,115 – $16,090 · median $7,624 | 36 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,364 – $40,528 · median $17,859 | 36 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,575 – $21,798 · median $10,097 | 36 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,320 – $24,714 · median $11,360 | 36 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,778 – $18,682 · median $8,747 | 36 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,456 – $273,656 · median $102,764 | 36 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $35,839 – $138,118 · median $52,684 | 36 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,653 – $146,158 · median $53,779 | 36 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $48,530 – $189,765 · median $78,290 | 36 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,437 – $134,658 · median $55,976 | 36 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,097 – $94,225 · median $39,603 | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $31,895 – $124,720 · median $51,951 | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,362 – $60,068 · median $25,772 | 36 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,915 – $128,706 · median $53,565 | 36 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,987 – $70,336 · median $29,929 | 36 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,532 – $41,183 · median $18,124 | 36 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $30,061 – $117,548 · median $49,047 | 36 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,366 – $79,637 · median $33,696 | 36 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,870 – $62,055 · median $26,576 | 36 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $27,886 – $109,041 · median $45,602 | 36 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,791 – $96,942 · median $40,703 | 36 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,142 – $51,390 · median $22,257 | 36 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,816 – $26,651 · median $12,199 | 36 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,950 – $78,011 · median $33,037 | 36 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,202 – $55,533 · median $23,935 | 36 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,735 – $41,977 · median $18,446 | 36 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,096 – $47,298 · median $20,600 | 36 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,419 – $36,831 · median $16,362 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,008 – $62,595 · median $26,795 | 36 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,637 – $72,874 · median $30,957 | 36 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,076 – $47,221 · median $20,569 | 36 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,045 – $35,368 · median $15,770 | 36 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,215 – $39,945 · median $17,623 | 36 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,450 – $25,219 · median $11,579 | 36 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,203 – $82,912 · median $35,022 | 36 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,938 – $81,875 · median $34,602 | 36 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,418 – $40,735 · median $17,943 | 36 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,978 – $27,286 · median $12,474 | 36 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,422 – $68,125 · median $26,395 | 36 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,635 – $45,498 · median $19,872 | 36 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,277 – $71,467 · median $30,387 | 36 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,095 – $39,475 · median $17,433 | 36 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,773 – $30,393 · median $13,755 | 36 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,119 – $63,028 · median $26,970 | 36 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,795 – $42,210 · median $18,540 | 36 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,353 – $40,485 · median $17,842 | 36 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,792 – $30,467 · median $13,785 | 36 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,432 – $40,792 · median $17,966 | 36 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,746 – $34,198 · median $15,296 | 36 plans |
| 509 | ARTHROSCOPY | $12,372 – $136,253 · median $20,988 | 36 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,443 – $68,209 · median $29,068 | 36 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,009 – $46,957 · median $20,462 | 36 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,560 – $37,382 · median $16,585 | 36 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,092 – $35,551 · median $15,844 | 36 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,904 – $23,085 · median $10,655 | 36 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,404 – $71,966 · median $30,590 | 36 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,001 – $46,927 · median $20,451 | 36 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,874 – $34,702 · median $15,500 | 36 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,583 – $84,395 · median $35,622 | 36 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,551 – $45,168 · median $19,738 | 36 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,627 – $33,735 · median $15,109 | 36 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,575 – $64,815 · median $27,694 | 36 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,230 – $47,822 · median $20,813 | 36 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,053 – $35,402 · median $15,783 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,655 – $18,203 · median $8,539 | 36 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,404 – $28,950 · median $13,171 | 36 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,664 – $18,237 · median $8,554 | 36 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,511 – $21,550 · median $9,989 | 36 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,160 – $16,266 · median $7,700 | 36 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $44,480 · median $15,641 | 36 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,486 – $29,273 · median $13,302 | 36 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,547 – $17,781 · median $8,356 | 36 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,202 – $39,891 · median $17,601 | 36 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,937 – $23,214 · median $10,710 | 36 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,358 – $17,040 · median $8,035 | 36 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $56,042 · median $19,569 | 36 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,151 – $43,603 · median $19,105 | 36 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,972 – $27,261 · median $12,150 | 36 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,048 – $19,739 · median $7,235 | 36 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,486 – $29,273 · median $13,302 | 36 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,587 – $33,577 · median $15,044 | 36 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,158 – $20,170 · median $8,934 | 36 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,770 – $42,113 · median $18,501 | 36 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,503 – $25,429 · median $11,670 | 36 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,643 – $18,154 · median $8,518 | 36 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,228 – $32,175 · median $12,050 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,985 – $104,166 · median $38,020 | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,757 – $38,152 · median $16,897 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,620 – $25,886 · median $11,868 | 36 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,834 – $147,943 · median $56,497 | 36 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,047 – $78,391 · median $33,191 | 36 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,378 – $40,580 · median $17,880 | 36 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $110,678 · median $38,131 | 36 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,308 – $59,858 · median $25,686 | 36 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,277 – $36,276 · median $16,137 | 36 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,702 – $73,132 · median $31,061 | 36 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,979 – $39,022 · median $16,237 | 36 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,334 – $32,588 · median $14,644 | 36 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,126 – $43,506 · median $19,065 | 36 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,958 – $38,940 · median $17,216 | 36 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,363 – $48,341 · median $21,023 | 36 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,141 – $43,563 · median $19,088 | 36 plans |
| 592 | SKIN ULCERS WITH MCC | $11,176 – $43,703 · median $19,145 | 36 plans |
| 593 | SKIN ULCERS WITH CC | $6,851 – $26,789 · median $11,064 | 36 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,006 – $19,574 · median $9,133 | 36 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,247 – $47,889 · median $20,840 | 36 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,251 – $24,445 · median $8,834 | 36 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,628 – $37,646 · median $16,692 | 36 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,501 – $33,243 · median $14,909 | 36 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,739 – $34,171 · median $15,285 | 36 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,658 – $49,495 · median $21,490 | 36 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,081 – $31,599 · median $14,243 | 36 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,140 – $78,752 · median $33,337 | 36 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,801 – $42,235 · median $18,550 | 36 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,191 – $32,028 · median $14,417 | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,242 – $36,138 · median $16,081 | 36 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,554 – $80,374 · median $33,994 | 36 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,360 – $40,510 · median $17,852 | 36 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,230 – $28,270 · median $12,896 | 36 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,441 – $68,200 · median $29,064 | 36 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,671 – $29,996 · median $13,594 | 36 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,522 – $84,158 · median $35,526 | 36 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,583 – $49,201 · median $21,371 | 36 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,429 – $32,958 · median $14,794 | 36 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,506 – $37,172 · median $16,500 | 36 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $27,151 – $106,167 · median $44,438 | 36 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,401 – $83,684 · median $35,334 | 36 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,009 – $117,345 · median $48,965 | 36 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,166 – $63,214 · median $27,045 | 36 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,223 – $47,797 · median $20,803 | 36 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,674 – $57,378 · median $24,682 | 36 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,633 – $29,847 · median $13,534 | 36 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,979 – $23,381 · median $10,783 | 36 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,680 – $69,134 · median $29,169 | 36 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,779 – $34,329 · median $15,349 | 36 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,046 – $23,641 · median $10,895 | 36 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,025 – $70,483 · median $29,989 | 36 plans |
| 666 | PROSTATECTOMY WITH CC | $10,102 – $39,503 · median $17,444 | 36 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,388 – $24,980 · median $11,475 | 36 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,963 – $35,047 · median $15,640 | 36 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,644 – $22,069 · median $10,214 | 36 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,366 – $40,535 · median $17,862 | 36 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,234 – $24,377 · median $11,214 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,264 – $94,880 · median $39,868 | 36 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,505 – $52,810 · median $22,833 | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,479 – $37,066 · median $16,457 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,416 – $40,731 · median $15,146 | 36 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,051 – $23,661 · median $10,904 | 36 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,564 – $17,846 · median $8,385 | 36 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,701 – $26,202 · median $12,005 | 36 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $25,829 · median $9,304 | 36 plans |
