Northwest Health - La Porte — 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $143,436 – $488,602 · median $194,776 | 28 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $130,171 – $443,194 · median $161,694 | 28 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,167 – $126,525 · median $51,059 | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $28,824 – $98,101 · median $39,777 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,834 – $67,470 · median $27,619 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $453,559 – $1,544,302 · median $537,342 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $53,438 – $181,963 · median $73,064 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $36,087 – $122,845 · median $49,598 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,083 – $95,537 · median $36,019 | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $39,028 – $132,866 · median $53,576 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,775 – $91,119 · median $37,006 | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,053 – $105,693 · median $42,790 | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,366 – $72,691 · median $29,691 | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,416 – $59,230 · median $24,348 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,901 – $139,249 · median $56,109 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,404 – $79,633 · median $32,447 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,208 – $51,707 · median $21,362 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,607 – $104,173 · median $42,187 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,775 – $50,233 · median $20,777 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,621 – $39,486 · median $16,511 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,498 – $90,173 · median $36,630 | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,524 – $56,190 · median $23,142 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,507 – $45,912 · median $19,062 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,599 – $76,890 · median $31,358 | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,349 – $38,561 · median $16,144 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,337 – $28,296 · median $12,018 | 28 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,434 – $89,955 · median $36,544 | 28 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,231 – $51,787 · median $21,394 | 28 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,058 – $40,974 · median $17,102 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,621 – $42,893 · median $17,864 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,014 – $23,790 · median $10,104 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,705 – $36,364 · median $15,272 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,286 – $24,717 · median $10,498 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,070 – $54,643 · median $22,528 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,146 – $31,054 · median $13,164 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,935 – $40,556 · median $16,936 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,778 – $29,798 · median $12,656 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,614 – $22,426 · median $9,512 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,994 – $64,607 · median $26,482 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,256 – $41,651 · median $17,371 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,875 – $33,538 · median $14,150 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,967 – $47,478 · median $19,683 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,224 – $24,504 · median $10,407 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,028 – $17,022 · median $7,136 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,312 – $35,028 · median $14,742 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,241 – $21,154 · median $8,952 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,799 – $19,648 · median $8,290 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,634 – $39,530 · median $16,529 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,329 – $24,864 · median $10,560 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,511 – $18,670 · median $7,860 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,226 – $38,141 · median $13,148 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,362 – $24,974 · median $10,607 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,337 – $45,331 · median $18,831 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,976 – $20,254 · median $8,557 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,835 – $36,809 · median $15,449 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,140 – $24,219 · median $10,286 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,908 – $16,615 · median $7,057 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,612 – $42,863 · median $17,852 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,451 – $21,870 · median $9,267 | 28 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,817 – $53,782 · median $22,186 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,821 – $33,354 · median $14,077 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,856 – $23,252 · median $9,875 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,725 – $53,468 · median $22,061 | 28 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,194 – $31,217 · median $13,229 | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,579 – $22,309 · median $8,623 | 28 plans |
| 088 | CONCUSSION WITH MCC | $9,525 – $32,344 · median $13,676 | 28 plans |
| 089 | CONCUSSION WITH CC | $7,819 – $26,531 · median $9,954 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,963 – $20,208 · median $8,537 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,250 – $41,628 · median $17,362 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,309 – $24,795 · median $10,531 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,782 – $19,590 · median $8,265 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,130 – $82,108 · median $33,429 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,795 – $60,523 · median $24,861 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,795 – $60,523 · median $23,364 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,753 – $84,229 · median $34,271 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,880 – $53,996 · median $18,606 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,596 – $32,587 · median $13,773 | 28 plans |
| 100 | SEIZURES WITH MCC | $13,467 – $45,774 · median $19,007 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $6,498 – $22,031 · median $9,338 | 28 plans |
| 102 | HEADACHES WITH MCC | $7,969 – $27,043 · median $11,485 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $6,051 – $20,509 · median $8,387 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,258 – $55,286 · median $22,783 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,533 – $32,371 · median $13,687 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,759 – $36,547 · median $15,345 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,599 – $42,820 · median $17,834 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,726 – $26,216 · median $11,134 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,255 – $28,016 · median $10,990 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,711 – $19,349 · median $8,159 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,797 – $19,643 · median $8,288 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,331 – $31,685 · median $13,415 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,590 – $18,936 · median $7,978 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,038 – $51,128 · median $21,132 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,257 – $24,618 · median $10,456 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,478 – $35,590 · median $14,965 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,387 – $21,654 · median $9,172 | 28 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,742 – $29,678 · median $12,605 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,157 – $99,233 · median $40,226 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,113 – $51,383 · median $21,234 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,173 – $37,959 · median $15,905 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,661 – $87,324 · median $35,499 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,093 – $41,093 · median $17,149 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,517 – $28,912 · median $12,279 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,684 – $49,921 · median $18,391 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,984 – $30,500 · median $12,945 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,787 – $19,609 · median $8,273 | 28 plans |
