Hennepin County Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 | $181,263 – $444,017 · median $310,250 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,912 – $173,704 · median $122,042 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $91,745 – $337,826 · median $226,837 | 22 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $91,745 – $222,731 · median $156,178 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $68,529 – $167,866 · median $117,978 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,205 – $76,438 · median $54,320 | 22 plans |
| 007 | Lung transplant | $84,098 – $206,003 · median $144,531 | 22 plans |
| 008 | Simultaneous pancreas/kidney transplant | $35,013 – $85,768 · median $60,816 | 22 plans |
| 010 | Pancreas transplant | $51,306 – $125,678 · median $88,604 | 22 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $34,723 – $85,056 · median $60,320 | 22 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $26,407 – $64,725 · median $46,138 | 22 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,053 – $43,196 · median $30,386 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $81,467 – $206,524 · median $144,894 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,531 – $95,144 · median $67,344 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,531 – $95,144 · median $67,344 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $234,498 – $594,467 · median $415,002 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,012 – $124,958 · median $88,103 | 22 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,873 – $127,067 · median $89,571 | 22 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,568 – $87,127 · median $61,762 | 22 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,718 – $56,235 · median $39,846 | 22 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,712 – $89,929 · median $63,714 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,464 – $60,252 · median $42,824 | 22 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,779 – $70,497 · median $50,184 | 22 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,682 – $49,247 · median $34,736 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,880 – $40,498 · median $28,447 | 22 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $39,122 – $95,831 · median $67,823 | 22 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,600 – $53,662 · median $37,940 | 22 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,320 – $36,908 · median $25,867 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,967 – $66,056 · median $47,092 | 22 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,743 – $35,578 · median $24,911 | 22 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,267 – $27,579 · median $19,162 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,024 – $61,541 · median $43,779 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,638 – $37,639 · median $26,393 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,796 – $31,098 · median $21,691 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,370 – $53,132 · median $37,547 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,369 – $27,813 · median $19,330 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,324 – $20,807 · median $14,069 | 22 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,273 – $59,814 · median $42,499 | 22 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,532 – $37,394 · median $26,216 | 22 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,310 – $29,980 · median $20,887 | 22 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,514 – $33,755 · median $23,236 | 22 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,729 – $17,596 · median $11,796 | 22 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,321 – $26,152 · median $17,853 | 22 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,784 – $20,108 · median $13,574 | 22 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,570 – $41,035 · median $28,390 | 22 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,297 – $23,712 · median $16,126 | 22 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,478 – $31,288 · median $21,489 | 22 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,608 – $22,071 · median $14,964 | 22 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,549 – $17,166 · median $11,492 | 22 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,810 – $43,987 · median $30,486 | 22 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,074 – $30,325 · median $20,807 | 22 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,735 – $24,755 · median $16,864 | 22 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,369 – $33,410 · median $22,991 | 22 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,323 – $19,010 · median $12,797 | 22 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,280 – $14,144 · median $9,352 | 22 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,047 – $25,497 · median $17,389 | 22 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,481 – $17,005 · median $11,377 | 22 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,975 – $15,800 · median $10,524 | 22 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,812 – $29,701 · median $20,366 | 22 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,553 – $19,558 · median $13,185 | 22 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,665 – $15,061 · median $10,001 | 22 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,611 – $26,840 · median $18,340 | 22 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,482 – $19,388 · median $13,064 | 22 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,710 – $29,459 · median $20,194 | 22 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,701 – $17,529 · median $11,749 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,615 – $26,851 · median $18,348 | 22 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,205 – $18,729 · median $12,598 | 22 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,146 – $13,824 · median $9,125 | 22 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,360 – $33,389 · median $22,977 | 22 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,626 – $17,350 · median $11,622 | 22 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,427 – $38,312 · median $26,462 | 22 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,646 – $24,542 · median $16,713 | 22 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,945 – $18,110 · median $12,160 | 22 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,090 – $37,509 · median $25,893 | 22 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,156 – $23,375 · median $15,887 | 22 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,497 – $17,042 · median $11,404 | 22 plans |
| 088 | CONCUSSION WITH MCC | $8,772 – $24,842 · median $16,926 | 22 plans |
| 089 | CONCUSSION WITH CC | $6,666 – $19,828 · median $13,376 | 22 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,331 – $16,647 · median $11,124 | 22 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,335 – $30,947 · median $21,248 | 22 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,583 – $19,629 · median $13,235 | 22 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,908 – $15,640 · median $10,411 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,688 – $57,987 · median $41,052 | 22 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,906 – $39,452 · median $27,269 | 22 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,906 – $39,452 · median $27,269 | 22 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,289 – $57,037 · median $40,331 | 22 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,489 – $36,077 · median $24,880 | 22 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,664 – $24,585 · median $16,743 | 22 plans |
| 100 | SEIZURES WITH MCC | $12,345 – $33,352 · median $22,950 | 22 plans |
| 101 | SEIZURES WITHOUT MCC | $5,731 – $17,600 · median $11,799 | 22 plans |
| 102 | HEADACHES WITH MCC | $7,210 – $21,122 · median $14,292 | 22 plans |
