Abbott Northwestern Hospital (Acute Care) — 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $144,584 – $455,781 · median $198,898 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $122,202 – $243,912 · median $169,496 | 20 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $128,943 – $523,477 · median $243,304 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $84,147 – $341,617 · median $217,005 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,134 – $134,514 · median $62,520 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,612 – $103,979 · median $48,328 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,507 – $71,074 · median $33,034 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $262,336 – $1,065,017 · median $711,804 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $146,696 · median $68,597 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $47,803 – $194,068 · median $90,200 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $32,160 – $130,561 · median $65,420 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,303 – $78,364 · median $53,757 | 20 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $34,812 – $141,326 · median $65,686 | 20 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,765 – $85,955 · median $44,842 | 20 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,621 – $93,486 · median $52,119 | 20 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,888 – $70,360 · median $35,641 | 20 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,327 – $58,167 · median $28,920 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,500 – $123,538 · median $68,873 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,725 – $70,147 · median $39,107 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,336 – $54,140 · median $25,164 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,219 – $110,503 · median $51,360 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,946 – $52,557 · median $24,428 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,102 – $38,492 · median $19,062 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,515 – $94,877 · median $44,370 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,522 – $54,593 · median $27,402 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,803 – $47,915 · median $22,270 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,000 – $67,690 · median $37,737 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,857 – $40,018 · median $18,600 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,141 – $28,991 · median $13,475 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,457 – $95,229 · median $44,261 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,357 – $54,227 · median $25,204 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,496 – $42,610 · median $19,805 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,004 – $44,672 · median $20,763 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,949 – $20,134 · median $11,225 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,276 – $31,395 · median $17,503 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,194 – $20,964 · median $11,688 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,060 – $53,541 · median $26,630 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,549 – $31,953 · median $14,851 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,385 – $35,149 · median $19,596 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,538 – $26,848 · median $14,224 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,588 – $22,685 · median $10,544 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,749 – $67,998 · median $31,605 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,675 – $43,338 · median $20,143 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,528 – $34,622 · median $16,092 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,217 – $41,349 · median $23,052 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,138 – $24,917 · median $11,581 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,158 – $16,067 · median $7,845 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,922 – $36,223 · median $16,836 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,251 – $21,319 · median $9,909 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,853 – $19,701 · median $9,157 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,114 – $41,059 · median $19,084 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,233 – $25,304 · median $11,761 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,594 – $15,548 · median $8,668 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,746 – $32,986 · median $15,643 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,262 – $25,423 · median $11,816 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,649 – $47,291 · median $21,980 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,013 – $20,352 · median $9,459 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,549 – $37,216 · median $20,748 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,357 – $22,088 · median $10,266 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,885 – $56,370 · median $26,200 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,479 – $34,425 · median $16,000 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,806 – $23,573 · median $10,956 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,802 – $56,032 · median $26,043 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,914 – $26,785 · median $14,933 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,557 – $18,807 · median $9,657 | 20 plans |
| 088 | CONCUSSION WITH MCC | $8,212 – $27,795 · median $15,496 | 20 plans |
| 089 | CONCUSSION WITH CC | $6,674 – $22,589 · median $11,242 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,001 – $18,553 · median $9,436 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,669 – $42,379 · median $20,131 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,215 – $25,230 · median $11,727 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,838 – $16,373 · median $9,128 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $21,380 – $86,799 · median $40,343 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,669 – $63,611 · median $29,565 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,669 – $53,032 · median $26,697 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,942 – $74,263 · median $41,402 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,942 – $47,186 · median $22,256 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,277 – $33,601 · median $15,617 | 20 plans |
| 100 | SEIZURES WITH MCC | $11,766 – $39,823 · median $22,202 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $5,483 – $18,559 · median $10,347 | 20 plans |
| 102 | HEADACHES WITH MCC | $6,809 – $27,645 · median $12,849 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $5,081 – $17,195 · median $9,313 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,283 – $57,985 · median $26,951 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,219 – $33,369 · median $15,509 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,325 – $37,855 · median $17,595 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,984 – $44,593 · median $20,726 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,591 – $22,307 · median $12,436 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,067 – $23,919 · median $12,368 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,774 – $18,895 · median $9,008 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,851 – $16,420 · median $9,154 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,038 – $32,632 · median $15,167 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,664 – $15,787 · median $8,801 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,183 – $51,204 · median $24,875 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,168 – $25,040 · median $11,638 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,071 – $30,702 · median $17,117 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,384 – $18,221 · median $10,159 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,507 – $30,476 · median $14,165 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,912 – $105,195 · median $48,893 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,250 – $53,792 · median $25,002 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,698 – $39,372 · median $18,300 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,761 – $92,402 · median $42,947 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,527 – $41,631 · median $19,864 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,304 – $29,652 · median $13,782 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,863 – $43,536 · median $21,087 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,724 – $31,359 · median $14,575 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,842 – $19,659 · median $9,137 | 20 plans |