| 149 | DYSEQUILIBRIUM | $5,480 – $18,564 · median $7,814 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $9,388 – $31,878 · median $13,491 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,362 – $18,160 · median $7,636 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,382 – $28,450 · median $12,083 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,390 – $18,257 · median $7,679 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,951 – $37,204 · median $15,606 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $22,350 · median $7,712 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,073 – $17,175 · median $7,204 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,984 – $40,724 · median $17,002 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,546 – $22,196 · median $8,567 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,190 – $17,575 · median $7,379 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $45,083 – $153,411 · median $54,070 | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,423 – $59,255 · median $24,358 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,314 – $45,256 · median $18,801 | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,601 – $87,120 · median $35,418 | 28 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,568 – $42,712 · median $17,792 | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,623 – $32,679 · median $13,809 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $69,642 · median $23,992 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,672 – $32,844 · median $13,875 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,840 – $19,790 · median $8,353 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,946 – $37,186 · median $15,598 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,993 – $23,716 · median $10,073 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,503 – $18,642 · median $7,848 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,316 – $41,853 · median $17,451 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,633 – $25,897 · median $10,999 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,495 – $18,615 · median $7,836 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,725 – $36,433 · median $15,299 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,586 – $25,739 · median $9,015 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,716 – $19,366 · median $7,815 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,918 – $37,089 · median $12,786 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,081 – $24,017 · median $10,200 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,249 – $17,774 · median $7,467 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,740 – $29,671 · median $12,602 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,880 – $26,740 · median $11,357 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,096 – $20,663 · median $8,736 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,742 – $16,048 · median $6,579 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,273 – $31,485 · median $12,179 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,846 – $19,811 · median $8,362 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,651 – $15,738 · median $6,572 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,132 – $44,636 · median $18,555 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,543 – $54,689 · median $18,863 | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,242 – $17,752 · median $7,457 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,303 – $41,810 · median $17,434 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,823 – $26,547 · median $11,275 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,235 – $17,726 · median $7,446 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,960 – $23,606 · median $10,026 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,931 – $16,691 · median $6,991 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,856 – $19,845 · median $8,326 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,754 – $43,345 · median $18,043 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,757 – $22,915 · median $9,726 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $62,218 – $211,771 · median $76,145 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,937 – $64,414 · median $26,406 | 28 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $73,688 – $250,959 · median $100,450 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,508 – $229,904 · median $92,093 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $66,335 – $225,905 · median $90,505 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,722 – $152,266 · median $61,276 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,722 – $152,266 · median $52,586 | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,154 – $177,589 · median $71,328 | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $36,350 – $123,741 · median $49,954 | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $34,378 – $117,023 · median $47,287 | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,753 – $114,892 · median $46,442 | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,638 – $73,616 · median $30,058 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $57,218 – $194,844 · median $78,177 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $41,267 – $140,495 · median $56,604 | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $51,931 – $176,829 · median $71,026 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,225 – $126,723 · median $51,138 | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,960 – $136,042 · median $54,836 | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,641 – $97,476 · median $39,529 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,579 – $114,302 · median $46,208 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,623 – $66,751 · median $27,334 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,744 – $33,092 · median $13,973 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,930 – $74,610 · median $30,453 | 28 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,774 – $50,231 · median $20,776 | 28 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,595 – $42,806 · median $17,829 | 28 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,158 – $106,054 · median $42,933 | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,122 – $51,415 · median $21,246 | 28 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,486 – $35,620 · median $14,977 | 28 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,921 – $81,394 · median $33,146 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,906 – $60,899 · median $25,011 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,422 – $42,214 · median $17,594 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,592 – $63,236 · median $25,938 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,857 – $40,290 · median $16,830 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,776 – $26,384 · median $11,206 | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,588 – $73,446 · median $29,991 | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,041 – $47,733 · median $19,785 | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,334 – $75,987 · median $31,000 | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,155 – $44,711 · median $18,585 | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,399 – $38,728 · median $16,211 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,017 – $71,501 · median $29,219 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,926 – $78,003 · median $31,800 | 28 plans |
