Covenant Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $222,293 – $415,884 · median $222,293 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,205 – $153,132 · median $90,205 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $168,494 – $319,184 · median $168,494 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $110,143 – $169,126 · median $110,143 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,123 – $157,247 · median $82,123 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,228 – $60,493 · median $37,228 | 14 plans |
| 007 | LUNG TRANSPLANT | $103,012 – $158,122 · median $103,012 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,885 – $68,432 · median $44,885 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $57,317 – $87,615 · median $57,317 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,694 – $70,217 · median $43,694 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,896 – $70,149 · median $33,896 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,338 – $49,154 · median $23,338 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,634 – $237,331 · median $95,634 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,457 – $150,999 · median $47,457 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,521 – $77,254 · median $43,521 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $114,923 – $527,262 · median $342,249 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,992 – $99,972 · median $56,992 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,802 – $124,626 · median $62,802 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,425 – $91,093 · median $42,425 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,678 – $58,862 · median $25,678 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,879 – $76,452 · median $45,879 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,490 – $59,387 · median $31,490 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,513 – $65,659 · median $36,513 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,138 – $48,916 · median $25,138 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,498 – $44,217 · median $20,498 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,079 – $73,361 · median $48,079 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,531 – $43,470 · median $27,531 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,905 – $31,824 · median $17,905 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,989 – $67,235 · median $35,989 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,397 – $28,846 · median $17,397 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,693 – $26,375 · median $13,693 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,164 – $47,261 · median $31,164 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,451 – $29,188 · median $19,451 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,908 – $23,722 · median $15,908 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,585 – $40,197 · median $26,585 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,374 – $21,229 · median $13,374 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,836 – $20,508 · median $9,836 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,089 – $47,145 · median $31,089 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,933 – $30,819 · median $17,933 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,206 – $26,728 · median $14,206 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,867 – $22,116 · median $14,867 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,283 – $14,791 · median $8,283 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,617 – $18,643 · median $12,617 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,602 – $16,155 · median $8,602 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,917 – $30,879 · median $18,917 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,787 – $22,743 · median $10,787 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,062 – $20,873 · median $14,062 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,354 – $19,675 · median $10,354 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,813 – $12,974 · median $7,813 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,352 – $40,200 · median $22,352 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,439 – $25,195 · median $14,439 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,643 – $25,007 · median $11,643 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,448 – $25,355 · median $16,448 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,529 – $15,826 · median $8,529 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,950 – $12,003 · median $5,950 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,156 – $20,781 · median $12,156 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,374 – $12,351 · median $7,374 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,855 – $12,373 · median $6,855 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,708 – $24,069 · median $13,708 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,653 – $13,040 · median $8,653 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,518 – $10,486 · median $6,518 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,229 – $19,589 · median $13,229 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,691 – $13,976 · median $8,691 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,018 – $23,413 · median $15,708 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,064 – $10,076 · median $7,064 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,857 – $22,100 · median $14,857 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,621 – $15,477 · median $7,621 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,621 – $34,273 · median $18,621 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,579 – $18,368 · median $11,579 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,098 – $11,779 · median $8,098 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,512 – $28,236 · median $18,512 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,843 – $15,906 · median $10,843 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,772 – $11,168 · median $7,772 | 14 plans |
| 088 | CONCUSSION WITH MCC | $11,231 – $28,253 · median $11,231 | 14 plans |
| 089 | CONCUSSION WITH CC | $9,228 – $15,707 · median $9,228 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,048 – $14,664 · median $7,048 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,431 – $26,202 · median $14,431 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,629 – $13,340 · median $8,629 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,835 – $12,086 · median $6,835 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,384 – $49,617 · median $28,384 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,944 – $42,043 · median $20,944 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,944 – $31,492 · median $20,944 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,115 – $44,100 · median $29,115 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,694 – $28,021 · median $18,694 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,315 – $22,504 · median $11,315 | 14 plans |
| 100 | SEIZURES WITH MCC | $15,860 – $23,648 · median $15,860 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $7,677 – $11,021 · median $7,677 | 14 plans |
