The Orthopedic Hospital of Lutheran — 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 |
|---|---|---|---|
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,371 – $36,811 · median $18,405 | 52 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,789 – $26,668 · median $13,334 | 52 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,864 – $34,821 · median $17,411 | 52 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,882 – $101,676 · median $50,838 | 52 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,576 – $57,260 · median $28,630 | 52 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,055 – $43,426 · median $21,713 | 52 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,502 – $225,888 · median $112,944 | 52 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $56,496 – $221,936 · median $110,968 | 52 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $37,972 – $149,170 · median $74,585 | 52 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,972 – $149,170 · median $52,476 | 52 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,342 – $174,193 · median $87,096 | 52 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $30,797 – $120,982 · median $60,491 | 52 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,107 – $114,344 · median $57,172 | 52 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $28,571 – $112,238 · median $56,119 | 52 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,188 – $71,451 · median $35,725 | 52 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $48,683 – $191,244 · median $95,622 | 52 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $35,012 – $137,538 · median $68,769 | 52 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $44,151 – $173,442 · median $86,721 | 52 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,547 – $123,929 · median $61,964 | 52 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $33,891 – $133,137 · median $66,569 | 52 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,190 – $95,029 · median $47,514 | 52 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,438 – $72,433 · median $36,216 | 52 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,306 – $48,342 · median $24,171 | 52 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,438 – $41,006 · median $20,503 | 52 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,604 – $49,513 · median $24,756 | 52 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,631 – $33,905 · median $16,952 | 52 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,146 – $71,283 · median $35,641 | 52 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,678 – $45,874 · median $22,937 | 52 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,785 – $73,794 · median $36,897 | 52 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,918 – $42,889 · median $21,444 | 52 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,413 – $36,976 · median $18,488 | 52 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,115 – $55,450 · median $27,725 | 52 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,545 – $104,278 · median $52,139 | 52 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,910 – $82,140 · median $41,070 | 52 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,916 – $58,594 · median $29,297 | 52 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,804 – $34,585 · median $17,293 | 52 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,781 – $54,139 · median $27,069 | 52 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,769 – $38,376 · median $19,188 | 52 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,887 – $30,985 · median $15,492 | 52 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,517 – $68,812 · median $34,406 | 52 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,139 – $43,760 · median $21,880 | 52 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,014 – $66,836 · median $33,418 | 52 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,099 – $55,384 · median $27,692 | 52 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,819 – $66,069 · median $33,035 | 52 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,646 – $57,535 · median $27,616 | 52 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,588 – $45,520 · median $22,760 | 52 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,675 – $65,505 · median $32,752 | 52 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,711 – $34,220 · median $17,110 | 52 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,659 – $34,016 · median $17,008 | 52 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,386 – $72,229 · median $36,114 | 52 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,568 – $41,516 · median $20,758 | 52 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,962 – $35,205 · median $17,602 | 52 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,863 – $66,244 · median $33,122 | 52 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,596 – $41,625 · median $20,812 | 52 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,188 – $24,311 · median $12,155 | 52 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,174 – $55,697 · median $27,849 | 52 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,122 – $24,050 · median $12,025 | 52 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,531 – $21,729 · median $10,864 | 52 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,526 – $37,421 · median $18,711 | 52 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,450 – $25,336 · median $12,668 | 52 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,537 – $21,752 · median $10,876 | 52 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,739 – $26,475 · median $13,237 | 52 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,777 – $22,695 · median $11,348 | 52 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,527 – $21,713 · median $10,857 | 52 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,176 – $51,761 · median $25,881 | 52 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,694 – $26,298 · median $13,149 | 52 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,966 – $19,508 · median $9,754 | 52 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $122,576 – $481,522 · median $240,761 | 51 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $79,992 – $314,238 · median $157,119 | 51 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,497 – $123,734 · median $61,867 | 51 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $24,347 – $95,646 · median $47,823 | 51 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,642 – $65,378 · median $32,689 | 51 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $161,858 · median $56,111 | 51 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $45,442 – $178,514 · median $89,257 | 51 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,572 – $120,097 · median $60,048 | 51 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,349 – $72,084 · median $36,042 | 51 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,092 – $130,000 · median $65,000 | 51 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,591 – $88,747 · median $44,373 | 51 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $26,257 – $103,148 · median $51,574 | 51 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,956 – $70,536 · median $35,268 | 51 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,570 – $57,235 · median $28,618 | 51 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $34,698 – $136,306 · median $68,153 | 51 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,702 – $77,397 · median $38,698 | 51 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,677 – $49,801 · median $24,901 | 51 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,875 – $101,646 · median $50,823 | 51 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,307 – $48,345 · median $24,172 | 51 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,603 – $37,725 · median $18,863 | 51 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,353 – $87,812 · median $43,906 | 51 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,805 – $54,232 · median $27,116 | 51 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,220 – $44,075 · median $22,038 | 51 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $19,012 – $74,686 · median $37,343 | 51 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,298 – $87,597 · median $43,798 | 51 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,697 – $49,880 · median $24,940 | 51 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,977 – $39,195 · median $19,598 | 51 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,888 – $23,131 · median $11,565 | 51 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,614 – $45,622 · median $22,811 | 51 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,834 – $22,920 · median $11,460 | 51 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,952 – $15,527 · median $7,763 | 51 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,482 – $33,319 · median $16,660 | 51 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,992 – $19,610 · median $9,805 | 51 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,142 – $39,842 · median $19,921 | 51 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,908 – $23,208 · median $11,604 | 51 plans |