| 265 | AICD LEAD PROCEDURES | $24,796 – $84,376 · median $34,329 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $41,710 – $142,006 · median $57,204 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $32,495 – $110,608 · median $44,741 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $60,176 – $204,843 · median $77,625 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $28,873 – $98,266 · median $39,842 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,969 – $122,443 · median $49,439 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,379 – $82,955 · median $33,765 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,619 – $59,921 · median $24,622 | 28 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,215 – $96,023 · median $38,952 | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,596 – $76,881 · median $31,354 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $48,462 – $165,010 · median $66,335 | 28 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $40,890 – $139,210 · median $56,094 | 28 plans |
| 277 | CELLULITIS AGE >17 W CC | $31,536 – $107,341 · median $43,445 | 28 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $129,099 · median $44,460 | 28 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $84,105 · median $28,971 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,225 – $38,136 · median $15,976 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,609 – $22,410 · median $9,504 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,288 – $17,910 · median $7,526 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,763 – $46,785 · median $19,408 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,080 – $17,201 · median $7,215 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,452 – $15,059 · median $5,383 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,326 – $52,111 · median $21,522 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,627 – $25,876 · median $10,990 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,651 – $63,438 · median $26,019 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,917 – $40,496 · median $16,912 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,681 – $22,653 · median $9,611 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,067 – $30,783 · median $13,057 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,137 – $20,800 · median $8,797 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,230 – $14,303 · median $5,941 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,691 – $29,502 · median $12,530 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,738 – $19,441 · median $8,257 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,940 – $37,167 · median $15,591 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,688 – $15,864 · median $6,627 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,483 – $11,757 · median $4,822 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,418 – $38,793 · median $16,236 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,609 – $25,817 · median $10,965 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,266 – $17,832 · median $6,890 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,479 – $28,781 · median $12,224 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,952 – $16,764 · median $7,023 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $8,435 – $28,629 · median $12,159 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,504 – $18,645 · median $7,849 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,034 – $37,486 · median $15,718 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,569 – $22,274 · median $9,445 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,529 – $28,951 · median $9,984 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,373 – $18,199 · median $7,654 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,231 – $14,306 · median $4,943 | 28 plans |
| 311 | ANGINA PECTORIS | $5,146 – $17,423 · median $7,313 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,289 – $21,319 · median $9,025 | 28 plans |
| 313 | CHEST PAIN | $5,268 – $17,839 · median $7,495 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,467 – $49,181 · median $20,360 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,907 – $23,425 · median $8,611 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,012 – $16,969 · median $7,113 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,488 – $103,769 · median $42,027 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,623 – $56,530 · median $23,277 | 28 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $18,749 – $63,774 · median $26,152 | 28 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $12,296 – $41,784 · median $16,092 | 28 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $29,575 – $100,658 · median $40,792 | 28 plans |
| 324 | URINARY STONES W/O CC | $21,061 – $73,650 · median $25,372 | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,048 – $75,014 · median $30,613 | 28 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,022 – $115,811 · median $46,806 | 28 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,886 – $57,423 · median $23,631 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,213 – $38,095 · median $15,959 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,388 – $106,836 · median $43,244 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,569 – $56,344 · median $23,203 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,756 – $39,945 · median $16,694 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,813 – $84,434 · median $34,352 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $16,198 – $55,082 · median $22,702 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,453 – $38,912 · median $16,284 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,478 – $83,290 · median $33,898 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,625 – $49,721 · median $20,574 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,759 – $36,550 · median $15,346 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,819 – $60,605 · median $24,894 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,555 – $35,854 · median $15,070 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,409 – $28,542 · median $12,122 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,584 – $59,794 · median $24,408 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $31,357 · median $10,812 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,282 – $21,296 · median $9,015 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,207 – $58,518 · median $20,163 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,688 – $36,309 · median $15,250 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,285 – $28,120 · median $11,943 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,970 – $67,934 · median $27,803 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,752 – $39,934 · median $16,689 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,479 – $32,188 · median $13,614 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,016 – $102,160 · median $41,388 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,086 – $54,698 · median $22,549 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,835 – $33,402 · median $14,096 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,143 – $37,856 · median $15,864 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,156 – $24,272 · median $10,309 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,138 – $17,398 · median $7,301 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,364 – $42,016 · median $17,516 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,296 – $24,749 · median $10,511 