Merit Health Central — 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,200 – $24,752 · median $13,896 | 36 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,100 – $42,363 · median $23,877 | 34 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,100 – $24,606 · median $13,814 | 34 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,100 – $23,304 · median $13,085 | 34 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,100 – $32,109 · median $18,015 | 34 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,100 – $25,328 · median $14,218 | 34 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,100 – $23,316 · median $13,092 | 34 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,200 – $25,967 · median $14,576 | 34 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,200 – $23,846 · median $13,388 | 34 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,200 – $23,295 · median $13,080 | 34 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,200 – $24,849 · median $13,950 | 34 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,200 – $20,710 · median $11,632 | 34 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,200 – $19,694 · median $11,063 | 34 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $6,930 – $387,060 · median $163,953 | 32 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,570 – $569,527 · median $133,791 | 32 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,851 – $135,087 · median $48,783 | 32 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,897 – $102,069 · median $39,237 | 32 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,170 – $77,491 · median $27,880 | 32 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,349 – $232,310 · median $67,401 | 32 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,562 – $221,667 · median $47,547 | 32 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,546 – $214,562 · median $31,297 | 32 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $46,072 – $172,148 · median $50,913 | 32 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,452 – $69,608 · median $36,688 | 32 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,555 – $78,843 · median $40,210 | 32 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,998 – $57,931 · median $29,824 | 32 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,284 – $49,401 · median $25,195 | 32 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,161 – $100,106 · median $51,054 | 32 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,429 – $62,330 · median $32,410 | 32 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,649 – $44,634 · median $22,452 | 32 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $36,023 – $77,880 · median $41,276 | 32 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,133 – $44,131 · median $21,983 | 32 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,370 – $36,890 · median $18,473 | 32 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,120 – $69,009 · median $36,335 | 32 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,220 – $47,475 · median $24,070 | 32 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,620 – $41,498 · median $20,508 | 32 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,468 – $60,592 · median $31,388 | 32 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,046 – $49,170 · median $18,180 | 32 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,451 – $29,800 · median $14,859 | 32 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,044 – $125,361 · median $36,254 | 32 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,678 – $44,685 · median $22,478 | 32 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,891 – $61,928 · median $18,944 | 32 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,903 – $46,902 · median $23,701 | 32 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,878 – $81,562 · median $16,205 | 32 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,953 – $35,028 · median $17,542 | 32 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,537 – $54,394 · median $19,528 | 32 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,723 – $28,482 · median $14,061 | 32 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,447 – $44,268 · median $22,268 | 32 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,163 – $40,218 · median $13,749 | 32 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,005 – $34,422 · median $17,185 | 32 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,125 – $25,591 · median $12,574 | 32 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,935 – $30,676 · median $15,366 | 32 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,293 – $110,772 · median $39,617 | 32 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,536 – $44,429 · median $22,349 | 32 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,835 – $35,923 · median $17,989 | 32 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,650 – $72,682 · median $34,113 | 32 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,933 – $37,909 · median $18,982 | 32 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,666 – $44,350 · median $15,109 | 32 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,034 – $276,003 · median $47,530 | 32 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,293 – $49,417 · median $25,153 | 32 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,390 – $40,546 · median $20,300 | 32 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,051 – $67,074 · median $35,198 | 32 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,499 – $38,934 · median $19,494 | 32 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,986 – $32,577 · median $16,223 | 32 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $9,865 – $55,999 · median $28,559 | 32 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $83,772 – $170,892 · median $88,374 | 32 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,234 – $201,077 · median $83,502 | 32 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,918 – $54,167 · median $27,612 | 32 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,131 – $40,978 · median $16,448 | 32 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,046 – $73,940 · median $33,066 | 32 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,869 – $70,951 · median $25,734 | 32 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,325 – $38,619 · median $19,336 | 32 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,687 – $51,940 · median $26,183 | 32 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,651 – $37,400 · median $18,727 | 32 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,781 – $28,588 · median $14,309 | 32 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,153 – $67,332 · median $31,052 | 32 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,200 – $40,201 · median $20,127 | 32 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,104 – $39,347 · median $18,233 | 32 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,582 – $68,801 · median $29,160 | 32 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,803 – $61,297 · median $31,116 | 32 plans |
| 265 | AICD LEAD PROCEDURES | $12,678 – $65,336 · median $33,321 | 32 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,272 – $112,430 · median $53,655 | 32 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,277 – $100,028 · median $42,749 | 32 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,298 – $324,453 · median $65,348 | 32 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,955 – $125,411 · median $37,810 | 32 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,421 – $89,457 · median $47,412 | 32 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,593 – $77,765 · median $33,647 | 32 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,526 – $59,884 · median $25,418 | 32 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,034 – $72,716 · median $37,085 | 32 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,366 – $60,586 · median $30,899 | 32 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $57,085 – $116,430 · median $61,708 | 32 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $42,190 – $100,081 · median $51,041 | 32 plans |
