Saint Anne's Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,688 – $330,775 · median $220,515 | 39 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,889 – $10,290 · median $6,196 | 39 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,688 – $24,949 · median $14,703 | 39 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,688 – $15,312 · median $9,111 | 39 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,180 – $11,880 · median $7,119 | 39 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,688 – $199,606 · median $162,841 | 39 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,688 – $17,765 · median $10,534 | 39 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,688 – $384,864 · median $312,407 | 38 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,688 – $83,280 · median $48,554 | 38 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,688 – $63,337 · median $36,980 | 38 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,688 – $40,900 · median $23,960 | 38 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 38 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 38 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,688 – $129,650 · median $105,760 | 38 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | — | 38 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,688 – $106,907 · median $86,772 | 38 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | — | 38 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,688 – $58,675 · median $34,275 | 38 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | — | 38 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,688 – $47,206 · median $27,620 | 38 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,688 – $38,088 · median $22,328 | 38 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 38 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,688 – $51,807 · median $30,290 | 38 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,688 – $34,347 · median $20,157 | 38 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,688 – $64,678 · median $37,759 | 38 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,688 – $32,961 · median $19,353 | 38 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,688 – $24,625 · median $14,515 | 38 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,688 – $60,018 · median $35,055 | 38 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,688 – $35,109 · median $20,599 | 38 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,688 – $28,292 · median $16,643 | 38 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,688 – $51,255 · median $29,969 | 38 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,688 – $24,869 · median $14,657 | 38 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,688 – $17,567 · median $10,419 | 38 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,688 – $58,219 · median $35,530 | 38 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,688 – $34,853 · median $20,451 | 38 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,688 – $27,127 · median $15,967 | 38 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,688 – $31,061 · median $18,250 | 38 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,610 – $14,221 · median $8,479 | 38 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,688 – $23,137 · median $13,652 | 38 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,688 – $16,838 · median $9,996 | 38 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,688 – $38,648 · median $22,541 | 38 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,688 – $34,388 · median $12,311 | 38 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,688 – $28,490 · median $16,758 | 38 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,688 – $18,885 · median $11,184 | 38 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,528 – $13,773 · median $8,269 | 38 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,688 – $41,724 · median $24,438 | 38 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,688 – $27,486 · median $16,176 | 38 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,688 – $21,682 · median $12,807 | 38 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,688 – $30,701 · median $18,041 | 38 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,688 – $15,695 · median $9,333 | 38 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,950 – $10,623 · median $6,433 | 38 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,688 – $22,455 · median $13,256 | 38 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,497 – $13,605 · median $8,171 | 38 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,267 – $12,349 · median $7,439 | 38 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,688 – $26,837 · median $19,282 | 38 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,688 – $16,266 · median $9,664 | 38 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,125 – $11,579 · median $6,990 | 38 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,688 – $23,855 · median $14,068 | 38 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,688 – $16,088 · median $9,561 | 38 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,688 – $26,584 · median $15,652 | 38 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,597 – $14,151 · median $8,458 | 38 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,688 – $23,866 · median $14,074 | 38 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,688 – $15,402 · median $9,163 | 38 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,628 – $30,680 · median $17,943 | 38 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,563 – $13,965 · median $8,329 | 38 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,688 – $35,810 · median $21,006 | 38 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,688 – $21,459 · median $12,678 | 38 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,688 – $14,756 · median $8,788 | 38 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,688 – $34,973 · median $20,521 | 38 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,688 – $20,243 · median $11,972 | 38 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,504 – $13,644 · median $8,193 | 38 plans |
| 088 | CONCUSSION WITH MCC | $2,688 – $21,773 · median $12,860 | 38 plans |
| 089 | CONCUSSION WITH CC | $2,688 – $16,547 · median $9,827 | 38 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,429 – $13,232 · median $7,953 | 38 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,688 – $28,135 · median $16,552 | 38 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,688 – $16,340 · median $9,707 | 38 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,236 – $12,182 · median $7,342 | 38 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,688 – $56,314 · median $32,905 | 38 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,688 – $36,998 · median $21,696 | 38 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,688 – $36,998 · median $21,696 | 38 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,688 – $55,325 · median $32,331 | 38 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,688 – $33,481 · median $19,654 | 38 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,688 – $21,504 · median $12,704 | 38 plans |
| 100 | SEIZURES WITH MCC | $2,688 – $30,641 · median $18,006 | 38 plans |
| 101 | SEIZURES WITHOUT MCC | $2,611 – $14,226 · median $8,480 | 38 plans |
| 102 | HEADACHES WITH MCC | $2,688 – $17,896 · median $10,610 | 38 plans |