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,317 – $18,009 · median $7,570 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $50,410 · median $17,371 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,567 – $29,079 · median $12,350 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,644 – $22,529 · median $9,557 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,733 – $43,277 · median $18,016 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,024 – $23,824 · median $10,118 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,664 – $15,782 · median $6,591 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,638 – $46,358 · median $18,423 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,717 – $26,184 · median $11,121 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,811 – $19,689 · median $8,309 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,719 – $33,007 · median $13,940 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,176 – $20,934 · median $8,856 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,078 – $37,636 · median $15,777 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,995 – $23,723 · median $10,076 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,007 – $16,950 · median $7,105 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,367 – $35,214 · median $14,815 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,738 – $19,441 · median $8,200 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,082 – $13,798 · median $5,719 | 28 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,962 – $30,427 · median $10,738 | 28 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,669 – $19,207 · median $8,097 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,192 – $38,026 · median $15,932 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,721 – $22,791 · median $9,672 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,789 – $16,209 · median $6,779 | 28 plans |
| 397 | COAGULATION DISORDERS | $16,553 – $56,292 · median $23,182 | 28 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $10,615 – $36,058 · median $15,151 | 28 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,129 – $27,589 · median $11,718 | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $37,277 – $126,902 · median $51,209 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,958 – $67,892 · median $27,786 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,372 – $52,267 · median $21,584 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,442 – $83,169 · median $33,850 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,087 – $51,296 · median $21,199 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,114 – $37,760 · median $15,826 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,674 – $77,147 · median $31,460 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,583 – $49,579 · median $20,517 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,605 – $39,431 · median $16,489 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,422 – $83,100 · median $33,823 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,342 – $48,757 · median $20,191 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,602 – $32,608 · median $13,781 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,496 – $56,096 · median $23,104 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,814 – $40,145 · median $16,773 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,619 – $32,665 · median $13,804 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,833 – $79,530 · median $27,396 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,124 – $41,199 · median $17,191 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,846 – $33,439 · median $14,111 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,400 – $96,654 · median $39,203 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,159 – $51,539 · median $21,295 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,525 – $35,753 · median $15,030 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,678 – $46,495 · median $19,293 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,533 – $25,557 · median $10,855 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,217 – $17,667 · median $7,419 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,792 – $43,476 · median $18,095 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,038 – $27,277 · median $11,585 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,166 – $20,899 · median $8,840 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,401 – $38,735 · median $16,213 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,084 – $20,621 · median $8,718 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,603 – $15,575 · median $6,500 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,509 – $42,512 · median $17,712 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,920 – $23,470 · median $9,968 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,131 – $17,373 · median $7,290 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,675 – $39,670 · median $16,584 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,790 – $26,434 · median $11,227 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,991 – $20,302 · median $8,578 | 28 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,126 – $273,656 · median $82,109 | 28 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $41,629 – $141,728 · median $57,094 | 28 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,450 – $146,158 · median $43,327 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $57,040 – $194,236 · median $77,935 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,597 – $138,211 · median $55,698 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,532 – $97,104 · median $39,381 | 28 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $45,106 – $176,974 · median $61,796 | 28 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,064 – $85,288 · median $34,691 | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $37,631 – $128,107 · median $51,687 | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,340 – $62,378 · median $25,598 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,820 – $132,159 · median $53,295 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,404 – $72,817 · median $29,741 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,705 – $43,178 · median $17,977 | 28 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,491 – $120,816 · median $48,793 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,179 – $82,273 · median $33,495 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,933 – $64,398 · median $26,399 | 28 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,854 – $70,946 · median $28,998 | 28 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,413 – $45,593 · median $18,935 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,890 – $118,756 · median $47,977 | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,267 – $68,946 · median $28,205 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,866 – $57,357 · median $23,605 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,342 – $99,866 · median $40,478 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,750 – $53,555 · median $22,096 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,368 – $28,404 · median $12,064 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,694 – $80,620 · median $32,838 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,987 – $57,768 · median $23,768 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,942 – $43,986 · median $18,297 | 28 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,040 – $68,170 · median $27,897 | 28 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,529 – $49,395 · median $20,444 | 28 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,406 – $38,754 · median $16,221 | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,094 – $64,947 · median $26,617 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,161 – $75,397 · median $30,765 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,506 – $49,317 · median $20,413 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,969 – $37,266 · median $15,630 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,335 – $41,920 · median $17,477 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,941 – $26,949 · median $11,446 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,156 – $85,602 · median $34,816 | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,505 – $59,533 · median $24,209 | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,936 – $47,375 · median $19,642 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,847 – $84,549 · median $34,398 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,571 – $42,723 · median $17,796 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,558 – $29,049 · median $12,338 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,744 – $70,569 · median $26,302 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,992 – $47,565 · median $19,718 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,741 – $73,967 · median $30,198 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,195 – $41,442 · median $17,288 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,485 – $32,208 · median $13,623 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,223 – $65,388 · median $26,792 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,011 – $44,222 · median $18,391 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,496 – $42,468 · median $17,695 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,507 – $32,284 · median $13,653 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,588 – $42,781 · median $17,819 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,620 – $36,077 · median $15,158 | 28 plans |
| 509 | ARTHROSCOPY | $12,253 – $136,253 · median $17,366 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,769 – $70,654 · median $28,883 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,427 – $49,048 · median $20,307 | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,570 – $39,314 · median $16,443 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,024 – $37,452 · median $15,704 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,305 – $24,779 · median $10,524 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,890 – $74,474 · median $30,399 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,419 – $49,018 · median $20,295 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,771 – $36,589 · median $15,361 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,599 – $87,111 · median $35,415 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,894 – $47,230 · median $19,585 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,482 – $35,606 · median $14,971 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,756 – $67,204 · median $27,513 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,686 – $49,928 · median $20,656 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,980 – $37,301 · median $15,644 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,848 – $19,816 · median $8,364 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,054 – $30,741 · median $13,040 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,858 – $19,850 · median $8,379 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,846 – $23,218 · median $9,860 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,270 – $17,846 · median $7,498 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $46,530 · median $16,036 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,151 – $31,070 · median $13,171 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,722 – $19,386 · median $8,175 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,319 – $41,865 · median $17,455 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,343 – $24,910 · median $10,580 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,501 – $18,633 · median $7,844 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $58,284 · median $20,082 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,188 – $27,789 · median $11,802 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,051 – $20,507 · median $8,668 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,427 – $45,639 · median $18,954 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,550 – $29,024 · median $12,089 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,275 – $21,377 · median $7,377 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $39,789 · median $13,715 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,893 – $23,379 · median $9,929 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,151 – $31,070 · median $13,171 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,009 – $20,367 · median $8,606 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,323 – $31,655 · median $13,403 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,013 – $20,378 · median $8,611 | 28 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,435 – $35,445 · median $14,908 | 28 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,435 – $21,815 · median $8,879 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,982 – $44,124 · median $18,352 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,004 – $27,162 · median $11,536 | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,833 – $19,765 · median $8,342 | 28 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,017 – $34,020 · median $11,985 | 28 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,450 – $21,868 · median $9,266 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,817 – $36,747 · median $15,424 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,982 – $23,679 · median $10,057 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $18,511 · median $6,391 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $35,770 – $198,905 · median $68,567 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,800 – $40,097 · median $16,754 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,140 – $27,626 · median $11,733 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,561 – $151,717 · median $56,341 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,807 – $81,006 · median $32,992 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,525 – $42,565 · median $17,733 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $113,832 · median $39,204 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,277 – $62,164 · median $25,513 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,240 – $38,189 · median $15,996 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,238 – $75,659 · median $30,869 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,060 – $40,981 · median $16,167 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,140 – $34,440 · median $14,508 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,398 – $45,540 · median $18,914 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,035 – $40,898 · median $17,072 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,841 – $50,456 · median $20,865 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,415 – $45,598 · median $18,937 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $13,456 – $45,740 · median $18,994 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $8,410 – $28,544 · median $11,003 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,257 – $21,209 · median $8,977 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,706 – $49,996 · median $20,683 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,710 – $26,161 · median $9,024 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,649 – $39,583 · median $16,550 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,039 – $27,282 · median $11,587 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,600 – $18,973 · median $7,994 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,435 – $25,222 · median $10,712 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,493 – $15,199 · median $6,335 | 28 plans |