| 100 | SEIZURES WITH MCC | $11,185 – $43,939 · median $21,969 | 51 plans |
| 101 | SEIZURES WITHOUT MCC | $5,213 – $20,477 · median $10,238 | 51 plans |
| 102 | HEADACHES WITH MCC | $6,473 – $25,429 · median $12,715 | 51 plans |
| 103 | HEADACHES WITHOUT MCC | $4,830 – $18,973 · median $9,486 | 51 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,578 – $53,338 · median $26,669 | 51 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,814 – $30,695 · median $15,347 | 51 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,442 – $41,019 · median $20,510 | 51 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,265 – $24,612 · median $12,306 | 51 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,532 – $49,229 · median $24,615 | 51 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,863 – $23,033 · median $11,517 | 51 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,623 – $33,875 · median $16,938 | 51 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,118 – $20,105 · median $10,052 | 51 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,136 – $28,034 · median $14,017 | 51 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,632 – $96,764 · median $48,382 | 51 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,596 – $49,481 · median $24,741 | 51 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,219 – $36,216 · median $18,108 | 51 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,637 – $84,997 · median $42,498 | 51 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,008 – $39,313 · median $19,657 | 51 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,943 – $27,276 · median $13,638 | 51 plans |
| 149 | DYSEQUILIBRIUM | $4,340 – $17,051 · median $8,526 | 51 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,263 – $16,747 · median $8,374 | 51 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $20,792 · median $7,208 | 51 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,991 – $15,679 · median $7,839 | 51 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,915 – $38,948 · median $19,474 | 51 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,585 – $84,795 · median $42,397 | 51 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,415 – $40,913 · median $20,456 | 51 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,891 – $30,999 · median $15,499 | 51 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $67,524 · median $23,408 | 51 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,933 – $31,162 · median $15,581 | 51 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,649 – $18,263 · median $9,131 | 51 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,199 – $40,064 · median $20,032 | 51 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,185 – $24,297 · median $12,149 | 51 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,353 – $17,101 · median $8,550 | 51 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,000 – $35,357 · median $12,257 | 51 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,134 – $28,027 · median $14,013 | 51 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,397 – $25,130 · median $12,565 | 51 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,868 – $19,125 · median $9,562 | 51 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,708 – $14,565 · median $7,282 | 51 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,591 – $29,819 · median $13,357 | 51 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,630 – $14,258 · median $7,129 | 51 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,609 – $22,033 · median $11,016 | 51 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,869 – $15,200 · median $7,600 | 51 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,663 – $18,317 · median $9,158 | 51 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $62,798 – $246,694 · median $123,347 | 51 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,423 – $111,655 · median $55,828 | 51 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,462 – $64,667 · median $32,334 | 51 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,995 – $31,407 · median $15,703 | 51 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,348 – $103,504 · median $51,752 | 51 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,145 – $79,137 · median $39,568 | 51 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,990 – $58,885 · median $29,442 | 51 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,289 – $40,420 · median $20,210 | 51 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,577 – $61,194 · median $30,597 | 51 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,805 – $38,519 · median $19,260 | 51 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,307 – $24,778 · median $12,389 | 51 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,656 – $69,361 · median $34,681 | 51 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,292 – $75,786 · median $37,893 | 51 plans |
| 265 | AICD LEAD PROCEDURES | $20,895 – $82,084 · median $41,042 | 51 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $35,392 – $139,031 · median $69,515 | 51 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $27,494 – $108,005 · median $54,003 | 51 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $39,720 – $156,034 · median $78,017 | 51 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $24,389 – $95,809 · median $47,904 | 51 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,471 – $119,700 · median $59,850 | 51 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,538 – $80,679 · median $40,340 | 51 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,744 – $57,918 · median $28,959 | 51 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,825 – $93,593 · median $46,796 | 51 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,010 – $74,677 · median $37,338 | 51 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $41,178 – $161,763 · median $80,881 | 51 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $34,688 – $136,268 · median $68,134 | 51 plans |
| 277 | CELLULITIS AGE >17 W CC | $26,672 – $104,777 · median $52,388 | 51 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $126,277 · median $43,776 | 51 plans |
| 279 | CELLULITIS AGE 0-17 | $20,827 – $81,816 · median $28,363 | 51 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,264 – $36,391 · median $18,196 | 51 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,308 – $20,851 · median $10,426 | 51 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,176 – $16,405 · median $8,202 | 51 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,439 – $44,937 · median $22,469 | 51 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,997 – $15,703 · median $7,852 | 51 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,459 – $13,587 · median $5,503 | 51 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,779 – $50,200 · median $25,100 | 51 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,180 – $24,277 · median $12,138 | 51 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,414 – $29,125 · median $14,562 | 51 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,903 – $19,261 · median $9,630 | 51 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,269 – $12,840 · median $6,420 | 51 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,429 – $37,040 · median $18,520 | 51 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,165 – $24,218 · median $12,109 | 51 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,156 – $16,327 · median $7,548 | 51 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,888 – $15,272 · median $7,636 | 51 plans |