| 102 | HEADACHES WITH MCC | $9,404 – $14,304 · median $9,404 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $7,152 – $13,092 · median $7,152 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,139 – $30,911 · median $19,139 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,241 – $20,417 · median $11,241 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,680 – $18,741 · median $12,680 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,842 – $22,077 · median $14,842 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,119 – $16,256 · median $9,119 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,820 – $14,204 · median $9,740 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,752 – $9,595 · median $6,752 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,854 – $14,248 · median $6,854 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,004 – $16,315 · median $11,004 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,610 – $9,375 · median $6,610 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,706 – $26,496 · median $17,706 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,568 – $14,133 · median $8,568 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,350 – $18,232 · median $12,350 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,547 – $10,821 · median $7,547 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,313 – $16,520 · median $10,313 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,286 – $56,870 · median $34,286 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,794 – $43,406 · median $17,794 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,167 – $32,099 · median $13,167 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $30,182 – $52,624 · median $30,182 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,247 – $22,799 · median $14,247 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,048 – $17,825 · median $10,048 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,290 – $25,853 · median $17,290 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,596 – $16,644 · median $10,596 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,842 – $13,834 · median $6,842 | 14 plans |
| 149 | DYSEQUILIBRIUM | $6,482 – $10,978 · median $6,482 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $11,071 – $21,555 · median $11,071 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,342 – $10,800 · median $6,342 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,763 – $14,435 · median $9,889 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,065 – $9,013 · median $6,376 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,906 – $19,090 · median $12,906 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,787 – $14,375 · median $7,787 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,003 – $8,438 · median $6,003 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,120 – $34,901 · median $14,120 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,734 – $13,038 · median $7,734 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,141 – $9,327 · median $6,141 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,000 – $54,723 · median $36,000 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,507 – $34,432 · median $20,507 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,682 – $27,536 · median $15,682 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,111 – $46,152 · median $30,111 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,805 – $24,583 · median $14,805 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,347 – $20,378 · median $11,347 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,087 – $36,620 · median $24,087 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,404 – $17,740 · median $11,404 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,904 – $10,165 · median $6,904 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,900 – $19,081 · median $12,900 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,257 – $12,873 · median $8,257 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,509 – $10,036 · median $6,509 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,509 – $22,217 · median $14,509 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,009 – $13,824 · median $9,009 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,499 – $9,204 · median $6,499 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,641 – $18,680 · median $12,641 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,955 – $13,118 · median $8,955 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,758 – $10,414 · median $6,758 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,867 – $19,029 · median $12,867 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,361 – $12,077 · median $8,361 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,210 – $9,026 · median $6,210 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,310 – $15,084 · median $10,310 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,300 – $13,525 · median $9,300 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,205 – $11,243 · median $7,205 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,614 – $8,249 · median $5,614 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,935 – $16,049 · median $10,935 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,911 – $9,840 · median $6,911 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,508 – $7,674 · median $5,508 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,468 – $23,043 · median $15,468 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,045 – $14,165 · median $8,045 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,202 – $9,344 · median $6,202 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,494 – $21,540 · median $14,494 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,233 – $13,422 · median $9,233 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,193 – $8,731 · median $6,193 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,219 – $11,858 · median $8,219 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,616 – $8,181 · median $5,836 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,923 – $10,650 · median $6,923 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,023 – $22,641 · median $15,023 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,981 – $11,491 · median $7,981 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,453 – $93,613 · median $51,453 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,285 – $33,562 · median $22,285 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $86,583 – $161,223 · median $86,583 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $79,326 – $127,341 · median $79,326 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $77,948 – $139,258 · median $77,948 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,566 – $93,310 · median $52,566 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,566 – $80,284 · median $52,566 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,294 – $101,134 · median $61,294 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,734 – $75,140 · median $42,734 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,418 – $64,257 · median $40,418 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,684 – $84,007 · median $39,684 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,457 – $49,675 · median $25,457 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,242 – $103,856 · median $67,242 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,509 – $93,045 · median $48,509 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $61,032 – $93,348 · median $61,032 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,762 – $67,943 · median $43,762 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,974 – $71,656 · median $46,974 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,681 – $55,709 · median $33,681 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,481 – $60,094 · median $39,481 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,091 – $34,805 · median $23,091 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,489 – $16,904 · median $11,489 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,799 – $45,312 · median $25,799 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,396 – $30,110 · median $17,396 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,837 – $28,104 · median $14,837 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,637 – $62,132 · median $36,637 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,805 – $34,727 · median $17,805 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,360 – $21,783 · median $12,360 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,138 – $63,999 · median $28,138 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,074 – $35,016 · median $21,074 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,633 – $25,285 · median $14,633 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,879 – $32,935 · median $21,879 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,970 – $26,231 · median $13,970 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,177 – $13,488 · median $9,177 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,398 – $38,365 · median $25,398 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,535 – $24,690 · median $16,535 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,274 – $56,753 · median $26,274 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,494 – $31,069 · median $15,494 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,432 – $28,141 · median $13,432 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,728 – $38,853 · median $24,728 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,969 – $40,789 · median $26,969 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $29,166 – $51,412 · median $29,166 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,030 – $83,723 · median $49,030 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,207 – $70,263 · median $38,207 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,960 – $83,979 · median $54,960 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,953 – $51,565 · median $33,953 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,287 – $73,063 · median $42,287 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,676 – $46,259 · median $28,676 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,737 – $33,784 · median $20,737 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,180 – $50,372 · median $33,180 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,582 – $41,975 · median $26,582 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $56,959 – $102,149 · median $56,959 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $48,066 – $98,818 · median $48,066 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $37,081 – $76,781 · median $37,081 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $44,581 – $75,130 · median $44,581 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $29,072 – $44,034 · median $29,072 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,228 – $19,586 · median $13,228 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,807 – $13,364 · median $7,807 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,256 – $11,596 · median $6,256 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,209 – $29,419 · median $16,209 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,012 – $11,119 · median $6,012 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,273 – $7,345 · median $5,273 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,045 – $27,018 · median $18,045 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,002 – $15,595 · median $9,002 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,949 – $45,883 · median $21,949 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,041 – $20,841 · median $14,041 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,891 – $13,953 · median $7,891 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,693 – $15,675 · median $10,693 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,252 – $10,366 · median $7,252 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,013 – $6,911 · median $5,013 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,894 – $23,821 · median $12,894 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,551 – $8,040 · median $5,551 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,135 – $7,384 · median $4,135 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,454 – $19,935 · median $13,454 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,982 – $13,038 · median $8,982 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,229 – $10,846 · median $6,229 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,003 – $20,398 · median $10,003 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,861 – $9,374 · median $5,861 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $9,951 – $18,893 · median $9,951 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,509 – $9,829 · median $6,509 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,004 – $26,288 · median $13,004 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,761 – $14,297 · median $7,761 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,062 – $14,701 · median $10,062 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,356 – $9,434 · median $6,356 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,014 – $7,253 · median $5,014 | 14 plans |
| 311 | ANGINA PECTORIS | $6,088 – $10,072 · median $6,088 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,431 – $11,837 · median $7,431 | 14 plans |
| 313 | CHEST PAIN | $6,232 – $9,992 · median $6,232 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,035 – $25,460 · median $17,035 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,157 – $13,186 · median $8,157 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,932 – $8,328 · median $5,932 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $53,446 – $81,642 · median $53,446 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,850 – $54,492 · median $35,850 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,568 – $40,236 · median $19,568 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,064 – $41,257 · median $22,064 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,485 – $28,723 · median $14,485 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,778 – $70,690 · median $34,778 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,469 – $46,610 · median $25,469 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,939 – $39,199 · median $25,939 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $40,001 – $61,425 · median $40,001 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,876 – $32,772 · median $19,876 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,214 – $21,621 · median $13,214 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,907 – $56,123 · median $36,907 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,504 – $29,474 · median $19,504 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,851 – $21,601 · median $13,851 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,186 – $44,209 · median $29,186 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $19,069 – $32,528 · median $19,069 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,495 – $25,503 · median $13,495 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,791 – $43,601 · median $28,791 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,221 – $25,849 · median $17,221 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,681 – $22,064 · median $12,681 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,972 – $36,489 · median $20,972 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,441 – $20,997 · median $12,441 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,921 – $19,546 · median $9,921 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,700 – $46,145 · median $18,700 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,891 – $16,072 · median $10,891 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,423 – $15,030 · median $7,423 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,253 – $30,426 · median $20,253 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,598 – $20,204 · median $12,598 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,775 – $19,965 · median $9,775 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,498 – $42,700 · median $23,498 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,847 – $22,188 · median $13,847 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,177 – $18,733 · median $11,177 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,295 – $53,636 · median $35,295 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,936 – $28,394 · median $18,936 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,596 – $22,879 · median $11,596 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,131 – $19,634 · median $13,131 