| 602 | CELLULITIS WITH MCC | $9,993 – $33,939 · median $14,310 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,284 – $21,303 · median $9,018 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,335 – $35,106 · median $14,773 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,588 – $22,339 · median $9,473 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,612 – $36,049 · median $15,147 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,524 – $22,118 · median $7,632 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,185 – $51,629 · median $21,331 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,845 – $33,434 · median $14,109 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,915 – $81,373 · median $33,137 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,019 – $44,248 · median $18,401 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,973 – $33,871 · median $14,282 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,872 – $67,598 · median $27,670 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,199 – $38,049 · median $15,941 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,580 – $35,939 · median $15,103 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,399 – $83,022 · median $33,792 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,504 – $42,494 · median $17,705 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,852 – $30,050 · median $12,763 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,766 – $70,645 · median $28,879 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,519 – $35,732 · median $15,021 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,366 – $31,804 · median $13,462 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,528 – $86,870 · median $35,319 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,097 – $51,330 · median $21,213 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,250 – $34,816 · median $14,658 | 28 plans |
| 637 | DIABETES WITH MCC | $10,097 – $34,293 · median $14,450 | 28 plans |
| 638 | DIABETES WITH CC | $6,455 – $21,884 · median $9,273 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,602 – $15,571 · median $6,498 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $31,972 · median $11,024 | 28 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,660 – $19,175 · median $8,083 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $33,958 · median $11,708 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,508 – $39,100 · median $16,358 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,323 – $24,841 · median $10,550 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,593 – $18,948 · median $7,983 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,850 – $142,444 · median $56,491 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,278 – $65,576 · median $26,867 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,678 – $49,902 · median $20,646 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,869 – $74,403 · median $30,371 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,747 – $43,322 · median $18,034 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,872 – $36,935 · median $15,499 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,537 – $59,643 · median $24,512 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,322 – $31,653 · median $13,402 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,393 – $25,080 · median $10,652 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,045 – $71,596 · median $29,075 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,659 – $36,210 · median $15,211 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,470 – $25,344 · median $10,764 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,447 – $72,966 · median $29,800 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $12,203 – $41,470 · median $17,299 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,870 – $26,705 · median $11,342 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,092 – $68,347 · median $27,967 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,874 – $36,940 · median $15,501 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,001 – $23,746 · median $10,085 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,511 – $42,519 · median $17,715 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,690 – $26,092 · median $11,082 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,727 – $97,770 · median $39,646 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,174 – $54,999 · median $22,669 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,476 – $38,993 · median $16,315 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $10,395 – $35,310 · median $14,854 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $6,317 – $21,416 · median $9,067 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,461 – $15,091 · median $6,287 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,570 – $42,719 · median $15,074 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,476 – $25,365 · median $10,773 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,741 – $19,453 · median $8,205 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,234 – $27,947 · median $11,870 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,871 – $19,894 · median $8,398 | 28 plans |
| 693 | URINARY STONES WITH MCC | $9,476 – $32,176 · median $13,610 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,683 – $19,255 · median $8,118 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $27,569 · median $9,508 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,657 – $17,127 · median $5,914 | 28 plans |
| 697 | URETHRAL STRICTURE | $7,678 – $26,053 · median $11,065 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,564 – $39,291 · median $16,434 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,255 – $24,611 · median $10,453 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,065 – $17,148 · median $6,354 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,894 – $47,232 · median $19,586 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,754 – $36,531 · median $15,339 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,097 – $54,735 · median $22,564 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,858 – $33,478 · median $14,127 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,457 – $49,149 · median $20,347 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,826 – $26,556 · median $11,279 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,546 – $35,824 · median $15,058 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,541 – $25,585 · median $10,866 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,491 – $52,673 · median $19,189 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,328 – $35,080 · median $14,763 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,155 – $44,711 · median $18,585 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,466 – $32,144 · median $13,597 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,610 – $42,856 · median $17,849 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,116 – $27,543 · median $11,698 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,834 – $16,363 · median $6,846 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,301 – $28,175 · median $11,966 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,281 – $17,885 · median $7,515 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,408 – $35,354 · median $14,871 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,882 – $19,933 · median $8,416 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,550 – $25,615 · median $10,639 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,944 – $16,737 · median $7,011 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,768 – $50,210 · median $20,768 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,482 – $32,199 · median $13,619 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,502 – $83,373 · median $33,931 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,301 – $48,617 · median $20,135 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,311 – $35,023 · median $14,740 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,558 – $83,564 · median $34,007 | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,610 – $42,854 · median $17,848 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,025 – $34,050 · median $14,353 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,779 – $43,433 · median $18,078 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,776 – $29,793 · median $12,654 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,223 – $48,353 · median $20,031 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,376 – $28,428 · median $11,884 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,121 – $41,190 · median $17,188 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,209 – $21,046 · median $8,905 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,764 – $33,159 · median $13,310 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,717 – $60,256 · median $24,756 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,360 – $35,191 · median $14,806 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,826 – $43,591 · median $18,141 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,746 – $26,283 · median $11,163 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,250 – $23,360 · median $8,060 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,064 – $34,183 · median $14,406 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,013 – $23,785 · median $10,102 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,888 – $16,544 · median $6,926 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,205 – $24,439 · median $10,380 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,260 – $14,407 · median $5,986 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,637 – $25,911 · median $11,005 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,802 – $40,104 · median $16,756 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,172 – $24,329 · median $10,333 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,828 – $16,340 · median $6,836 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $6,085 – $20,624 · median $8,719 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,959 – $57,674 · median $23,730 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,559 – $25,647 · median $10,893 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,870 – $23,298 · median $9,895 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,531 – $39,179 · median $16,389 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,941 – $26,949 · median $11,446 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,877 – $23,321 · median $9,905 | 28 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $42,684 · median $14,712 | 28 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $137,761 · median $47,442 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $94,496 · median $32,548 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $57,538 · median $19,825 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $97,036 · median $33,422 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $35,193 · median $12,133 | 28 plans |
| 795 | NORMAL NEWBORN | $1,762 – $5,896 · median $2,245 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,280 – $28,101 · median $11,935 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,157 – $24,276 · median $10,311 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,865 – $23,282 · median $9,888 | 28 plans |
| 799 | SPLENECTOMY WITH MCC | $30,933 – $105,284 · median $42,628 | 28 plans |
| 800 | SPLENECTOMY WITH CC | $19,346 – $65,808 · median $26,959 | 28 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,279 – $45,134 · median $18,753 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,262 – $92,777 · median $37,664 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,942 – $43,986 · median $18,297 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,553 – $32,440 · median $13,715 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,688 – $26,085 · median $11,079 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,497 – $18,619 · median $7,838 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,959 – $16,787 · median $7,033 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,293 – $51,998 · median $17,918 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,946 – $30,372 · median $12,894 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,468 – $25,337 · median $10,761 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,879 – $33,549 · median $14,155 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,603 – $22,389 · median $9,495 | 28 plans |
| 813 | COAGULATION DISORDERS | $10,694 – $36,327 · median $15,257 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,746 – $50,134 · median $20,738 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,249 – $24,588 · median $10,443 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,675 – $15,819 · median $6,607 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,790 – $53,690 · median $22,149 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,227 – $27,922 · median $11,859 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,210 – $21,051 · median $8,907 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,934 – $135,954 · median $54,802 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,500 – $52,703 · median $21,757 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,529 – $28,951 · median $12,296 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,309 – $106,568 · median $43,138 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,682 – $53,323 · median $22,004 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,509 – $32,289 · median $13,655 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,936 – $108,703 · median $43,985 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,989 – $54,370 · median $22,419 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,897 – $40,425 · median $16,884 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,709 – $73,857 · median $30,154 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,557 – $35,861 · median $15,072 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,519 – $28,916 · median $12,281 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,278 – $17,876 · median $7,511 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,939 – $13,314 · median $4,601 | 28 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,408 – $127,347 · median $43,857 | 28 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,471 – $49,195 · median $20,365 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,633 – $29,306 · median $11,290 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $46,729 – $159,025 · median $57,011 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,481 – $49,232 · median $20,380 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,145 – $34,458 · median $14,516 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,213 – $75,576 · median $30,083 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,409 – $38,763 · median $16,224 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,224 – $24,506 · median $10,193 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,857 – $47,106 · median $19,536 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $29,258 · median $10,090 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,154 – $20,860 · median $8,823 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $60,828 · median $20,958 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,231 – $31,343 · median $11,078 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $20,810 · median $7,182 | 28 plans |