| 304 | HYPERTENSION WITH MCC | $6,872 – $26,997 · median $13,498 | 51 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,361 – $17,130 · median $8,565 | 51 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,953 – $27,314 · median $9,910 | 51 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,249 – $16,690 · median $8,345 | 51 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,269 – $12,843 · median $4,793 | 51 plans |
| 313 | CHEST PAIN | $4,158 – $16,334 · median $8,167 | 51 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,042 – $47,306 · median $23,653 | 51 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,563 – $21,854 · median $9,036 | 51 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,773 – $101,247 · median $50,623 | 51 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,891 – $54,567 · median $27,284 | 51 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,713 – $61,725 · median $30,863 | 51 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,181 – $39,996 · median $17,584 | 51 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $24,991 – $98,173 · median $49,086 | 51 plans |
| 324 | URINARY STONES W/O CC | $18,197 – $71,485 · median $24,781 | 51 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,540 – $72,832 · median $36,416 | 51 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,802 – $113,146 · median $56,573 | 51 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,253 – $36,350 · median $18,175 | 51 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,844 – $54,384 · median $27,192 | 51 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,719 – $38,179 · median $19,089 | 51 plans |
| 333 | RECTAL RESECTION WITH CC | $13,526 – $53,136 · median $26,568 | 51 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,459 – $37,158 · median $18,579 | 51 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,622 – $81,011 · median $40,505 | 51 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,178 – $47,839 · median $23,919 | 51 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,865 – $34,824 · median $17,412 | 51 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,690 – $34,136 · median $17,068 | 51 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,850 – $26,911 · median $13,455 | 51 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,257 – $52,079 · median $26,039 | 51 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $29,692 · median $10,293 | 51 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,028 – $19,751 · median $9,875 | 51 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,391 – $56,532 · median $19,598 | 51 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,744 – $26,493 · median $13,247 | 51 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,759 – $65,836 · median $32,918 | 51 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,716 – $38,168 · median $19,084 | 51 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,767 – $30,513 · median $15,257 | 51 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,368 – $99,657 · median $49,828 | 51 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,430 – $52,757 · median $26,379 | 51 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,073 – $31,713 · median $15,857 | 51 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,985 – $27,441 · median $13,721 | 51 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,338 – $20,969 · median $10,484 | 51 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,557 – $41,471 · median $20,735 | 51 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,664 – $22,249 · median $11,124 | 51 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,641 – $14,301 · median $7,151 | 51 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,138 – $35,897 · median $17,948 | 51 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,638 – $22,149 · median $11,074 | 51 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,935 – $15,456 · median $7,728 | 51 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,324 – $28,773 · median $10,845 | 51 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,502 – $17,686 · median $8,843 | 51 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,236 – $36,282 · median $18,141 | 51 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,404 – $21,228 · median $10,614 | 51 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,748 – $14,723 · median $7,362 | 51 plans |
| 397 | COAGULATION DISORDERS | $13,831 – $54,332 · median $27,166 | 51 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,741 – $34,338 · median $17,169 | 51 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,611 – $25,969 · median $12,985 | 51 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $31,592 – $124,106 · median $62,053 | 51 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,749 – $65,795 · median $32,897 | 51 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,818 – $50,355 · median $25,177 | 51 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $20,591 – $80,890 · median $40,445 | 51 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,574 – $49,395 · median $24,697 | 51 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,169 – $36,019 · median $18,010 | 51 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,077 – $74,940 · median $37,470 | 51 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,142 – $47,698 · median $23,849 | 51 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,589 – $37,671 · median $18,835 | 51 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $20,574 – $80,822 · median $40,411 | 51 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,935 – $46,886 · median $23,443 | 51 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,873 – $30,928 · median $15,464 | 51 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,676 – $77,295 · median $26,795 | 51 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,034 – $39,418 · median $19,709 | 51 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,082 – $31,750 · median $15,875 | 51 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,984 – $94,216 · median $47,108 | 51 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,635 – $49,635 · median $24,818 | 51 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,664 – $34,036 · median $17,018 | 51 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,607 – $41,668 · median $20,834 | 51 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,532 – $25,661 · median $12,830 | 51 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,928 – $19,358 · median $9,679 | 51 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,414 – $36,983 · median $18,492 | 51 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,858 – $19,084 · median $9,542 | 51 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,589 – $14,097 · median $7,049 | 51 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,041 – $15,874 · median $7,937 | 51 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,649 – $37,907 · median $18,953 | 51 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $48,530 – $190,642 · median $95,321 | 51 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,437 – $135,281 · median $67,640 | 51 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,097 – $94,661 · median $47,331 | 51 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $31,895 – $125,297 · median $62,648 | 51 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,362 – $60,346 · median $30,173 | 51 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,915 – $129,301 · median $64,650 | 51 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,987 – $70,661 · median $35,331 | 51 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,532 – $41,373 · median $20,687 | 51 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $30,061 – $118,091 · median $59,046 | 51 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,366 – $80,006 · median $40,003 | 51 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,870 – $62,342 · median $31,171 | 51 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $27,886 – $109,546 · median $54,773 | 51 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,792 – $97,390 · median $48,695 | 51 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,142 – $51,627 · median $25,814 | 51 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,816 – $26,774 · median $13,387 | 51 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,950 – $78,372 · median $39,186 | 51 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,202 – $55,790 · median $27,895 | 51 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,735 – $42,172 · median $21,086 | 51 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,096 – $47,517 · median $23,758 | 51 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,419 – $37,001 · median $18,501 | 51 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,008 – $62,884 · median $31,442 | 51 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,637 – $73,211 · median $36,606 | 51 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,076 – $47,439 · median $23,720 | 51 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,045 – $35,531 · median $17,766 | 51 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,215 – $40,130 · median $20,065 | 51 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,450 – $25,336 · median $12,668 | 51 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,203 – $83,295 · median $41,648 | 51 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,938 – $82,254 · median $41,127 | 51 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,418 – $40,924 · median $20,462 | 51 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,978 – $27,412 · median $13,706 | 51 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,422 – $68,440 · median $27,947 | 51 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,635 – $45,708 · median $22,854 | 51 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,277 – $71,798 · median $35,899 | 51 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,095 – $39,658 · median $19,829 | 51 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,773 – $30,534 · median $15,267 | 51 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,119 – $63,320 · median $31,660 | 51 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,795 – $42,405 · median $21,203 | 51 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,353 – $40,672 · median $20,336 | 51 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,792 – $30,608 · median $15,304 | 51 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,432 – $40,981 · median $20,490 | 51 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,746 – $34,356 · median $17,178 | 51 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,443 – $68,524 · median $34,262 | 51 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,009 – $47,174 · median $23,587 | 51 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,560 – $37,555 · median $18,777 | 51 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,092 – $35,715 · median $17,858 | 51 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,904 – $23,192 · median $11,596 | 51 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,404 – $72,299 · median $36,150 | 51 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,001 – $47,144 · median $23,572 | 51 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,874 – $34,862 · median $17,431 | 51 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,583 – $84,786 · median $42,393 | 51 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,551 – $45,377 · median $22,689 | 51 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,627 – $33,891 · median $16,946 | 51 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,575 – $65,114 · median $32,557 | 51 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,230 – $48,043 · median $24,021 | 51 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,661 – $26,166 · median $13,083 | 51 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,829 – $18,970 · median $9,485 | 51 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $38,025 · median $13,182 | 51 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,552 – $21,808 · median $10,904 | 51 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,794 – $18,832 · median $9,416 | 51 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,633 – $29,987 · median $14,993 | 51 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,797 – $18,843 · median $9,422 | 51 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,172 – $20,316 · median $10,158 | 51 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,914 – $35,019 · median $17,509 | 51 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,627 – $22,106 · median $11,053 | 51 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $16,999 · median $5,893 | 51 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,985 – $66,723 · median $33,361 | 51 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,757 – $38,329 · median $19,164 | 51 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,620 – $26,005 · median $13,003 | 51 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,834 – $148,627 · median $59,671 | 51 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,047 – $78,753 · median $39,377 | 51 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,378 – $40,767 · median $20,384 | 51 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $111,190 · median $38,546 | 51 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,308 – $60,135 · median $30,067 | 51 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,277 – $36,443 · median $18,222 | 51 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,702 – $73,470 · median $36,735 | 51 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,979 – $39,202 · median $18,014 | 51 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,334 – $32,739 · median $16,369 | 51 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,126 – $43,708 · median $21,854 | 51 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,958 – $39,120 · median $19,560 | 51 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,363 – $48,565 · median $24,282 | 51 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,141 – $43,764 · median $21,882 | 51 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,533 – $25,665 · median $12,833 | 51 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,443 – $17,455 · median $8,727 | 51 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,015 – $23,630 · median $11,815 | 51 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,494 – $13,725 · median $6,863 | 51 plans |
| 602 | CELLULITIS WITH MCC | $8,208 – $32,244 · median $16,122 | 51 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,029 – $19,758 · median $9,879 | 51 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,290 – $20,781 · median $10,390 | 51 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,234 – $20,563 · median $7,412 | 51 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,658 – $49,724 · median $24,862 | 51 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,081 – $31,745 · median $15,873 | 51 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,140 – $79,116 · median $39,558 | 51 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,801 – $42,430 · median $21,215 | 51 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,191 – $32,176 · median $16,088 | 51 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,242 – $36,305 · median $18,152 | 51 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,554 – $80,745 · median $40,373 | 51 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,360 – $40,697 · median $20,349 | 51 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,230 – $28,401 · median $14,201 | 51 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,441 – $68,515 · median $34,258 | 51 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,671 – $30,134 · median $15,067 | 51 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,522 – $84,547 · median $42,274 | 51 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,583 – $49,429 · median $24,715 | 51 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,429 – $33,111 · median $16,555 | 51 plans |
| 637 | DIABETES WITH MCC | $8,297 – $32,593 · median $16,297 | 51 plans |
| 638 | DIABETES WITH CC | $5,176 – $20,332 · median $10,166 | 51 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,587 – $14,093 · median $7,046 | 51 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,713 – $30,300 · median $10,504 | 51 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,494 – $17,655 · median $8,827 | 51 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $32,262 · median $11,184 | 51 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,919 – $23,254 · median $11,627 | 51 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,437 – $17,430 · median $8,715 | 51 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,009 – $117,887 · median $58,944 | 51 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,166 – $63,506 · median $31,753 | 51 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,223 – $48,018 · median $24,009 | 51 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,674 – $57,644 · median $28,822 | 51 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,633 – $29,985 · median $14,992 | 51 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,979 – $23,489 · median $11,745 | 51 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,680 – $69,454 · median $33,134 | 51 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,779 – $34,488 · median $17,244 | 51 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,046 – $23,750 · median $11,875 | 51 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,025 – $70,809 · median $35,404 | 51 plans |