| 103 | HEADACHES WITHOUT MCC | $5,287 – $16,542 · median $11,049 | 22 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,521 – $37,370 · median $26,199 | 22 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,607 – $21,457 · median $14,546 | 22 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,852 – $26,624 · median $18,475 | 22 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,737 – $28,662 · median $19,940 | 22 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,941 – $19,924 · median $13,444 | 22 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,233 – $21,177 · median $14,331 | 22 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,218 – $13,996 · median $9,247 | 22 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,994 – $15,845 · median $10,557 | 22 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,108 – $23,261 · median $15,806 | 22 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,134 – $16,179 · median $10,792 | 22 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,515 – $39,658 · median $27,843 | 22 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,295 – $18,437 · median $12,391 | 22 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,000 – $24,663 · median $17,066 | 22 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,235 – $15,998 · median $10,665 | 22 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,835 – $24,284 · median $16,778 | 22 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,215 – $66,665 · median $47,516 | 22 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,826 – $35,769 · median $25,048 | 22 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,118 – $27,237 · median $18,916 | 22 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,248 – $52,851 · median $37,338 | 22 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,304 – $29,967 · median $20,878 | 22 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,624 – $21,497 · median $14,579 | 22 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,265 – $37,925 · median $26,188 | 22 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,740 – $22,385 · median $15,187 | 22 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,979 – $15,808 · median $10,530 | 22 plans |
| 149 | DYSEQUILIBRIUM | $4,648 – $15,021 · median $9,973 | 22 plans |
| 150 | EPISTAXIS WITH MCC | $8,595 – $24,420 · median $16,627 | 22 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,713 – $15,176 · median $10,083 | 22 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,056 – $20,756 · median $14,033 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,425 – $14,490 · median $9,597 | 22 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,112 – $28,035 · median $19,186 | 22 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,805 – $17,777 · median $11,924 | 22 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,181 – $13,908 · median $9,185 | 22 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,182 – $28,201 · median $19,304 | 22 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,849 – $17,880 · median $11,997 | 22 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,101 – $13,719 · median $9,051 | 22 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,660 – $72,655 · median $51,686 | 22 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,197 – $41,226 · median $28,971 | 22 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,995 – $31,556 · median $22,020 | 22 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,777 – $60,972 · median $43,357 | 22 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,758 – $31,011 · median $21,628 | 22 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,712 – $24,001 · median $16,560 | 22 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,746 – $49,395 · median $34,842 | 22 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,762 – $24,819 · median $16,909 | 22 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,065 – $16,013 · median $10,675 | 22 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,051 – $27,890 · median $19,084 | 22 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,169 – $18,643 · median $12,537 | 22 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,786 – $15,349 · median $10,205 | 22 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,868 – $29,835 · median $20,460 | 22 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,904 – $20,394 · median $13,776 | 22 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,208 – $16,353 · median $10,916 | 22 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,870 – $27,458 · median $18,777 | 22 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,641 – $19,769 · median $13,334 | 22 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,836 – $15,468 · median $10,289 | 22 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,824 – $27,350 · median $18,701 | 22 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,243 – $18,819 · median $12,662 | 22 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,565 – $14,824 · median $9,833 | 22 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,694 – $22,276 · median $15,109 | 22 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,983 – $20,582 · median $13,909 | 22 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,342 – $16,673 · median $11,143 | 22 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,024 – $13,535 · median $8,921 | 22 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,193 – $23,465 · median $15,951 | 22 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,099 – $16,094 · median $10,733 | 22 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,872 – $13,172 · median $8,654 | 22 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,715 – $31,853 · median $21,889 | 22 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,156 – $18,612 · median $12,515 | 22 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,355 – $14,323 · median $9,479 | 22 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,977 – $30,094 · median $20,644 | 22 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,886 – $20,352 · median $13,747 | 22 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,210 – $13,978 · median $9,234 | 22 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,011 – $18,267 · median $12,271 | 22 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,331 – $14,267 · median $9,439 | 22 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,043 – $15,961 · median $10,638 | 22 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,738 – $31,908 · median $21,928 | 22 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,632 – $17,365 · median $11,632 | 22 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,213 – $101,942 · median $72,078 | 22 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,688 – $43,697 · median $30,274 | 22 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $70,102 – $171,721 · median $120,662 | 22 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $68,178 – $167,006 · median $117,379 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $62,105 – $152,130 · median $107,022 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,557 – $101,796 · median $71,976 | 22 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,284 – $93,779 · median $66,394 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,791 – $121,966 · median $86,020 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,084 – $83,492 · median $59,232 | 22 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,553 – $72,393 · median $51,504 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,068 – $78,552 · median $55,792 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,989 – $49,954 · median $35,244 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,530 – $133,574 · median $94,102 | 22 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,309 – $96,291 · median $68,143 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $50,299 – $123,210 · median $86,886 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,235 – $83,862 · median $59,490 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,865 – $92,753 · median $65,680 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,461 – $64,849 · median $46,230 | 22 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,412 – $79,397 · median $56,380 | 22 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,740 – $47,079 · median $33,178 | 22 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,716 – $26,311 · median $18,250 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,828 – $54,185 · median $38,327 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,497 – $37,314 · median $26,158 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,613 – $30,677 · median $21,388 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,447 – $77,031 · median $54,733 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,882 – $38,199 · median $26,795 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,055 – $27,092 · median $18,811 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,075 – $54,754 · median $38,749 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,429 – $41,760 · median $29,354 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,257 – $29,858 · median $20,800 | 22 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,837 – $42,700 · median $30,030 | 22 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,899 – $29,034 · median $20,207 | 22 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,739 – $17,159 · median $11,486 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,053 – $45,499 · median $32,042 | 22 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,311 – $29,981 · median $20,888 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,919 – $54,395 · median $38,483 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,211 – $32,053 · median $22,377 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,767 – $26,428 · median $18,335 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,259 – $43,671 · median $30,728 | 22 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,491 – $55,712 · median $39,459 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $22,955 – $56,780 · median $40,250 | 22 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,551 – $94,433 · median $66,849 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,275 – $74,160 · median $52,734 | 22 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,906 – $105,101 · median $74,277 | 22 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,774 – $65,585 · median $46,764 | 22 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,031 – $80,911 · median $57,435 | 22 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,165 – $54,961 · median $38,902 | 22 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,102 – $41,007 · median $28,813 | 22 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,163 – $61,861 · median $44,016 | 22 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,084 – $50,171 · median $35,400 | 22 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,476 – $111,397 · median $78,661 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $39,861 – $97,642 · median $69,084 | 22 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,935 – $73,328 · median $52,155 | 22 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $32,196 – $78,867 · median $56,012 | 22 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,620 – $51,407 · median $36,288 | 22 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,206 – $28,259 · median $19,345 | 22 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,732 – $17,602 · median $11,800 | 22 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,509 – $14,689 · median $9,738 | 22 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,159 – $32,909 · median $22,637 | 22 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,608 – $14,924 · median $9,904 | 22 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,491 – $12,264 · median $7,864 | 22 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,762 – $36,729 · median $25,341 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,776 – $20,088 · median $13,560 | 22 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,984 – $44,403 · median $30,803 | 22 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,804 – $27,301 · median $18,666 | 22 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,087 – $18,449 · median $12,400 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,113 – $23,274 · median $15,816 | 22 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,355 – $16,704 · median $11,165 | 22 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,412 – $12,076 · median $7,686 | 22 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,636 – $22,137 · median $15,010 | 22 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,911 – $15,647 · median $10,416 | 22 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,188 – $28,215 · median $19,313 | 22 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,380 – $14,382 · median $9,521 | 22 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,746 – $10,492 · median $6,187 | 22 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,058 – $27,906 · median $19,095 | 22 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,657 – $19,806 · median $13,360 | 22 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,436 – $14,516 · median $9,615 | 22 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,233 – $21,178 · median $14,332 | 22 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,181 – $13,908 · median $9,185 | 22 plans |
| 304 | HYPERTENSION WITH MCC | $7,305 – $21,349 · median $14,453 | 22 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,668 – $15,068 · median $10,006 | 22 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,311 – $26,126 · median $17,835 | 22 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,760 – $17,670 · median $11,848 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,498 – $21,809 · median $14,779 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,597 – $14,899 · median $9,887 | 22 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,479 – $12,236 · median $7,837 | 22 plans |
| 311 | ANGINA PECTORIS | $4,342 – $14,292 · median $9,457 | 22 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,418 – $16,854 · median $11,270 | 22 plans |
| 313 | CHEST PAIN | $4,436 – $14,516 · median $9,615 | 22 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,390 – $35,843 · median $24,714 | 22 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,984 – $18,202 · median $12,225 | 22 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,245 – $14,061 · median $9,293 | 22 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,809 – $97,516 · median $68,996 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,268 – $69,244 · median $49,311 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,896 – $38,232 · median $26,818 | 22 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,319 – $46,111 · median $32,481 | 22 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,642 – $30,744 · median $21,436 | 22 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,409 – $67,141 · median $47,847 | 22 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,560 – $51,269 · median $36,189 | 22 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,418 – $46,337 · median $32,644 | 22 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,683 – $80,060 · median $56,842 | 22 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,625 – $39,910 · median $28,024 | 22 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,254 – $27,550 · median $19,140 | 22 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,549 – $72,382 · median $51,496 | 22 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,210 – $38,956 · median $27,339 | 22 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,624 – $28,401 · median $19,752 | 22 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,321 – $55,321 · median $39,169 | 22 plans |
| 333 | RECTAL RESECTION WITH CC | $13,676 – $35,425 · median $24,801 | 22 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,673 – $28,514 · median $19,833 | 22 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,317 – $57,612 · median $40,867 | 22 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,593 – $35,233 · median $24,663 | 22 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,878 – $26,685 · median $18,519 | 22 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,339 – $43,855 · median $30,860 | 22 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,580 – $25,998 · median $18,025 | 22 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,014 – $22,393 · median $15,318 | 22 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,230 – $39,002 · median $27,372 | 22 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,101 – $22,594 · median $15,474 | 22 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,669 – $16,996 · median $11,371 | 22 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,564 – $39,771 · median $27,924 | 22 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,681 – $26,232 · median $18,193 | 22 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,095 – $20,279 · median $13,696 | 22 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,874 – $47,387 · median $33,399 | 22 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,947 – $29,143 · median $20,286 | 22 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,579 – $23,695 · median $16,323 | 22 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,450 – $67,240 · median $47,916 | 22 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,492 – $37,302 · median $26,150 | 22 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,720 – $24,019 · median $16,574 | 22 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,384 – $28,683 · median $19,645 | 22 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,327 – $19,021 · median $12,804 | 22 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,340 – $14,287 · median $9,454 | 22 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,869 – $29,838 · median $20,462 | 22 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,400 – $19,194 · median $12,927 | 22 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,511 – $14,693 · median $9,741 | 22 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,129 – $35,220 · median $24,272 | 22 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,640 – $22,147 · median $15,018 | 22 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,490 – $17,027 · median $11,393 | 22 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,306 – $30,877 · median $21,198 | 22 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,130 – $18,551 · median $12,472 | 22 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,959 – $13,380 · median $8,811 | 22 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,965 – $32,449 · median $22,311 | 22 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,772 – $20,080 · median $13,554 | 22 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,659 – $15,047 · median $9,991 | 22 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,861 – $22,673 · median $15,390 | 22 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,407 – $16,829 · median $11,253 | 22 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,103 – $28,013 · median $19,171 | 22 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,171 – $18,649 · median $12,541 | 22 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,168 – $13,877 · median $9,163 | 22 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,140 – $25,719 · median $17,547 | 22 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,984 – $15,822 · median $10,540 | 22 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,402 – $12,054 · median $7,665 | 22 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,987 – $22,973 · median $15,603 | 22 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,852 – $15,506 · median $10,316 | 22 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,297 – $28,475 · median $19,498 | 22 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,853 – $17,891 · median $12,004 | 22 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,957 – $13,375 · median $8,808 | 22 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,945 – $40,646 · median $28,553 | 22 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,737 – $26,360 · median $18,286 | 22 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,232 – $20,593 · median $13,918 | 22 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,175 – $61,889 · median $44,037 | 22 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,934 – $85,573 · median $60,680 | 22 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,072 – $45,542 · median $32,073 | 22 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,744 – $35,581 · median $24,913 | 22 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,531 – $55,804 · median $39,527 | 22 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,491 – $34,999 · median $24,495 | 22 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,981 – $26,922 · median $18,689 | 22 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,609 – $44,476 · median $31,306 | 22 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,717 – $35,519 · median $24,868 | 22 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,698 – $28,571 · median $19,875 | 22 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,547 – $55,841 · median $39,554 | 22 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,729 – $33,245 · median $23,234 | 22 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,817 – $24,243 · median $16,746 | 22 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,293 – $39,146 · median $27,475 | 22 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,672 – $28,511 · median $19,831 | 22 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,479 – $23,464 · median $16,145 | 22 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,712 – $56,221 · median $39,836 | 22 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,538 – $28,203 · median $19,610 | 22 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,456 – $25,712 · median $17,819 | 22 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,174 – $64,187 · median $45,740 | 22 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,693 – $37,765 · median $26,483 | 22 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,947 – $26,843 · median $18,633 | 22 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $67,409 – $165,124 · median $116,069 | 22 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,706 – $111,960 · median $79,053 | 22 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,419 – $86,761 · median $61,508 | 22 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $53,672 – $131,473 · median $92,639 | 22 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $35,203 – $86,231 · median $61,139 | 22 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,182 – $32,964 · median $22,676 | 22 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,652 – $19,794 · median $13,352 | 22 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,331 – $14,265 · median $9,438 | 22 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,345 – $30,972 · median $21,265 | 22 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,012 – $20,651 · median $13,959 | 22 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,882 – $15,579 · median $10,368 | 22 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,345 – $28,589 · median $19,579 | 22 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,349 – $16,690 · median $11,154 | 22 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,825 – $13,060 · median $8,562 | 22 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,755 – $31,947 · median $21,955 | 22 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,008 – $18,259 · median $12,265 | 22 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,369 – $14,357 · median $9,503 | 22 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,474 – $28,896 · median $19,796 | 22 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,743 – $20,011 · median $13,506 | 22 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,958 – $15,758 · median $10,495 | 22 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,145 – $105,686 · median $74,685 | 22 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,277 – $64,426 · median $45,917 | 22 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,141 – $81,181 · median $57,623 | 22 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,858 – $49,653 · median $35,028 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $54,499 – $133,500 · median $94,050 | 22 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,933 – $90,470 · median $64,090 | 22 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,786 – $68,065 · median $48,490 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,490 – $96,733 · median $68,451 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,429 – $46,362 · median $32,662 | 22 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,755 – $85,136 · median $60,376 | 22 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,974 – $47,618 · median $33,565 | 22 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,172 – $29,661 · median $20,658 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,784 – $80,306 · median $57,014 | 22 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,041 – $54,677 · median $38,692 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,881 – $42,801 · median $30,102 | 22 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,034 – $52,359 · median $36,974 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,133 – $31,874 · median $22,249 | 22 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,257 – $76,566 · median $54,409 | 22 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,643 – $46,857 · median $33,018 | 22 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,234 – $39,011 · median $27,378 | 22 