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,449 – $14,238 · median $8,449 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,080 – $9,804 · median $6,080 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,565 – $22,158 · median $14,565 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,614 – $12,466 · median $8,614 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,290 – $9,910 · median $6,290 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,458 – $26,114 · median $17,458 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,106 – $14,769 · median $10,106 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,848 – $11,286 · median $7,848 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,000 – $22,320 · median $15,000 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,295 – $13,489 · median $8,295 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,523 – $9,946 · median $5,523 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,061 – $27,088 · median $16,061 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,108 – $13,230 · median $9,108 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,869 – $10,163 · median $6,869 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,460 – $16,858 · median $11,460 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,298 – $10,437 · median $7,298 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,055 – $19,320 · median $13,055 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,260 – $13,216 · median $8,260 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,925 – $9,040 · median $5,925 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,220 – $18,032 · median $12,220 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,784 – $9,643 · median $6,784 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,839 – $6,934 · median $4,839 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,571 – $15,486 · median $10,571 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,703 – $9,519 · median $6,703 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,190 – $19,527 · median $13,190 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,939 – $11,801 · median $7,939 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,670 – $9,527 · median $5,670 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,486 – $29,242 · median $19,486 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,512 – $19,521 · median $12,512 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,592 – $16,429 · median $9,592 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,349 – $49,090 · median $32,349 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,823 – $66,795 · median $43,823 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,484 – $45,899 · median $23,484 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,098 – $30,482 · median $18,098 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,750 – $65,375 · median $28,750 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,764 – $40,436 · median $17,764 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,098 – $25,900 · median $13,098 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,674 – $40,333 · median $26,674 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,172 – $25,672 · median $17,172 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,674 – $20,578 · median $13,674 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,726 – $45,821 · median $28,726 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,888 – $26,397 · median $16,888 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,322 – $20,457 · median $11,322 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,418 – $29,138 · median $19,418 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,920 – $22,894 · median $13,920 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,342 – $20,415 · median $11,342 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,495 – $56,799 · median $27,495 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,283 – $27,254 · median $14,283 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,609 – $22,494 · median $11,609 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,398 – $55,334 · median $33,398 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,847 – $29,305 · median $17,847 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,406 – $22,490 · median $12,406 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $87,747 – $134,569 · median $87,747 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $57,656 – $88,139 · median $57,656 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $45,022 – $68,645 · median $45,022 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $71,829 – $110,007 · median $71,829 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $46,170 – $70,416 · median $46,170 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,109 – $25,005 · median $16,109 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,892 – $12,896 · median $8,892 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,172 – $8,700 · median $6,172 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,068 – $23,822 · median $15,068 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,485 – $15,309 · median $9,485 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,287 – $12,875 · median $7,287 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,434 – $22,020 · median $13,434 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,191 – $11,334 · median $7,191 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,451 – $8,305 · median $5,451 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,736 – $34,044 · median $14,736 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,173 – $12,743 · median $8,173 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,071 – $10,126 · median $6,071 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,756 – $22,733 · median $13,756 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,194 – $13,376 · median $9,194 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,081 – $11,309 · median $7,081 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,407 – $81,582 · median $53,407 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $34,093 – $51,780 · median $34,093 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,708 – $65,074 · median $42,708 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,097 – $39,443 · median $26,097 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,032 – $102,606 · median $67,032 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,721 – $73,338 · median $47,721 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,553 – $69,777 · median $33,553 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,239 – $75,257 · median $44,239 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,583 – $40,540 · median $21,583 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,636 – $73,789 · median $45,636 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,181 – $40,295 · median $25,181 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,966 – $22,999 · median $14,966 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,726 – $63,558 · median $41,726 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,441 – $43,060 · median $28,441 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,280 – $33,553 · median $22,280 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,537 – $47,782 · median $24,537 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,798 – $25,351 · median $15,798 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,745 – $58,958 · median $38,745 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,847 – $35,972 · median $23,847 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,853 – $29,808 · median $19,853 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,505 – $54,350 · median $34,505 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,542 – $27,786 · median $18,542 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,873 – $14,474 · median $9,873 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,871 – $42,181 · median $27,871 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,994 – $30,027 · median $19,994 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,244 – $22,697 · median $15,244 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,580 – $43,255 · median $23,580 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,108 – $27,603 · median $17,108 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,441 – $21,158 · median $13,441 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,469 – $33,845 · median $22,469 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,071 – $39,403 · median $26,071 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,081 – $25,532 · median $17,081 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,928 – $19,123 · median $12,928 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,532 – $21,774 · median $14,532 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,372 – $13,941 · median $9,372 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,588 – $44,830 · median $29,588 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,603 – $35,557 · median $20,603 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,412 – $24,499 · median $16,412 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,225 – $47,416 · median $29,225 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,809 – $28,645 · median $14,809 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,096 – $18,798 · median $10,096 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,407 – $37,427 · median $24,407 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,478 – $27,831 · median $16,478 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,578 – $56,256 · median $25,578 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,367 – $23,213 · median $14,367 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,185 – $19,583 · median $11,185 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,621 – $34,079 · median $22,621 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,326 – $23,643 · median $15,326 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,721 – $21,890 · median $14,721 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,211 – $16,474 · median $11,211 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,829 – $22,056 · median $14,829 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,591 – $18,491 · median $12,518 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,436 – $36,880 · median $24,436 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,989 – $29,058 · median $16,989 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,634 – $24,737 · median $13,634 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,992 – $19,222 · median $12,992 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,624 – $12,485 · median $8,624 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,753 – $63,673 · median $25,753 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,979 – $30,319 · median $16,979 | 14 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,694 – $20,620 · median $12,694 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,108 – $45,632 · median $30,108 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,362 – $27,892 · median $16,362 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,356 – $22,115 · median $12,356 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,247 – $51,178 · median $23,247 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,292 – $29,193 · median $17,292 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,940 – $19,142 · median $12,940 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,913 – $10,097 · median $6,913 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,679 – $15,653 · median $10,679 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,925 – $9,861 · median $6,925 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,086 – $20,637 · median $8,086 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,234 – $10,408 · median $6,234 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,121 – $24,050 · median $16,121 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,792 – $15,828 · median $10,792 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,765 – $9,614 · median $6,765 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,513 – $32,492 · median $14,513 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,669 – $17,018 · median $8,669 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,505 – $12,643 · median $6,505 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,172 – $35,635 · median $20,172 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,661 – $17,433 · median $9,661 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,151 – $14,170 · median $7,151 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,814 – $23,576 · median $15,814 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,087 – $14,740 · median $10,087 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,451 – $10,684 · median $7,451 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,798 – $20,712 · median $13,798 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,141 – $11,908 · median $8,141 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,792 – $16,020 · median $10,792 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,103 – $10,167 · median $7,103 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,994 – $21,357 · median $10,994 | 14 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,107 – $12,039 · median $7,107 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,300 – $22,025 · median $12,300 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,202 – $10,906 · median $7,602 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,292 – $32,280 · median $15,292 | 14 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,445 – $13,750 · median $9,445 | 14 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,896 – $9,887 · median $6,896 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,809 – $17,397 · median $11,809 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,620 – $11,820 · median $7,620 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,749 – $24,880 · median $12,749 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,245 – $11,897 · median $8,245 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,464 – $9,149 · median $6,464 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,808 – $35,911 · median $23,808 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,904 – $20,629 · median $13,904 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,605 – $13,996 · median $9,605 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $52,377 – $87,757 · median $52,377 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,004 – $42,386 · median $28,004 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,754 – $21,941 · median $14,754 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,318 – $77,314 · median $39,318 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,510 – $49,583 · median $21,510 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,246 – $24,629 · median $13,246 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,161 – $39,542 · median $26,161 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,208 – $28,793 · median $14,208 | 14 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,954 – $27,812 · median $11,954 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,780 – $53,761 · median $15,780 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,180 – $48,612 · median $14,180 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,474 – $43,369 · median $17,474 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,800 – $37,840 · median $15,800 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $15,849 – $23,630 · median $15,849 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $9,922 – $14,485 · median $9,922 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,990 – $10,584 · median $7,393 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,316 – $35,332 · median $17,316 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,100 – $13,217 · median $9,100 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,726 – $23,098 · median $13,726 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,486 – $13,813 · median $9,486 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,623 – $9,394 · median $6,623 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,777 – $12,718 · median $8,777 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,322 – $7,387 · median $5,322 | 14 plans |