| 666 | PROSTATECTOMY WITH CC | $10,102 – $39,685 · median $19,843 | 51 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,388 – $25,096 · median $12,548 | 51 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,963 – $35,209 · median $17,605 | 51 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,644 – $22,171 · median $11,086 | 51 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,366 – $40,722 · median $20,361 | 51 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,234 – $24,490 · median $12,245 | 51 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,264 – $95,319 · median $47,659 | 51 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,505 – $53,054 · median $26,527 | 51 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,479 – $37,237 · median $18,619 | 51 plans |
| 682 | RENAL FAILURE WITH MCC | $8,553 – $33,598 · median $16,799 | 51 plans |
| 683 | RENAL FAILURE WITH CC | $5,058 – $19,869 · median $9,934 | 51 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,467 – $13,619 · median $6,809 | 51 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,675 – $18,365 · median $9,182 | 51 plans |
| 693 | URINARY STONES WITH MCC | $7,764 – $30,502 · median $15,251 | 51 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,514 – $17,734 · median $8,867 | 51 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,979 – $15,631 · median $5,419 | 51 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,862 – $23,027 · median $11,513 | 51 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,552 – $45,380 · median $22,690 | 51 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,860 – $34,805 · median $17,403 | 51 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,439 – $52,793 · median $26,397 | 51 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,092 – $31,788 · median $15,894 | 51 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,034 – $47,274 · median $23,637 | 51 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,351 – $24,948 · median $12,474 | 51 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,682 – $34,107 · median $17,053 | 51 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,106 – $23,989 · median $11,994 | 51 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,920 – $50,756 · median $19,973 | 51 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,495 – $33,372 · median $16,686 | 51 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,918 – $42,889 · median $21,444 | 51 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,756 – $30,470 · median $15,235 | 51 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,599 – $25,924 · median $12,962 | 51 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,787 – $14,875 · median $7,438 | 51 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,301 – $48,322 · median $24,161 | 51 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,770 – $30,524 · median $15,262 | 51 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,643 – $81,092 · median $40,546 | 51 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,900 – $46,747 · median $23,374 | 51 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,481 – $33,315 · median $16,657 | 51 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,691 – $81,281 · median $40,640 | 51 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,450 – $41,053 · median $20,527 | 51 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,236 – $32,353 · median $16,177 | 51 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,165 – $28,147 · median $14,073 | 51 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,834 – $46,487 · median $23,243 | 51 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,569 – $25,806 · median $12,903 | 51 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,032 – $39,408 · median $19,704 | 51 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,965 – $19,503 · median $9,752 | 51 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,012 – $31,473 · median $15,034 | 51 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,828 – $58,249 · median $29,125 | 51 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,523 – $33,481 · median $16,740 | 51 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,818 – $22,856 · median $11,428 | 51 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,295 – $12,943 · median $6,471 | 51 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,759 – $38,335 · median $19,168 | 51 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,791 – $22,748 · median $11,374 | 51 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $92,084 · median $31,922 | 51 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $55,563 · median $19,262 | 51 plans |
| 795 | NORMAL NEWBORN | $1,154 – $4,533 · median $2,266 | 51 plans |
| 799 | SPLENECTOMY WITH MCC | $26,154 – $102,744 · median $51,372 | 51 plans |
| 800 | SPLENECTOMY WITH CC | $16,224 – $63,735 · median $31,868 | 51 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,024 – $43,306 · median $21,653 | 51 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,008 – $90,385 · median $45,192 | 51 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,735 – $42,172 · median $21,086 | 51 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,831 – $30,763 · median $15,381 | 51 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,232 – $24,483 · median $12,242 | 51 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,354 – $17,106 · median $8,553 | 51 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,894 – $15,295 · median $7,648 | 51 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,110 – $31,858 · median $15,929 | 51 plans |
| 813 | COAGULATION DISORDERS | $8,809 – $34,604 · median $17,302 | 51 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,856 – $23,004 · median $11,502 | 51 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,650 – $14,338 · median $7,169 | 51 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,869 – $133,051 · median $66,525 | 51 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,928 – $50,786 · median $25,393 | 51 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,953 – $27,314 · median $13,657 | 51 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,477 – $104,012 · median $52,006 | 51 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,084 – $51,398 · median $25,699 | 51 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,793 – $30,613 · median $15,306 | 51 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $27,014 – $106,122 · median $53,061 | 51 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,347 – $52,433 · median $26,216 | 51 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,839 – $38,653 · median $19,326 | 51 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,249 – $71,689 · median $35,844 | 51 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,691 – $34,143 · median $17,071 | 51 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,421 – $37,010 · median $18,505 | 51 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,835 – $22,922 · median $11,461 | 51 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $58,814 · median $20,389 | 51 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,555 – $29,678 · median $11,204 | 51 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,905 – $19,270 · median $6,680 | 51 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $28,520 – $112,039 · median $56,019 | 51 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,539 – $45,330 · median $22,665 | 51 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,646 – $33,966 · median $16,983 | 51 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,269 – $103,193 · median $51,597 | 51 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,367 – $48,583 · median $17,677 | 51 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,044 – $31,600 · median $15,800 | 51 