| 103 | HEADACHES WITHOUT MCC | $2,408 – $13,122 · median $7,889 | 38 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,688 – $34,828 · median $20,436 | 38 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,688 – $18,245 · median $10,812 | 38 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,688 – $23,629 · median $13,937 | 38 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,688 – $25,753 · median $15,170 | 38 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,688 – $16,647 · median $9,885 | 38 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,688 – $17,953 · median $10,643 | 38 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,922 – $10,469 · median $6,343 | 38 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,275 – $12,397 · median $7,467 | 38 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,688 – $20,124 · median $11,903 | 38 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,339 – $12,744 · median $7,669 | 38 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,688 – $37,213 · median $21,820 | 38 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,688 – $15,098 · median $8,986 | 38 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,688 – $21,586 · median $12,751 | 38 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,305 – $12,556 · median $7,559 | 38 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,688 – $21,191 · median $12,522 | 38 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,688 – $65,273 · median $38,104 | 38 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,688 – $33,160 · median $19,468 | 38 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,688 – $24,268 · median $14,308 | 38 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,688 – $50,962 · median $29,799 | 38 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,688 – $27,113 · median $15,959 | 38 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $18,286 · median $10,837 | 38 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,688 – $35,407 · median $20,772 | 38 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,688 – $19,212 · median $11,374 | 38 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,268 – $12,358 · median $7,444 | 38 plans |
| 149 | DYSEQUILIBRIUM | $2,118 – $11,537 · median $6,966 | 38 plans |
| 150 | EPISTAXIS WITH MCC | $2,688 – $21,333 · median $12,605 | 38 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,147 – $11,699 · median $7,060 | 38 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,688 – $17,515 · median $10,389 | 38 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,016 – $10,984 · median $6,644 | 38 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,688 – $25,100 · median $14,791 | 38 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,645 – $14,409 · median $8,587 | 38 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,905 – $10,378 · median $6,290 | 38 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,688 – $25,273 · median $14,891 | 38 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,665 – $14,517 · median $8,649 | 38 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,869 – $10,180 · median $6,175 | 38 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,688 – $153,347 · median $124,477 | 38 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,688 – $38,847 · median $22,769 | 38 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,688 – $28,769 · median $16,920 | 38 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,688 – $59,426 · median $34,711 | 38 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,688 – $28,201 · median $16,590 | 38 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $20,896 · median $12,351 | 38 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $2,688 – $47,361 · median $27,709 | 38 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,688 – $21,748 · median $12,846 | 38 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,307 – $12,571 · median $7,568 | 38 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,688 – $26,976 · median $15,879 | 38 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,688 – $17,136 · median $10,169 | 38 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,373 – $12,926 · median $7,775 | 38 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,688 – $24,498 · median $14,442 | 38 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,688 – $16,485 · median $9,791 | 38 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,203 – $12,003 · median $7,237 | 38 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,688 – $24,386 · median $14,376 | 38 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,688 – $15,496 · median $9,217 | 38 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,080 – $11,332 · median $6,846 | 38 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,688 – $19,098 · median $11,308 | 38 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,688 – $17,332 · median $10,283 | 38 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,434 – $13,259 · median $7,969 | 38 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,833 – $9,989 · median $6,064 | 38 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,688 – $20,337 · median $12,027 | 38 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,323 – $12,656 · median $7,618 | 38 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,764 – $9,611 · median $5,843 | 38 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,688 – $29,079 · median $17,100 | 38 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,688 – $74,858 · median $60,770 | 38 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,984 – $10,849 · median $8,787 | 38 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,688 – $27,246 · median $16,036 | 38 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,688 – $17,093 · median $10,144 | 38 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,918 – $10,450 · median $6,332 | 38 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,688 – $14,920 · median $8,883 | 38 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,973 – $10,751 · median $6,508 | 38 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,297 – $12,517 · median $7,537 | 38 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,688 – $29,136 · median $17,133 | 38 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,566 – $13,980 · median $8,389 | 38 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,688 – $41,422 · median $24,263 | 38 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $2,688 – $168,136 · median $97,798 | 38 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,688 – $163,520 · median $95,119 | 38 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,688 – $148,955 · median $86,667 | 38 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,688 – $99,671 · median $58,066 | 38 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,688 – $91,822 · median $53,511 | 38 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,688 – $119,421 · median $75,454 | 38 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,688 – $81,749 · median $47,666 | 38 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,688 – $70,882 · median $41,359 | 38 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,688 – $76,912 · median $44,859 | 38 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,688 – $47,943 · median $28,047 | 38 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,688 – $130,786 · median $80,465 | 38 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,688 – $94,282 · median $54,938 | 38 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,688 – $120,638 · median $70,234 | 38 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,688 – $82,112 · median $47,876 | 38 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,688 – $90,817 · median $52,928 | 38 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,688 – $63,466 · median $37,055 | 38 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,688 – $77,740 · median $45,339 | 38 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,688 – $44,947 · median $26,308 | 38 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,688 – $23,304 · median $13,748 | 38 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,688 – $52,352 · median $30,606 | 38 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,688 – $34,770 · median $20,402 | 38 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,688 – $27,854 · median $16,389 | 38 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,688 – $75,423 · median $43,994 | 38 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $2,688 – $35,693 · median $20,938 | 38 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,688 – $24,117 · median $14,220 | 38 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,688 – $52,945 · median $30,950 | 38 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,688 – $39,403 · median $23,091 | 38 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,688 – $27,000 · median $15,893 | 38 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,688 – $40,383 · median $23,660 | 38 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,688 – $26,141 · median $15,395 | 38 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,527 – $13,766 · median $8,264 | 38 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,688 – $43,300 · median $25,353 | 38 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,688 – $27,128 · median $15,968 | 38 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,688 – $52,571 · median $30,733 | 38 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,688 – $29,288 · median $17,221 | 38 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,688 – $23,426 · median $13,819 | 38 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,688 – $41,396 · median $24,247 | 38 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,688 – $53,943 · median $31,529 | 38 plans |