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,859 – $70,692 · median $50,320 | 22 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,882 – $35,899 · median $25,142 | 22 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,485 – $21,175 · median $14,330 | 22 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,130 – $54,881 · median $38,843 | 22 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,049 – $38,584 · median $27,072 | 22 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,427 – $30,249 · median $21,081 | 22 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,925 – $47,506 · median $33,484 | 22 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,352 – $34,679 · median $24,265 | 22 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,208 – $27,444 · median $19,065 | 22 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,398 – $41,688 · median $29,303 | 22 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,716 – $51,627 · median $36,446 | 22 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,648 – $35,360 · median $24,754 | 22 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,169 – $27,353 · median $18,999 | 22 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,647 – $33,057 · median $23,099 | 22 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,969 – $22,291 · median $15,239 | 22 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,852 – $56,543 · median $40,075 | 22 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,450 – $39,508 · median $27,736 | 22 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,133 – $31,873 · median $22,247 | 22 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,655 – $56,089 · median $39,739 | 22 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,696 – $33,170 · median $23,180 | 22 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,640 – $23,834 · median $16,431 | 22 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,248 – $41,343 · median $29,055 | 22 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,470 – $21,141 · median $14,306 | 22 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,391 – $50,878 · median $35,908 | 22 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,485 – $30,381 · median $21,176 | 22 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,991 – $24,642 · median $17,051 | 22 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,031 – $43,146 · median $30,350 | 22 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,293 – $29,941 · median $20,859 | 22 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,293 – $29,941 · median $20,859 | 22 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,647 – $26,152 · median $18,135 | 22 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,472 – $32,655 · median $22,810 | 22 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,305 – $23,064 · median $15,836 | 22 plans |
| 509 | ARTHROSCOPY | $11,304 – $29,967 · median $20,878 | 22 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,392 – $46,278 · median $32,602 | 22 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,620 – $32,995 · median $23,054 | 22 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,346 – $27,761 · median $19,293 | 22 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,689 – $26,248 · median $18,205 | 22 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,561 – $19,050 · median $12,825 | 22 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,900 – $49,748 · median $35,096 | 22 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,945 – $33,743 · median $23,592 | 22 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,606 – $26,057 · median $18,067 | 22 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,063 – $57,028 · median $40,435 | 22 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,689 – $33,154 · median $23,168 | 22 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,223 – $25,176 · median $17,434 | 22 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,756 – $47,116 · median $33,204 | 22 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,566 – $35,171 · median $24,618 | 22 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,482 – $26,534 · median $18,123 | 22 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,061 – $16,005 · median $10,670 | 22 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,269 – $23,646 · median $16,079 | 22 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,042 – $15,959 · median $10,637 | 22 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,714 – $17,560 · median $11,771 | 22 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,175 – $13,895 · median $9,176 | 22 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,575 – $33,902 · median $23,339 | 22 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,047 – $23,116 · median $15,703 | 22 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,440 – $16,907 · median $11,308 | 22 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,597 – $31,572 · median $21,690 | 22 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,597 – $19,662 · median $13,258 | 22 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,699 – $15,142 · median $10,058 | 22 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,712 – $41,373 · median $28,629 | 22 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,199 – $21,095 · median $14,273 | 22 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,640 – $15,001 · median $9,959 | 22 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,527 – $33,786 · median $23,258 | 22 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,493 – $21,797 · median $14,770 | 22 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,361 – $16,718 · median $11,174 | 22 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,610 – $29,222 · median $20,026 | 22 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,993 – $18,224 · median $12,240 | 22 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,121 – $23,292 · median $15,828 | 22 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,190 – $16,310 · median $10,886 | 22 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,373 – $23,893 · median $16,254 | 22 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,077 – $16,042 · median $10,696 | 22 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,636 – $26,901 · median $18,383 | 22 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,371 – $16,743 · median $11,192 | 22 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,542 – $31,442 · median $21,598 | 22 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,080 – $20,814 · median $14,074 | 22 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,084 – $16,059 · median $10,707 | 22 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,100 – $25,624 · median $17,479 | 22 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,558 – $17,187 · median $11,506 | 22 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,757 – $27,190 · median $18,588 | 22 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,340 – $19,052 · median $12,826 | 22 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,652 – $15,029 · median $9,979 | 22 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,371 – $48,531 · median $34,221 | 22 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,774 – $28,746 · median $20,000 | 22 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,351 – $20,869 · median $14,113 | 22 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,628 – $97,072 · median $68,687 | 22 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,297 – $55,265 · median $39,127 | 22 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,849 – $33,521 · median $23,432 | 22 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,719 – $85,046 · median $60,314 | 22 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,135 – $43,386 · median $30,523 | 22 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,878 – $28,985 · median $20,172 | 22 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,974 – $52,221 · median $36,873 | 22 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,409 – $30,208 · median $21,051 | 22 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,261 – $25,264 · median $17,498 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,269 – $29,885 · median $20,819 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,571 – $28,278 · median $19,664 | 22 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,175 – $34,272 · median $23,972 | 22 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,774 – $33,349 · median $23,309 | 22 plans |
