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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $108,057 – $486,566 · median $280,028 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $70,517 – $399,967 · median $200,818 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $27,767 – $125,030 · median $71,835 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $21,464 – $96,648 · median $47,065 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $14,671 – $66,062 · median $32,171 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $219,844 – $1,277,958 · median $669,349 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $36,322 – $163,554 · median $79,647 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $40,060 – $180,384 · median $114,082 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $26,951 – $134,152 · median $76,750 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,176 – $125,464 · median $49,392 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $29,173 – $131,361 · median $78,934 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $19,915 – $89,676 · median $43,670 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,147 – $104,229 · median $50,757 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $15,829 – $71,275 · median $34,709 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,844 – $57,835 · median $28,164 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,588 – $137,734 · median $67,073 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,368 – $78,208 · median $38,085 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,176 – $50,323 · median $24,506 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,810 – $102,711 · median $50,018 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,849 – $48,851 · median $23,789 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,466 – $38,120 · median $18,564 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,706 – $88,732 · median $43,210 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,170 – $54,800 · median $26,686 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,891 – $44,537 · median $21,688 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $16,760 – $75,468 · median $36,751 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,261 – $37,196 · median $18,114 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,984 – $26,947 · median $13,123 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,657 – $88,514 · median $53,187 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,194 – $50,403 · median $24,545 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,796 – $39,606 · median $19,287 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,221 – $41,522 · median $20,220 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,985 – $22,447 · median $10,931 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,773 – $35,003 · median $17,045 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,191 – $23,373 · median $11,382 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $11,827 – $53,255 · median $25,934 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,596 – $29,700 · median $14,463 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,703 – $39,189 · median $19,084 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,317 – $28,446 · median $13,853 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,683 – $21,086 · median $10,268 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,036 – $63,204 · median $30,779 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,946 – $40,282 · median $19,616 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,147 – $32,181 · median $15,671 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,238 – $46,100 · median $22,450 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,143 – $23,160 · median $11,278 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,484 – $15,689 · median $7,640 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,477 – $33,668 · median $16,396 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,401 – $19,816 · median $9,650 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,067 – $18,312 · median $8,917 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $8,476 – $42,998 · median $24,136 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,223 – $23,520 · median $11,454 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,850 – $17,335 · median $8,442 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,167 – $36,777 · median $17,910 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,248 – $23,630 · median $11,507 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,762 – $43,957 · median $21,406 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,201 – $18,917 · median $9,212 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,215 – $41,492 · median $20,206 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,560 – $20,531 · median $9,998 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,636 – $52,395 · median $25,515 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,106 – $31,997 · median $15,582 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,866 – $21,911 · median $10,670 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,566 – $52,081 · median $25,362 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,632 – $29,863 · median $14,543 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,657 – $20,969 · median $10,211 | 15 plans |
| 088 | CONCUSSION WITH MCC | $6,882 – $30,989 · median $15,091 | 15 plans |
| 089 | CONCUSSION WITH CC | $5,593 – $25,184 · median $12,264 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,191 – $18,871 · median $9,190 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,941 – $40,259 · median $19,605 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,208 – $23,451 · median $11,420 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,054 – $18,254 · median $8,889 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,917 – $80,679 · median $39,289 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,131 – $59,126 · median $28,793 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,131 – $59,126 · median $28,793 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $18,388 – $82,797 · median $40,320 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,683 – $52,608 · median $25,619 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,936 – $31,232 · median $15,209 | 15 plans |
| 100 | SEIZURES WITH MCC | $9,860 – $44,399 · median $21,621 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $4,595 – $20,691 · median $10,076 | 15 plans |
| 102 | HEADACHES WITH MCC | $5,707 – $25,696 · median $12,513 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $4,258 – $19,171 · median $9,336 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,969 – $53,897 · median $26,246 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,888 – $31,016 · median $18,637 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,814 – $35,186 · median $17,135 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,205 – $41,449 · median $20,185 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,523 – $24,870 · median $12,111 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,922 – $26,667 · median $12,986 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,001 – $18,014 · median $8,772 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,066 – $18,307 · median $8,915 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $6,736 – $30,331 · median $14,770 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,909 – $17,601 · median $8,571 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,047 – $49,745 · median $24,225 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,169 – $23,275 · median $11,334 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,602 – $34,230 · median $16,669 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,512 – $20,315 · median $9,893 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,291 – $28,327 · median $13,795 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,715 – $97,778 · median $52,264 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,104 – $50,000 · median $24,349 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,127 – $36,596 · median $17,821 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $19,074 – $85,887 · median $41,825 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,822 – $39,725 · median $19,345 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,121 – $27,562 · median $13,422 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,780 – $48,539 · median $23,638 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,473 – $29,148 · median $14,194 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,058 – $18,273 · median $8,898 | 15 plans |