| 602 | CELLULITIS WITH MCC | $11,781 – $17,992 · median $11,781 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,426 – $10,634 · median $7,426 | 14 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,170 – $17,974 · median $12,183 | 14 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,783 – $11,184 · median $7,783 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,508 – $18,915 · median $12,508 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,707 – $11,067 · median $7,707 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,878 – $41,166 · median $17,878 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,607 – $25,119 · median $11,607 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,131 – $42,581 · median $28,131 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,334 – $22,836 · median $15,334 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,757 – $17,317 · median $11,757 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,383 – $35,255 · median $23,383 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,198 – $21,323 · median $13,198 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,470 – $19,400 · median $12,470 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,699 – $43,458 · median $28,699 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,730 – $21,904 · median $14,730 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,441 – $15,286 · median $10,441 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,433 – $36,875 · median $24,433 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,399 – $22,665 · median $12,399 | 14 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,045 – $18,777 · median $11,045 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,025 – $45,504 · median $30,025 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,775 – $26,603 · median $17,775 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,083 – $18,699 · median $12,083 | 14 plans |
| 637 | DIABETES WITH MCC | $11,903 – $17,542 · median $11,903 | 14 plans |
| 638 | DIABETES WITH CC | $7,626 – $10,943 · median $7,626 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,450 – $7,585 · median $5,450 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,103 – $16,558 · median $11,103 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,692 – $9,502 · median $6,692 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,788 – $29,272 · median $11,788 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,560 – $20,099 · median $13,560 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,645 – $12,515 · median $8,645 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,614 – $9,381 · median $6,614 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,737 – $130,313 · median $37,737 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,859 – $83,197 · median $29,859 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $26,090 – $103,697 · median $26,090 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,654 – $63,448 · median $41,654 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,686 – $44,850 · median $22,686 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,283 – $39,908 · median $17,283 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,728 – $48,717 · median $25,728 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,015 – $27,184 · median $15,015 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,814 – $23,760 · median $12,814 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,641 – $31,024 · median $20,641 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,993 – $16,138 · median $10,993 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,728 – $14,049 · median $8,728 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,760 – $37,410 · median $24,760 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,564 – $23,174 · median $12,564 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,818 – $16,863 · median $8,818 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,233 – $38,110 · median $25,233 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $14,377 – $21,359 · median $14,377 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,288 – $13,507 · median $9,288 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,641 – $35,653 · median $23,641 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,815 – $22,662 · median $12,815 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,268 – $13,522 · median $8,268 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,738 – $30,436 · median $14,738 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,076 – $13,181 · median $9,076 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,782 – $51,302 · median $33,782 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,040 – $28,554 · median $19,040 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,523 – $20,559 · median $13,523 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $12,254 – $18,407 · median $12,254 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $7,465 – $10,694 · median $7,465 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,284 – $7,564 · median $5,284 | 14 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,807 – $33,444 · median $14,807 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,826 – $14,095 · median $8,826 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,788 – $11,611 · median $6,788 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,716 – $14,167 · median $9,716 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,940 – $9,884 · median $6,940 | 14 plans |
| 693 | URINARY STONES WITH MCC | $11,031 – $16,416 · median $11,173 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,720 – $9,545 · median $6,720 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,585 – $13,966 · median $9,585 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,986 – $8,413 · median $5,986 | 14 plans |
| 697 | URETHRAL STRICTURE | $9,063 – $13,160 · median $9,063 | 14 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,626 – $20,200 · median $13,626 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,566 – $12,393 · median $8,566 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,994 – $9,288 · median $5,994 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,363 – $37,529 · median $16,363 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,675 – $22,290 · median $12,675 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,949 – $28,414 · median $18,949 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,712 – $17,109 · median $11,622 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,024 – $25,443 · median $17,024 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,236 – $13,427 · median $9,236 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,431 – $18,357 · median $12,431 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,902 – $15,422 · median $8,902 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,238 – $35,267 · median $18,238 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,175 – $23,118 · median $12,175 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,494 – $23,083 · median $15,494 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,162 – $16,399 · median $11,162 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,855 – $22,096 · median $14,855 | 14 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,577 – $13,952 · median $9,577 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,723 – $10,706 · median $5,723 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,794 – $15,433 · median $9,794 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,248 – $9,089 · median $6,248 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,269 – $18,106 · median $12,269 