Allina United Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $141,872 – $455,781 · median $191,503 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $122,202 – $196,186 · median $168,510 | 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 – $471,985 · median $241,970 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $84,147 – $308,014 · median $215,476 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,134 – $121,283 · median $62,177 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,612 – $93,751 · median $48,063 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,507 – $64,083 · median $32,853 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $262,336 – $960,256 · median $696,835 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $138,344 · median $68,859 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $47,803 – $174,979 · median $89,705 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $32,160 – $117,718 · median $65,003 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,303 – $70,656 · median $51,841 | 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 – $127,425 · median $65,326 | 20 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,765 – $85,955 · median $44,596 | 20 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,621 – $91,615 · median $51,833 | 20 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,888 – $69,139 · median $35,445 | 20 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,327 – $56,102 · median $28,761 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,500 – $116,505 · median $68,495 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,725 – $66,153 · median $38,893 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,336 – $48,815 · median $25,026 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,219 – $99,633 · median $51,078 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,946 – $47,387 · median $24,294 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,102 – $36,978 · median $18,957 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,515 – $86,073 · median $44,126 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,522 – $53,158 · median $27,252 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,803 – $43,202 · median $22,148 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,000 – $63,836 · median $37,530 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,857 – $36,082 · median $18,498 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,141 – $26,140 · median $13,401 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,457 – $85,862 · median $44,018 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,357 – $48,892 · median $25,065 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,496 – $38,419 · median $19,696 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,004 – $40,278 · median $20,649 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,949 – $18,987 · median $11,163 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,276 – $29,608 · median $17,407 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,194 – $19,771 · median $11,624 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,473 – $51,659 · median $26,484 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,862 – $28,810 · median $14,770 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,385 – $33,148 · median $19,489 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,538 – $26,848 · median $14,146 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,588 – $20,454 · median $10,486 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,749 – $61,310 · median $31,431 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,675 – $39,075 · median $20,032 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,528 – $31,216 · median $16,004 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,217 – $38,995 · median $22,926 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,138 – $22,466 · median $11,518 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,158 – $15,219 · median $7,802 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,922 – $32,659 · median $16,743 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,251 – $19,222 · median $9,854 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,853 – $17,763 · median $9,106 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,114 – $37,020 · median $18,979 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,233 – $22,815 · median $11,697 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,594 – $14,663 · median $8,621 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,746 – $31,108 · median $15,738 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,262 – $22,922 · median $11,751 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,649 – $42,639 · median $21,860 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,013 – $18,350 · median $9,407 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,862 – $35,097 · median $20,634 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,634 – $19,915 · median $10,210 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,885 – $50,825 · median $26,056 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,479 – $31,038 · median $15,912 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,806 – $21,254 · median $10,896 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,802 – $50,520 · median $25,900 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,914 – $25,260 · median $14,851 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,557 – $17,737 · median $9,657 | 20 plans |
| 088 | CONCUSSION WITH MCC | $8,212 – $26,212 · median $15,411 | 20 plans |
| 089 | CONCUSSION WITH CC | $6,674 – $21,303 · median $11,242 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,001 – $18,306 · median $9,385 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,669 – $39,053 · median $20,021 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,215 – $22,748 · median $11,662 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,838 – $15,441 · median $9,078 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $21,380 – $78,261 · median $40,122 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,669 – $57,354 · median $29,403 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,669 – $50,012 · median $26,697 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,942 – $72,624 · median $41,175 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,942 – $44,500 · median $22,372 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,277 – $30,296 · median $15,532 | 20 plans |
| 100 | SEIZURES WITH MCC | $11,766 – $37,556 · median $22,080 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $5,483 – $18,121 · median $10,290 | 20 plans |
| 102 | HEADACHES WITH MCC | $6,809 – $24,925 · median $12,778 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $5,081 – $16,216 · median $9,313 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,283 – $52,281 · median $26,803 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,219 – $30,087 · median $15,424 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,325 – $34,132 · median $17,498 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,984 – $40,207 · median $20,613 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,591 – $21,037 · median $12,368 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,067 – $22,557 · median $12,368 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,774 – $17,474 · median $8,958 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,851 – $15,485 · median $9,104 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,038 – $29,422 · median $15,084 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,664 – $14,888 · median $8,753 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,183 – $48,254 · median $24,738 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,168 – $22,577 · median $11,575 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,071 – $28,954 · median $17,023 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,384 – $17,184 · median $10,103 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,507 – $27,478 · median $14,087 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,912 – $94,847 · median $48,625 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,250 – $48,501 · median $24,865 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,698 – $35,499 · median $18,199 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,761 – $83,313 · median $42,712 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,527 – $38,535 · median $19,755 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,304 – $26,736 · median $13,706 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,863 – $41,058 · median $21,087 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,724 – $28,274 · median $14,495 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,842 – $17,725 · median $9,087 | 20 plans |