| 265 | AICD LEAD PROCEDURES | $2,688 – $55,056 · median $32,175 | 38 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 38 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,688 – $72,612 · median $42,363 | 38 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,688 – $192,638 · median $156,367 | 38 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,688 – $64,216 · median $37,491 | 38 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,688 – $79,223 · median $46,199 | 38 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,688 – $53,161 · median $31,075 | 38 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,688 – $38,619 · median $22,636 | 38 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,688 – $60,352 · median $35,248 | 38 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,688 – $48,170 · median $28,178 | 38 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $2,688 – $109,072 · median $63,522 | 38 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $2,688 – $95,604 · median $55,706 | 38 plans |
| 277 | CELLULITIS AGE >17 W CC | — | 38 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $2,688 – $77,221 · median $45,038 | 38 plans |
| 279 | CELLULITIS AGE 0-17 | $2,688 – $49,457 · median $28,925 | 38 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,688 – $25,333 · median $14,926 | 38 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,611 – $14,227 · median $8,481 | 38 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,054 – $11,191 · median $6,764 | 38 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,688 – $30,180 · median $17,739 | 38 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,099 – $11,437 · median $6,907 | 38 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,590 – $8,665 · median $5,292 | 38 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,688 – $34,160 · median $20,048 | 38 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,688 – $16,818 · median $9,985 | 38 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,688 – $42,158 · median $26,149 | 38 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,688 – $24,335 · median $14,347 | 38 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,688 – $15,110 · median $8,993 | 38 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,688 – $20,138 · median $11,911 | 38 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,440 – $13,292 · median $7,988 | 38 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,554 – $8,480 · median $5,178 | 38 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,688 – $18,953 · median $11,223 | 38 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,237 – $12,190 · median $7,346 | 38 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,688 – $25,287 · median $14,899 | 38 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,995 – $10,872 · median $6,578 | 38 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,251 – $8,480 · median $4,215 | 38 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,688 – $24,966 · median $14,713 | 38 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,688 – $16,524 · median $9,814 | 38 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,021 – $11,011 · median $6,659 | 38 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,688 – $17,954 · median $10,644 | 38 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,905 – $10,378 · median $6,290 | 38 plans |
| 304 | HYPERTENSION WITH MCC | $2,688 – $18,132 · median $10,747 | 38 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,127 – $11,586 · median $6,994 | 38 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,688 – $23,111 · median $13,636 | 38 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,624 – $14,298 · median $8,522 | 38 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,688 – $18,612 · median $11,026 | 38 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,094 – $11,410 · median $6,892 | 38 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,585 – $8,635 · median $5,275 | 38 plans |
| 311 | ANGINA PECTORIS | $1,978 – $10,778 · median $6,523 | 38 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,468 – $13,448 · median $8,079 | 38 plans |
| 313 | CHEST PAIN | $2,021 – $11,011 · median $6,659 | 38 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,688 – $34,128 · median $27,789 | 38 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,688 – $14,852 · median $8,844 | 38 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,934 – $10,537 · median $6,383 | 38 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | — | 38 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,688 – $35,727 · median $20,958 | 38 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $2,688 – $43,938 · median $25,723 | 38 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $2,688 – $27,923 · median $16,429 | 38 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $2,688 – $65,740 · median $38,375 | 38 plans |
| 324 | URINARY STONES W/O CC | $2,688 – $49,313 · median $28,842 | 38 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,688 – $44,174 · median $25,860 | 38 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,688 – $120,432 · median $97,740 | 38 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,688 – $43,293 · median $35,294 | 38 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,688 – $24,594 · median $14,497 | 38 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,688 – $70,871 · median $41,353 | 38 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,688 – $36,481 · median $21,396 | 38 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,688 – $25,482 · median $15,012 | 38 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,688 – $53,536 · median $31,293 | 38 plans |
| 333 | RECTAL RESECTION WITH CC | $2,688 – $43,153 · median $35,008 | 38 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,688 – $25,599 · median $15,080 | 38 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,688 – $55,924 · median $32,678 | 38 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,688 – $32,601 · median $19,144 | 38 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,688 – $23,693 · median $13,974 | 38 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,688 – $41,587 · median $24,358 | 38 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,688 – $22,977 · median $13,558 | 38 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,688 – $19,220 · median $11,378 | 38 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,688 – $77,398 · median $62,818 | 38 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,688 – $19,430 · median $11,500 | 38 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,495 – $13,596 · median $8,165 | 38 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,688 – $37,330 · median $21,888 | 38 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,688 – $23,220 · median $13,700 | 38 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,688 – $17,018 · median $10,100 | 38 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,688 – $45,268 · median $26,495 | 38 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,688 – $26,255 · median $15,461 | 38 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,688 – $20,577 · median $12,166 | 38 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,688 – $96,803 · median $78,558 | 38 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,688 – $34,757 · median $20,395 | 38 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $20,915 · median $12,362 | 38 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,688 – $25,775 · median $15,182 | 38 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,688 – $15,706 · median $9,339 | 38 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,977 – $10,773 · median $6,520 | 38 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,688 – $26,979 · median $15,881 | 38 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,688 – $15,886 · median $9,444 | 38 