| 149 | DYSEQUILIBRIUM | $4,566 – $18,537 · median $8,616 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $8,089 – $32,839 · median $15,263 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,459 – $15,092 · median $8,414 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,182 – $24,308 · median $13,552 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,485 – $15,178 · median $8,462 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,498 – $38,561 · median $17,922 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $18,844 · median $9,057 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,198 – $17,045 · median $7,922 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,430 – $35,300 · median $19,680 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,527 – $18,707 · median $9,594 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,304 – $17,474 · median $8,122 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,333 – $53,600 · median $28,933 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,629 – $39,358 · median $21,942 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,956 – $40,671 · median $20,672 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,301 – $28,095 · median $15,663 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $61,199 · median $28,781 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,345 – $33,877 · median $15,746 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,890 – $19,854 · median $9,228 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,493 – $38,541 · median $17,913 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,929 – $24,071 · median $11,188 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,587 – $17,530 · median $8,655 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,728 – $36,311 · median $20,244 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,506 – $26,414 · median $12,277 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,579 – $18,591 · median $8,641 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,294 – $31,457 · median $17,537 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,464 – $21,879 · median $10,471 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,778 – $16,171 · median $8,672 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,468 – $32,045 · median $15,205 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,009 – $20,337 · median $11,338 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,357 – $17,688 · median $8,221 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,505 – $30,469 · median $14,161 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,729 – $27,319 · median $12,698 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,121 – $17,333 · median $9,663 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,900 – $13,200 · median $7,236 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,985 – $27,026 · median $13,766 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,896 – $16,570 · median $9,238 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,818 – $15,501 · median $7,204 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,465 – $38,803 · median $21,633 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,766 – $41,560 · median $16,986 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,351 – $17,664 · median $8,210 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,717 – $43,508 · median $20,222 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,678 – $27,112 · median $12,601 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,344 – $17,637 · median $8,197 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,900 – $19,969 · median $11,133 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,070 – $15,626 · median $7,680 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,905 – $16,601 · median $9,212 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,123 – $45,158 · median $20,989 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,717 – $23,210 · median $10,788 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,091 – $158,699 · median $106,689 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,698 – $67,791 · median $31,508 | 20 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $66,060 – $223,585 · median $124,650 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $60,489 – $245,569 · median $114,137 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $59,431 – $241,273 · median $112,140 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,945 – $162,028 · median $75,373 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,945 – $135,196 · median $63,242 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,646 – $189,370 · median $88,016 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,397 – $111,086 · median $61,130 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,619 – $124,306 · median $57,776 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,055 – $101,725 · median $56,712 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,133 – $77,676 · median $36,103 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,212 – $207,907 · median $96,632 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $36,830 – $149,522 · median $69,496 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $46,445 – $188,554 · median $87,637 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,186 – $134,727 · median $62,619 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,652 – $120,666 · median $67,272 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,447 – $99,681 · median $48,016 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $29,899 – $121,384 · median $56,417 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,317 – $58,610 · median $32,675 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,410 – $34,143 · median $15,869 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,396 – $78,744 · median $36,599 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,945 – $52,554 · median $24,427 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,981 – $44,578 · median $20,719 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $27,717 – $97,361 · median $52,299 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,259 – $53,827 · median $25,018 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,079 – $36,859 · median $17,131 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,191 – $86,032 · median $39,986 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,768 – $64,015 · median $29,753 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,824 – $43,942 · median $20,424 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,387 – $55,462 · median $30,920 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,315 – $41,019 · median $19,463 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,635 – $26,937 · median $12,520 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,088 – $66,366 · median $36,018 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,284 – $49,871 · median $23,179 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,761 – $80,224 · median $37,287 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,485 – $46,625 · median $21,671 