| 149 | DYSEQUILIBRIUM | $3,826 – $17,230 · median $8,390 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $6,779 – $30,523 · median $14,864 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,737 – $16,826 · median $8,194 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,019 – $27,101 · median $13,197 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,758 – $16,923 · median $8,241 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,960 – $35,842 · median $17,454 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,666 – $21,010 · median $10,231 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,518 – $15,843 · median $7,715 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,740 – $39,356 · median $19,165 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,632 – $20,856 · median $10,157 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,607 – $16,242 · median $7,909 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,850 – $57,860 · median $28,177 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,745 – $43,881 · median $21,369 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,181 – $41,341 · median $20,132 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,956 – $31,323 · median $15,254 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $15,153 – $68,231 · median $33,227 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $6,993 – $31,488 · median $15,334 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,098 – $18,454 · median $8,987 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,956 – $35,823 · median $17,445 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,969 – $22,374 · median $10,896 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,844 – $17,308 · median $8,428 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,991 – $40,484 · median $19,715 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,452 – $24,552 · median $11,956 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,838 – $17,280 · median $8,415 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,789 – $35,071 · median $17,079 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,417 – $24,393 · median $11,879 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,004 – $18,030 · median $8,780 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,934 – $35,727 · median $17,398 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,036 – $22,674 · median $11,042 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,651 – $16,441 · median $8,006 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,289 – $28,320 · median $13,791 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,639 – $25,393 · median $12,366 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,292 – $19,325 · median $9,411 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,268 – $14,717 · median $7,167 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,692 – $30,131 · median $14,673 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,103 – $18,474 · median $8,997 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,200 – $14,408 · median $7,016 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,608 – $43,262 · median $21,068 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,832 – $95,079 · median $16,081 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,646 – $30,804 · median $10,383 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,981 – $40,440 · median $19,693 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,597 – $25,200 · median $12,272 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,641 – $16,393 · median $7,983 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,944 – $22,264 · median $10,842 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,411 – $15,359 · median $7,480 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,110 – $18,509 · median $9,013 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,322 – $41,974 · median $20,440 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,791 – $21,574 · median $10,506 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $32,759 – $217,837 · median $100,027 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,994 – $63,011 · median $30,685 | 15 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $55,360 – $249,278 · median $121,393 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $50,691 – $228,254 · median $127,093 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $49,804 – $224,261 · median $113,217 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $33,475 – $150,732 · median $73,403 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,475 – $150,732 · median $73,403 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,090 – $176,017 · median $104,130 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $27,149 – $122,249 · median $59,533 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,660 – $115,542 · median $56,266 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $25,187 – $113,414 · median $55,230 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,034 – $72,199 · median $35,159 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $42,917 – $193,247 · median $111,217 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $30,865 – $138,979 · median $67,680 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $38,922 – $175,259 · median $85,347 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $27,811 – $125,227 · median $60,983 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $29,877 – $134,532 · median $65,514 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,325 – $96,024 · median $46,762 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $25,056 – $112,825 · median $58,268 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $14,512 – $65,345 · median $31,821 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,048 – $31,736 · median $15,455 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,255 – $73,192 · median $42,123 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,848 – $48,849 · median $23,788 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,202 – $41,435 · median $20,178 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $23,227 – $104,588 · median $50,932 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $11,111 – $50,032 · median $24,364 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $7,609 – $34,260 · median $16,684 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,759 – $79,966 · median $38,942 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $13,214 – $59,502 · median $28,976 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,071 – $40,844 · median $19,890 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,732 – $61,835 · median $30,112 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,644 – $38,923 · median $18,954 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,560 – $25,038 · median $12,193 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,996 – $72,030 · median $35,077 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,295 – $46,355 · median $22,574 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $16,560 – $74,567 · median $36,313 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,625 – $43,338 · median $21,105 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,298 – $37,364 · median $18,195 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $15,565 – $70,088 · median $34,131 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,007 – $76,580 · median $37,293 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $18,420 – $82,944 · median $40,392 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $31,200 – $140,487 · median $68,414 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $24,237 – $109,137 · median $53,147 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $35,015 – $211,110 · median $99,716 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $21,500 – $96,813 · median $58,174 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $26,862 – $120,954 · median $58,902 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,105 – $81,525 · median $39,701 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,997 – $58,525 · median $28,500 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $21,003 – $94,573 · median $46,055 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $16,758 – $75,459 · median $36,747 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $36,301 – $163,457 · median $79,600 | 15 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $30,580 – $137,695 · median $67,054 | 15 plans |
