Terrebonne General Medical Center - Parish — 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 |
|---|---|---|---|
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,207 – $150,351 · median $64,095 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,533 – $63,201 · median $32,858 | 22 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,206 – $72,671 · median $38,298 | 22 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,176 – $48,391 · median $25,611 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,937 – $39,939 · median $21,099 | 22 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,210 – $54,699 · median $29,731 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $16,336 – $64,010 · median $33,835 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,199 – $36,552 · median $19,942 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,903 – $30,101 · median $15,682 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $14,533 – $53,985 · median $29,275 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,431 – $26,176 · median $13,875 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,006 – $18,449 · median $9,895 | 22 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,546 – $37,421 · median $19,346 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,047 – $101,613 · median $55,438 | 22 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,761 – $95,049 · median $49,884 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,285 – $167,485 · median $72,108 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,864 – $86,989 · median $45,484 | 22 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,044 – $75,729 · median $40,315 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,544 – $78,877 · median $44,907 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,628 – $52,831 · median $30,219 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $46,877 – $175,875 · median $75,719 | 22 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,376 – $93,754 · median $51,589 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $41,419 – $123,957 · median $67,642 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,607 – $83,007 · median $45,079 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,997 – $95,870 · median $51,000 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,959 – $65,275 · median $35,047 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,928 – $57,746 · median $29,964 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,846 – $37,516 · median $19,752 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,974 – $30,427 · median $15,866 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $19,955 – $78,040 · median $39,299 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,316 – $38,727 · median $20,387 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,419 – $26,013 · median $13,762 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,702 – $53,510 · median $29,086 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,472 – $42,797 · median $22,124 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,780 – $29,265 · median $15,048 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,723 – $45,635 · median $23,490 | 22 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,630 – $31,916 · median $16,188 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,877 – $55,995 · median $28,751 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,485 – $30,582 · median $16,320 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,222 – $26,837 · median $14,269 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,618 – $44,590 · median $24,502 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $14,190 – $54,131 · median $30,649 | 22 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $31,001 – $88,698 · median $47,744 | 22 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,755 – $46,890 · median $25,041 | 22 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,035 – $35,622 · median $18,655 | 22 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $39,451 – $97,485 · median $53,044 | 22 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $29,768 – $76,632 · median $40,891 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $43,457 – $185,988 · median $80,072 | 22 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $35,096 – $96,619 · median $52,688 | 22 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,290 – $77,034 · median $39,295 | 22 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $31,263 – $106,161 · median $57,519 | 22 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,393 – $60,275 · median $31,723 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $24,626 – $215,487 · median $84,450 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,492 – $47,785 · median $24,685 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $24,558 – $83,948 · median $44,981 | 22 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,090 – $58,033 · median $30,235 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,024 – $44,643 · median $23,152 | 22 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,494 – $51,719 · median $28,878 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,309 – $30,600 · median $16,319 | 22 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,300 – $220,653 · median $66,307 | 22 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,939 – $49,151 · median $25,631 | 22 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,488 – $40,574 · median $21,340 | 22 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,783 – $37,875 · median $21,544 | 22 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,365 – $105,648 · median $42,796 | 22 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,120 – $33,386 · median $17,417 | 22 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,150 – $25,672 · median $13,398 | 22 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,503 – $36,319 · median $18,269 | 22 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,181 – $21,279 · median $10,734 | 22 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $14,393 – $55,792 · median $30,025 | 22 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $11,037 – $38,025 · median $20,829 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $6,057 – $30,966 · median $15,101 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,832 – $24,180 · median $13,199 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,929 – $46,282 · median $22,570 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,646 – $26,978 · median $14,131 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,973 – $24,888 · median $13,159 | 22 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,968 – $31,935 · median $17,015 | 22 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,616 – $23,763 · median $12,649 | 22 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,100 – $53,111 · median $29,284 | 22 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,100 – $27,151 · median $14,757 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,100 – $17,644 · median $9,628 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,512 – $451,152 · median $196,153 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $82,301 – $646,679 · median $184,719 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,923 – $105,053 · median $46,432 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,424 – $63,027 · median $35,323 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,462 – $45,267 · median $23,688 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,658 – $229,752 · median $97,927 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $48,399 – $210,237 · median $89,612 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $33,441 – $195,177 · median $58,631 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,501 – $94,069 · median $53,150 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,714 – $37,471 · median $20,454 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,222 – $65,957 · median $36,308 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,972 – $32,905 · median $18,997 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,316 – $27,184 · median $14,314 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,548 – $89,644 · median $38,517 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,399 – $29,604 · median $15,345 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,193 – $38,222 · median $22,114 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,419 – $30,057 · median $12,840 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,074 – $24,313 · median $13,798 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,417 – $30,193 · median $16,148 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,107 – $18,533 · median $10,570 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,069 – $40,401 · median $23,392 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,941 – $18,571 · median $9,211 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,167 – $24,001 · median $13,271 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,797 – $14,153 · median $7,635 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,124 – $20,126 · median $10,476 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,656 – $72,201 · median $33,323 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,527 – $35,733 · median $18,272 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,151 – $27,236 · median $13,627 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,564 – $50,777 · median $29,332 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,340 – $28,958 · median $15,263 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,075 – $19,331 · median $10,770 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,237 – $270,096 · median $65,157 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,595 – $41,336 · median $22,495 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,275 – $30,840 · median $16,897 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,600 – $61,546 · median $35,790 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,912 – $30,427 · median $16,387 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,937 – $22,689 · median $12,208 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,957 – $49,215 · median $27,122 | 21 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $69,284 – $172,385 · median $94,998 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $84,473 – $198,176 · median $90,095 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,172 – $174,457 · median $85,601 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,509 – $83,329 · median $42,396 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,254 – $43,441 · median $24,777 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,183 – $24,790 · median $12,553 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,530 – $41,834 · median $24,232 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,758 – $26,123 · median $14,462 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,600 – $16,784 · median $8,924 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,938 – $52,972 · median $28,806 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $40,283 – $105,644 · median $55,091 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $31,528 – $82,595 · median $43,043 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,176 – $333,737 · median $93,099 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,441 – $90,629 · median $39,404 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,661 – $81,827 · median $44,602 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,401 – $55,758 · median $30,484 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,884 – $41,555 · median $21,516 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,226 – $64,228 · median $34,372 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,020 – $53,769 · median $28,584 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,345 – $112,608 · median $62,056 | 21 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $40,053 – $99,394 · median $54,774 | 21 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,007 – $109,431 · median $47,579 | 21 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $28,837 – $71,389 · median $39,341 | 21 plans |
| 279 | CELLULITIS AGE 0-17 | $20,762 – $51,226 · median $28,229 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,467 – $25,710 · median $10,938 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,467 – $14,702 · median $6,405 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,467 – $11,471 · median $5,093 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,467 – $30,707 · median $12,884 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,467 – $11,770 · median $5,239 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,380 – $8,672 · median $3,727 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,467 – $33,947 · median $14,064 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,467 – $17,609 · median $7,329 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,206 – $68,927 · median $38,472 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,516 – $39,555 · median $19,633 | 21 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $18,674 – $46,010 · median $25,355 | 21 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $11,935 – $29,184 · median $16,082 | 21 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $26,784 – $66,261 · median $36,515 | 21 plans |
| 324 | URINARY STONES W/O CC | $19,275 – $47,512 · median $26,183 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,197 – $42,322 · median $23,323 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,382 – $215,287 · median $68,858 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,290 – $90,158 · median $34,455 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,486 – $26,531 · median $14,088 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,199 – $73,996 · median $39,838 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,452 – $39,299 · median $20,922 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,965 – $27,349 · median $14,747 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,671 – $64,985 · median $32,231 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $17,728 – $89,774 · median $30,040 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,536 – $27,441 · median $14,157 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,162 – $58,959 · median $31,532 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,742 – $34,043 · median $18,569 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,839 – $25,216 · median $13,198 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,813 – $42,133 · median $24,170 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,123 – $24,832 · median $13,588 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,502 – $20,017 · median $11,358 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,759 – $146,694 · median $34,144 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,589 – $22,103 · median $11,478 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,249 – $15,960 · median $8,607 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,255 – $37,724 · median $21,168 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,003 – $23,531 · median $12,838 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,483 – $17,639 · median $9,781 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,634 – $45,899 · median $25,792 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,190 – $28,041 · median $15,151 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,337 – $21,964 · median $12,018 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,415 – $176,934 · median $56,801 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,329 – $35,950 · median $19,376 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,459 – $22,202 · median $11,536 | 21 plans |