| 592 | SKIN ULCERS WITH MCC | $12,786 – $34,404 · median $23,695 | 22 plans |
| 593 | SKIN ULCERS WITH CC | $7,603 – $22,058 · median $14,955 | 22 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,277 – $16,519 · median $11,034 | 22 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,152 – $35,274 · median $24,311 | 22 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,722 – $19,961 · median $13,470 | 22 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,923 – $29,967 · median $20,554 | 22 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,709 – $19,928 · median $13,447 | 22 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,316 – $16,611 · median $11,099 | 22 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,948 – $18,117 · median $12,165 | 22 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,728 – $12,829 · median $8,372 | 22 plans |
| 602 | CELLULITIS WITH MCC | $9,135 – $25,709 · median $17,539 | 22 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,477 – $16,995 · median $11,370 | 22 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,238 – $25,953 · median $17,712 | 22 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,744 – $17,630 · median $11,820 | 22 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,013 – $27,798 · median $19,019 | 22 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,374 – $16,749 · median $11,196 | 22 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,665 – $37,702 · median $26,437 | 22 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,221 – $25,173 · median $17,432 | 22 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,871 – $61,190 · median $43,519 | 22 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,430 – $32,557 · median $22,739 | 22 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,012 – $22,390 · median $15,316 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,545 – $44,329 · median $31,201 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,277 – $27,601 · median $19,178 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,407 – $25,599 · median $17,738 | 22 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,080 – $59,368 · median $42,169 | 22 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,309 – $32,278 · median $22,539 | 22 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,455 – $18,806 · median $12,652 | 22 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,450 – $46,411 · median $32,697 | 22 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,712 – $26,303 · median $18,244 | 22 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,153 – $22,713 · median $15,565 | 22 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,391 – $62,385 · median $44,404 | 22 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,473 – $37,259 · median $26,119 | 22 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,017 – $24,703 · median $17,094 | 22 plans |
| 637 | DIABETES WITH MCC | $9,055 – $25,518 · median $17,404 | 22 plans |
| 638 | DIABETES WITH CC | $5,703 – $17,534 · median $11,752 | 22 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,896 – $13,230 · median $8,702 | 22 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,258 – $23,618 · median $16,059 | 22 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,859 – $15,523 · median $10,328 | 22 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,717 – $22,331 · median $15,148 | 22 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,305 – $28,494 · median $19,511 | 22 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,426 – $19,255 · median $12,970 | 22 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,842 – $15,483 · median $10,300 | 22 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,648 – $72,625 · median $51,665 | 22 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,346 – $55,377 · median $39,211 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $19,764 – $49,437 · median $34,872 | 22 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,873 – $87,872 · median $62,282 | 22 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,160 – $45,745 · median $32,218 | 22 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,367 – $34,715 · median $24,290 | 22 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,965 – $52,200 · median $36,858 | 22 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,764 – $31,024 · median $21,638 | 22 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,678 – $26,224 · median $18,188 | 22 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,630 – $42,223 · median $29,687 | 22 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,623 – $23,795 · median $16,401 | 22 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,606 – $19,154 · median $12,899 | 22 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,075 – $50,151 · median $35,385 | 22 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,829 – $26,571 · median $18,437 | 22 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,949 – $19,942 · median $13,457 | 22 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,095 – $54,801 · median $38,784 | 22 plans |
| 666 | PROSTATECTOMY WITH CC | $10,600 – $28,346 · median $19,713 | 22 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,614 – $19,172 · median $12,911 | 22 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,766 – $47,140 · median $33,221 | 22 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,958 – $26,868 · median $18,651 | 22 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,150 – $18,104 · median $12,155 | 22 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,092 – $29,478 · median $20,526 | 22 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,042 – $20,158 · median $13,610 | 22 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,960 – $66,041 · median $47,081 | 22 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,855 – $38,137 · median $26,750 | 22 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,073 – $27,132 · median $18,840 | 22 plans |
| 682 | RENAL FAILURE WITH MCC | $9,339 – $26,193 · median $17,882 | 22 plans |
| 683 | RENAL FAILURE WITH CC | $5,527 – $17,115 · median $11,455 | 22 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,777 – $12,946 · median $8,468 | 22 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,725 – $31,877 · median $21,906 | 22 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,546 – $19,540 · median $13,172 | 22 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,503 – $14,675 · median $9,728 | 22 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,277 – $21,282 · median $14,405 | 22 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,991 – $15,837 · median $10,550 | 22 plans |
| 693 | URINARY STONES WITH MCC | $9,143 – $25,727 · median $17,552 | 22 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,859 – $15,523 · median $10,328 | 22 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,013 – $20,653 · median $13,960 | 22 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,302 – $14,196 · median $9,389 | 22 plans |
| 697 | URETHRAL STRICTURE | $6,229 – $18,787 · median $12,639 | 22 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,452 – $28,844 · median $19,759 | 22 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,342 – $19,055 · median $12,829 | 22 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,317 – $14,231 · median $9,414 | 22 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,488 – $32,690 · median $22,835 | 22 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,540 – $25,906 · median $17,959 | 22 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,460 – $37,229 · median $26,098 | 22 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,662 – $26,186 · median $18,160 | 22 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,295 – $32,246 · median $22,516 | 22 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,883 – $19,791 · median $13,350 | 22 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,305 – $25,365 · median $17,570 | 22 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,047 – $17,867 · median $11,988 | 22 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,532 – $37,395 · median $26,217 | 22 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,133 – $24,970 · median $17,286 | 22 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,940 – $31,430 · median $21,929 | 22 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,927 – $22,194 · median $15,159 | 22 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,750 – $29,555 · median $20,262 | 22 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,982 – $20,580 · median $13,908 | 22 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,530 – $14,741 · median $9,774 | 22 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,851 – $22,649 · median $15,373 | 22 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,629 – $14,975 · median $9,940 | 22 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,137 – $25,712 · median $17,541 | 22 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,081 – $16,051 · median $10,702 | 22 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,845 – $20,254 · median $13,678 | 22 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,774 – $12,938 · median $8,462 | 22 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,532 – $35,092 · median $24,562 | 22 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,811 – $21,928 · median $14,937 | 22 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,338 – $62,265 · median $44,315 | 22 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,860 – $33,546 · median $23,450 | 22 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,761 – $26,415 · median $18,325 | 22 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,617 – $62,906 · median $44,791 | 22 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,701 – $30,879 · median $21,533 | 22 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,839 – $24,293 · median $16,785 | 22 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,755 – $31,003 · median $21,623 | 22 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,714 – $21,703 · median $14,750 | 22 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,574 – $32,889 · median $22,978 | 22 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,595 – $19,127 · median $12,880 | 22 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,776 – $28,751 · median $20,004 | 22 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,147 – $18,096 · median $12,150 | 22 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,766 – $24,126 · median $16,656 | 22 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,658 – $42,287 · median $29,733 | 22 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,298 – $23,047 · median $15,824 | 22 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,250 – $30,746 · median $21,105 | 22 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,903 – $20,391 · median $13,774 | 22 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,938 – $18,094 · median $12,148 | 22 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,800 – $24,910 · median $16,974 | 22 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,338 – $19,046 · median $12,822 | 22 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,980 – $13,429 · median $8,845 | 22 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,128 – $18,547 · median $12,469 | 22 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,942 – $13,338 · median $8,781 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,247 – $20,186 · median $13,503 | 22 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,941 – $24,528 · median $16,967 | 22 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,924 – $19,886 · median $13,417 | 22 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,437 – $14,517 · median $9,616 | 22 plans |
| 779 | ABORTION WITHOUT D&C | $5,813 – $17,794 · median $11,936 | 22 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,247 – $31,231 · median $21,449 | 22 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,247 – $19,989 · median $13,490 | 22 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,247 – $16,887 · median $11,294 | 22 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,247 – $27,881 · median $19,077 | 22 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,247 – $19,675 · median $13,268 | 22 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,247 – $17,349 · median $11,621 | 22 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,209 – $30,646 · median $21,035 | 22 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $36,965 – $93,708 · median $66,345 | 22 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,244 – $64,076 · median $45,658 | 22 plans |
| 795 | NORMAL NEWBORN | $1,242 – $6,909 · median $2,799 | 22 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,247 – $22,856 · median $15,520 | 22 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,247 – $18,289 · median $12,050 | 22 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,247 – $18,289 · median $12,050 | 22 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,597 – $74,950 · median $53,284 | 22 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,750 – $47,103 · median $33,195 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,564 – $28,263 · median $19,653 | 22 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,068 – $57,040 · median $40,443 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,454 – $30,312 · median $21,126 | 22 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,115 – $20,324 · median $13,727 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,247 – $18,730 · median $12,388 | 22 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,247 – $14,667 · median $9,276 | 22 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,247 – $13,388 · median $8,297 | 22 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,241 – $37,869 · median $26,148 | 22 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,701 – $22,292 · median $15,120 | 22 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,918 – $18,046 · median $12,115 | 22 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,748 – $24,786 · median $16,886 | 22 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,739 – $17,618 · median $11,811 | 22 plans |
| 813 | COAGULATION DISORDERS | $9,625 – $26,876 · median $18,365 | 22 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,999 – $34,910 · median $24,053 | 22 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,318 – $18,998 · median $12,789 | 22 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,100 – $13,716 · median $9,049 | 22 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,313 – $41,494 · median $29,163 | 22 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,288 – $23,025 · median $15,806 | 22 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,254 – $16,042 · median $10,696 | 22 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,467 – $91,777 · median $65,000 | 22 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,365 – $37,012 · median $25,941 | 22 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,360 – $20,888 · median $14,127 | 22 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,113 – $73,763 · median $52,458 | 22 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,153 – $36,523 · median $25,590 | 22 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,920 – $22,178 · median $15,145 | 22 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,730 – $75,276 · median $53,511 | 22 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,186 – $38,900 · median $27,298 | 22 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,315 – $27,689 · median $19,240 | 22 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,844 – $49,621 · median $35,004 | 22 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,411 – $25,610 · median $17,746 | 22 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,157 – $20,996 · median $14,203 | 22 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,647 – $15,019 · median $9,971 | 22 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,232 – $11,648 · median $7,281 | 22 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $34,369 – $87,127 · median $61,762 | 22 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,281 – $35,582 · median $24,529 | 22 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,901 – $22,769 · median $15,458 | 22 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,135 – $78,928 · median $56,054 | 22 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,611 – $33,987 · median $23,400 | 22 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,521 – $24,246 · median $16,503 | 22 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,829 – $51,179 · median $35,905 | 22 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,750 – $27,172 · median $18,575 | 22 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,541 – $19,529 · median $13,164 | 22 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,773 – $31,990 · median $21,986 | 22 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,432 – $21,651 · median $14,666 | 22 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,203 – $16,343 · median $10,909 | 22 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,880 – $41,771 · median $28,911 | 22 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,901 – $22,769 · median $15,458 | 22 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,092 – $16,078 · median $10,721 | 22 plans |