| 277 | CELLULITIS AGE >17 W CC | $23,513 – $105,875 · median $63,619 | 15 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $28,338 – $127,600 · median $62,138 | 15 plans |
| 279 | CELLULITIS AGE 0-17 | $18,360 – $82,673 · median $40,260 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,166 – $36,772 · median $17,907 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,679 – $21,069 · median $10,260 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,681 – $16,576 · median $8,072 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,084 – $45,408 · median $22,113 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,524 – $15,868 · median $7,727 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,049 – $13,729 · median $6,686 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $11,265 – $50,726 · median $24,703 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,448 – $24,531 · median $11,946 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,777 – $62,037 · median $37,277 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,690 – $39,129 · median $19,055 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,733 – $21,312 · median $10,379 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,536 – $29,430 · median $14,332 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,322 – $19,462 · median $9,478 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,882 – $12,975 · median $6,319 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,952 – $35,805 · median $17,436 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,228 – $14,534 · median $7,078 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,317 – $10,433 · median $5,080 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,312 – $37,428 · median $18,227 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,435 – $24,471 · median $11,917 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,664 – $16,498 · median $8,034 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,092 – $27,431 · median $13,358 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,427 – $15,432 · median $7,515 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $6,058 – $27,280 · median $13,285 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,844 – $17,310 · median $8,430 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,022 – $36,124 · median $17,591 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,649 – $20,934 · median $10,194 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,130 – $27,601 · median $13,441 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,745 – $16,865 · median $8,213 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,882 – $12,977 · median $6,320 | 15 plans |
| 311 | ANGINA PECTORIS | $3,573 – $16,090 · median $7,836 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,437 – $19,981 · median $9,730 | 15 plans |
| 313 | CHEST PAIN | $3,666 – $16,505 · median $8,038 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,616 – $53,331 · median $30,231 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,904 – $22,083 · median $10,754 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,473 – $15,636 · median $7,615 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $22,721 – $102,308 · median $49,821 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,245 – $55,139 · median $26,851 | 15 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $13,852 – $62,372 · median $30,374 | 15 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $8,975 – $40,415 · median $19,681 | 15 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $22,031 – $99,201 · median $48,309 | 15 plans |
| 324 | URINARY STONES W/O CC | $16,042 – $72,234 · median $35,176 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $16,344 – $73,595 · median $35,839 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $25,391 – $138,685 · median $72,307 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,443 – $62,560 · median $35,436 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,157 – $36,731 · median $17,887 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,401 – $105,370 · median $51,313 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,204 – $54,953 · median $26,761 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,568 – $38,579 · median $18,787 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $18,433 – $83,001 · median $40,420 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $11,924 – $62,923 · median $33,957 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,339 – $37,547 · median $18,285 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,179 – $81,859 · median $39,864 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,735 – $48,340 · median $23,540 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,815 – $35,188 · median $17,136 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,149 – $59,208 · median $28,833 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,660 – $34,494 · median $16,798 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,039 – $27,192 · median $13,242 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,687 – $96,829 · median $35,685 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,663 – $30,003 · median $14,611 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,432 – $19,958 · median $9,719 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,686 – $57,124 · median $27,818 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,761 – $34,948 · median $17,019 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,945 – $26,771 · median $13,037 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,774 – $66,525 · median $32,396 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,565 – $38,567 · median $18,781 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,847 – $30,833 · median $15,015 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,364 – $115,679 · median $63,687 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,839 – $53,310 · median $25,961 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,117 – $32,045 · median $15,605 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,104 – $36,493 · median $17,771 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,092 – $22,929 · median $11,166 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,568 – $16,065 · median $7,823 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,027 – $40,647 · median $19,794 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,198 – $23,405 · median $11,398 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,703 – $16,675 · median $8,120 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,888 – $49,028 · median $23,875 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,158 – $27,729 · median $13,503 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,706 – $21,189 · median $10,318 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,306 – $41,905 · median $20,407 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,993 – $22,482 · median $10,948 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,209 – $14,451 · median $7,037 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,990 – $44,981 · median $21,905 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,516 – $24,838 · median $12,096 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,076 – $18,353 · median $8,937 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,029 – $31,651 · median $15,413 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,352 – $19,595 · median $9,543 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,055 – $36,273 · median $21,796 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,970 – $22,381 · median $10,899 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,469 – $15,618 · median $7,606 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,518 – $33,854 · median $16,486 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,021 – $18,105 · median $8,817 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,770 – $12,471 · median $6,073 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,457 – $29,075 · median $14,159 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,969 – $17,872 · median $8,703 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,142 – $36,662 · median $17,854 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,764 – $21,450 · median $10,446 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,304 – $14,878 · median $7,245 | 15 plans |
| 397 | COAGULATION DISORDERS | $12,192 – $54,901 · median $26,735 | 15 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $7,706 – $34,698 · median $16,897 | 15 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $5,828 – $45,189 · median $16,596 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $27,850 – $125,406 · median $61,070 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,765 – $66,484 · median $32,376 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,300 – $50,882 · median $24,778 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,152 – $81,738 · median $39,804 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,085 – $49,912 · median $24,306 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,083 – $36,396 · median $17,724 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $16,817 – $75,725 · median $36,876 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,704 – $48,198 · median $23,471 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,454 – $38,065 · median $18,537 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,137 – $81,669 · median $39,771 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,522 – $47,377 · median $23,072 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,941 – $31,252 · median $15,219 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,149 – $54,706 · median $26,640 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,612 – $38,778 · median $18,884 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,953 – $31,310 · median $15,247 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,346 – $78,104 · median $38,035 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,846 – $39,830 · median $19,397 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,125 – $32,082 · median $15,623 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $21,143 – $95,203 · median $46,362 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $11,139 – $50,155 · median $25,646 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,638 – $34,393 · median $16,749 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,020 – $72,316 · median $28,535 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,377 – $24,212 · median $11,791 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,627 – $16,333 · median $7,954 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,351 – $42,105 · median $20,504 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,758 – $25,929 · median $12,627 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,344 – $19,561 · median $9,526 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,299 – $37,371 · median $18,199 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,283 – $19,284 · median $9,391 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,164 – $14,245 · median $6,937 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,137 – $41,142 · median $20,035 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,914 – $22,129 · median $10,776 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,562 – $16,040 · median $7,811 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,507 – $38,304 · median $18,653 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,572 – $25,088 · median $12,217 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,212 – $18,965 · median $9,236 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $42,782 – $192,640 · median $114,843 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,358 – $136,698 · median $66,569 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $21,243 – $95,653 · median $46,581 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $28,118 – $136,504 · median $80,072 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $13,542 – $60,978 · median $29,695 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,016 – $130,655 · median $63,626 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,857 – $71,401 · median $34,771 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,284 – $41,807 · median $20,359 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $26,501 – $119,329 · median $58,110 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,954 – $80,844 · median $39,369 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,990 – $62,995 · median $30,677 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $15,442 – $69,533 · median $33,861 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $9,820 – $44,218 · median $21,533 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $24,583 – $141,999 · median $70,006 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,999 – $67,536 · median $32,889 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,429 – $55,964 · median $27,253 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $21,855 – $98,410 · median $47,924 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,586 – $52,168 · median $25,405 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,008 – $27,055 · median $13,175 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,587 – $79,193 · median $38,565 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,520 – $56,375 · median $27,453 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,464 – $42,613 · median $20,752 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,827 – $66,762 · median $32,511 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,663 – $48,014 · median $23,382 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,303 – $37,389 · median $18,208 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,112 – $63,543 · median $30,944 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,429 – $73,978 · median $46,787 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,646 – $47,936 · median $23,344 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,974 – $35,904 · median $17,484 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,005 – $40,550 · median $19,747 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,686 – $25,602 · median $12,467 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $18,692 – $84,168 · median $40,988 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,911 – $58,138 · median $28,312 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,215 – $45,997 · median $22,399 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,458 – $83,116 · median $40,475 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,184 – $41,353 · median $20,138 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,151 – $27,699 · median $13,489 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,359 – $69,157 · median $33,678 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,257 – $46,187 · median $25,197 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,112 – $72,550 · median $43,595 