| 149 | DYSEQUILIBRIUM | $4,566 – $16,713 · median $8,568 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $8,089 – $29,609 · median $15,179 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,459 – $14,233 · median $8,368 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,182 – $22,924 · median $13,477 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,485 – $14,314 · median $8,416 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,498 – $34,768 · median $17,824 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $17,771 · median $9,131 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,198 – $15,368 · median $7,879 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,430 – $33,290 · median $19,572 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,527 – $17,642 · median $9,594 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,304 – $15,755 · median $8,077 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,333 – $53,600 · median $28,774 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,629 – $37,118 · median $21,822 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,956 – $40,102 · median $20,559 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,301 – $26,495 · median $15,577 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $57,714 · median $28,918 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,345 – $30,545 · median $15,659 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,890 – $17,901 · median $9,177 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,493 – $34,750 · median $17,815 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,929 – $21,703 · median $11,127 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,587 – $16,789 · median $8,607 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,728 – $34,244 · median $20,133 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,506 – $23,816 · median $12,210 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,579 – $16,762 · median $8,593 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,294 – $29,666 · median $17,441 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,464 – $20,634 · median $10,549 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,778 – $15,251 · median $8,672 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,468 – $30,220 · median $15,298 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,009 – $19,179 · median $11,276 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,357 – $15,948 · median $8,176 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,505 – $27,472 · median $14,084 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,729 – $24,632 · median $12,628 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,121 – $16,346 · median $9,610 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,900 – $12,449 · median $7,236 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,985 – $25,487 · median $13,766 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,896 – $15,774 · median $9,187 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,818 – $13,976 · median $7,165 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,465 – $37,074 · median $21,514 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,766 – $43,681 · median $15,907 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,351 – $15,926 · median $8,165 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,717 – $39,228 · median $20,111 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,678 – $24,445 · median $12,532 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,344 – $15,902 · median $8,152 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,900 – $18,832 · median $11,072 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,070 – $14,899 · median $7,638 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,905 – $15,656 · median $9,204 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,123 – $40,716 · median $20,874 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,717 – $20,927 · median $10,729 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,091 – $143,088 · median $103,972 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,698 – $61,123 · median $31,336 | 20 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $66,060 – $210,855 · median $123,966 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $60,489 – $221,414 · median $113,511 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $59,431 – $217,540 · median $111,525 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,945 – $146,215 · median $74,959 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,945 – $127,499 · median $63,487 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,646 – $170,742 · median $87,534 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,397 – $111,086 · median $60,795 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,619 – $112,079 · median $57,459 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,055 – $99,959 · median $56,401 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,133 – $70,035 · median $35,905 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,212 – $187,456 · median $96,102 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $36,830 – $134,814 · median $69,114 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $46,445 – $170,006 · median $87,156 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,186 – $121,474 · median $62,276 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,652 – $120,413 · median $66,903 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,447 – $93,146 · median $47,753 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $29,899 – $109,444 · median $56,108 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,317 – $55,273 · median $32,496 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,410 – $30,785 · median $15,782 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,396 – $70,998 · median $36,398 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,945 – $47,385 · median $24,293 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,981 – $40,193 · median $20,606 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $27,717 – $97,361 · median $52,012 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,259 – $48,532 · median $24,881 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,079 – $33,233 · median $17,038 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,191 – $77,569 · median $39,767 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,768 – $57,718 · median $29,590 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,824 – $39,620 · median $20,312 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,387 – $52,304 · median $30,751 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,315 – $37,756 · median $19,356 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,635 – $24,287 · median $12,451 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,088 – $66,366 · median $35,820 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,284 – $44,965 · median $23,052 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,761 – $72,333 · median $37,082 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,485 – $42,039 · median $21,552 