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,953 – $9,905 · median $6,953 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,912 – $14,182 · median $8,912 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,852 – $9,585 · median $5,852 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,389 – $26,007 · median $17,389 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,181 – $20,607 · median $11,181 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,820 – $51,002 · median $28,820 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,840 – $26,860 · median $16,840 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,155 – $19,395 · median $12,155 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,886 – $43,746 · median $28,886 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,854 – $26,976 · median $14,854 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,819 – $20,104 · median $11,819 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,053 – $22,403 · median $15,053 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,352 – $15,972 · median $10,352 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,749 – $25,020 · median $16,749 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,535 – $17,442 · median $9,535 | 14 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,280 – $21,210 · median $14,280 | 14 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,337 – $16,766 · median $7,337 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,512 – $25,275 · median $11,512 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,852 – $31,350 · median $20,852 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,213 – $18,020 · median $12,213 | 14 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,108 – $26,054 · median $15,108 | 14 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,142 – $13,282 · median $9,142 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,135 – $11,728 · median $8,135 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,865 – $17,484 · median $11,865 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,281 – $11,954 · median $8,281 | 14 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,785 – $9,009 · median $5,785 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,507 – $12,302 · median $8,507 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,049 – $7,031 · median $5,049 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,928 – $13,084 · median $9,014 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,906 – $20,632 · median $13,906 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,469 – $12,243 · median $8,469 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,537 – $7,994 · median $5,715 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $6,547 – $10,272 · median $7,192 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,429 – $29,977 · median $19,962 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,923 – $11,319 · median $8,923 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,097 – $9,676 · median $8,113 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,574 – $14,861 · median $13,587 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,372 – $10,778 · median $9,372 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,121 – $9,853 · median $8,121 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,156 – $41,777 · median $14,795 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $14,564 – $88,359 · median $47,566 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,407 – $35,248 · median $32,654 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,399 – $37,482 · median $19,915 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,640 – $33,529 · median $33,529 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,420 – $15,006 · median $12,213 | 14 plans |
| 795 | NORMAL NEWBORN | $1,863 – $2,440 · median $2,115 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,769 – $14,249 · median $9,769 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,451 – $12,215 · median $8,451 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,108 – $11,686 · median $8,108 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,372 – $55,298 · median $36,372 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,766 – $34,303 · median $22,766 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,640 – $31,571 · median $15,640 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,061 – $48,646 · median $32,061 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,244 – $22,697 · median $15,244 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,264 – $21,511 · median $11,264 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,981 – $9,074 · median $9,074 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,327 – $6,877 · median $6,501 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,646 – $6,137 · median $5,869 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,006 – $29,418 · median $18,006 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,552 – $15,457 · median $10,552 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,816 – $12,779 · median $8,816 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,647 – $17,147 · median $11,647 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,800 – $11,721 · median $7,800 | 14 plans |
| 813 | COAGULATION DISORDERS | $12,604 – $21,666 · median $12,604 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,363 – $28,367 · median $17,363 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,558 – $12,381 · median $8,558 | 14 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,535 – $8,286 · median $5,535 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,589 – $27,858 · median $18,589 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,707 – $14,165 · median $9,707 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,339 – $10,499 · median $7,339 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,944 – $76,331 · median $46,944 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,249 – $33,232 · median $18,249 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,062 – $23,022 · median $10,062 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,815 – $64,732 · median $36,815 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,462 – $31,661 · median $18,462 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,212 – $26,509 · median $11,212 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,551 – $57,116 · median $37,551 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,823 – $40,161 · median $18,823 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,017 – $27,583 · median $14,017 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,540 – $55,097 · median $25,540 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,444 – $18,376 · median $12,444 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,050 – $14,683 · median $10,050 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,244 – $8,811 · median $6,244 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,254 – $6,385 · median $4,672 | 14 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,977 – $125,223 · median $43,977 | 14 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,040 – $60,422 · median $17,040 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,184 – $17,308 · median $10,184 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,552 – $68,689 · median $38,552 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,052 – $30,658 · median $17,052 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,960 – $17,630 · median $11,960 | 14 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,133 – $51,908 · median $26,133 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,444 – $24,349 · median $13,444 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,530 – $15,509 · median $8,530 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,319 – $24,690 · median $16,319 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,168 – $17,102 · median $10,168 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,273 – $13,394 · median $7,273 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,049 – $31,654 · median $21,049 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,886 – $15,973 · median $10,886 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,256 – $10,371 · median $7,256 | 14 plans |