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,902 – $40,198 · median $18,684 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,574 – $75,405 · median $35,047 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,294 – $68,687 · median $38,293 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $21,981 – $89,236 · median $41,475 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,230 – $151,145 · median $70,250 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $28,922 – $117,416 · median $54,573 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,783 – $169,630 · median $107,590 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,656 – $104,157 · median $48,411 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,054 – $108,487 · median $60,482 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,605 – $87,709 · median $40,766 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,509 – $62,965 · median $29,265 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,062 – $101,747 · median $47,291 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,997 – $73,360 · median $37,733 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,317 – $149,022 · median $81,736 | 20 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $36,490 – $123,503 · median $67,546 | 20 plans |
| 277 | CELLULITIS AGE >17 W CC | $28,057 – $113,906 · median $52,942 | 20 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $114,448 · median $53,579 | 20 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $74,152 · median $34,814 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,745 – $36,023 · median $18,388 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,584 – $22,668 · median $10,536 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,393 – $16,815 · median $8,289 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,033 – $42,013 · median $22,706 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,205 – $17,072 · median $7,935 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,638 – $12,314 · median $6,016 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,443 – $54,574 · median $25,365 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,501 – $26,392 · median $12,267 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,440 – $66,743 · median $31,021 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,369 – $42,097 · median $19,566 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,648 – $22,929 · median $10,657 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,799 – $31,662 · median $14,716 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,158 – $20,939 · median $9,732 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,438 – $13,959 · median $6,488 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,489 – $38,521 · median $17,904 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,852 – $15,636 · median $7,268 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,765 – $11,224 · median $5,217 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,919 – $33,825 · median $18,716 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,485 – $26,328 · median $12,237 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,372 – $14,798 · median $7,655 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,269 – $24,604 · median $13,717 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,090 – $16,603 · median $7,717 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $7,229 – $24,468 · median $13,641 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,587 – $18,623 · median $8,656 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,573 – $32,400 · median $18,063 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,548 – $22,522 · median $10,468 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,314 – $24,756 · median $11,810 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,469 – $16,577 · median $8,433 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,439 – $11,640 · median $5,702 | 20 plans |
| 311 | ANGINA PECTORIS | $4,264 – $17,311 · median $8,046 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,295 – $18,195 · median $9,991 | 20 plans |
| 313 | CHEST PAIN | $4,374 – $14,804 · median $8,253 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,668 – $51,427 · median $23,903 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,852 – $19,807 · median $9,712 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,144 – $16,823 · median $7,819 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,112 – $110,069 · median $51,158 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,612 – $59,322 · median $27,572 | 20 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $16,529 – $55,943 · median $31,189 | 20 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,710 – $36,250 · median $18,298 | 20 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $26,289 – $88,977 · median $49,605 | 20 plans |
| 324 | URINARY STONES W/O CC | $19,142 – $64,789 · median $30,453 | 20 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,503 – $66,010 · median $36,801 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,298 – $123,004 · median $67,533 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,849 – $60,281 · median $28,018 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,734 – $32,945 · median $18,367 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,924 – $113,363 · median $52,690 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,563 – $59,122 · median $27,479 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,224 – $41,505 · median $19,291 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,996 – $89,297 · median $41,504 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $14,229 – $57,766 · median $26,849 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,950 – $33,677 · median $18,775 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,693 – $88,069 · median $40,933 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,810 – $52,007 · median $24,172 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,325 – $31,562 · median $17,596 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,691 – $63,700 · median $29,607 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,141 – $37,110 · median $17,248 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,206 – $29,255 · median $13,597 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,946 – $56,616 · median $38,804 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $26,911 · median $12,814 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,289 – $21,472 · median $9,980 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,138 – $51,237 · median $24,142 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,261 – $37,599 · median $17,475 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,094 – $24,700 · median $13,386 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,630 – $67,046 · median $33,266 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,221 – $34,592 · median $19,285 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,171 – $33,172 · median $15,418 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,686 – $108,340 · median $54,296 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,127 – $57,354 · median $26,657 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,492 – $34,476 · median $16,024 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,671 – $39,261 · median $18,248 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,076 – $24,668 · median $11,465 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,257 – $17,284 · median $8,033 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,772 – $36,457 · median $20,325 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,203 – $20,993 · median $11,704 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,419 – $14,956 · median $8,338 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $43,974 · median $20,760 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,348 – $24,871 · median $13,866 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,615 – $22,796 · median $10,595 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,105 – $37,586 · median $20,954 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,958 – $20,164 · median $11,242 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,830 – $15,548 · median $7,226 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,920 – $40,345 · median $20,904 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,582 – $24,357 · median $12,420 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,864 – $18,981 · median $9,177 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,388 – $34,052 · median $15,827 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,193 – $21,082 · median $9,799 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,612 – $39,024 · median $18,138 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,931 – $24,078 · median $11,191 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,139 – $16,803 · median $7,810 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,972 – $30,365 · median $16,929 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,798 – $19,479 · median $9,053 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,305 – $13,417 · median $6,236 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,705 – $26,078 · median $12,426 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,736 – $19,227 · median $8,937 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,716 – $39,444 · median $18,333 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,684 – $23,077 · median $10,726 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,943 – $16,006 · median $7,439 | 20 plans |
| 397 | COAGULATION DISORDERS | $14,549 – $58,178 · median $27,453 | 20 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,195 – $37,330 · median $17,350 | 20 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,954 – $28,232 · median $13,122 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,233 – $134,919 · median $62,708 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,619 – $71,528 · median $33,245 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,484 – $54,742 · median $25,443 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,661 – $73,313 · median $40,872 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,227 – $52,703 · median $24,958 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,645 – $32,645 · median $18,200 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,068 – $71,316 · median $37,866 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,773 – $51,854 · median $24,101 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,088 – $40,953 · median $19,034 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,643 – $73,252 · median $40,838 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,555 – $42,494 · median $23,691 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,282 – $33,623 · median $15,628 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,497 – $49,067 · median $27,355 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,276 – $41,720 · median $19,391 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,297 – $28,083 · median $15,656 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,698 – $70,054 · median $32,905 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,555 – $42,852 · median $19,917 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,502 – $34,516 · median $16,042 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,229 – $102,425 · median $47,606 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,291 – $53,960 · median $25,080 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,114 – $37,002 · median $17,198 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,957 – $48,542 · median $27,544 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,416 – $26,049 · median $12,107 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,328 – $15,193 · median $8,167 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,158 – $37,765 · median $20,706 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,871 – $27,896 · median $12,966 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,184 – $20,677 · median $9,781 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,903 – $40,206 · median $18,687 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,110 – $17,296 · median $9,643 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,775 – $14,921 · median $7,123 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,903 – $36,901 · median $20,573 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,864 – $19,848 · median $11,065 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,251 – $17,257 · median $8,021 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,151 – $41,209 · median $19,154 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,648 – $22,502 · median $12,545 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,026 – $17,010 · median $9,483 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,051 – $207,253 · median $96,328 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,226 – $122,609 · median $68,355 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $25,349 – $102,909 · median $47,831 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,552 – $136,214 · median $67,557 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,160 – $65,604 · median $30,492 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,624 – $126,655 · median $65,333 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,922 – $64,042 · median $35,704 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,079 – $37,498 · median $20,905 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,623 – $107,030 · median $59,670 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,424 – $72,511 · median $40,425 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,694 – $67,774 · median $31,500 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,427 – $74,808 · median $34,770 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,718 – $39,661 · median $22,111 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,334 – $119,090 · median $68,004 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,898 – $70,030 · median $33,771 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,831 – $50,196 · median $27,985 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,079 – $88,267 · median $49,210 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,825 – $56,126 · median $26,086 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,170 – $29,107 · median $13,529 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,987 – $85,201 · median $39,600 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,940 – $50,564 · median $28,190 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,293 – $45,846 · median $21,309 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,692 – $71,826 · median $33,384 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,724 – $51,657 · median $24,009 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,908 – $37,525 · median $18,696 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,839 – $67,917 · median $31,774 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,605 – $79,590 · median $36,992 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,703 – $51,573 · median $23,970 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,515 – $34,834 · median $17,953 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,746 – $43,626 · median $20,277 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,785 – $27,544 · median $12,802 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,305 – $75,493 · median $42,088 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,407 – $52,145 · median $27,483 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,189 – $42,400 · median $23,001 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,026 – $89,421 · median $41,561 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,959 – $44,490 · median $20,678 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,340 – $24,844 · median $13,851 