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,055 – $11,196 · median $6,767 | 38 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,688 – $32,587 · median $19,136 | 38 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,688 – $18,964 · median $11,230 | 38 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,501 – $13,628 · median $8,184 | 38 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,688 – $28,062 · median $16,510 | 38 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,688 – $15,216 · median $9,055 | 38 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,804 – $9,827 · median $5,969 | 38 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,688 – $29,700 · median $17,460 | 38 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,688 – $16,809 · median $9,979 | 38 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,123 – $11,565 · median $6,982 | 38 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,688 – $19,512 · median $11,548 | 38 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,463 – $13,421 · median $8,064 | 38 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,688 – $25,077 · median $14,777 | 38 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,688 – $15,318 · median $9,114 | 38 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,899 – $10,345 · median $6,271 | 38 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,688 – $22,686 · median $13,390 | 38 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,271 – $12,372 · median $7,452 | 38 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,550 – $8,480 · median $5,164 | 38 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,688 – $19,825 · median $11,730 | 38 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,210 – $12,043 · median $7,261 | 38 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,688 – $25,559 · median $15,057 | 38 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,667 – $14,528 · median $8,656 | 38 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,803 – $9,822 · median $5,966 | 38 plans |
| 397 | COAGULATION DISORDERS | $2,688 – $38,242 · median $22,418 | 38 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $2,688 – $23,355 · median $13,778 | 38 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $2,688 – $25,342 · median $20,553 | 38 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,688 – $83,787 · median $48,848 | 38 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,688 – $43,345 · median $25,379 | 38 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,688 – $32,964 · median $19,354 | 38 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,688 – $54,039 · median $31,585 | 38 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,688 – $32,357 · median $19,002 | 38 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,688 – $23,940 · median $14,117 | 38 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,688 – $42,234 · median $24,734 | 38 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,688 – $32,899 · median $19,317 | 38 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,688 – $25,659 · median $15,115 | 38 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,688 – $54,078 · median $31,607 | 38 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,688 – $30,530 · median $17,942 | 38 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,688 – $21,148 · median $12,497 | 38 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,688 – $36,679 · median $21,510 | 38 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,688 – $25,596 · median $15,078 | 38 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,688 – $20,336 · median $12,026 | 38 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,688 – $54,474 · median $31,837 | 38 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,688 – $25,275 · median $14,892 | 38 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,688 – $22,679 · median $13,386 | 38 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,688 – $62,776 · median $36,655 | 38 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,688 – $35,240 · median $20,675 | 38 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $23,858 · median $14,070 | 38 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,688 – $52,725 · median $42,784 | 38 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,688 – $16,511 · median $9,807 | 38 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,973 – $10,750 · median $6,507 | 38 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,688 – $28,161 · median $16,567 | 38 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,688 – $17,405 · median $10,325 | 38 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,224 – $12,119 · median $7,305 | 38 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,688 – $25,678 · median $15,126 | 38 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,437 – $13,276 · median $7,979 | 38 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,742 – $9,493 · median $5,775 | 38 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,688 – $29,176 · median $17,156 | 38 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,688 – $14,912 · median $8,879 | 38 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,991 – $10,845 · median $6,563 | 38 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,688 – $25,997 · median $15,311 | 38 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,688 – $16,738 · median $9,938 | 38 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,259 – $12,306 · median $7,413 | 38 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 38 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,688 – $88,582 · median $51,631 | 38 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 38 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,688 – $83,359 · median $48,600 | 38 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,688 – $45,509 · median $26,634 | 38 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,688 – $26,795 · median $15,774 | 38 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 38 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 38 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,688 – $69,217 · median $40,393 | 38 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,688 – $33,296 · median $19,547 | 38 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,688 – $17,951 · median $10,642 | 38 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,688 – $53,078 · median $31,027 | 38 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,688 – $36,094 · median $21,171 | 38 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,688 – $27,408 · median $16,130 | 38 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,688 – $45,391 · median $26,566 | 38 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,688 – $32,024 · median $18,809 | 38 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,688 – $24,485 · median $14,434 | 38 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,688 – $39,329 · median $23,048 | 38 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,688 – $52,995 · median $43,210 | 38 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,688 – $32,734 · median $19,221 | 38 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,688 – $24,389 · median $14,378 | 38 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,688 – $30,334 · median $17,828 | 38 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,688 – $19,113 · median $11,317 | 38 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $2,688 – $54,809 · median $32,032 | 38 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,688 – $37,057 · median $21,730 | 38 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,688 – $29,099 · median $17,112 | 38 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,688 – $54,337 · median $31,758 | 38 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,688 – $30,451 · median $17,896 | 38 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,688 – $20,722 · median $12,250 | 38 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,688 – $38,969 · median $22,839 | 38 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,688 – $17,916 · median $10,622 | 38 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,688 – $48,906 · median $28,606 | 38 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,688 – $27,545 · median $16,210 | 38 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,688 – $21,564 · median $12,739 | 38 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,688 – $40,848 · median $31,748 | 38 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,688 – $27,087 · median $15,944 | 38 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,688 – $27,087 · median $15,944 | 38 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,688 – $23,137 · median $13,652 | 38 plans |