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,900 – $40,073 · median $19,515 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,852 – $30,853 · median $15,025 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,209 – $63,983 · median $40,465 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,516 – $42,850 · median $20,867 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,127 – $41,098 · median $20,014 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,869 – $30,929 · median $15,062 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,196 – $41,410 · median $20,166 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,710 – $34,716 · median $16,906 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $15,377 – $69,242 · median $33,719 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,586 – $47,668 · median $23,213 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,428 – $37,948 · median $18,480 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,015 – $36,089 · median $17,575 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,205 – $23,435 · median $11,412 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,225 – $73,057 · median $35,577 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,580 – $47,638 · median $23,199 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,823 – $35,227 · median $17,155 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,027 – $85,674 · median $41,721 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,183 – $45,853 · median $22,329 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,605 – $34,246 · median $16,677 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,612 – $65,796 · median $32,041 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,781 – $48,546 · median $23,641 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,981 – $35,938 · median $17,501 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,104 – $18,479 · median $8,999 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,527 – $29,389 · median $14,312 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,111 – $18,513 · median $9,016 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,858 – $21,876 · median $10,653 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,667 – $16,512 · median $8,041 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,028 – $45,153 · median $21,989 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,599 – $29,716 · median $14,471 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,009 – $18,050 · median $8,790 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,993 – $40,495 · median $19,720 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,234 – $23,566 · median $11,476 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,634 – $56,890 · median $27,704 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,872 – $26,441 · median $12,876 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,257 – $19,169 · median $9,335 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,830 – $44,264 · median $21,556 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,146 – $27,674 · median $13,477 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,450 – $20,038 · median $9,758 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,533 – $38,423 · median $18,711 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,894 – $22,037 · median $10,731 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,599 – $29,716 · median $14,471 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,226 – $19,029 · median $9,267 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,729 – $30,301 · median $14,756 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,229 – $19,041 · median $9,272 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,570 – $34,086 · median $16,599 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,547 – $20,476 · median $9,971 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,494 – $42,751 · median $20,819 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,733 – $25,815 · median $12,571 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,093 – $18,429 · median $8,974 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,254 – $32,662 · median $15,906 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,559 – $20,528 · median $9,997 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,858 – $35,385 · median $17,232 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,961 – $22,337 · median $10,878 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,815 – $17,177 · median $8,365 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $14,973 – $213,618 · median $49,834 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,601 – $38,730 · median $18,861 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,836 – $26,278 · median $12,797 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,353 – $150,184 · median $73,136 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,673 – $79,578 · median $38,753 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,149 – $41,194 · median $20,061 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $24,952 – $112,355 · median $54,714 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,495 – $60,765 · median $29,591 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,178 – $36,825 · median $17,933 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $16,487 – $74,239 · median $36,153 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,797 – $39,613 · median $19,290 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,347 – $33,082 · median $16,110 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,808 – $44,165 · median $21,508 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,779 – $39,530 · median $19,250 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,898 – $49,073 · median $23,898 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,821 – $44,223 · median $21,535 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $9,853 – $44,365 · median $21,605 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $6,039 – $27,195 · median $13,243 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,413 – $19,871 · median $9,676 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,796 – $48,615 · median $23,674 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,511 – $24,815 · median $12,084 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,487 – $38,217 · median $18,611 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,759 – $45,477 · median $16,402 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,917 – $17,638 · median $10,598 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,303 – $23,878 · median $11,628 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,080 – $13,869 · median $6,754 | 15 plans |
| 602 | CELLULITIS WITH MCC | $7,236 – $32,582 · median $15,867 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,434 – $19,965 · median $9,722 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,494 – $33,746 · median $16,434 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,663 – $20,998 · median $10,226 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,704 – $34,689 · median $16,893 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,614 – $20,778 · median $10,119 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,158 – $50,245 · median $24,468 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,124 – $32,078 · median $15,621 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,754 – $79,945 · median $38,931 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,522 – $42,875 · median $20,879 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,221 – $32,513 · median $19,353 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,700 – $66,191 · median $32,233 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,147 – $36,685 · median $17,865 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,679 – $34,579 · median $16,839 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $18,120 – $81,591 · median $39,733 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,133 – $41,123 · median $20,026 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,373 – $28,699 · median $15,825 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $15,375 – $69,233 · median $33,715 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,633 – $34,372 · median $16,738 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,762 – $30,450 · median $14,828 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $18,973 – $85,433 · median $41,604 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,092 – $49,947 · median $24,323 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,430 – $33,458 · median $20,925 | 15 plans |