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,022 – $19,728 · median $9,777 | 51 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,218 – $44,068 · median $22,034 | 51 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,910 – $23,215 · median $11,607 | 51 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $44,608 · median $15,464 | 51 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,175 – $32,115 · median $16,057 | 51 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,235 – $95,206 · median $47,603 | 51 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,056 – $43,433 · median $21,717 | 51 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,754 – $26,534 · median $13,267 | 51 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,212 – $83,329 · median $41,665 | 51 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,567 – $33,653 · median $16,826 | 51 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,344 – $44,563 · median $22,281 | 51 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,172 – $87,100 · median $43,550 | 51 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,522 – $45,264 · median $22,632 | 51 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,581 – $29,780 · median $14,890 | 51 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,711 – $38,149 · median $19,075 | 51 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,950 – $19,444 · median $6,775 | 51 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,955 – $82,317 · median $41,159 | 51 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,496 – $53,016 · median $26,508 | 51 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,710 – $46,001 · median $23,001 | 51 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,943 – $35,132 · median $17,566 | 51 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,623 – $26,017 · median $13,008 | 51 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,623 – $18,160 · median $9,080 | 51 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,625 – $14,240 · median $7,120 | 51 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,211 – $12,614 · median $6,307 | 51 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,872 – $152,704 · median $76,352 | 51 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,731 – $85,369 · median $42,684 | 51 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $44,005 – $172,868 · median $86,434 | 51 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,335 – $95,598 · median $47,799 | 51 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,002 – $66,791 · median $33,395 | 51 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,351 – $138,870 · median $69,435 | 51 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,231 – $59,833 · median $29,916 | 51 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,095 – $106,440 · median $53,220 | 51 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,198 – $55,774 · median $27,887 | 51 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,898 – $38,884 · median $19,442 | 51 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $77,778 · median $26,963 | 51 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,492 – $37,287 · median $18,644 | 51 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,925 – $27,205 · median $13,603 | 51 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $249,381 – $979,660 · median $489,830 | 50 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,460 – $41,092 · median $20,546 | 50 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,655 – $22,214 · median $11,107 | 50 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,818 – $34,640 · median $17,320 | 50 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,416 – $52,703 · median $26,351 | 50 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,482 – $29,392 · median $14,696 | 50 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,872 – $38,782 · median $19,391 | 50 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,166 – $28,151 · median $14,076 | 50 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,312 – $20,867 · median $10,433 | 50 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,922 – $62,549 · median $31,274 | 50 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,148 – $39,864 · median $19,932 | 50 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,107 – $31,847 · median $15,924 | 50 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,613 – $18,122 · median $9,061 | 50 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,614 – $37,768 · median $18,884 | 50 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,925 – $23,276 · median $11,638 | 50 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,367 – $17,155 · median $8,578 | 50 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,265 – $36,396 · median $12,658 | 50 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,953 – $23,385 · median $11,693 | 50 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,074 – $43,501 · median $21,751 | 50 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,766 – $18,721 · median $9,360 | 50 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,453 – $41,062 · median $20,531 | 50 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,172 – $20,318 · median $10,159 | 50 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,199 – $51,852 · median $25,926 | 50 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,061 – $31,666 · median $15,833 | 50 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,520 – $21,684 · median $10,842 | 50 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,120 – $51,541 · median $25,771 | 50 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,523 – $29,554 · median $14,777 | 50 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,282 – $20,751 · median $9,450 | 50 plans |
| 088 | CONCUSSION WITH MCC | $7,807 – $30,667 · median $15,334 | 50 plans |
| 089 | CONCUSSION WITH CC | $6,344 – $24,923 · median $10,638 | 50 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,754 – $18,675 · median $9,338 | 50 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,599 – $18,065 · median $9,033 | 50 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,325 – $79,842 · median $39,921 | 50 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,895 – $58,513 · median $29,256 | 50 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,895 – $58,513 · median $25,580 | 50 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,858 – $81,939 · median $40,969 | 50 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,253 – $52,063 · median $18,048 | 50 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,868 – $30,908 · median $15,454 | 50 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,718 – $26,391 · median $12,191 | 50 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,538 – $17,827 · median $8,913 | 50 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,612 – $18,117 · median $9,059 | 50 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,641 – $30,016 · median $15,008 | 50 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,434 – $17,419 · median $8,709 | 50 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,228 – $48,036 · median $19,340 | 50 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,343 – $28,846 · median $14,423 | 50 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,603 – $18,083 · median $9,042 | 50 plans |