| 509 | ARTHROSCOPY | $2,688 – $27,113 · median $15,959 | 38 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,688 – $44,112 · median $25,824 | 38 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,688 – $30,269 · median $17,791 | 38 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,688 – $24,815 · median $14,625 | 38 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,688 – $23,237 · median $13,710 | 38 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,688 – $15,737 · median $9,357 | 38 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,688 – $47,728 · median $27,922 | 38 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $23,038 · median $13,594 | 38 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,688 – $55,315 · median $32,325 | 38 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,688 – $44,985 · median $26,331 | 38 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,688 – $32,536 · median $19,106 | 38 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,688 – $23,535 · median $13,883 | 38 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,306 – $12,563 · median $7,564 | 38 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,688 – $20,526 · median $12,136 | 38 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,297 – $12,515 · median $7,536 | 38 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,603 – $14,184 · median $8,468 | 38 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,902 – $10,364 · median $6,282 | 38 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,688 – $31,214 · median $18,339 | 38 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,688 – $19,973 · median $11,815 | 38 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,478 – $13,503 · median $8,111 | 38 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,688 – $28,786 · median $16,930 | 38 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,688 – $16,374 · median $9,727 | 38 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,141 – $11,663 · median $7,039 | 38 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,688 – $39,000 · median $22,857 | 38 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,688 – $17,868 · median $10,594 | 38 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,114 – $11,517 · median $6,954 | 38 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,688 – $31,093 · median $18,269 | 38 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,688 – $18,600 · median $11,018 | 38 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,442 – $13,306 · median $7,996 | 38 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,688 – $26,337 · median $15,508 | 38 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,688 – $14,875 · median $8,857 | 38 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,688 – $20,157 · median $11,922 | 38 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,364 – $12,881 · median $7,749 | 38 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,688 – $20,783 · median $12,286 | 38 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,313 – $12,602 · median $7,586 | 38 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,688 – $23,918 · median $14,105 | 38 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,447 – $13,332 · median $8,012 | 38 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,688 – $28,650 · median $16,851 | 38 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,688 – $17,575 · median $10,424 | 38 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,316 – $12,619 · median $7,596 | 38 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,688 – $22,588 · median $13,333 | 38 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,532 – $13,795 · median $8,281 | 38 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,688 – $24,219 · median $14,279 | 38 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,688 – $15,738 · median $9,358 | 38 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,119 – $11,546 · median $6,971 | 38 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,688 – $193,592 · median $157,180 | 38 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,688 – $25,841 · median $15,221 | 38 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,688 – $17,632 · median $10,457 | 38 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,688 – $95,046 · median $55,382 | 38 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,688 – $53,477 · median $31,259 | 38 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,688 – $30,817 · median $18,108 | 38 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,688 – $83,271 · median $48,549 | 38 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,688 – $41,098 · median $24,075 | 38 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,688 – $26,090 · median $15,365 | 38 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,688 – $50,306 · median $29,418 | 38 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,688 – $27,364 · median $16,105 | 38 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,688 – $22,213 · median $13,115 | 38 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,688 – $27,028 · median $15,910 | 38 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,688 – $25,353 · median $14,938 | 38 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,688 – $31,600 · median $18,563 | 38 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,688 – $30,638 · median $18,005 | 38 plans |
| 592 | SKIN ULCERS WITH MCC | $2,688 – $31,737 · median $18,642 | 38 plans |
| 593 | SKIN ULCERS WITH CC | $2,688 – $18,871 · median $11,176 | 38 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,404 – $13,099 · median $7,876 | 38 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,688 – $32,644 · median $19,169 | 38 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,688 – $16,686 · median $9,908 | 38 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,688 – $27,113 · median $15,959 | 38 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,688 – $25,550 · median $20,722 | 38 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,422 – $13,195 · median $7,931 | 38 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,688 – $14,764 · median $8,793 | 38 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,698 – $9,253 · median $5,635 | 38 plans |
| 602 | CELLULITIS WITH MCC | $2,688 – $22,676 · median $13,384 | 38 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,495 – $13,594 · median $8,164 | 38 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,688 – $22,930 · median $13,532 | 38 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,617 – $14,256 · median $8,498 | 38 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,688 – $24,853 · median $14,648 | 38 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,448 – $13,338 · median $8,015 | 38 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,688 – $35,174 · median $20,637 | 38 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,688 – $22,117 · median $13,060 | 38 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,688 – $59,652 · median $34,842 | 38 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,688 – $29,812 · median $17,525 | 38 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,688 – $19,217 · median $11,377 | 38 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,688 – $42,081 · median $24,645 | 38 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,688 – $57,754 · median $33,741 | 38 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,688 – $29,522 · median $17,357 | 38 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,688 – $15,482 · median $9,209 | 38 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,688 – $44,251 · median $25,904 | 38 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,688 – $60,898 · median $35,565 | 38 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,688 – $34,713 · median $20,369 | 38 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $21,628 · median $12,776 | 38 plans |
| 637 | DIABETES WITH MCC | $2,688 – $22,477 · median $13,268 | 38 plans |