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,902 – $36,244 · median $18,581 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,574 – $67,987 · median $34,855 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,294 – $64,776 · median $38,083 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $21,981 – $80,458 · median $41,248 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,230 – $136,277 · median $69,865 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $28,922 – $105,866 · median $54,274 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,783 – $152,944 · median $107,125 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,656 – $93,911 · median $48,145 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,054 – $102,311 · median $60,151 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,605 – $79,081 · median $40,542 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,509 – $56,771 · median $29,105 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,062 – $91,739 · median $47,031 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,997 – $73,198 · median $37,526 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,317 – $149,022 · median $81,288 | 20 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $36,490 – $116,472 · median $67,546 | 20 plans |
| 277 | CELLULITIS AGE >17 W CC | $28,057 – $102,702 · median $52,652 | 20 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $107,932 · median $53,794 | 20 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $69,930 · median $34,969 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,745 – $35,670 · median $18,287 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,584 – $20,438 · median $10,478 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,393 – $16,080 · median $8,243 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,033 – $42,013 · median $22,581 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,205 – $15,392 · median $7,891 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,638 – $11,613 · median $6,081 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,443 – $49,206 · median $25,226 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,501 – $23,796 · median $12,199 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,440 – $60,178 · median $30,851 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,369 – $37,956 · median $19,459 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,648 – $20,674 · median $10,599 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,799 – $28,548 · median $14,635 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,158 – $18,879 · median $9,679 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,438 – $12,586 · median $6,452 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,489 – $34,732 · median $17,806 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,852 – $14,098 · median $7,228 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,765 – $10,120 · median $5,188 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,919 – $33,825 · median $18,613 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,485 – $23,738 · median $12,170 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,372 – $13,955 · median $7,655 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,269 – $23,203 · median $13,641 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,090 – $14,970 · median $7,675 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $7,229 – $23,075 · median $13,566 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,587 – $16,791 · median $8,608 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,573 – $30,556 · median $17,964 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,548 – $20,307 · median $10,411 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,314 – $23,346 · median $11,893 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,469 – $16,360 · median $8,387 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,439 – $10,977 · median $5,766 | 20 plans |
| 311 | ANGINA PECTORIS | $4,264 – $15,608 · median $8,002 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,295 – $18,195 · median $9,936 | 20 plans |
| 313 | CHEST PAIN | $4,374 – $13,961 · median $8,208 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,668 – $46,369 · median $23,772 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,852 – $18,679 · median $9,712 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,144 – $15,168 · median $7,776 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,112 – $99,242 · median $50,878 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,612 – $53,487 · median $27,421 | 20 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $16,529 – $52,758 · median $31,017 | 20 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,710 – $34,186 · median $18,298 | 20 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $26,289 – $83,911 · median $49,333 | 20 plans |
| 324 | URINARY STONES W/O CC | $19,142 – $61,100 · median $30,595 | 20 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,503 – $63,016 · median $36,599 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,298 – $110,905 · median $67,481 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,849 – $54,352 · median $27,864 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,734 – $31,579 · median $18,266 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,924 – $102,212 · median $52,401 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,563 – $53,307 · median $27,328 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,224 – $37,423 · median $19,185 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,996 – $80,514 · median $41,276 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $14,229 – $52,084 · median $26,701 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,950 – $31,760 · median $18,672 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,693 – $79,406 · median $40,709 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,810 – $46,891 · median $24,039 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,325 – $29,765 · median $17,499 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,691 – $57,434 · median $29,444 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,141 – $33,460 · median $17,154 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,206 – $26,378 · median $13,523 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,946 – $51,047 · median $37,092 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $25,378 · median $12,900 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,289 – $19,360 · median $9,925 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,138 – $48,319 · median $24,264 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,261 – $33,900 · median $17,380 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,094 – $24,700 · median $13,313 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,630 – $64,532 · median $33,083 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,221 – $32,623 · median $19,180 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,171 – $29,909 · median $15,333 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,686 – $97,683 · median $54,060 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,127 – $51,712 · median $26,511 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,492 – $31,085 · median $15,936 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,671 – $35,399 · median $18,148 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,076 – $22,241 · median $11,402 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,257 – $15,584 · median $7,989 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,772 – $34,381 · median $20,214 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,203 – $20,048 · median $11,640 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,419 – $14,105 · median $8,292 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $41,471 · median $20,871 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,348 – $23,455 · median $13,790 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,615 – $20,554 · median $10,537 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,105 – $35,446 · median $20,839 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,958 – $19,016 · median $11,180 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,830 – $14,018 · median $7,187 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,920 – $38,048 · median $20,904 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,582 – $24,094 · median $12,352 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,864 – $17,803 · median $9,127 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,388 – $30,703 · median $15,740 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,193 – $19,008 · median $9,745 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,612 – $35,186 · median $18,038 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,931 – $21,710 · median $11,130 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,139 – $15,150 · median $7,767 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,972 – $28,636 · median $16,836 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,798 – $17,563 · median $9,004 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,305 – $12,097 · median $6,202 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,705 – $24,593 · median $12,511 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,736 – $17,336 · median $8,888 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,716 – $35,564 · median $18,232 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,684 – $20,807 · median $10,667 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,943 – $14,432 · median $7,399 | 20 plans |
| 397 | COAGULATION DISORDERS | $14,549 – $53,255 · median $27,302 | 20 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,195 – $33,658 · median $17,255 | 20 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,954 – $25,455 · median $13,474 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,233 – $121,648 · median $62,364 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,619 – $64,492 · median $33,063 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,484 – $49,357 · median $25,304 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,661 – $69,139 · median $40,648 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,227 – $48,417 · median $24,822 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,645 – $30,786 · median $18,100 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,068 – $71,316 · median $37,658 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,773 – $46,753 · median $23,969 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,088 – $36,925 · median $18,930 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,643 – $69,081 · median $40,614 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,555 – $40,075 · median $23,561 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,282 – $30,316 · median $15,542 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,497 – $46,274 · median $27,205 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,276 – $37,616 · median $19,284 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,297 – $26,484 · median $15,570 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,698 – $66,066 · median $33,055 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,555 – $38,637 · median $19,808 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,502 – $31,121 · median $15,954 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,229 – $92,350 · median $47,345 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,291 – $48,652 · median $24,942 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,114 – $33,362 · median $17,104 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,957 – $43,767 · median $27,578 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,416 – $23,487 · median $12,041 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,328 – $15,193 · median $8,123 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,158 – $35,615 · median $20,706 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,871 – $25,152 · median $12,895 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,184 – $18,975 · median $9,728 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,903 – $36,251 · median $18,585 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,110 – $16,311 · median $9,590 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,775 – $13,818 · median $7,084 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,903 – $34,800 · median $20,460 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,864 – $18,718 · median $11,005 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,251 – $15,559 · median $7,977 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,151 – $37,156 · median $19,048 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,648 – $21,221 · median $12,476 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,026 – $16,042 · median $9,431 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,051 – $186,866 · median $95,800 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,226 – $115,628 · median $67,980 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $25,349 – $92,786 · median $47,568 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,552 – $122,815 · median $66,751 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,160 – $59,150 · median $30,324 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,624 – $126,655 · median $64,975 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,922 – $60,396 · median $35,508 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,079 – $35,363 · median $20,790 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,623 – $100,936 · median $59,342 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,424 – $68,383 · median $40,204 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,694 – $61,107 · median $31,328 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,427 – $67,449 · median $34,579 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,718 – $37,403 · median $21,990 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,334 – $107,376 · median $67,667 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,898 – $65,512 · median $33,586 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,831 – $47,338 · median $27,831 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,079 – $83,242 · median $48,940 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,825 – $50,605 · median $25,943 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,170 – $26,244 · median $13,454 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,987 – $76,820 · median $39,383 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,940 – $47,685 · median $28,035 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,293 – $41,336 · median $21,192 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,692 – $64,761 · median $33,201 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,724 – $46,575 · median $23,878 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,908 – $36,269 · median $18,594 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,839 – $61,639 · median $31,600 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,605 – $71,761 · median $36,789 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,703 – $46,500 · median $23,839 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,515 – $34,828 · median $17,855 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,746 – $39,335 · median $20,166 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,785 – $24,834 · median $12,732 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,305 – $71,195 · median $41,857 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,407 – $49,177 · median $27,483 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,189 – $42,400 · median $22,874 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,026 – $80,625 · median $41,333 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,959 – $40,113 · median $20,565 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,340 – $23,430 · median $13,775 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,327 – $58,498 · median $30,240 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,240 – $44,803 · median $22,969 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,226 – $70,376 · median $36,079 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,620 – $38,873 · median $19,929 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,176 – $29,929 · median $15,343 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,956 – $62,066 · median $31,819 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,355 – $41,565 · median $21,309 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,891 – $39,866 · median $20,438 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,196 – $30,002 · median $15,381 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,974 – $40,169 · median $20,593 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,200 – $31,318 · median $17,264 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,350 – $61,413 · median $34,434 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,632 – $43,788 · median $23,705 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,057 – $36,811 · median $18,872 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,564 – $30,527 · median $17,947 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,210 – $22,733 · median $11,654 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,360 – $61,796 · median $36,331 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,624 – $40,643 · median $23,691 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,335 – $34,107 · median $17,519 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,704 – $83,106 · median $42,606 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,151 – $44,478 · median $22,803 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,075 – $33,220 · median $17,031 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,436 – $57,374 · median $32,721 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,865 – $47,091 · median $24,142 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,524 – $34,861 · median $17,872 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,897 – $15,631 · median $9,190 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,788 – $28,508 · median $14,615 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,906 – $15,660 · median $9,207 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,797 – $21,221 · median $10,879 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,376 – $16,017 · median $8,212 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $38,194 · median $19,248 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,875 – $25,136 · median $14,778 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,783 – $17,509 · median $8,976 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,731 – $34,254 · median $20,138 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,245 – $22,860 · median $11,719 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $48,122 · median $24,166 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,007 – $25,648 · median $13,149 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,080 – $18,595 · median $9,533 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,730 – $37,441 · median $22,013 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,334 – $23,408 · median $13,527 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,310 – $16,949 · median $8,724 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $32,501 · median $16,428 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,840 – $19,879 · median $10,959 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,875 – $25,136 · median $14,778 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,043 – $16,096 · median $9,463 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,030 – $29,393 · median $15,069 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,046 – $18,470 · median $9,469 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,033 – $33,064 · median $16,951 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,426 – $17,320 · median $9,883 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,329 – $41,470 · median $21,260 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,841 – $25,041 · median $12,838 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,884 – $17,876 · median $9,165 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,656 – $27,628 · median $14,014 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,440 – $19,913 · median $10,209 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,377 – $34,325 · median $17,597 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,919 – $21,668 · median $11,108 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $14,529 · median $7,525 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,867 – $117,153 · median $49,293 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,264 – $37,569 · median $19,261 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,964 – $24,179 · median $13,068 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,800 – $127,036 · median $65,160 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,089 – $67,313 · median $39,574 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,917 – $39,960 · median $20,486 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $95,037 · median $47,406 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,103 – $51,399 · median $30,218 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,759 – $35,722 · median $18,313 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,674 – $66,730 · median $36,919 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,498 – $33,507 · median $18,324 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,767 – $32,090 · median $16,452 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,704 – $42,842 · median $21,964 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,476 – $33,437 · median $19,658 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,005 – $47,603 · median $24,404 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,719 – $38,958 · median $21,992 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $11,757 – $37,527 · median $22,063 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $7,207 – $23,003 · median $12,413 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,266 – $19,275 · median $9,882 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,883 – $47,158 · median $24,176 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,576 – $20,990 · median $10,726 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,128 – $32,326 · median $18,930 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,873 – $25,157 · median $13,479 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,674 – $17,109 · median $8,771 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,328 – $23,162 · median $11,874 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,675 – $13,453 · median $6,897 | 20 plans |
| 602 | CELLULITIS WITH MCC | $8,634 – $31,605 · median $16,203 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,291 – $19,366 · median $9,928 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,943 – $31,437 · median $16,782 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,565 – $20,369 · median $10,443 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,193 – $29,342 · median $17,251 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,506 – $17,576 · median $9,034 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,315 – $48,739 · median $24,987 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,501 – $28,784 · median $15,952 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,186 – $77,549 · median $39,757 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,362 – $41,530 · median $21,322 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,616 – $31,539 · median $16,169 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,541 – $55,988 · median $32,460 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,722 – $35,586 · median $18,244 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,164 – $33,542 · median $17,196 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,622 – $69,015 · median $40,575 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,898 – $36,502 · median $20,451 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,605 – $27,839 · median $14,272 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,347 – $67,158 · median $34,430 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,109 – $33,342 · median $17,093 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,069 – $29,537 · median $15,143 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,640 – $72,265 · median $42,486 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,236 – $42,248 · median $24,839 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,866 – $32,455 · median $16,638 | 20 plans |