| 697 | URETHRAL STRICTURE | $6,224 – $24,339 · median $11,197 | 36 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,554 – $37,359 · median $16,576 | 36 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,984 – $15,579 · median $6,406 | 36 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,552 – $45,171 · median $19,739 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,860 – $34,645 · median $15,477 | 36 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,439 – $52,550 · median $22,727 | 36 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,092 – $31,642 · median $14,261 | 36 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,034 – $47,056 · median $20,503 | 36 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,351 – $24,833 · median $11,412 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,682 – $33,950 · median $15,195 | 36 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,106 – $23,878 · median $10,998 | 36 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,920 – $50,522 · median $19,268 | 36 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,495 – $33,218 · median $14,899 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,918 – $42,691 · median $18,735 | 36 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,756 – $30,330 · median $13,730 | 36 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,451 – $40,866 · median $17,996 | 36 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,758 – $26,425 · median $12,102 | 36 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,170 – $16,304 · median $7,716 | 36 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,564 – $33,487 · median $15,008 | 36 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,685 – $18,318 · median $8,589 | 36 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,114 – $23,907 · median $10,698 | 36 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $15,175 · median $7,227 | 36 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,301 – $48,099 · median $20,925 | 36 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,770 – $30,384 · median $13,751 | 36 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,643 – $80,719 · median $34,134 | 36 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,900 – $46,532 · median $20,290 | 36 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,481 – $33,162 · median $14,876 | 36 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,691 – $80,906 · median $34,210 | 36 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,450 – $40,864 · median $17,995 | 36 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,236 – $32,204 · median $14,489 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,165 – $28,017 · median $12,791 | 36 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,834 – $46,273 · median $20,185 | 36 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,569 – $25,687 · median $11,782 | 36 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,032 – $39,227 · median $17,332 | 36 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,965 – $19,414 · median $9,064 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,012 – $31,328 · median $13,375 | 36 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,828 – $57,981 · median $24,927 | 36 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,523 – $33,326 · median $14,943 | 36 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,636 – $41,589 · median $18,289 | 36 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,282 – $24,565 · median $11,295 | 36 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,547 – $21,690 · median $7,898 | 36 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,269 – $32,335 · median $14,542 | 36 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,654 – $22,108 · median $10,231 | 36 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,832 – $14,985 · median $7,145 | 36 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,759 – $38,159 · median $16,900 | 36 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,791 – $22,643 · median $10,463 | 36 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,781 – $14,784 · median $7,058 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $4,859 – $18,998 · median $8,884 | 36 plans |
| 799 | SPLENECTOMY WITH MCC | $26,154 – $102,271 · median $42,861 | 36 plans |
| 800 | SPLENECTOMY WITH CC | $16,224 – $63,442 · median $27,138 | 36 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,024 – $43,107 · median $18,903 | 36 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,008 – $89,969 · median $37,879 | 36 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,735 – $41,977 · median $18,446 | 36 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,831 – $30,621 · median $13,848 | 36 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,751 – $49,859 · median $17,469 | 36 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,311 – $28,586 · median $13,024 | 36 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,044 – $23,634 · median $10,892 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,303 – $20,735 · median $9,636 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,282 – $48,025 · median $20,895 | 36 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,869 – $132,438 · median $55,077 | 36 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,928 – $50,552 · median $21,918 | 36 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,953 – $27,189 · median $12,432 | 36 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,477 – $103,534 · median $43,372 | 36 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,084 – $51,162 · median $22,165 | 36 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,793 – $30,472 · median $13,787 | 36 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $27,014 – $105,634 · median $44,223 | 36 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,347 – $52,191 · median $22,582 | 36 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,839 – $38,475 · median $17,028 | 36 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,249 – $71,359 · median $30,344 | 36 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,691 – $33,986 · median $15,210 | 36 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,944 – $27,155 · median $12,418 | 36 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,167 – $16,295 · median $7,713 | 36 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,020 – $11,808 · median $4,541 | 36 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $31,704 – $123,972 · median $42,647 | 36 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,045 – $47,101 · median $20,521 | 36 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,043 – $27,539 · median $11,351 | 36 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,745 – $108,490 · median $45,379 | 36 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,055 – $47,137 · median $20,536 | 36 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,339 – $32,606 · median $14,651 | 36 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,682 – $73,050 · median $30,180 | 36 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,520 – $45,046 · median $19,689 | 36 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $27,491 · median $9,869 | 36 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,918 – $19,231 · median $8,984 | 36 plans |