| 638 | DIABETES WITH CC | $2,598 – $14,156 · median $8,460 | 38 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,775 – $9,671 · median $5,878 | 38 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,688 – $20,496 · median $12,119 | 38 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,214 – $12,060 · median $7,270 | 38 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,688 – $19,155 · median $11,341 | 38 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,688 – $25,579 · median $15,069 | 38 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,688 – $15,950 · median $9,480 | 38 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,206 – $12,018 · median $7,246 | 38 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 38 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $2,688 – $53,595 · median $38,506 | 38 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 38 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,688 – $43,556 · median $25,501 | 38 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,688 – $32,061 · median $18,830 | 38 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,688 – $50,284 · median $29,406 | 38 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,688 – $28,215 · median $16,598 | 38 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,688 – $23,213 · median $13,696 | 38 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,688 – $39,886 · median $23,371 | 38 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,688 – $20,682 · median $12,227 | 38 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,688 – $15,845 · median $9,420 | 38 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,688 – $48,148 · median $28,166 | 38 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,688 – $23,574 · median $13,905 | 38 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,688 – $16,666 · median $9,896 | 38 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,688 – $52,994 · median $30,978 | 38 plans |
| 666 | PROSTATECTOMY WITH CC | $2,688 – $25,424 · median $14,979 | 38 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,688 – $15,863 · median $9,430 | 38 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,688 – $45,010 · median $26,345 | 38 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,688 – $23,884 · median $14,085 | 38 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,688 – $14,750 · median $8,785 | 38 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,688 – $26,604 · median $15,663 | 38 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,688 – $16,891 · median $10,027 | 38 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,688 – $64,662 · median $37,750 | 38 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,688 – $35,628 · median $20,900 | 38 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,688 – $24,159 · median $14,245 | 38 plans |
| 682 | RENAL FAILURE WITH MCC | $2,688 – $23,180 · median $13,677 | 38 plans |
| 683 | RENAL FAILURE WITH CC | $2,518 – $13,719 · median $8,237 | 38 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,721 – $9,375 · median $5,706 | 38 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,688 – $29,104 · median $17,114 | 38 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,688 – $16,247 · median $9,653 | 38 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,052 – $11,177 · median $6,756 | 38 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,688 – $18,062 · median $10,707 | 38 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,274 – $12,387 · median $7,461 | 38 plans |
| 693 | URINARY STONES WITH MCC | $2,688 – $22,694 · median $13,395 | 38 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,214 – $12,060 · median $7,270 | 38 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,688 – $17,406 · median $10,326 | 38 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,960 – $10,677 · median $6,465 | 38 plans |
| 697 | URETHRAL STRICTURE | $2,688 – $15,462 · median $9,197 | 38 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,688 – $25,943 · median $15,280 | 38 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,688 – $15,741 · median $9,360 | 38 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,967 – $10,714 · median $6,486 | 38 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,688 – $29,951 · median $17,606 | 38 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,688 – $22,881 · median $13,503 | 38 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,688 – $34,682 · median $20,351 | 38 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,688 – $23,173 · median $13,672 | 38 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,688 – $29,488 · median $17,337 | 38 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,688 – $16,508 · median $9,805 | 38 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,688 – $22,318 · median $13,176 | 38 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,662 – $14,503 · median $8,641 | 38 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,688 – $34,855 · median $20,452 | 38 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,688 – $21,905 · median $12,937 | 38 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,688 – $28,638 · median $16,844 | 38 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,688 – $19,013 · median $11,258 | 38 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,688 – $26,684 · median $15,710 | 38 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,688 – $17,331 · median $10,282 | 38 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,064 – $11,245 · median $6,796 | 38 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,688 – $19,487 · median $11,533 | 38 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,109 – $11,489 · median $6,938 | 38 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,688 – $22,679 · median $13,386 | 38 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,315 – $12,611 · median $7,592 | 38 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,688 – $16,991 · median $10,085 | 38 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,719 – $9,367 · median $5,701 | 38 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,688 – $60,773 · median $35,493 | 38 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,688 – $30,843 · median $18,124 | 38 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,688 – $23,412 · median $13,811 | 38 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,688 – $61,441 · median $35,880 | 38 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,688 – $28,064 · median $16,511 | 38 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,688 – $21,200 · median $12,528 | 38 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,688 – $30,158 · median $17,726 | 38 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,688 – $52,163 · median $42,337 | 38 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,688 – $25,846 · median $15,224 | 38 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,688 – $14,743 · median $8,780 | 38 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,688 – $21,026 · median $12,426 | 38 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,688 – $39,952 · median $23,410 | 38 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $19,902 · median $11,774 | 38 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,688 – $27,925 · median $16,430 | 38 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,688 – $17,133 · median $10,167 | 38 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,688 – $14,739 · median $8,778 | 38 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,688 – $21,844 · median $12,901 | 38 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,688 – $15,732 · median $9,354 | 38 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,813 – $9,878 · median $5,999 | 38 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,688 – $15,212 · median $9,052 | 38 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,796 – $9,784 · median $5,944 | 38 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,688 – $16,920 · median $10,038 | 38 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,688 – $21,446 · median $12,670 | 38 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,688 – $16,607 · median $9,862 | 38 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,021 – $11,012 · median $6,660 | 38 plans |