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,327 – $62,029 · median $30,240 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,240 – $49,691 · median $23,096 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,226 – $78,053 · median $36,278 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,620 – $43,113 · median $20,038 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,176 – $33,194 · median $15,428 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,956 – $68,837 · median $31,994 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,355 – $46,100 · median $21,427 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,891 – $44,216 · median $20,551 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,196 – $33,275 · median $15,466 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,974 – $44,551 · median $20,707 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,200 – $31,318 · median $17,360 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,350 – $62,105 · median $34,624 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,632 – $43,788 · median $23,836 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,057 – $40,827 · median $18,976 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,564 – $32,370 · median $18,046 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,210 – $25,213 · median $11,719 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,360 – $65,527 · median $36,531 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,624 – $42,728 · median $23,821 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,335 – $34,107 · median $17,615 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,704 – $92,173 · median $42,841 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,151 – $48,442 · median $22,928 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,075 – $36,844 · median $17,125 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,436 – $59,015 · median $32,901 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,865 – $52,229 · median $24,275 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,524 – $38,664 · median $17,971 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,897 – $16,574 · median $9,240 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,788 – $29,592 · median $14,696 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,906 – $16,605 · median $9,258 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,797 – $23,536 · median $10,939 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,376 – $17,765 · median $8,257 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $40,500 · median $19,142 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,875 – $26,654 · median $14,859 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,783 – $19,420 · median $9,026 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,731 – $36,321 · median $20,249 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,245 – $22,892 · median $11,784 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $51,027 · median $24,045 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,007 – $28,446 · median $13,221 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,080 – $18,779 · median $9,585 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,730 – $39,702 · median $22,134 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,334 – $24,822 · median $13,527 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,310 – $17,973 · median $8,651 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $34,463 · median $16,331 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,840 – $19,879 · median $11,019 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,875 – $26,654 · median $14,859 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,043 – $17,068 · median $9,515 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,030 – $32,600 · median $15,152 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,046 – $20,485 · median $9,521 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,033 – $36,671 · median $17,044 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,426 – $18,365 · median $9,883 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,329 – $45,994 · median $21,377 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,841 – $27,773 · median $12,908 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,884 – $19,827 · median $9,215 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,656 – $29,296 · median $13,924 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,440 – $20,896 · median $10,265 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,377 – $36,874 · median $17,694 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,919 – $24,032 · median $11,170 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $15,407 · median $7,456 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,867 – $112,447 · median $52,637 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,264 – $41,668 · median $19,367 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,964 – $24,179 · median $13,140 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,800 – $134,705 · median $65,160 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,089 – $71,376 · median $39,793 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,917 – $44,319 · median $20,599 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $100,775 · median $47,212 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,103 – $54,502 · median $30,385 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,759 – $39,619 · median $18,414 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,674 – $66,730 · median $37,123 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,498 – $35,530 · median $18,324 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,767 – $35,591 · median $16,542 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,704 – $47,516 · median $22,085 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,476 – $35,456 · median $19,767 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,005 – $52,796 · median $24,539 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,719 – $39,665 · median $22,113 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $11,757 – $39,792 · median $22,184 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $7,207 – $24,392 · median $12,413 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,266 – $21,378 · median $9,936 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,883 – $52,303 · median $24,310 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,576 – $22,258 · median $10,647 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,128 – $34,278 · median $18,930 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,873 – $27,901 · median $13,080 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,674 – $18,976 · median $8,820 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,328 – $24,740 · median $11,940 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,675 – $14,921 · median $6,935 | 20 plans |
| 602 | CELLULITIS WITH MCC | $8,634 – $35,054 · median $16,292 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,291 – $21,479 · median $9,983 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,943 – $31,437 · median $16,875 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,565 – $22,591 · median $10,500 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,193 – $31,113 · median $17,346 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,506 – $18,637 · median $8,961 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,315 – $54,056 · median $25,125 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,501 – $28,784 · median $16,040 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,186 – $86,010 · median $39,976 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,362 – $41,530 · median $21,439 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,616 – $34,980 · median $16,258 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,541 – $59,369 · median $32,460 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,722 – $39,468 · median $18,344 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,164 – $34,547 · median $17,291 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,622 – $73,182 · median $40,799 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,898 – $36,885 · median $20,563 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,605 – $30,876 · median $14,351 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,347 – $71,098 · median $34,619 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,109 – $36,980 · median $17,188 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,069 – $32,760 · median $15,226 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,640 – $76,628 · median $42,720 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,236 – $44,799 · median $24,976 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,866 – $35,996 · median $16,730 | 20 plans |