| 849 | RADIOTHERAPY | $15,647 – $61,186 · median $26,224 | 36 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $28,520 – $111,523 · median $46,607 | 36 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,539 – $45,121 · median $19,719 | 36 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,646 – $33,810 · median $15,139 | 36 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,269 – $102,718 · median $43,042 | 36 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,367 – $48,359 · median $17,677 | 36 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,044 – $31,454 · median $14,185 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,532 – $41,183 · median $18,124 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,763 – $22,535 · median $10,416 | 36 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,126 – $20,046 · median $9,338 | 36 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,653 – $33,834 · median $15,149 | 36 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,088 – $47,268 · median $20,589 | 36 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,955 – $23,284 · median $10,741 | 36 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,214 – $16,478 · median $7,792 | 36 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $39,916 – $156,082 · median $64,651 | 36 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,545 – $21,683 · median $10,047 | 36 plans |
| 881 | DEPRESSIVE NEUROSES | $5,434 – $21,247 · median $9,858 | 36 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $24,248 · median $8,767 | 36 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,291 – $36,332 · median $16,160 | 36 plans |
| 885 | PSYCHOSES | $8,067 – $31,542 · median $14,221 | 36 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,184 – $24,183 · median $11,130 | 36 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,235 – $94,767 · median $39,822 | 36 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,056 – $43,233 · median $18,955 | 36 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,754 – $26,412 · median $12,096 | 36 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,212 – $82,946 · median $35,035 | 36 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,567 – $33,498 · median $15,012 | 36 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,344 – $44,358 · median $19,410 | 36 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,172 – $86,699 · median $36,555 | 36 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,522 – $45,055 · median $19,692 | 36 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,581 – $29,643 · median $13,452 | 36 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,440 – $36,912 · median $16,395 | 36 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,114 – $19,996 · median $9,316 | 36 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,848 – $15,046 · median $6,144 | 36 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,058 – $35,417 · median $15,790 | 36 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,573 – $41,343 · median $18,189 | 36 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,788 – $22,634 · median $8,219 | 36 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,976 – $15,545 · median $5,811 | 36 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,103 – $39,505 · median $17,445 | 36 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $22,982 · median $8,337 | 36 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $123,299 – $482,135 · median $196,680 | 36 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $41,422 – $161,973 · median $58,306 | 36 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,600 – $72,732 · median $30,900 | 36 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,489 – $87,938 · median $37,057 | 36 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,766 – $49,920 · median $21,662 | 36 plans |
| 935 | NON-EXTENSIVE BURNS | $11,897 – $46,519 · median $17,234 | 36 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,955 – $81,938 · median $34,628 | 36 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,496 – $52,772 · median $22,817 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,710 – $45,789 · median $19,990 | 36 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,331 – $28,665 · median $13,056 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,871 – $26,866 · median $9,656 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,872 – $152,001 · median $62,998 | 36 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,731 – $84,976 · median $35,858 | 36 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $44,005 – $172,072 · median $71,126 | 36 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,335 – $95,158 · median $39,981 | 36 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,002 – $66,483 · median $28,369 | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,788 – $61,734 · median $26,446 | 36 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,851 – $34,609 · median $15,462 | 36 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,431 – $21,238 · median $9,854 | 36 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,351 – $179,051 · median $72,234 | 36 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,231 – $59,558 · median $25,565 | 36 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,667 – $65,171 · median $27,838 | 36 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,479 – $29,244 · median $12,626 | 36 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,213 – $20,385 · median $9,484 | 36 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,494 – $29,305 · median $13,314 | 36 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,095 – $105,950 · median $44,351 | 36 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,198 – $55,518 · median $23,929 | 36 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,898 – $38,705 · median $17,121 | 36 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $77,420 · median $26,832 | 36 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,492 – $37,116 · median $16,477 | 36 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,925 – $27,080 · median $12,385 | 36 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,320 – $87,277 · median $41,901 | 35 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,985 – $46,864 · median $23,591 | 35 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,563 – $13,931 · median $7,868 | 35 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,078 – $39,408 · median $20,213 | 35 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,098 – $19,935 · median $10,929 | 35 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $161,838 – $632,833 · median $306,202 | 34 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $271,387 · median $93,658 | 34 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $34,244 – $133,904 · median $66,023 | 34 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $122,672 · median $42,627 | 34 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $65,441 – $255,894 · median $131,199 | 33 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $59,543 – $232,831 · median $119,443 | 33 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,779 – $128,796 · median $60,847 | 33 plans |
| 007 | LUNG TRANSPLANT | $74,787 – $698,357 · median $239,894 | 33 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $32,367 – $126,563 · median $65,278 | 33 plans |
| 010 | PANCREAS TRANSPLANT | $41,440 – $162,041 · median $83,361 | 33 plans |
| 652 | KIDNEY TRANSPLANT | $18,650 – $72,928 · median $37,940 | 33 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $4,551 | 16 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $8,706 | 16 plans |
No procedures match that keyword.