| 397 | COAGULATION DISORDERS | $14,648 – $35,957 · median $19,815 | 21 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,948 – $24,220 · median $13,347 | 21 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,148 – $61,186 · median $14,973 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,106 – $58,730 · median $32,830 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,793 – $34,113 · median $17,625 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,280 – $27,172 · median $14,095 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,736 – $54,068 · median $26,816 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,491 – $36,743 · median $18,605 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,924 – $25,935 · median $13,594 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,358 – $56,573 · median $31,092 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,912 – $32,010 · median $17,427 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,832 – $22,029 · median $11,812 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,104 – $38,055 · median $20,443 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,726 – $26,584 · median $14,418 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,665 – $20,887 · median $11,582 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,764 – $52,196 · median $28,231 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,206 – $28,995 · median $15,395 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,292 – $22,177 · median $12,706 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,315 – $62,930 · median $34,494 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,911 – $37,909 · median $19,196 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,515 – $24,602 · median $14,425 | 21 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,858 – $150,841 · median $78,158 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,623 – $85,704 · median $49,954 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,486 – $47,810 · median $26,472 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,239 – $31,893 · median $16,847 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $20,549 – $65,571 · median $37,951 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,995 – $35,550 · median $18,916 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,791 – $19,646 · median $10,598 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,232 – $54,462 · median $29,715 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,366 – $37,594 · median $21,024 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,156 – $28,545 · median $16,440 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,371 – $47,471 · median $26,009 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,362 – $33,809 · median $18,301 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,429 – $26,346 · median $14,010 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,220 – $30,230 · median $16,486 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,619 – $59,449 · median $31,586 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,866 – $33,606 · median $17,530 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,896 – $24,355 · median $12,590 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,688 – $41,022 · median $23,029 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,588 – $26,679 · median $11,615 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,384 – $65,150 · median $29,182 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,273 – $28,134 · median $15,309 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,475 – $21,999 · median $12,195 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $12,680 – $82,766 · median $34,078 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,164 – $28,406 · median $15,233 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,375 – $28,278 · median $15,044 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,871 – $22,564 · median $12,900 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,337 – $32,572 · median $18,802 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,192 – $23,178 · median $12,648 | 21 plans |
| 509 | ARTHROSCOPY | $7,777 – $30,685 · median $13,341 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $12,025 – $46,224 · median $23,996 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,054 – $31,674 · median $17,585 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,948 – $25,712 · median $14,234 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,504 – $25,512 · median $14,297 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,018 – $16,528 · median $9,186 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,967 – $49,900 · median $27,884 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,252 – $32,551 · median $18,000 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,826 – $24,166 · median $13,181 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,654 – $59,662 · median $32,209 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,866 – $31,999 · median $17,363 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,423 – $23,684 · median $12,626 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,440 – $48,322 · median $26,409 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,786 – $34,777 · median $18,630 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,391 – $336,800 · median $39,241 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,092 – $26,386 · median $14,923 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,552 – $19,264 · median $10,051 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,848 – $94,044 · median $54,844 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,602 – $57,692 · median $30,039 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,288 – $32,804 · median $18,046 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,905 – $90,412 · median $50,125 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,764 – $41,912 · median $23,365 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,771 – $27,409 · median $14,205 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $16,696 – $50,782 · median $29,478 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,299 – $27,788 · median $15,405 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,598 – $22,591 · median $11,878 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,023 – $34,183 · median $17,275 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,556 – $29,467 · median $14,853 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,685 – $37,610 · median $19,866 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,677 – $23,620 · median $12,975 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,736 – $60,251 · median $34,907 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,968 – $31,114 · median $17,503 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,506 – $19,887 · median $10,459 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,709 – $58,053 · median $33,742 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,179 – $30,163 · median $16,418 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,391 – $17,270 · median $10,036 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $11,500 – $46,050 · median $25,765 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,366 – $25,915 · median $13,159 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,894 – $20,421 · median $10,902 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,067 – $60,895 · median $35,408 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,752 – $35,912 · median $19,958 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,903 – $39,170 · median $16,722 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,017 – $252,807 · median $74,749 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,794 – $45,494 · median $24,145 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,758 – $34,550 · median $18,981 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,214 – $52,901 · median $27,674 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,068 – $30,057 · median $16,266 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,737 – $25,272 · median $13,057 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,842 – $41,243 · median $22,834 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,875 – $22,586 · median $12,120 