| 637 | DIABETES WITH MCC | $8,728 – $31,948 · median $16,379 | 20 plans |
| 638 | DIABETES WITH CC | $5,444 – $19,929 · median $10,217 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,774 – $12,045 · median $7,082 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $25,898 · median $13,157 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,728 – $17,305 · median $8,872 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $27,575 · median $13,988 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,000 – $36,604 · median $18,766 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,227 – $22,793 · median $11,685 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,667 – $17,085 · median $8,759 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,561 – $104,545 · median $53,597 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,513 – $82,406 · median $42,247 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $23,763 – $112,763 · median $58,754 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $31,568 – $115,552 · median $78,660 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,006 – $62,248 · median $31,912 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,858 – $47,067 · median $24,130 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,342 – $70,798 · median $36,296 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,117 – $40,694 · median $20,862 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,427 – $34,507 · median $17,691 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,436 – $49,270 · median $28,967 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,029 – $25,629 · median $15,068 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,290 – $23,024 · median $11,804 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,599 – $59,364 · median $33,075 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,235 – $29,478 · median $17,330 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,360 – $23,280 · median $11,935 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,961 – $69,406 · median $35,582 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $10,627 – $33,920 · median $19,942 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,720 – $21,450 · median $12,611 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,739 – $64,932 · median $33,288 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,428 – $34,512 · median $17,693 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,937 – $18,950 · median $11,141 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,905 – $39,915 · median $20,463 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,558 – $24,005 · median $12,306 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,525 – $93,431 · median $47,899 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,207 – $52,003 · median $26,660 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,972 – $36,500 · median $18,712 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $8,997 – $32,933 · median $16,884 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $5,320 – $19,475 · median $9,984 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,647 – $13,349 · median $6,844 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,957 – $34,975 · median $17,653 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,365 – $23,300 · median $11,945 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,801 – $17,574 · median $9,010 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,049 – $22,499 · median $13,228 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,918 – $15,697 · median $9,228 | 20 plans |
| 693 | URINARY STONES WITH MCC | $8,168 – $28,634 · median $15,327 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,749 – $15,158 · median $8,911 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $22,179 · median $11,315 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,186 – $13,360 · median $6,946 | 20 plans |
| 697 | URETHRAL STRICTURE | $6,548 – $20,899 · median $12,287 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,050 – $36,789 · median $18,860 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,166 – $22,571 · median $11,571 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,191 – $13,378 · median $7,078 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,152 – $44,481 · median $22,804 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,320 – $34,116 · median $17,490 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,137 – $51,748 · median $26,529 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,512 – $27,170 · median $15,974 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,659 – $40,406 · median $23,756 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,681 – $24,454 · median $12,537 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,133 – $32,318 · median $17,139 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,424 – $20,973 · median $12,055 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,592 – $43,383 · median $22,050 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,936 – $32,711 · median $16,770 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,485 – $38,318 · median $21,552 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,159 – $29,867 · median $15,312 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,994 – $40,242 · median $20,631 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,942 – $22,158 · median $13,027 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,983 – $14,581 · median $7,475 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,109 – $22,691 · median $13,340 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,386 – $16,055 · median $8,231 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,009 – $28,754 · median $16,905 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,928 – $15,730 · median $9,248 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,432 – $20,529 · median $11,872 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,082 – $14,943 · median $7,661 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,940 – $46,161 · median $24,282 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,174 – $29,920 · median $15,339 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,715 – $79,486 · median $40,750 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,518 – $45,822 · median $23,491 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,921 – $32,655 · median $16,741 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,766 – $79,671 · median $40,844 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,993 – $40,240 · median $20,630 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,664 – $31,712 · median $16,258 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,146 – $35,578 · median $20,917 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,537 – $27,589 · median $14,144 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,448 – $45,566 · median $23,360 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,910 – $29,887 · median $19,065 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,553 – $35,954 · median $19,803 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,223 – $19,117 · median $9,801 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,428 – $26,901 · median $14,997 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,598 – $57,096 · median $29,271 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,965 – $32,817 · median $16,824 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,188 – $40,954 · median $20,996 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,608 – $24,189 · median $12,401 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,835 – $18,625 · median $9,554 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,699 – $31,841 · median $16,324 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,947 – $21,038 · median $11,161 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,031 – $12,868 · median $7,565 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,121 – $19,536 · median $11,486 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,466 – $12,686 · median $6,504 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,473 – $15,329 · median $9,844 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,266 – $37,576 · median $19,264 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,091 – $22,297 · median $11,431 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,977 – $12,695 · median $7,464 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $5,111 – $16,384 · median $9,591 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,530 – $32,309 · median $19,623 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,425 – $15,956 · median $10,063 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,998 – $15,956 · median $9,430 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,530 – $21,708 · median $14,105 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,530 – $15,956 · median $10,333 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,002 – $15,956 · median $9,439 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,530 – $15,358 · median $10,232 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,175 – $15,329 · median $9,770 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,995 – $15,329 · median $9,423 | 20 plans |
| 799 | SPLENECTOMY WITH MCC | $27,513 – $100,709 · median $51,630 | 20 plans |
| 800 | SPLENECTOMY WITH CC | $17,067 – $62,473 · median $32,028 | 20 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,597 – $37,015 · median $21,762 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,203 – $88,594 · median $45,419 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,293 – $41,336 · median $21,192 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,238 – $26,294 · median $15,459 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,504 – $15,329 · median $9,862 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,147 – $15,329 · median $7,423 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,814 – $15,329 · median $6,638 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,413 – $42,813 · median $21,536 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,690 – $28,150 · median $14,431 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,358 – $23,273 · median $11,931 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,531 – $31,227 · median $16,009 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,578 – $17,804 · median $10,468 | 20 plans |
| 813 | COAGULATION DISORDERS | $9,266 – $33,918 · median $17,389 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,920 – $41,238 · median $24,245 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,160 – $22,548 · median $11,560 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,839 – $12,255 · median $7,205 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,861 – $50,452 · median $26,011 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,042 – $25,612 · median $13,215 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,224 – $19,122 · median $9,803 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,629 – $130,416 · median $66,859 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,599 – $49,780 · median $25,520 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,314 – $26,773 · median $13,726 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $27,853 – $101,952 · median $52,267 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,764 – $43,931 · median $25,828 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,198 – $30,007 · median $15,383 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,418 – $104,020 · median $53,328 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,041 – $51,394 · median $26,348 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,351 – $37,887 · median $19,424 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,197 – $61,274 · median $36,024 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,143 – $33,467 · median $17,157 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,305 – $26,740 · median $13,709 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,384 – $16,046 · median $8,226 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,177 – $10,139 · median $5,351 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $33,351 – $106,453 · median $53,061 | 20 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,671 – $46,382 · median $23,778 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,408 – $23,647 · median $12,745 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $29,186 – $106,833 · median $78,619 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,681 – $42,671 · median $23,797 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,772 – $32,108 · median $16,461 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,652 – $62,727 · median $34,322 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,911 – $36,277 · median $19,160 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,138 – $19,592 · median $11,359 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,118 – $44,358 · median $22,741 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $23,606 · median $12,022 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,173 – $18,937 · median $9,708 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $50,270 · median $25,230 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,947 – $25,367 · median $12,894 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $16,470 · median $8,487 | 20 plans |
| 849 | RADIOTHERAPY | $16,460 – $60,251 · median $35,811 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,002 – $95,762 · median $56,301 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,138 – $44,432 · median $22,779 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,095 – $29,032 · median $17,068 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,633 – $88,202 · median $51,856 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,010 – $41,525 · median $20,898 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,462 – $30,942 · median $15,879 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,079 – $35,363 · median $20,790 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,062 – $19,350 · median $11,376 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,393 – $19,740 · median $10,120 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,102 – $33,318 · median $17,081 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,283 – $16,862 · median $9,577 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,716 – $46,546 · median $23,863 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,264 – $21,753 · median $11,755 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,433 – $14,149 · median $8,319 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $41,989 – $153,698 · median $78,795 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,801 – $43,195 · median $22,145 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,217 – $22,755 · median $11,666 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,494 – $89,424 · median $47,842 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,631 – $42,573 · median $21,826 