| 849 | RADIOTHERAPY | $16,609 – $43,509 · median $30,141 | 22 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $59,279 – $145,207 · median $102,201 | 22 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $32,183 – $78,835 · median $55,990 | 22 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,858 – $33,542 · median $23,447 | 22 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,461 – $28,025 · median $19,482 | 22 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,032 – $77,174 · median $50,615 | 22 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,021 – $36,219 · median $25,372 | 22 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,291 – $23,382 · median $15,811 | 22 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,433 – $31,780 · median $21,413 | 22 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,217 – $18,759 · median $12,619 | 22 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,584 – $17,249 · median $11,550 | 22 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,177 – $25,808 · median $17,610 | 22 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,502 – $17,054 · median $11,412 | 22 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,333 – $35,707 · median $24,617 | 22 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,530 – $19,502 · median $13,145 | 22 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,474 – $14,607 · median $9,680 | 22 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,256 – $109,655 · median $77,448 | 22 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,200 – $33,008 · median $22,707 | 22 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,411 – $19,219 · median $12,945 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,287 – $62,147 · median $44,228 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,961 – $18,147 · median $12,186 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $5,684 – $17,488 · median $11,719 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,982 – $18,197 · median $12,221 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,528 – $31,406 · median $21,573 | 22 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,385 – $28,686 · median $19,647 | 22 plans |
| 885 | PSYCHOSES | $8,765 – $24,826 · median $16,914 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,171 – $30,556 · median $20,971 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,396 – $21,565 · median $14,606 | 22 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,881 – $13,193 · median $8,671 | 22 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,003 – $25,393 · median $17,316 | 22 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,073 – $30,323 · median $20,806 | 22 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,486 – $17,015 · median $11,385 | 22 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,510 – $69,838 · median $49,725 | 22 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,211 – $32,053 · median $22,377 | 22 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,845 – $22,005 · median $15,001 | 22 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,846 – $61,132 · median $43,476 | 22 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,606 – $28,360 · median $19,723 | 22 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,044 – $36,273 · median $25,410 | 22 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,635 – $62,948 · median $44,821 | 22 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,980 – $33,823 · median $23,649 | 22 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,162 – $22,733 · median $15,581 | 22 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,063 – $27,917 · median $19,103 | 22 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,698 – $17,522 · median $11,743 | 22 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,806 – $29,688 · median $20,356 | 22 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,129 – $13,785 · median $9,098 | 22 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,196 – $28,234 · median $19,327 | 22 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,500 – $17,051 · median $11,410 | 22 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,339 – $30,957 · median $21,255 | 22 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,317 – $18,995 · median $12,787 | 22 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,276 – $14,135 · median $9,346 | 22 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,505 – $28,970 · median $19,848 | 22 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,342 – $19,055 · median $12,829 | 22 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,425 – $50,956 · median $35,964 | 22 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,587 – $35,220 · median $24,653 | 22 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,576 – $32,893 · median $22,981 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,492 – $26,557 · median $18,140 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,942 – $20,485 · median $13,841 | 22 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,998 – $22,999 · median $15,621 | 22 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,940 – $15,717 · median $10,465 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,709 – $19,930 · median $13,448 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,644 – $12,630 · median $8,208 | 22 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,526 – $12,347 · median $7,942 | 22 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,940 – $105,076 · median $76,041 | 22 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,597 – $67,730 · median $43,051 | 22 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $48,032 – $126,633 · median $83,020 | 22 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,447 – $73,972 · median $46,205 | 22 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,014 – $46,723 · median $30,322 | 22 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,892 – $46,444 · median $30,636 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,328 – $26,166 · median $17,863 | 22 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,675 – $17,466 · median $11,704 | 22 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,697 – $99,690 · median $70,510 | 22 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,074 – $43,245 · median $30,422 | 22 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,568 – $48,175 · median $33,675 | 22 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,838 – $25,001 · median $17,038 | 22 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,237 – $18,804 · median $12,651 | 22 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,966 – $25,304 · median $17,253 | 22 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,591 – $74,936 · median $53,274 | 22 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,755 – $40,209 · median $28,239 | 22 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,735 – $28,656 · median $19,935 | 22 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,540 – $55,824 · median $39,542 | 22 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,042 – $29,364 · median $20,444 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,436 – $21,063 · median $14,250 | 22 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,232 – $40,230 · median $27,819 | 21 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $25,932 – $65,740 · median $46,927 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,179 – $25,812 · median $17,613 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $152,656 – $355,279 · median $256,621 | 21 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,979 – $102,863 · median $73,829 | 21 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,466 – $51,051 · median $35,756 | 21 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,905 – $68,031 · median $48,572 | 21 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,343 – $35,729 · median $24,633 | 21 plans |
| 935 | NON-EXTENSIVE BURNS | $13,657 – $36,478 · median $25,164 | 21 plans |
No procedures match that keyword.