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,968 – $17,252 · median $9,441 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $14,707 – $48,634 · median $26,431 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,599 – $24,408 · median $12,868 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,052 – $18,033 · median $9,363 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,433 – $48,980 · median $27,246 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $10,627 – $27,559 · median $15,147 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,752 – $16,294 · median $9,257 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $12,440 – $45,181 · median $24,855 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,721 – $25,195 · median $13,535 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,381 – $15,805 · median $8,490 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,260 – $29,313 · median $15,099 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,084 – $16,672 · median $8,269 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $18,216 – $64,930 · median $32,616 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,176 – $37,940 · median $21,011 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,413 – $31,364 · median $14,066 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,643 – $38,604 · median $19,146 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,563 – $23,070 · median $11,442 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,595 – $32,705 · median $18,724 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,838 – $19,872 · median $10,482 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,117 – $23,718 · median $12,795 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,845 – $15,336 · median $8,454 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,057 – $35,742 · median $19,470 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,174 – $21,899 · median $12,544 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,338 – $28,334 · median $15,997 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,482 – $20,310 · median $10,371 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,180 – $34,974 · median $19,171 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,325 – $20,362 · median $11,115 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,208 – $68,265 · median $34,285 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,899 – $32,386 · median $17,409 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,994 – $22,468 · median $12,110 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $15,944 – $62,456 · median $31,896 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,520 – $28,847 · median $15,761 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,440 – $37,515 · median $16,017 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,978 – $28,843 · median $15,716 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,269 – $18,735 · median $10,249 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,610 – $30,382 · median $16,603 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,249 – $105,478 · median $15,481 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,581 – $25,719 · median $14,783 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,934 – $15,662 · median $7,825 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $5,723 – $22,682 · median $12,391 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,382 – $40,432 · median $22,202 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,965 – $22,839 · median $11,995 | 21 plans |
| 799 | SPLENECTOMY WITH MCC | $28,597 – $83,349 · median $43,700 | 21 plans |
| 800 | SPLENECTOMY WITH CC | $18,308 – $42,892 · median $24,852 | 21 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,719 – $28,745 · median $16,116 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $20,204 – $103,409 · median $44,094 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,158 – $32,863 · median $16,389 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,006 – $20,195 · median $10,676 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,468 – $91,465 · median $53,332 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,555 – $34,609 · median $19,687 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,188 – $19,286 · median $11,155 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,446 – $69,244 · median $39,707 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,560 – $36,656 · median $19,694 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,525 – $21,072 · median $11,629 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,723 – $82,296 · median $40,816 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,100 – $38,967 · median $20,438 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,762 – $27,834 · median $14,468 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,952 – $50,651 · median $27,817 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,383 – $24,291 · median $13,946 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $32,291 – $78,441 · median $44,094 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,312 – $32,900 · median $18,354 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,156 – $26,105 · median $15,325 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,361 – $70,625 · median $39,058 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,937 – $33,755 · median $18,837 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,474 – $22,641 · median $11,557 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $20,632 – $70,400 · median $38,171 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,328 – $31,719 · median $16,623 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,205 – $19,456 · median $10,950 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $18,259 – $56,848 · median $28,720 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,399 – $24,966 · median $13,968 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,112 – $28,810 · median $16,596 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,419 – $61,871 · median $32,806 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,808 – $77,068 · median $27,664 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,941 – $21,842 · median $11,963 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $15,605 – $49,569 · median $28,359 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,114 – $35,264 · median $19,109 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,743 – $30,208 · median $16,370 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,881 – $107,810 · median $53,716 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,106 – $60,886 · median $34,206 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,877 – $118,605 · median $63,791 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,173 – $66,749 · median $35,675 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,589 – $77,285 · median $32,963 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,124 – $475,564 · median $97,495 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,696 – $144,077 · median $41,545 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,632 – $73,309 · median $41,810 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,182 – $40,144 · median $22,386 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,729 – $26,732 · median $14,725 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,467 – $29,756 · median $12,824 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,467 – $16,370 · median $6,768 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,467 – $22,671 · median $10,017 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,467 – $16,649 · median $7,361 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,467 – $36,518 · median $15,735 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,467 – $21,012 · median $9,060 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,467 – $27,613 · median $11,422 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,467 – $18,364 · median $7,921 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,467 – $14,505 · median $6,044 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $3,467 – $46,936 · median $18,504 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,467 – $30,685 · median $12,659 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $3,467 – $25,304 · median $10,105 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,467 – $31,562 · median $13,203 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,467 – $16,267 · median $6,984 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,467 – $11,179 · median $4,802 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,467 – $22,633 · median $9,408 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,467 – $14,464 · median $6,019 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,467 – $12,770 · median $5,405 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,467 – $58,215 · median $24,016 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,467 – $17,109 · median $7,285 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,467 – $12,356 · median $5,435 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,467 – $23,996 · median $10,030 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,467 – $16,383 · median $6,878 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,467 – $29,294 · median $12,626 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,467 – $15,802 · median $6,361 | 20 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $3,467 – $25,035 · median $10,265 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,467 – $15,890 · median $6,987 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,467 – $11,746 · median $5,155 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $3,467 – $36,256 · median $14,986 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $3,467 – $21,578 · median $9,240 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,467 – $14,669 · median $6,342 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,467 – $37,383 · median $14,950 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,467 – $20,802 · median $8,873 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,467 – $13,963 · median $6,120 | 20 plans |
| 088 | CONCUSSION WITH MCC | $3,467 – $25,229 · median $10,165 | 20 plans |
| 089 | CONCUSSION WITH CC | $3,467 – $18,689 · median $7,679 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,467 – $14,567 · median $6,287 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,467 – $27,647 · median $11,819 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,467 – $15,941 · median $6,908 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,467 – $12,241 · median $5,378 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $3,467 – $57,194 · median $23,691 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $3,467 – $40,922 · median $16,060 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,467 – $36,560 · median $14,703 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $3,467 – $62,231 · median $23,783 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $3,467 – $33,358 · median $14,536 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,467 – $22,383 · median $9,000 | 20 plans |
| 100 | SEIZURES WITH MCC | $3,467 – $30,746 · median $13,070 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $3,467 – $14,429 · median $6,123 | 20 plans |
| 102 | HEADACHES WITH MCC | $3,467 – $18,656 · median $8,046 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $3,467 – $13,324 · median $5,688 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,467 – $19,778 · median $8,530 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,467 – $11,705 · median $5,054 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,467 – $12,705 · median $5,440 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $3,467 – $22,418 · median $8,793 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,467 – $13,798 · median $5,398 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,467 – $32,261 · median $13,903 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,467 – $19,384 · median $8,440 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,467 – $13,889 · median $6,143 | 20 plans |
| 149 | DYSEQUILIBRIUM | $3,467 – $12,084 · median $5,056 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $3,467 – $22,076 · median $8,745 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,467 – $12,340 · median $5,224 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,467 – $19,169 · median $7,927 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,467 – $11,559 · median $4,992 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,467 – $24,054 · median $10,194 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,467 – $14,745 · median $6,363 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,467 – $10,911 · median $4,589 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,467 – $26,757 · median $11,287 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,467 – $14,870 · median $6,311 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,467 – $12,002 · median $4,720 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,467 – $22,356 · median $9,549 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,467 – $13,086 · median $5,652 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,467 – $28,487 · median $11,496 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,467 – $17,397 · median $6,787 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,467 – $12,570 · median $5,305 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $3,467 – $27,111 · median $11,489 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,467 – $18,145 · median $7,546 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,467 – $14,204 · median $5,540 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,467 – $24,190 · median $10,429 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,467 – $16,728 · median $7,045 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,467 – $12,084 · median $5,219 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,467 – $24,436 · median $10,441 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,467 – $16,740 · median $6,851 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,467 – $11,735 · median $5,193 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $3,467 – $19,318 · median $8,415 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,467 – $17,373 · median $7,552 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,467 – $13,832 · median $5,873 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,467 – $10,437 · median $4,498 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,467 – $20,786 · median $8,969 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,467 – $13,447 · median $5,695 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,467 – $10,272 · median $4,391 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,467 – $29,018 · median $12,506 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,467 – $142,860 · median $14,487 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,467 – $37,857 · median $10,470 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,467 – $28,146 · median $11,721 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,467 – $17,157 · median $7,386 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,467 – $11,650 · median $4,925 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,467 – $14,909 · median $6,434 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,467 – $10,958 · median $4,733 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,467 – $12,954 · median $5,562 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $3,467 – $28,505 · median $11,955 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,467 – $14,299 · median $6,149 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,467 – $346,101 · median $96,706 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,467 – $41,615 · median $17,741 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,467 – $70,836 · median $30,215 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,467 – $25,722 · median $10,045 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,467 – $19,297 · median $7,440 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,467 – $20,483 · median $8,759 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,467 – $13,809 · median $5,923 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,467 – $8,968 · median $3,966 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,467 – $18,478 · median $7,315 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,467 – $14,176 · median $5,395 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,467 – $26,221 · median $10,614 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,467 – $11,465 · median $5,074 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,066 – $7,818 · median $3,597 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,467 – $24,616 · median $10,440 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,467 – $16,556 · median $7,143 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,467 – $11,463 · median $4,950 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,467 – $19,299 · median $7,493 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,467 – $10,821 · median $4,495 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $3,467 – $17,790 · median $7,674 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,467 – $11,933 · median $5,113 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $3,467 – $23,623 · median $10,185 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,467 – $14,685 · median $6,337 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,467 – $18,767 · median $8,018 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,467 – $11,805 · median $5,181 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,467 – $8,824 · median $3,909 | 20 plans |
| 311 | ANGINA PECTORIS | $3,467 – $11,007 · median $4,754 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,467 – $13,647 · median $5,825 | 20 plans |
| 313 | CHEST PAIN | $3,467 – $11,578 · median $4,919 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,467 – $74,853 · median $29,971 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,467 – $15,501 · median $6,658 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,467 – $10,925 · median $4,836 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,467 – $28,076 · median $10,930 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,467 – $16,359 · median $6,798 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,467 – $11,983 · median $5,175 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,467 – $27,077 · median $11,704 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,467 – $16,293 · median $7,156 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,467 – $11,620 · median $4,994 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $3,467 – $32,080 · median $13,825 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,467 – $19,280 · median $8,191 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,467 – $14,049 · median $6,155 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,467 – $28,457 · median $11,826 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,467 – $15,765 · median $6,768 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,467 – $10,144 · median $4,441 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,467 – $30,475 · median $12,850 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,467 – $16,893 · median $7,360 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,467 – $12,321 · median $5,263 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,467 – $21,767 · median $9,287 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,467 – $14,430 · median $6,015 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,467 – $27,361 · median $11,793 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,467 – $15,842 · median $6,687 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,467 – $11,069 · median $4,779 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $3,467 – $23,486 · median $9,645 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,467 – $12,918 · median $5,524 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,467 – $9,051 · median $3,949 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,467 – $20,550 · median $8,494 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,467 – $12,606 · median $5,321 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $3,467 – $25,789 · median $10,721 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,467 – $15,093 · median $6,457 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,467 – $10,322 · median $4,536 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,467 – $105,649 · median $27,810 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,467 – $16,642 · median $7,081 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,467 – $10,576 · median $4,682 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,467 – $27,980 · median $11,629 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,467 – $17,612 · median $7,543 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,467 – $13,539 · median $5,755 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $3,467 – $26,527 · median $11,039 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,467 – $13,921 · median $5,914 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,467 – $9,766 · median $4,325 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,467 – $30,326 · median $12,071 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,467 – $15,141 · median $6,553 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,467 – $11,256 · median $4,982 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $3,467 – $26,644 · median $10,809 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,467 – $17,599 · median $7,451 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,467 – $12,991 · median $5,558 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,467 – $25,046 · median $10,797 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,467 – $12,738 · median $5,488 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,467 – $20,638 · median $8,630 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,467 – $12,437 · median $5,336 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,467 – $15,899 · median $6,495 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,467 – $11,172 · median $4,825 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,467 – $31,944 · median $13,083 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,467 – $21,552 · median $8,854 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,467 – $13,410 · median $5,932 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,467 – $29,257 · median $12,042 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,467 – $17,429 · median $7,477 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,467 – $12,453 · median $5,332 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $3,467 – $40,150 · median $16,377 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,467 – $19,296 · median $8,198 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,467 – $14,641 · median $5,703 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,467 – $31,048 · median $12,859 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,467 – $19,393 · median $8,205 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,467 – $16,778 · median $6,500 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $3,467 – $26,783 · median $11,254 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,467 – $15,373 · median $6,491 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,467 – $21,221 · median $8,985 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,467 – $13,127 · median $5,555 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,467 – $21,550 · median $9,292 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,467 – $12,932 · median $5,572 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $3,467 – $23,924 · median $10,314 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,467 – $13,908 · median $6,047 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,467 – $28,569 · median $12,216 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,467 – $17,535 · median $7,564 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,467 – $12,647 · median $5,286 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $3,467 – $23,412 · median $10,080 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,467 – $13,978 · median $6,033 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,467 – $24,861 · median $10,347 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,467 – $15,803 · median $6,705 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,467 – $11,887 · median $5,220 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $3,467 – $31,946 · median $13,767 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $3,467 – $18,706 · median $8,068 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,467 – $12,386 · median $5,465 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,467 – $34,273 · median $14,317 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,467 – $17,474 · median $6,767 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,467 – $26,952 · median $10,597 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,467 – $61,950 · median $15,732 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,467 – $11,965 · median $4,704 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,467 – $16,663 · median $6,874 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,467 – $11,266 · median $4,443 | 20 plans |
| 602 | CELLULITIS WITH MCC | $3,467 – $23,066 · median $9,865 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,467 – $14,113 · median $5,962 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,467 – $24,155 · median $9,986 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,467 – $14,571 · median $6,118 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,467 – $24,566 · median $10,502 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,467 – $13,946 · median $6,019 | 20 plans |
| 637 | DIABETES WITH MCC | $3,467 – $22,338 · median $9,618 | 20 plans |
| 638 | DIABETES WITH CC | $3,467 – $14,035 · median $6,057 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,467 – $9,869 · median $4,370 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $3,467 – $20,290 · median $8,750 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,467 – $12,327 · median $5,293 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,467 – $22,460 · median $8,673 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,467 – $26,307 · median $10,886 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,467 – $16,476 · median $7,285 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,467 – $11,951 · median $5,289 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $3,467 – $23,793 · median $10,198 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $3,467 – $14,323 · median $6,217 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,467 – $9,680 · median $4,278 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,467 – $28,175 · median $12,144 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,467 – $16,642 · median $7,176 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,467 – $13,867 · median $5,421 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,467 – $18,359 · median $7,838 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,467 – $12,734 · median $5,594 | 20 plans |
| 693 | URINARY STONES WITH MCC | $3,467 – $22,900 · median $9,404 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,467 – $12,758 · median $5,302 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,467 – $18,497 · median $7,978 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,467 – $11,091 · median $4,715 | 20 plans |
| 697 | URETHRAL STRICTURE | $3,467 – $17,249 · median $7,441 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,467 – $25,648 · median $10,946 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,467 – $16,199 · median $7,013 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,467 – $11,857 · median $4,940 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,467 – $28,708 · median $12,373 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,467 – $18,444 · median $7,597 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,467 – $12,682 · median $5,540 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,467 – $19,995 · median $8,269 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,467 – $12,349 · median $4,985 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,467 – $24,890 · median $10,730 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,467 – $13,151 · median $5,414 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,467 – $17,250 · median $6,842 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,467 – $10,496 · median $4,364 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,467 – $28,372 · median $12,229 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,467 – $17,303 · median $7,437 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,467 – $15,954 · median $6,642 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,467 – $22,943 · median $10,137 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,467 – $15,437 · median $6,826 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,467 – $10,226 · median $4,528 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,467 – $15,479 · median $6,679 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,467 – $9,615 · median $4,155 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,700 – $12,408 · median $8,055 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,400 – $30,168 · median $15,530 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,400 – $10,431 · median $6,812 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,400 – $8,824 · median $5,843 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,400 – $17,820 · median $11,461 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,400 – $10,707 · median $6,985 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,400 – $8,709 · median $5,770 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,467 – $29,222 · median $12,014 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,467 – $96,368 · median $39,084 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,467 – $65,814 · median $26,766 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,467 – $39,712 · median $16,243 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,467 – $67,605 · median $27,489 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,467 – $23,929 · median $9,881 | 20 plans |
| 795 | NORMAL NEWBORN | $700 – $3,727 · median $1,668 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,700 – $14,448 · median $9,339 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,700 – $10,144 · median $6,631 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,700 – $8,506 · median $5,601 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,467 – $34,267 · median $14,415 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,467 – $34,889 · median $14,898 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,467 – $15,616 · median $6,905 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,467 – $22,252 · median $9,322 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,467 – $14,372 · median $6,066 | 20 plans |
| 813 | COAGULATION DISORDERS | $3,467 – $25,049 · median $10,335 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,467 – $32,518 · median $14,013 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,467 – $16,503 · median $6,837 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,467 – $11,668 · median $4,952 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,271 – $20,509 · median $7,050 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $3,467 – $88,508 · median $36,487 | 20 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,467 – $34,134 · median $15,073 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,467 – $25,109 · median $9,608 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,467 – $276,374 · median $79,272 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,467 – $35,597 · median $13,522 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,467 – $22,002 · median $8,886 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $3,467 – $49,728 · median $20,469 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,467 – $75,414 · median $23,489 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,467 – $17,665 · median $7,316 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,467 – $31,008 · median $12,281 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,467 – $18,255 · median $7,918 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,467 – $13,532 · median $5,979 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,467 – $38,556 · median $16,059 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,467 – $19,496 · median $8,085 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,467 – $14,870 · median $5,788 | 20 plans |