| 637 | DIABETES WITH MCC | $8,728 – $33,971 · median $16,469 | 20 plans |
| 638 | DIABETES WITH CC | $5,444 – $22,103 · median $10,273 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,774 – $12,773 · median $7,121 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $27,462 · median $13,070 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,728 – $19,193 · median $8,921 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $29,240 · median $13,899 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,000 – $36,760 · median $18,869 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,227 – $25,280 · median $11,750 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,667 – $18,949 · median $8,807 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,561 – $115,951 · median $53,892 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,513 – $91,396 · median $42,480 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $23,763 – $112,763 · median $59,844 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $31,568 – $128,159 · median $78,851 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,006 – $69,039 · median $32,088 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,858 – $52,202 · median $24,263 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,342 – $78,522 · median $36,496 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,117 – $45,133 · median $20,977 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,427 – $38,272 · median $17,788 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,436 – $52,244 · median $29,126 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,029 – $27,176 · median $15,151 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,290 – $25,536 · median $11,869 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,599 – $62,948 · median $33,075 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,235 – $31,257 · median $17,426 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,360 – $25,820 · median $12,001 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,961 – $76,978 · median $35,778 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $10,627 – $35,968 · median $20,052 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,720 – $22,745 · median $12,680 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,739 – $72,016 · median $33,472 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,428 – $38,277 · median $17,791 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,937 – $20,095 · median $11,203 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,905 – $44,270 · median $20,576 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,558 – $26,624 · median $12,374 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,525 – $103,624 · median $48,163 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,207 – $53,553 · median $26,807 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,972 – $40,482 · median $18,815 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $8,997 – $36,526 · median $16,977 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $5,320 – $21,600 · median $10,039 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,647 – $14,805 · median $6,881 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,957 – $37,086 · median $17,553 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,365 – $25,842 · median $12,011 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,801 – $19,491 · median $9,059 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,049 – $23,857 · median $13,301 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,918 – $16,644 · median $9,279 | 20 plans |
| 693 | URINARY STONES WITH MCC | $8,168 – $28,634 · median $15,412 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,749 – $16,073 · median $8,961 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $23,518 · median $11,234 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,186 – $14,167 · median $6,879 | 20 plans |
| 697 | URETHRAL STRICTURE | $6,548 – $22,161 · median $12,355 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,050 – $40,802 · median $18,964 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,166 – $25,033 · median $11,635 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,191 – $14,185 · median $7,078 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,152 – $49,333 · median $22,929 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,320 – $37,838 · median $17,587 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,137 – $57,393 · median $26,676 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,512 – $28,810 · median $16,062 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,659 – $42,846 · median $23,887 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,681 – $27,122 · median $12,606 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,133 – $32,318 · median $17,233 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,424 – $21,741 · median $12,121 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,592 – $46,002 · median $22,050 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,936 – $36,279 · median $16,862 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,485 – $38,871 · median $21,671 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,159 – $33,125 · median $15,396 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,994 – $44,633 · median $20,745 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,942 – $23,495 · median $13,099 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,983 – $16,172 · median $7,516 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,109 – $24,061 · median $13,414 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,386 – $17,807 · median $8,276 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,009 – $30,490 · median $16,998 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,928 – $16,679 · median $9,299 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,432 – $21,768 · median $11,872 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,082 – $16,574 · median $7,703 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,940 – $46,161 · median $24,416 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,174 – $33,184 · median $15,423 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,715 – $88,158 · median $40,975 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,518 – $50,821 · median $23,621 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,921 – $36,218 · median $16,833 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,766 – $88,363 · median $41,070 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,993 – $44,630 · median $20,743 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,664 – $35,172 · median $16,347 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,146 – $37,726 · median $21,032 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,537 – $30,599 · median $14,222 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,448 – $50,537 · median $23,489 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,910 – $28,272 · median $20,358 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,553 – $35,954 · median $19,912 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,223 – $21,203 · median $9,855 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,428 – $28,525 · median $14,997 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,598 – $59,607 · median $29,432 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,965 – $36,398 · median $16,917 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,188 – $45,422 · median $21,111 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,608 – $26,254 · median $12,469 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,835 – $19,749 · median $9,479 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,699 – $35,315 · median $16,414 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,947 – $21,038 · median $11,222 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,031 – $13,644 · median $7,607 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,121 – $20,715 · median $11,549 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,466 – $14,070 · median $6,540 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,473 – $15,329 · median $9,949 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,266 – $41,676 · median $19,370 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,091 – $24,730 · median $11,494 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,977 – $13,461 · median $7,505 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $5,111 – $17,298 · median $9,644 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,530 – $31,462 · median $19,693 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,425 – $16,416 · median $10,087 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,998 – $16,416 · median $9,582 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,530 – $21,138 · median $14,037 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,530 – $16,416 · median $10,253 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,002 – $16,416 · median $9,587 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,530 – $15,329 · median $10,256 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,175 – $15,329 · median $9,792 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,995 – $15,329 · median $9,579 | 20 plans |
| 799 | SPLENECTOMY WITH MCC | $27,513 – $101,530 · median $51,915 | 20 plans |
| 800 | SPLENECTOMY WITH CC | $17,067 – $69,288 · median $32,204 | 20 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,597 – $39,249 · median $21,882 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,203 – $98,260 · median $45,670 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,293 – $41,461 · median $21,309 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,238 – $27,881 · median $15,544 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,504 – $15,329 · median $9,949 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,147 – $15,329 · median $8,082 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,814 – $15,329 · median $7,227 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,413 – $45,397 · median $21,423 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,690 – $31,221 · median $14,511 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,358 – $25,812 · median $11,997 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,531 – $34,634 · median $16,097 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,578 – $18,879 · median $10,525 | 20 plans |
| 813 | COAGULATION DISORDERS | $9,266 – $37,618 · median $17,485 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,920 – $43,728 · median $24,378 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,160 – $22,629 · median $11,623 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,839 – $12,995 · median $7,245 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,861 – $50,452 · median $26,154 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,042 – $25,612 · median $13,288 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,224 – $20,509 · median $9,857 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,629 – $144,644 · median $67,228 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,599 – $55,211 · median $25,661 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,314 – $29,694 · median $13,801 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $27,853 – $113,075 · median $52,556 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,764 – $46,584 · median $25,971 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,198 – $30,788 · median $15,468 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,418 – $115,369 · median $53,622 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,041 – $57,001 · median $26,493 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,351 – $38,301 · median $19,531 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,197 – $64,974 · median $36,223 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,143 – $37,118 · median $17,252 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,305 – $29,657 · median $13,784 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,384 – $17,149 · median $8,272 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,177 – $10,751 · median $5,289 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $33,351 – $112,879 · median $52,849 | 20 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,671 – $51,442 · median $23,910 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,408 – $25,074 · median $12,745 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $29,186 – $118,488 · median $81,282 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,681 – $42,920 · median $23,928 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,772 – $32,217 · median $16,551 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,652 – $66,514 · median $34,322 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,911 – $40,235 · median $18,727 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,138 – $20,775 · median $11,359 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,118 – $49,198 · median $22,866 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $25,031 · median $11,939 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,173 – $21,003 · median $9,762 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $53,305 · median $25,105 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,947 – $26,898 · median $12,808 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $17,465 · median $8,415 | 20 plans |
| 849 | RADIOTHERAPY | $16,460 – $66,824 · median $35,560 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,002 – $101,544 · median $56,611 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,138 – $49,279 · median $22,904 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,095 – $30,784 · median $17,162 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,633 – $93,527 · median $52,142 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,010 – $44,032 · median $20,787 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,462 – $30,942 · median $15,967 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,079 – $37,498 · median $20,905 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,062 – $20,518 · median $11,439 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,393 – $21,116 · median $10,176 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,102 – $36,953 · median $17,175 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,283 – $17,880 · median $9,577 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,716 – $51,625 · median $23,994 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,264 – $21,753 · median $11,820 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,433 – $15,004 · median $8,365 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $41,989 – $170,466 · median $79,230 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,801 – $47,908 · median $22,267 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,217 – $22,891 · median $11,730 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,494 – $89,424 · median $48,106 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,631 – $44,389 · median $21,946 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,105 – $28,846 · median $13,407 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,314 – $90,590 · median $42,105 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,012 – $36,585 · median $17,004 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,933 – $40,388 · median $22,517 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,324 – $78,941 · median $44,010 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,121 – $49,208 · median $22,871 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,975 – $32,375 · median $15,047 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,930 – $40,314 · median $18,737 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,379 – $18,207 · median $10,150 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,216 – $41,473 · median $19,276 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,048 – $13,700 · median $6,784 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,661 – $38,681 · median $17,979 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,592 – $17,623 · median $8,249 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,122 – $37,644 · median $20,986 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,089 – $20,609 · median $9,879 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,182 – $14,154 · median $6,873 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,628 – $35,970 · median $20,053 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $20,925 · median $10,026 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $129,704 – $465,668 · median $244,741 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $43,574 – $147,480 · median $68,962 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,566 – $79,435 · median $36,920 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,657 – $96,043 · median $44,639 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,429 – $45,453 · median $25,340 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $12,515 – $42,356 · median $20,007 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,043 – $89,490 · median $41,593 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,197 – $48,050 · median $26,788 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,318 – $41,692 · median $23,244 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,408 – $38,193 · median $17,752 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,967 – $28,284 · median $13,146 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,719 – $29,601 · median $14,551 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,549 – $19,743 · median $9,176 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,227 – $24,462 · median $11,673 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,813 – $15,481 · median $7,195 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,378 – $11,432 · median $6,373 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $40,891 – $166,009 · median $77,159 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,860 – $92,807 · median $43,135 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $46,291 – $179,466 · median $87,347 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,599 – $86,643 · median $48,304 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,885 – $72,610 · median $33,748 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,608 – $67,424 · median $31,338 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,311 – $31,512 · median $17,568 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,714 – $23,196 · median $10,781 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,187 – $162,888 · median $109,553 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,022 – $65,046 · median $40,554 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,532 – $59,340 · median $33,082 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,867 – $26,627 · median $14,123 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,484 – $22,263 · median $10,348 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,884 – $26,682 · median $14,876 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,503 – $96,469 · median $53,782 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,935 – $60,634 · median $28,182 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,413 – $42,272 · median $19,648 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $70,492 · median $33,109 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,985 – $33,794 · median $18,730 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,285 – $24,657 · median $13,746 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $62,636 – $211,997 · median $111,188 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,170 – $128,004 · median $80,865 | 19 plans |
| 007 | LUNG TRANSPLANT | $78,672 – $536,897 · median $225,839 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,048 – $123,997 · median $97,739 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $43,592 – $147,541 · median $77,383 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,801 – $195,459 · median $113,520 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,131 – $194,470 · median $102,305 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,564 – $194,470 · median $102,305 | 19 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $557 – $33,079 · median $14,930 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $557 – $109,093 · median $48,004 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $557 – $74,503 · median $32,954 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $557 – $44,955 · median $20,098 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $557 – $76,533 · median $33,837 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $557 – $27,090 · median $12,325 | 19 plans |
| 795 | NORMAL NEWBORN | $557 – $4,928 · median $2,155 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,395 – $74,854 · median $36,071 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,395 – $14,717 · median $7,507 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,395 – $86,300 · median $29,930 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,383 – $23,681 · median $7,909 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $1,357 – $23,205 · median $7,763 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,332 – $19,710 · median $8,679 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,395 – $36,091 · median $15,468 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,383 – $31,045 · median $12,827 | 15 plans |
| 885 | PSYCHOSES | $1,357 – $27,226 · median $11,219 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,370 – $51,183 · median $16,363 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,345 – $19,656 · median $8,748 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,156 – $14,902 · median $5,307 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,176 – $34,913 · median $23,645 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,395 – $43,039 · median $13,860 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,350 – $21,773 · median $7,322 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,716 – $17,607 · median $12,620 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,537 – $8,912 · median $7,959 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,482 – $7,644 · median $5,773 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,290 – $10,837 · median $9,896 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,806 – $7,171 · median $6,391 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $50,079 – $154,256 · median $69,609 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $16,396 – $51,735 · median $47,015 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $26,747 – $82,388 · median $36,432 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $32,386 – $99,758 · median $52,231 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,590 – $44,942 · median $29,056 | 10 plans |
| 509 | ARTHROSCOPY | $13,199 – $76,804 · median $14,914 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,082 – $6,414 · median $3,996 | 4 plans |
| 999 | UNGROUPABLE | $3,983 – $12,269 · median $7,644 | 4 plans |
No procedures match that keyword.