| 779 | ABORTION WITHOUT D&C | $2,648 – $14,428 · median $8,597 | 38 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,688 – $29,474 · median $23,984 | 38 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,688 – $16,715 · median $9,919 | 38 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,474 – $13,482 · median $8,099 | 38 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,688 – $24,940 · median $14,689 | 38 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,688 – $16,388 · median $9,735 | 38 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,563 – $13,963 · median $8,379 | 38 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,528 – $27,821 · median $16,370 | 38 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $730 – $91,752 · median $53,470 | 38 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $581 – $62,661 · median $36,588 | 38 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $507 – $37,809 · median $22,166 | 38 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $466 – $64,368 · median $37,579 | 38 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $435 – $22,784 · median $13,447 | 38 plans |
| 795 | NORMAL NEWBORN | $566 – $8,480 · median $2,066 | 38 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,688 – $19,703 · median $11,652 | 38 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,688 – $14,943 · median $8,891 | 38 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,688 – $14,943 · median $8,891 | 38 plans |
| 799 | SPLENECTOMY WITH MCC | $2,688 – $73,386 · median $42,812 | 38 plans |
| 800 | SPLENECTOMY WITH CC | $2,688 – $44,972 · median $26,323 | 38 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $2,688 – $25,338 · median $14,929 | 38 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,688 – $55,328 · median $42,554 | 38 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,688 – $27,473 · median $16,168 | 38 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,688 – $17,064 · median $10,127 | 38 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,688 – $15,403 · median $9,158 | 38 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,050 – $11,168 · median $6,751 | 38 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,805 – $9,836 · median $5,974 | 38 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,688 – $35,348 · median $20,738 | 38 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,688 – $19,115 · median $11,318 | 38 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,688 – $14,690 · median $8,750 | 38 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,688 – $21,714 · median $12,826 | 38 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,614 – $14,244 · median $8,491 | 38 plans |
| 813 | COAGULATION DISORDERS | $2,688 – $23,892 · median $14,090 | 38 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,688 – $32,265 · median $18,949 | 38 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,688 – $15,682 · median $9,326 | 38 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,868 – $10,177 · median $6,173 | 38 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,688 – $39,127 · median $22,931 | 38 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,688 – $19,879 · median $11,761 | 38 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,313 – $12,602 · median $7,586 | 38 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | — | 38 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,688 – $34,455 · median $20,220 | 38 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $17,652 · median $10,468 | 38 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,688 – $72,223 · median $42,138 | 38 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,688 – $33,946 · median $19,924 | 38 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,688 – $18,996 · median $11,249 | 38 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,688 – $73,705 · median $42,997 | 38 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,688 – $36,423 · median $21,362 | 38 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $24,739 · median $14,581 | 38 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,688 – $47,595 · median $27,845 | 38 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,688 – $22,572 · median $13,324 | 38 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,117 – $11,535 · median $6,965 | 38 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,473 – $8,480 · median $4,918 | 38 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $2,688 – $85,308 · median $49,731 | 38 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $2,688 – $32,965 · median $19,355 | 38 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $19,612 · median $11,606 | 38 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,688 – $157,801 · median $128,091 | 38 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,688 – $31,303 · median $18,391 | 38 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,688 – $21,151 · median $12,499 | 38 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,688 – $49,219 · median $28,788 | 38 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,688 – $34,124 · median $27,681 | 38 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,688 – $16,235 · median $9,646 | 38 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,688 – $29,221 · median $17,182 | 38 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,688 – $18,447 · median $10,930 | 38 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,371 – $12,915 · median $7,769 | 38 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,688 – $39,415 · median $23,098 | 38 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,688 – $19,612 · median $11,606 | 38 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,320 – $12,639 · median $7,608 | 38 plans |
| 849 | RADIOTHERAPY | $2,688 – $65,644 · median $53,268 | 38 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,688 – $77,190 · median $45,020 | 38 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,688 – $30,839 · median $18,121 | 38 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $25,090 · median $14,785 | 38 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,688 – $69,632 · median $40,634 | 38 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,688 – $33,629 · median $19,740 | 38 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,688 – $19,885 · median $11,764 | 38 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,688 – $28,379 · median $16,693 | 38 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,688 – $15,432 · median $9,180 | 38 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,544 – $13,860 · median $8,319 | 38 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,688 – $22,779 · median $13,444 | 38 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,507 – $13,656 · median $8,200 | 38 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,688 – $33,095 · median $19,430 | 38 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,688 – $16,207 · median $9,630 | 38 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,039 – $11,106 · median $6,715 | 38 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,688 – $107,367 · median $62,532 | 38 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,688 – $30,283 · median $17,799 | 38 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,688 – $15,912 · median $9,459 | 38 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,688 – $60,649 · median $35,747 | 38 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,688 – $21,855 · median $8,918 | 38 plans |
| 881 | DEPRESSIVE NEUROSES | $2,590 – $21,365 · median $8,516 | 38 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,400 – $14,848 · median $8,808 | 38 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,637 – $28,613 · median $16,751 | 38 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,453 – $25,778 · median $15,115 | 38 plans |