| 849 | RADIOTHERAPY | $3,467 – $126,659 · median $34,448 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,467 – $29,275 · median $12,161 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,467 – $16,099 · median $6,912 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,467 – $13,785 · median $5,977 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,467 – $26,773 · median $10,852 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,467 – $14,400 · median $6,176 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,467 – $52,758 · median $22,512 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,467 – $16,896 · median $7,443 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,467 – $11,857 · median $4,823 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,467 – $108,688 · median $45,332 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,467 – $31,325 · median $13,071 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,467 – $16,453 · median $7,074 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,467 – $24,233 · median $9,911 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,467 – $14,230 · median $6,111 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,467 – $29,131 · median $11,720 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,467 – $10,631 · median $4,499 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,467 – $24,512 · median $10,567 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,467 – $13,456 · median $5,808 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,467 – $28,707 · median $12,049 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,467 – $16,354 · median $7,034 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,467 – $11,650 · median $4,870 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,467 – $26,754 · median $11,532 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,467 – $15,720 · median $6,783 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $169,197 – $397,018 · median $234,922 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,600 – $104,598 · median $61,672 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,585 – $55,276 · median $28,658 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,467 – $19,456 · median $8,338 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,467 – $12,555 · median $5,420 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,467 – $19,078 · median $7,180 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,467 – $11,356 · median $4,369 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,467 – $9,380 · median $4,155 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,467 – $44,385 · median $17,938 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,467 – $23,439 · median $10,199 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,467 – $14,885 · median $6,583 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,467 – $45,982 · median $19,118 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $3,467 – $22,018 · median $9,286 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,467 – $14,769 · median $5,849 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,467 – $21,807 · median $9,403 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,700 – $10,270 · median $6,710 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,700 – $7,606 · median $5,034 | 19 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,467 – $48,543 · median $20,050 | 19 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,467 – $31,983 · median $13,905 | 19 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,144 – $23,730 · median $13,389 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,320 – $12,520 · median $6,222 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,700 – $6,665 · median $4,442 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,302 – $42,878 · median $22,316 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,421 – $22,033 · median $11,338 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,271 – $16,681 · median $7,140 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,781 – $56,638 · median $28,592 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $3,467 – $32,396 · median $13,450 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,467 – $33,731 · median $14,405 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,467 – $14,187 · median $6,077 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,467 – $11,286 · median $4,842 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $3,467 – $15,386 · median $6,588 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,467 – $11,602 · median $4,976 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,467 – $8,204 · median $3,567 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,467 – $14,865 · median $6,366 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $3,467 – $14,142 · median $6,058 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,467 – $14,635 · median $6,268 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $3,467 – $28,717 · median $12,268 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,467 – $26,934 · median $11,509 | 17 plans |
| 885 | PSYCHOSES | $3,467 – $21,060 · median $9,006 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,467 – $25,803 · median $11,027 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,467 – $19,995 · median $8,552 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,576 – $9,147 · median $3,930 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,467 – $109,037 · median $46,492 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,467 – $59,973 · median $25,587 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,467 – $13,376 · median $5,732 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $167,313 – $611,265 · median $260,484 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $104,381 – $500,218 · median $213,169 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,638 – $296,649 · median $126,431 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $41,235 – $378,854 · median $119,215 | 16 plans |
| 007 | LUNG TRANSPLANT | $60,739 – $1,499,101 · median $417,079 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $37,411 – $365,208 · median $122,564 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $28,046 – $202,323 · median $76,305 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $73,708 – $179,144 · median $90,799 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,840 – $97,381 · median $48,937 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,840 – $93,425 · median $48,937 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $269,689 – $2,066,906 · median $729,609 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,483 – $120,751 · median $63,329 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,922 – $111,220 · median $47,422 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,315 – $95,699 · median $40,809 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $22,144 – $64,575 · median $27,547 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,941 – $23,213 · median $10,008 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,739 – $15,739 · median $6,959 | 14 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,181 – $3,727 · median $3,284 | 6 plans |
| 999 | UNGROUPABLE | $2,181 – $3,727 · median $3,467 | 4 plans |
No procedures match that keyword.