| 849 | RADIOTHERAPY | $18,673 – $63,514 · median $26,049 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,693 – $114,690 · median $46,362 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,880 – $47,182 · median $19,566 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,504 – $35,682 · median $15,001 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,066 – $105,739 · median $42,809 | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,846 – $50,474 · median $17,657 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,802 – $33,287 · median $14,051 | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,705 – $43,178 · median $17,977 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,140 – $24,219 · median $10,286 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,398 – $21,689 · median $9,188 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,512 – $35,707 · median $15,011 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,276 – $21,273 · median $8,605 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,520 – $49,365 · median $20,433 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,364 – $24,981 · median $10,610 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,333 – $18,061 · median $7,593 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,989 – $159,992 · median $64,343 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,505 – $45,905 · median $19,059 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,311 – $24,802 · median $10,534 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,459 – $90,040 · median $36,577 | 28 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,886 – $23,353 · median $9,919 | 28 plans |
| 881 | DEPRESSIVE NEUROSES | $6,756 – $22,910 · median $9,724 | 28 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $25,961 · median $8,955 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $46,452 · median $16,009 | 28 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,257 – $38,246 · median $16,019 | 28 plans |
| 885 | PSYCHOSES | $9,828 – $33,377 · median $14,086 | 28 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,400 – $48,954 · median $20,269 | 28 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,632 – $25,895 · median $10,998 | 28 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,573 – $15,472 · median $6,455 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,955 – $33,809 · median $14,258 | 28 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,175 – $41,373 · median $17,260 | 28 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,365 – $21,576 · median $9,138 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,694 – $97,655 · median $39,600 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,316 – $45,262 · median $18,804 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,297 – $28,161 · median $11,960 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,166 – $85,637 · median $34,830 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,411 – $35,365 · median $14,876 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,652 – $46,406 · median $19,258 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,286 – $89,452 · median $36,344 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,860 – $47,115 · median $19,539 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,261 – $31,446 · median $13,320 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,430 – $38,836 · median $16,253 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,383 – $21,638 · median $9,165 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,747 – $39,915 · median $16,682 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,906 – $16,606 · median $6,093 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,984 – $37,317 · median $15,650 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,191 – $20,986 · median $7,243 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,752 – $43,341 · median $18,041 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,170 – $24,320 · median $8,390 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,055 – $17,113 · median $5,909 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,204 – $41,472 · median $17,300 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $24,673 · median $8,512 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $144,280 – $491,479 · median $195,918 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,747 – $165,981 · median $58,151 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,118 – $75,253 · median $30,708 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,656 – $90,713 · median $36,844 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,312 – $52,060 · median $21,502 | 28 plans |
| 935 | NON-EXTENSIVE BURNS | $14,297 – $48,603 · median $17,158 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,866 – $84,613 · median $34,423 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,163 – $54,960 · median $22,653 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,079 – $47,861 · median $19,836 | 28 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,851 – $36,862 · median $15,470 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,143 – $27,637 · median $11,738 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,970 – $30,452 · median $12,926 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,810 – $19,687 · median $8,308 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,433 – $28,622 · median $9,871 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,646 – $15,720 · median $6,564 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,163 – $14,074 · median $5,840 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $45,772 – $155,843 · median $62,696 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,772 – $87,701 · median $35,649 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $51,760 – $176,248 · median $70,795 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,810 – $98,053 · median $39,758 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,254 – $68,900 · median $28,186 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,837 – $64,072 · median $26,270 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,743 – $36,495 · median $15,324 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,753 – $22,901 · median $9,720 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $74,447 – $303,945 · median $104,745 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,187 – $61,859 · median $25,392 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,862 – $67,566 · median $27,657 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,142 – $31,040 · median $12,563 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,499 – $22,033 · median $9,339 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,160 – $31,102 · median $13,183 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,030 – $109,024 · median $44,113 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,982 – $57,752 · median $23,761 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,965 – $40,659 · median $16,977 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $80,019 · median $27,564 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,491 – $39,043 · median $16,335 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,497 – $28,840 · median $12,249 | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $165,107 · median $57,140 | 27 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,095 – $109,245 · median $50,229 | 27 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,386 – $86,387 · median $40,070 | 27 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $189,247 – $644,688 · median $305,274 | 26 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $108,394 – $332,157 · median $149,301 | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,656 – $238,020 · median $119,010 | 25 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $56,395 – $232,284 · median $81,236 | 25 plans |
| 007 | LUNG TRANSPLANT | $157,500 – $1,059,786 · median $370,748 | 25 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $68,163 – $225,614 · median $85,201 | 25 plans |
| 010 | PANCREAS TRANSPLANT | $54,186 – $166,050 · median $83,025 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $277,219 · median $96,862 | 25 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,857 – $137,444 · median $68,722 | 25 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $126,025 · median $44,034 | 25 plans |
| 652 | KIDNEY TRANSPLANT | $24,641 – $75,452 · median $37,726 | 25 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $5,689 | 7 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $10,883 | 7 plans |
No procedures match that keyword.