| 885 | PSYCHOSES | $1,426 – $21,756 · median $12,794 | 38 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,688 – $40,682 · median $16,484 | 38 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,412 – $18,357 · median $10,833 | 38 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,180 – $9,632 · median $5,815 | 38 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,688 – $187,266 · median $44,439 | 38 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,688 – $124,351 · median $20,452 | 38 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,499 – $16,692 · median $8,308 | 38 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,688 – $68,380 · median $39,907 | 38 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,688 – $29,288 · median $17,221 | 38 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,688 – $18,816 · median $11,144 | 38 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,688 – $59,592 · median $34,807 | 38 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,688 – $25,438 · median $14,987 | 38 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,688 – $33,685 · median $19,773 | 38 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,688 – $61,484 · median $35,905 | 38 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,688 – $35,335 · median $28,800 | 38 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,688 – $19,575 · median $11,584 | 38 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,688 – $24,977 · median $14,719 | 38 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,596 – $14,144 · median $8,456 | 38 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,688 – $26,823 · median $15,790 | 38 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,881 – $10,250 · median $6,216 | 38 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,688 – $25,307 · median $15,068 | 38 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,672 – $13,653 · median $8,148 | 38 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,688 – $28,145 · median $16,558 | 38 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,688 – $15,679 · median $9,324 | 38 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,948 – $10,614 · median $6,428 | 38 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,688 – $26,074 · median $15,356 | 38 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,688 – $15,741 · median $9,360 | 38 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,688 – $366,138 · median $212,703 | 38 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,688 – $103,082 · median $60,046 | 38 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,688 – $49,086 · median $28,711 | 38 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,688 – $66,781 · median $38,979 | 38 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,688 – $33,118 · median $19,444 | 38 plans |
| 935 | NON-EXTENSIVE BURNS | $2,688 – $33,899 · median $19,897 | 38 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,688 – $48,988 · median $28,653 | 38 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,688 – $32,587 · median $19,136 | 38 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,688 – $30,163 · median $17,729 | 38 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,804 – $19,851 · median $11,695 | 38 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,628 – $12,262 · median $7,341 | 38 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,688 – $16,653 · median $9,889 | 38 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,660 – $9,046 · median $5,514 | 38 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,606 – $8,751 · median $5,342 | 38 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,688 – $105,388 · median $61,384 | 38 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,688 – $58,995 · median $34,461 | 38 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,688 – $115,202 · median $67,079 | 38 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,688 – $63,431 · median $37,035 | 38 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,688 – $40,806 · median $29,262 | 38 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,688 – $41,930 · median $24,557 | 38 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,688 – $23,153 · median $13,661 | 38 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,585 – $14,085 · median $8,439 | 38 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,688 – $277,980 · median $225,682 | 38 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,688 – $76,021 · median $61,697 | 38 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,688 – $46,089 · median $26,971 | 38 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,688 – $21,938 · median $12,956 | 38 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,688 – $15,480 · median $9,208 | 38 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,688 – $22,254 · median $13,139 | 38 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,688 – $73,372 · median $42,804 | 38 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,688 – $37,787 · median $22,153 | 38 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,688 – $25,747 · median $15,166 | 38 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,688 – $54,061 · median $31,597 | 38 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,688 – $26,485 · median $15,594 | 38 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,688 – $17,834 · median $10,574 | 38 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,688 – $119,715 · median $96,666 | 37 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,688 – $44,200 · median $25,875 | 37 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,688 – $52,865 · median $30,903 | 37 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,688 – $40,488 · median $23,721 | 37 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,688 – $50,449 · median $29,501 | 37 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,688 – $29,101 · median $17,112 | 37 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,688 – $44,715 · median $26,174 | 37 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,688 – $36,538 · median $21,429 | 37 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,688 – $29,914 · median $17,585 | 37 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,688 – $19,919 · median $11,784 | 37 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,688 – $31,049 · median $18,243 | 37 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,688 – $30,434 · median $17,886 | 37 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,688 – $22,120 · median $13,061 | 37 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,688 – $24,648 · median $14,528 | 37 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,688 – $22,561 · median $13,318 | 37 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,688 – $23,295 · median $13,743 | 37 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,688 – $19,553 · median $11,572 | 37 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,688 – $32,455 · median $19,059 | 37 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,688 – $18,735 · median $11,097 | 37 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,688 – $28,193 · median $16,586 | 37 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,688 – $18,501 · median $10,961 | 37 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,688 – $23,560 · median $13,897 | 37 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,688 – $17,232 · median $10,225 | 37 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $8,480 – $434,750 · median $303,439 | 35 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $8,480 – $293,524 · median $239,578 | 35 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $8,480 – $172,535 · median $140,811 | 35 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $8,480 – $219,702 · median $179,314 | 35 plans |
| 007 | LUNG TRANSPLANT | $8,480 – $904,648 · median $738,454 | 35 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $8,480 – $211,948 · median $172,984 | 35 plans |
| 010 | PANCREAS TRANSPLANT | $8,480 – $123,055 · median $97,469 | 35 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $8,480 – $202,213 · median $117,573 | 35 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $8,480 – $93,158 · median $54,286 | 35 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $8,480 – $93,158 · median $54,286 | 35 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $2,688 – $273,656 · median $79,594 | 35 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $2,688 – $89,597 · median $55,006 | 35 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $2,688 – $146,158 · median $41,476 | 35 plans |
| 652 | KIDNEY TRANSPLANT | $8,480 – $47,404 · median $27,734 | 35 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,688 – $176,974 · median $59,593 | 34 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 34 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,688 – $11,378 · median $9,076 | 4 plans |
| 999 | UNGROUPABLE | $2,688 – $21,765 · median $13,490 | 4 plans |
No procedures match that keyword.