| 150 | EPISTAXIS WITH MCC | $7,689 – $30,207 · median $15,103 | 50 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,239 – $16,652 · median $8,326 | 50 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,827 – $26,820 · median $13,410 | 50 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,029 – $35,470 · median $17,735 | 50 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,254 – $20,640 · median $9,378 | 50 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,092 – $16,073 · median $8,037 | 50 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,025 – $35,452 · median $17,726 | 50 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,636 – $22,142 · median $11,071 | 50 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,360 – $17,128 · median $8,564 | 50 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,835 – $34,708 · median $17,354 | 50 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,145 – $24,141 · median $9,037 | 50 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,542 – $17,843 · median $8,862 | 50 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,712 – $22,439 · median $11,220 | 50 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,142 – $16,271 · median $8,135 | 50 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,654 – $18,283 · median $9,141 | 50 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,899 – $42,814 · median $21,407 | 50 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,481 – $21,532 · median $10,766 | 50 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,136 – $16,248 · median $8,124 | 50 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,188 – $40,021 · median $20,010 | 50 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,348 – $24,939 · median $12,470 | 50 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,130 – $16,223 · median $8,112 | 50 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,574 – $41,539 · median $20,769 | 50 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,435 – $21,350 · median $10,675 | 50 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $37,160 – $145,980 · median $72,990 | 50 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,874 – $62,358 · median $31,179 | 50 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,628 – $61,394 · median $30,697 | 50 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,857 – $38,723 · median $19,362 | 50 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,369 – $21,092 · median $10,546 | 50 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,020 – $35,434 · median $17,717 | 50 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,661 – $14,383 · median $7,192 | 50 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,628 – $10,325 · median $5,162 | 50 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,910 – $27,146 · median $13,573 | 50 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,100 – $35,749 · median $17,875 | 50 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,274 – $20,717 · median $10,359 | 50 plans |
| 311 | ANGINA PECTORIS | $4,053 – $15,924 · median $7,962 | 50 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,033 – $19,773 · median $9,887 | 50 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,939 – $15,474 · median $7,737 | 50 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,193 – $36,114 · median $18,057 | 50 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,776 – $22,691 · median $11,345 | 50 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,047 – $15,899 · median $7,949 | 50 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,240 – $40,225 · median $20,113 | 50 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,896 – $23,163 · median $11,581 | 50 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,201 – $16,502 · median $8,251 | 50 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $48,519 · median $16,820 | 50 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,332 – $44,515 · median $20,647 | 50 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,257 – $24,581 · median $12,290 | 50 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,623 – $18,163 · median $9,081 | 50 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,974 – $31,323 · median $15,662 | 50 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,936 – $19,392 · median $9,696 | 50 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,529 – $33,503 · median $16,752 | 50 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,561 – $17,918 · median $8,959 | 50 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,142 – $12,341 · median $6,171 | 50 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,366 – $44,651 · median $22,326 | 50 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,100 – $23,961 · median $11,981 | 50 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,115 – $16,164 · median $8,082 | 50 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,364 – $40,715 · median $20,358 | 50 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,575 – $21,899 · median $10,950 | 50 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,320 – $24,828 · median $12,414 | 50 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,778 – $18,768 · median $9,384 | 50 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,267 – $176,974 · median $77,435 | 50 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,429 – $82,984 · median $41,492 | 50 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,053 – $35,565 · median $17,783 | 50 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,655 – $18,287 · median $9,144 | 50 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,404 – $29,084 · median $14,542 | 50 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,664 – $18,321 · median $9,161 | 50 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,511 – $21,650 · median $10,825 | 50 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,160 – $16,341 · median $8,170 | 50 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $44,685 · median $15,491 | 50 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,486 – $29,408 · median $14,704 | 50 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,547 – $17,863 · median $8,932 | 50 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,202 – $40,075 · median $20,038 | 50 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,937 – $23,322 · median $11,661 | 50 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,358 – $17,119 · median $8,560 | 50 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $56,301 · median $19,518 | 50 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,151 – $43,805 · median $21,903 | 50 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,972 – $27,387 · median $13,693 | 50 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,048 – $19,830 · median $6,874 | 50 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,486 – $29,408 · median $14,704 | 50 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,587 – $33,732 · median $16,866 | 50 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,158 – $20,263 · median $10,132 | 50 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,770 – $42,308 · median $21,154 | 50 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,503 – $25,547 · median $12,774 | 50 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,643 – $18,238 · median $9,119 | 50 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,228 – $32,324 · median $12,082 | 50 plans |
| 592 | SKIN ULCERS WITH MCC | $11,176 – $43,905 · median $21,952 | 50 plans |
| 593 | SKIN ULCERS WITH CC | $6,851 – $26,913 · median $12,032 | 50 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,006 – $19,665 · median $9,832 | 50 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,247 – $48,111 · median $24,055 | 50 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,251 – $24,558 · median $8,513 | 50 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,628 – $37,820 · median $18,910 | 50 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,501 – $33,397 · median $16,698 | 50 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,739 – $34,329 · median $17,164 | 50 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,506 – $37,344 · median $18,672 | 50 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,416 – $40,919 · median $15,222 | 50 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,051 – $23,771 · median $11,885 | 50 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,564 – $17,929 · median $8,965 | 50 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,701 – $26,323 · median $13,161 | 50 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $25,949 · median $8,996 | 50 plans |
| 697 | URETHRAL STRICTURE | $6,224 – $24,451 · median $12,226 | 50 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,554 – $37,532 · median $18,766 | 50 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,984 – $15,651 · median $6,715 | 50 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,451 – $41,055 · median $20,528 | 50 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,758 – $26,548 · median $13,274 | 50 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,170 – $16,380 · median $8,190 | 50 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,564 – $33,642 · median $16,821 | 50 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,685 – $18,403 · median $9,202 | 50 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,114 – $24,018 · median $12,009 | 50 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $15,245 · median $7,623 | 50 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,636 – $41,781 · median $20,891 | 50 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,282 – $24,678 · median $12,339 | 50 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,547 – $21,790 · median $7,554 | 50 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,269 – $32,485 · median $16,242 | 50 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,654 – $22,210 · median $11,105 | 50 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,832 – $15,055 · median $7,527 | 50 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,781 – $14,853 · median $7,426 | 50 plans |