| 849 | RADIOTHERAPY | $21,975 – $42,895 · median $21,975 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $69,059 – $109,927 · median $69,059 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,614 – $60,300 · median $39,614 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,346 – $24,397 · median $16,346 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,382 – $18,281 · median $12,382 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,529 – $55,540 · median $36,529 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,480 – $26,148 · median $17,480 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,557 – $17,007 · median $11,557 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,966 – $22,267 · median $14,966 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,431 – $12,184 · median $8,431 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,559 – $10,839 · median $7,559 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,391 – $18,294 · median $12,391 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,415 – $10,618 · median $7,415 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,098 – $38,381 · median $17,098 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,693 – $14,637 · median $8,693 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,308 – $14,340 · median $6,308 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $55,229 – $91,066 · median $55,229 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,906 – $23,718 · median $15,906 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,632 – $12,494 · median $8,632 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,118 – $47,190 · median $31,118 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,132 – $12,356 · median $8,132 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $7,090 – $11,488 · median $7,980 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,031 – $18,945 · median $9,031 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,752 – $24,009 · median $16,094 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,266 – $19,645 · median $13,266 | 14 plans |
| 885 | PSYCHOSES | $11,587 – $17,055 · median $11,587 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,553 – $25,339 · median $16,956 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,008 – $13,076 · median $9,008 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,416 – $7,532 · median $5,416 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,736 – $17,284 · median $11,736 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,344 – $21,308 · median $14,344 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,520 – $10,779 · median $7,520 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,743 – $51,240 · median $33,743 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,684 – $31,203 · median $15,684 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,789 – $17,337 · median $9,789 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,600 – $44,849 · median $29,600 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,273 – $19,137 · median $12,273 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,078 – $26,826 · median $16,078 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,915 – $46,878 · median $30,915 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,323 – $24,361 · median $16,323 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,922 – $16,028 · median $10,922 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,469 – $19,958 · median $13,469 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,541 – $12,005 · median $7,541 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,841 – $21,946 · median $13,841 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,807 – $8,136 · median $5,807 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,945 – $19,150 · median $12,945 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,216 – $10,465 · median $7,317 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,022 – $24,349 · median $15,022 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,466 – $13,766 · median $8,466 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,982 – $10,187 · median $5,982 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,378 – $52,390 · median $14,378 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,587 – $14,441 · median $8,587 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $169,485 – $283,939 · median $169,485 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $57,293 – $87,579 · median $57,293 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,021 – $39,326 · median $26,021 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,350 – $47,548 · median $31,350 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,788 – $26,991 · median $18,027 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $12,001 – $25,153 · median $16,835 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,247 – $44,304 · median $29,247 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,027 – $28,534 · median $19,027 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,580 – $24,758 · median $16,580 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,789 – $24,301 · median $12,789 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,609 – $14,002 · median $9,609 | 14 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,579 – $16,227 · median $10,579 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,869 – $12,683 · median $6,869 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,949 – $14,526 · median $9,949 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,501 – $7,664 · median $5,501 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,934 – $6,789 · median $4,934 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,799 – $128,173 · median $53,799 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,312 – $79,121 · median $30,312 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,832 – $108,698 · median $60,832 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,880 – $51,613 · median $33,880 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,831 – $35,947 · median $23,831 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,167 – $40,477 · median $22,167 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,662 – $18,713 · median $12,662 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,977 – $11,484 · median $7,977 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,973 – $95,553 · median $48,973 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,404 – $32,203 · median $21,404 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,372 – $36,810 · median $23,372 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,664 – $15,812 · median $10,782 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,677 – $11,022 · median $7,677 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,803 – $15,845 · median $10,803 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,661 – $75,357 · median $37,661 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,989 – $31,425 · median $19,989 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,097 – $23,797 · median $14,097 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,664 – $56,230 · median $27,664 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,540 – $21,932 · median $13,540 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,024 – $15,351 · median $10,024 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $90,102 – $138,203 · median $90,102 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $45,694 – $69,681 · median $45,694 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,702 – $29,575 · median $19,702 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,745 – $41,985 · median $27,745 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,639 – $29,479 · median $19,639 | 10 plans |
No procedures match that keyword.