| 637 | DIABETES WITH MCC | $7,314 – $32,935 · median $16,039 | 15 plans |
| 638 | DIABETES WITH CC | $4,563 – $20,544 · median $10,005 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,163 – $14,240 · median $6,935 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,800 – $30,617 · median $14,910 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,962 – $17,839 · median $8,687 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,240 – $32,600 · median $15,876 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,380 – $37,735 · median $18,376 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,218 – $23,497 · median $11,443 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,911 – $17,613 · median $8,577 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,935 – $107,775 · median $64,761 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,866 – $84,952 · median $51,047 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $26,455 – $161,392 · median $75,337 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,251 – $64,171 · median $31,250 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,776 – $48,521 · median $23,629 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $16,209 – $72,985 · median $35,542 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,317 – $41,951 · median $20,429 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,900 – $35,573 · median $17,323 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,936 – $58,248 · median $28,365 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,729 – $30,299 · median $14,755 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,271 – $23,736 · median $11,559 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $15,586 – $70,182 · median $34,177 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,739 – $34,849 · median $16,971 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,330 – $23,999 · median $11,687 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,890 – $71,550 · median $34,843 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $8,906 – $40,101 · median $19,528 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,632 – $25,359 · median $12,349 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,866 – $66,938 · median $32,597 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,901 – $35,578 · median $17,326 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,975 – $22,404 · median $10,910 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,138 – $41,149 · median $20,038 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,496 – $24,746 · median $12,051 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,390 – $96,317 · median $47,853 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,906 – $53,610 · median $26,107 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,356 – $37,627 · median $22,610 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $7,540 – $33,950 · median $16,533 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $4,459 – $20,077 · median $9,777 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,056 – $13,761 · median $6,701 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,183 – $41,348 · median $20,136 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,334 – $24,020 · median $11,697 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,023 – $18,117 · median $8,822 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,907 – $26,599 · median $12,953 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,121 – $18,557 · median $9,037 | 15 plans |
| 693 | URINARY STONES WITH MCC | $6,845 – $30,821 · median $15,009 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,980 – $17,920 · median $8,726 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,823 – $26,220 · median $12,769 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,508 – $15,795 · median $7,692 | 15 plans |
| 697 | URETHRAL STRICTURE | $5,487 – $24,707 · median $12,032 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,423 – $37,925 · median $18,469 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,167 – $23,268 · median $11,331 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,512 – $15,815 · median $7,702 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,184 – $45,855 · median $22,330 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,811 – $35,170 · median $17,127 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,847 – $53,346 · median $25,978 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,134 – $32,121 · median $15,642 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,609 – $47,769 · median $23,262 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,599 – $25,210 · median $12,276 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,654 – $34,464 · median $16,783 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,383 – $24,240 · median $11,804 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,390 – $51,288 · median $24,976 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,489 – $33,721 · median $16,421 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,625 – $43,338 · median $21,105 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,838 – $30,789 · median $14,994 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,213 – $41,486 · median $20,203 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,817 – $26,195 · median $12,756 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,338 – $15,031 · median $7,320 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,957 – $26,826 · median $13,063 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,676 – $16,551 · median $8,060 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,549 – $33,994 · median $16,554 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,130 – $18,596 · median $9,056 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,390 – $24,270 · median $11,819 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,421 – $15,405 · median $7,502 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,844 – $48,828 · median $23,778 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,850 – $30,844 · median $15,020 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $18,198 – $81,942 · median $39,904 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,491 – $47,237 · median $23,003 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,476 – $33,664 · median $16,394 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $18,240 – $82,132 · median $39,996 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,213 – $41,483 · median $20,201 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,260 – $32,692 · median $20,193 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,341 – $42,061 · median $20,483 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,316 – $28,442 · median $13,851 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,432 – $46,974 · median $22,875 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,791 – $72,437 · median $19,274 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,844 – $39,821 · median $19,392 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,377 – $19,708 · median $9,597 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,063 – $31,802 · median $15,487 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,072 – $58,860 · median $28,663 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,513 – $33,831 · median $16,475 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,376 – $42,219 · median $20,560 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,538 – $24,937 · median $12,144 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,890 – $22,019 · median $10,723 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,290 – $32,825 · median $15,985 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,984 – $22,443 · median $10,929 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,378 – $15,212 · median $7,408 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,129 – $23,096 · median $11,247 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,904 – $13,078 · median $6,369 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,398 – $12,608 · median $9,676 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,603 – $38,737 · median $18,864 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,105 – $22,986 · median $11,194 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,333 – $15,008 · median $7,309 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $4,283 – $19,286 · median $9,392 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,398 – $49,953 · median $18,208 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,398 – $15,589 · median $9,912 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,398 – $15,589 · median $9,912 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,398 – $20,990 · median $13,135 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,398 – $15,589 · median $10,046 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,398 – $15,589 · median $9,912 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,491 – $41,314 · median $15,268 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,491 – $136,249 · median $47,950 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,491 – $93,049 · median $33,078 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,491 – $56,145 · median $20,374 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,491 – $95,584 · median $33,951 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,491 – $33,834 · median $12,693 | 15 plans |
| 795 | NORMAL NEWBORN | $1,017 – $4,580 · median $2,420 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,398 – $13,730 · median $10,256 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,398 – $11,770 · median $9,093 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,398 – $11,261 · median $8,738 | 15 plans |
| 799 | SPLENECTOMY WITH MCC | $23,057 – $103,821 · median $50,558 | 15 plans |
| 800 | SPLENECTOMY WITH CC | $14,303 – $64,403 · median $31,875 | 15 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $9,718 – $43,760 · median $21,310 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $20,283 – $91,332 · median $54,880 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,464 – $42,613 · median $20,752 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,903 – $31,085 · median $15,138 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,398 – $12,697 · median $9,738 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,398 – $10,831 · median $8,139 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,398 – $10,831 · median $7,277 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,240 – $50,614 · median $24,648 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,445 – $29,124 · median $18,353 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,328 – $23,992 · median $11,684 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,149 – $32,192 · median $15,677 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,675 – $21,049 · median $10,250 | 15 plans |
| 813 | COAGULATION DISORDERS | $7,765 – $34,966 · median $17,028 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,827 – $48,752 · median $23,741 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,162 – $23,245 · median $11,320 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,218 – $14,488 · median $7,055 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,616 – $52,303 · median $25,471 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,901 – $26,574 · median $12,941 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,378 – $19,712 · median $9,599 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $29,858 – $134,445 · median $65,471 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,397 – $51,318 · median $24,991 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,130 – $27,601 · median $13,441 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,341 – $105,102 · median $51,182 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,534 – $51,937 · median $25,292 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,870 – $30,934 · median $15,064 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,815 – $107,234 · median $52,220 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $11,766 – $52,982 · median $25,801 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,674 – $39,058 · median $19,020 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,088 – $72,440 · median $35,277 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,662 – $34,501 · median $16,801 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,122 – $27,566 · median $13,424 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,674 – $16,542 · median $8,056 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,662 – $11,987 · median $5,837 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $27,949 – $125,850 · median $61,286 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $10,619 – $47,815 · median $23,285 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,208 – $27,956 · median $13,614 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $24,459 – $176,211 · median $74,682 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,627 – $47,852 · median $23,303 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,351 – $33,100 · median $16,119 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,469 – $74,157 · median $36,113 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,305 – $53,870 · median $23,652 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,144 – $23,162 · median $11,280 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,156 – $45,729 · median $22,269 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,198 – $27,908 · median $13,590 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,336 – $19,522 · median $9,507 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,198 – $59,430 · median $28,941 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,660 – $29,989 · median $14,604 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,324 – $19,472 · median $9,482 | 15 plans |
| 849 | RADIOTHERAPY | $13,794 – $84,996 · median $39,282 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $25,142 – $113,212 · median $55,132 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,172 – $45,804 · median $22,306 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,622 – $34,322 · median $16,714 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,157 – $104,274 · median $50,779 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,902 – $49,092 · median $23,907 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,091 – $31,931 · median $15,550 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,284 – $41,807 · median $20,359 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,080 – $22,876 · median $11,140 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,519 – $20,350 · median $9,910 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,628 – $34,347 · median $16,726 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,427 – $19,935 · median $9,708 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,656 – $47,985 · median $28,833 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,249 – $23,637 · median $11,511 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,715 – $16,728 · median $8,146 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $35,188 – $158,446 · median $77,160 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,889 – $44,530 · median $21,685 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,210 – $23,458 · median $11,424 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $21,365 – $96,203 · median $46,849 