| 779 | ABORTION WITHOUT D&C | $4,859 – $19,086 · median $9,543 | 50 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $40,885 · median $14,174 | 50 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,751 – $50,089 · median $17,457 | 50 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,311 – $28,719 · median $14,359 | 50 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,044 – $23,744 · median $11,872 | 50 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,303 – $20,831 · median $10,415 | 50 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,282 – $48,247 · median $24,124 | 50 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,944 – $27,280 · median $13,640 | 50 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,167 – $16,370 · median $8,185 | 50 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,020 – $11,863 · median $4,370 | 50 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $31,704 – $124,546 · median $43,176 | 50 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,045 – $47,319 · median $23,660 | 50 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,043 – $27,666 · median $12,339 | 50 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,745 – $108,992 · median $54,496 | 50 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,055 – $47,355 · median $23,678 | 50 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,339 – $32,757 · median $16,378 | 50 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,682 – $73,388 · median $33,758 | 50 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,520 – $45,255 · median $22,627 | 50 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $27,618 · median $9,574 | 50 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,918 – $19,320 · median $9,660 | 50 plans |
| 849 | RADIOTHERAPY | $15,647 – $61,469 · median $30,734 | 50 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,532 – $41,373 · median $20,687 | 50 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,763 – $22,639 · median $11,319 | 50 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,126 – $20,139 · median $10,069 | 50 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,653 – $33,991 · median $16,995 | 50 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,088 – $47,487 · median $23,744 | 50 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,955 – $23,392 · median $11,696 | 50 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,214 – $16,554 · median $8,277 | 50 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $39,916 – $156,803 · median $78,402 | 50 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,320 – $87,680 · median $43,840 | 50 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,545 – $21,783 · median $10,892 | 50 plans |
| 881 | DEPRESSIVE NEUROSES | $5,434 – $21,346 · median $10,673 | 50 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $24,361 · median $8,445 | 50 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,291 – $36,500 · median $18,250 | 50 plans |
| 885 | PSYCHOSES | $8,067 – $31,688 · median $15,844 | 50 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,184 – $24,295 · median $12,147 | 50 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,440 – $37,083 · median $18,542 | 50 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,114 – $20,089 · median $10,044 | 50 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,848 – $15,116 · median $6,382 | 50 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,058 – $35,581 · median $17,791 | 50 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,573 – $41,534 · median $20,767 | 50 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,788 – $22,739 · median $7,883 | 50 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,976 – $15,617 · median $5,414 | 50 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,103 – $39,687 · median $19,844 | 50 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $23,088 · median $8,004 | 50 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $123,299 – $484,365 · median $242,182 | 50 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $41,422 – $162,722 · median $58,306 | 50 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,600 – $73,068 · median $36,534 | 50 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,331 – $28,798 · median $14,399 | 50 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,871 – $26,990 · median $9,357 | 50 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,788 – $62,020 · median $31,010 | 50 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,851 – $34,769 · median $17,385 | 50 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,431 – $21,337 · median $10,668 | 50 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,667 – $65,473 · median $32,736 | 50 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,479 – $29,379 · median $14,280 | 50 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,213 – $20,479 · median $10,239 | 50 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,494 – $29,440 · median $14,720 | 50 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,345 – $35,080 · median $17,540 | 49 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,546 – $22,639 · median $11,319 | 49 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,478 – $15,125 · median $7,562 | 49 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,192 – $27,859 · median $13,929 | 49 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,947 – $17,918 · median $8,959 | 49 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $59,135 – $273,656 · median $109,462 | 49 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $35,839 – $138,756 · median $69,378 | 49 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $30,750 – $146,158 · median $58,463 | 49 plans |
| 509 | ARTHROSCOPY | $11,748 – $136,253 · median $23,248 | 49 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $27,151 – $106,658 · median $53,329 | 49 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,401 – $84,071 · median $42,036 | 49 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,985 – $47,081 · median $23,540 | 49 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,563 – $13,995 · median $6,998 | 49 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,078 – $39,590 · median $19,795 | 49 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,098 – $20,027 · median $10,014 | 49 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,489 – $88,345 · median $44,173 | 49 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,766 – $50,150 · median $25,075 | 49 plans |
| 935 | NON-EXTENSIVE BURNS | $11,897 – $46,734 · median $17,333 | 49 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $134,836 · median $46,743 | 48 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $94,593 · median $32,792 | 48 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $33,483 · median $11,607 | 48 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $161,838 – $635,760 · median $317,880 | 47 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $65,441 – $257,077 · median $128,539 | 46 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $59,543 – $233,908 · median $116,954 | 46 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,779 – $105,197 · median $52,598 | 46 plans |
| 007 | LUNG TRANSPLANT | $74,787 – $373,269 · median $172,056 | 46 plans |
| 010 | PANCREAS TRANSPLANT | $41,440 – $162,790 · median $81,395 | 46 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $272,642 · median $94,516 | 46 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $34,244 – $134,523 · median $67,262 | 46 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $123,239 · median $42,723 | 46 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $32,367 – $127,148 · median $63,574 | 44 plans |
| 652 | KIDNEY TRANSPLANT | $18,650 – $73,266 · median $36,633 | 44 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $5,689 | 23 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $10,883 | 23 plans |
No procedures match that keyword.