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,105 – $26,008 · median $13,334 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,314 – $81,679 · median $41,874 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,012 – $32,986 · median $16,911 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,933 – $38,089 · median $22,393 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,324 – $76,056 · median $43,769 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,121 – $44,367 · median $22,746 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,975 – $29,191 · median $14,965 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,930 – $36,349 · median $18,635 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,379 – $17,170 · median $10,095 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,216 – $37,394 · median $19,170 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,048 – $12,920 · median $6,784 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,994 – $34,877 · median $17,880 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,913 – $16,620 · median $8,185 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,122 – $35,500 · median $20,871 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,089 – $19,435 · median $9,955 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,182 – $13,349 · median $6,940 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,628 – $33,922 · median $19,943 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $19,734 · median $10,103 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $129,704 – $465,668 · median $243,399 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $43,574 – $139,083 · median $69,225 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,566 – $71,621 · median $36,718 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,657 – $86,595 · median $44,394 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,429 – $42,865 · median $25,201 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $12,515 – $39,945 · median $20,115 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,043 – $80,687 · median $41,365 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,197 – $45,314 · median $26,641 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,318 – $41,482 · median $23,116 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,408 – $34,436 · median $17,654 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,967 – $25,501 · median $13,074 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,063 – $28,228 · median $14,471 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,862 – $17,801 · median $9,126 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,227 – $23,069 · median $11,756 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,813 – $13,958 · median $7,156 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,378 – $10,781 · median $6,338 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $40,891 – $149,679 · median $76,735 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,860 – $83,678 · median $42,899 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $46,291 – $169,444 · median $86,868 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,599 – $81,710 · median $48,039 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,885 – $65,468 · median $33,563 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,608 – $60,792 · median $31,166 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,311 – $29,718 · median $17,472 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,714 – $20,914 · median $10,722 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,187 – $169,361 · median $102,593 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,022 – $58,648 · median $40,739 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,532 – $55,961 · median $32,901 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,867 – $25,111 · median $14,123 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,484 – $20,073 · median $10,291 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,884 – $25,163 · median $14,794 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,503 – $90,977 · median $53,487 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,935 – $54,670 · median $28,027 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,413 – $38,114 · median $19,540 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $66,479 · median $33,259 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,985 – $31,870 · median $18,730 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,285 – $23,253 · median $13,671 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $62,636 – $199,927 · median $111,188 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,170 – $133,226 · median $77,716 | 19 plans |
| 007 | LUNG TRANSPLANT | $78,672 – $557,153 · median $217,045 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,048 – $129,029 · median $93,933 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $43,592 – $139,141 · 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 $100,386 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,564 – $194,470 · median $100,386 | 19 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $557 – $31,791 · median $14,857 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $557 – $104,843 · median $47,503 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $557 – $71,601 · median $32,647 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $557 – $43,204 · median $19,957 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $557 – $73,552 · median $33,519 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $557 – $26,035 · median $12,285 | 19 plans |
| 795 | NORMAL NEWBORN | $557 – $4,443 · median $2,225 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,395 – $74,854 · median $36,230 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,395 – $14,717 · median $7,576 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,395 – $85,944 · median $29,636 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,395 – $21,352 · median $7,828 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $1,395 – $20,923 · median $7,683 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,395 – $18,942 · median $8,301 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,395 – $34,686 · median $14,702 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,395 – $31,045 · median $12,698 | 15 plans |
| 885 | PSYCHOSES | $1,395 – $27,226 · median $11,106 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,395 – $46,148 · median $16,200 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,395 – $18,891 · median $8,659 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,392 – $13,718 · median $5,250 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,395 – $62,615 · median $23,725 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,395 – $38,806 · median $28,012 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,395 – $19,631 · median $7,247 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,716 – $21,178 · median $12,596 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,537 – $9,400 · median $8,153 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,482 – $9,195 · median $5,795 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,290 – $12,191 · median $9,927 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,806 – $7,311 · median $6,583 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $50,079 – $185,549 · median $69,157 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $16,396 – $60,750 · median $47,932 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $26,747 – $99,101 · median $36,251 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $32,386 – $119,995 · median $51,921 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,590 – $54,059 · median $28,923 | 10 plans |
| 509 | ARTHROSCOPY | $13,199 – $92,384 · median $14,979 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,082 – $7,715 · median $4,191 | 4 plans |
| 999 | UNGROUPABLE | $3,983 – $14,758 · median $8,018 | 4 plans |
No procedures match that keyword.