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,747 – $43,888 · median $21,372 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,954 – $26,812 · median $13,057 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $18,700 – $84,202 · median $41,005 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,552 – $34,005 · median $19,571 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,000 – $45,030 · median $21,928 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $19,546 – $88,012 · median $42,860 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,158 – $54,700 · median $28,926 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,683 – $30,092 · median $14,654 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,322 – $37,472 · median $18,248 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,508 – $20,299 · median $9,885 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,561 – $38,549 · median $18,772 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,392 – $15,274 · median $7,438 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,985 – $35,954 · median $17,509 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,364 – $19,648 · median $9,568 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,321 – $41,969 · median $20,438 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,103 – $22,977 · median $11,189 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,505 – $15,781 · median $7,685 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,906 – $40,103 · median $19,529 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,181 – $23,330 · median $11,361 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $108,695 – $489,439 · median $238,345 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $36,516 – $164,427 · median $80,072 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,397 – $73,834 · median $42,383 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $19,825 – $89,271 · median $43,473 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,254 – $50,676 · median $24,678 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $10,487 – $47,223 · median $22,997 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $18,473 – $83,180 · median $40,507 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,897 – $53,571 · median $26,088 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,323 – $46,483 · median $22,636 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,884 – $35,500 · median $17,288 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,838 – $26,289 · median $12,802 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,463 – $29,100 · median $14,171 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,075 – $18,351 · median $8,936 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,057 – $27,273 · median $13,281 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,196 – $14,389 · median $8,646 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,831 – $12,746 · median $6,207 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $34,268 – $154,304 · median $75,142 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $19,157 – $86,263 · median $42,008 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $38,793 – $174,679 · median $85,064 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,453 – $96,599 · median $47,042 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,988 – $67,491 · median $40,590 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,918 – $62,670 · median $30,519 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,802 – $35,133 · median $17,109 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,788 – $21,560 · median $10,499 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $31,164 – $296,641 · median $103,719 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,427 – $95,377 · median $38,237 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,693 – $66,159 · median $32,218 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,593 – $29,687 · median $14,457 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,596 – $20,693 · median $10,077 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,607 – $29,748 · median $14,487 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,886 – $107,555 · median $52,377 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,516 – $56,359 · median $27,445 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,726 – $39,292 · median $19,134 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,454 – $78,593 · median $38,273 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,368 – $37,678 · median $18,348 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,105 – $27,490 · median $13,387 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $142,670 – $474,834 · median $365,864 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $57,690 – $310,590 · median $160,191 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $52,491 – $187,728 · median $145,753 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $23,607 – $238,687 · median $75,325 | 14 plans |
| 007 | LUNG TRANSPLANT | $65,929 – $924,831 · median $210,368 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $28,533 – $231,174 · median $91,043 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $36,531 – $134,908 · median $101,439 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $61,183 – $203,630 · median $116,749 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $30,188 – $100,472 · median $58,962 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $27,656 – $92,044 · median $53,019 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $16,441 – $54,720 · median $43,734 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $22,817 – $172,066 · median $72,192 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,029 – $85,683 · median $31,514 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,842 – $17,298 · median $7,079 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $19,676 – $88,599 · median $32,556 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,888 – $22,012 · median $8,763 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $4,790 – $21,569 · median $8,605 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,467 – $24,616 · median $9,694 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,010 – $45,075 · median $17,004 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,191 – $36,882 · median $14,077 | 13 plans |
| 885 | PSYCHOSES | $7,111 – $32,020 · median $12,340 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,565 – $47,574 · median $17,897 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,452 – $24,549 · median $9,670 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,141 – $14,142 · median $5,952 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,207 – $74,029 · median $22,863 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $8,884 – $44,231 · median $24,038 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,494 – $20,237 · median $8,129 | 13 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,690 – $25,890 · median $13,098 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,756 – $11,492 · median $8,791 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,380 – $11,240 · median $6,189 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,407 – $14,903 · median $10,598 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,263 – $8,179 · median $7,156 | 8 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $64,160 – $226,829 · median $91,871 | 8 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $44,470 – $74,265 · median $48,996 | 8 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $33,634 – $121,149 · median $37,129 | 8 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $48,171 – $146,691 · median $53,049 | 8 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,836 – $66,086 · median $29,685 | 8 plans |
| 509 | ARTHROSCOPY | $13,199 – $112,938 · median $25,230 | 8 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $8,745 – $9,431 · median $9,088 | 2 plans |
| 999 | UNGROUPABLE | $16,729 – $18,041 · median $17,385 | 2 plans |
No procedures match that keyword.