| 277 | CELLULITIS AGE >17 W CC | $37,133 – $139,747 · median $42,340 | 32 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $8,659 – $93,674 · median $47,774 | 32 plans |
| 279 | CELLULITIS AGE 0-17 | $12,680 – $65,164 · median $33,234 | 32 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,882 – $77,624 · median $41,141 | 32 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,339 – $71,940 · median $24,199 | 32 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,875 – $52,280 · median $26,542 | 32 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $31,897 – $75,653 · median $38,583 | 32 plans |
| 324 | URINARY STONES W/O CC | $12,637 – $58,539 · median $29,855 | 32 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,812 – $59,403 · median $30,296 | 32 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $40,099 – $228,649 · median $45,185 | 32 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,651 – $129,243 · median $24,416 | 32 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,882 – $36,009 · median $18,032 | 32 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,696 – $97,241 · median $40,579 | 32 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,239 – $47,573 · median $24,008 | 32 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,878 – $37,181 · median $18,618 | 32 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,110 – $65,372 · median $34,198 | 32 plans |
| 333 | RECTAL RESECTION WITH CC | $18,831 – $129,982 · median $23,527 | 32 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,169 – $36,527 · median $18,277 | 32 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,710 – $64,647 · median $33,062 | 32 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,954 – $52,340 · median $21,820 | 32 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,341 – $35,030 · median $17,543 | 32 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,766 – $52,719 · median $25,639 | 32 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,098 – $35,715 · median $17,322 | 32 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,537 – $38,011 · median $14,965 | 32 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,457 – $176,996 · median $23,242 | 32 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,639 – $31,739 · median $15,806 | 32 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,000 – $25,364 · median $12,463 | 32 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,042 – $48,950 · median $24,830 | 32 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,257 – $34,877 · median $17,466 | 32 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,389 – $29,688 · median $14,774 | 32 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,332 – $54,916 · median $28,052 | 32 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,527 – $37,174 · median $18,614 | 32 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,814 – $32,266 · median $16,147 | 32 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,318 – $198,204 · median $39,068 | 32 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,697 – $61,556 · median $23,389 | 32 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,239 – $35,020 · median $16,532 | 32 plans |
| 397 | COAGULATION DISORDERS | $19,255 – $47,539 · median $24,108 | 32 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $12,169 – $49,474 · median $17,387 | 32 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,983 – $94,443 · median $48,910 | 32 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,321 – $78,052 · median $27,994 | 32 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,838 – $59,656 · median $22,520 | 32 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,667 – $64,570 · median $32,931 | 32 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,505 – $44,374 · median $22,321 | 32 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,765 – $35,796 · median $17,926 | 32 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,559 – $60,754 · median $31,484 | 32 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,904 – $54,990 · median $21,669 | 32 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,350 – $45,258 · median $18,455 | 32 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,643 – $64,527 · median $33,701 | 32 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,616 – $42,765 · median $21,409 | 32 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,961 – $59,635 · median $16,294 | 32 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,187 – $47,416 · median $23,799 | 32 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,600 – $37,308 · median $18,681 | 32 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,981 – $32,568 · median $16,218 | 32 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,100 – $62,264 · median $31,755 | 32 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,970 – $52,093 · median $19,015 | 32 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,252 – $33,059 · median $16,557 | 32 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,390 – $89,079 · median $38,749 | 32 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,591 – $78,772 · median $22,399 | 32 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,062 – $34,525 · median $17,290 | 32 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $66,160 – $195,302 · median $68,824 | 32 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,285 – $99,448 · median $50,719 | 32 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,548 – $73,401 · median $38,902 | 32 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,405 – $224,389 · median $49,314 | 32 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,824 – $95,614 · median $50,675 | 32 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,042 – $58,011 · median $29,585 | 32 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,663 – $39,230 · median $19,642 | 32 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,851 – $88,426 · median $45,097 | 32 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,354 – $64,003 · median $32,641 | 32 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,226 – $69,359 · median $26,743 | 32 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,387 – $56,825 · median $29,174 | 32 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,823 – $233,602 · median $42,302 | 32 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,687 – $55,558 · median $28,429 | 32 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,515 – $75,151 · median $39,382 | 32 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,297 – $45,805 · median $23,069 | 32 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,489 – $45,850 · median $14,948 | 32 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,775 – $62,955 · median $32,777 | 32 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,772 – $48,475 · median $24,381 | 32 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,946 – $49,845 · median $19,898 | 32 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,415 – $55,066 · median $28,140 | 32 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,840 – $51,507 · median $21,716 | 32 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,113 – $36,426 · median $18,241 | 32 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,286 – $53,024 · median $26,940 | 32 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,946 – $140,334 · median $30,832 | 32 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,812 – $43,120 · median $21,692 | 32 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,592 – $35,484 · median $17,769 | 32 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,222 – $38,432 · median $19,243 | 32 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,979 – $28,946 · median $14,487 | 32 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,520 – $66,112 · median $34,633 | 32 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,570 – $49,593 · median $25,179 | 32 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,132 – $41,889 · median $20,971 | 32 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,151 – $76,282 · median $34,240 | 32 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,503 – $55,634 · median $19,498 | 32 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,715 – $30,277 · median $15,167 | 32 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,768 – $56,587 · median $28,727 | 32 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,231 – $78,553 · median $21,031 | 32 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,445 – $106,164 · median $30,299 | 32 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,055 – $38,130 · median $19,092 | 32 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,821 – $32,279 · median $16,154 | 32 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,440 – $122,512 · median $27,185 | 32 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,028 – $40,844 · median $19,973 | 32 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,414 – $38,780 · median $19,417 | 32 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,848 – $32,327 · median $16,192 | 32 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,523 – $38,978 · median $19,516 | 32 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,176 – $34,730 · median $17,393 | 32 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,285 – $56,640 · median $29,066 | 32 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,718 – $42,950 · median $21,606 | 32 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,309 – $36,781 · median $18,418 | 32 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,657 – $35,601 · median $17,815 | 32 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,219 – $27,571 · median $13,796 | 32 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,623 – $59,061 · median $30,488 | 32 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,708 – $42,931 · median $21,569 | 32 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,355 – $35,054 · median $17,555 | 32 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,048 – $67,068 · median $35,195 | 32 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,082 – $41,797 · median $21,027 | 32 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,076 – $54,454 · median $27,780 | 32 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,646 – $337,061 · median $59,142 | 32 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,584 – $37,277 · median $18,666 | 32 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,216 – $29,375 · median $14,540 | 32 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,802 – $108,007 · median $55,083 | 32 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,910 – $63,200 · median $32,921 | 32 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,448 – $39,808 · median $19,448 | 32 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,638 – $84,000 · median $42,635 | 32 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,312 – $51,261 · median $25,785 | 32 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,915 – $47,827 · median $18,062 | 32 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,038 – $59,812 · median $30,930 | 32 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,808 – $37,837 · median $18,946 | 32 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,603 – $45,843 · median $16,874 | 32 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,490 – $40,727 · median $20,390 | 32 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,864 – $37,785 · median $18,920 | 32 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,211 – $43,841 · median $21,947 | 32 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,510 – $40,763 · median $20,408 | 32 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,622 – $44,585 · median $22,427 | 32 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,250 – $33,056 · median $16,556 | 32 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,039 – $77,243 · median $33,058 | 32 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,037 – $39,908 · median $19,981 | 32 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,403 – $73,127 · median $16,694 | 32 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,269 – $60,163 · median $27,899 | 32 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,866 – $48,824 · median $18,017 | 32 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,819 – $34,643 · median $17,349 | 32 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,616 – $64,477 · median $32,846 | 32 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,423 – $38,796 · median $19,425 | 32 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,646 – $67,359 · median $15,470 | 32 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,282 – $56,635 · median $29,062 | 32 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,055 – $34,512 · median $17,284 | 32 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,680 – $32,023 · median $16,026 | 32 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,963 – $66,915 · median $34,127 | 32 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,518 – $44,396 · median $22,332 | 32 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,734 – $88,861 · median $16,980 | 32 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,779 – $259,577 · median $48,401 | 32 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,506 – $53,422 · median $27,174 | 32 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,017 – $44,026 · median $21,771 | 32 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,598 – $78,991 · median $30,462 | 32 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,713 – $39,321 · median $19,688 | 32 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,339 – $45,661 · median $17,665 | 32 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,429 – $56,593 · median $25,214 | 32 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,626 – $31,927 · median $15,948 | 32 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,325 – $27,762 · median $13,827 | 32 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,881 – $57,237 · median $29,056 | 32 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,222 – $34,814 · median $17,435 | 32 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,417 – $53,995 · median $13,979 | 32 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,094 – $70,206 · median $29,927 | 32 plans |
| 666 | PROSTATECTOMY WITH CC | $14,064 – $38,147 · median $19,101 | 32 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,894 – $28,792 · median $14,213 | 32 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,178 – $76,438 · median $28,141 | 32 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,478 – $41,519 · median $17,666 | 32 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,857 – $26,917 · median $13,224 | 32 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,883 – $38,812 · median $19,433 | 32 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,444 – $50,237 · median $14,147 | 32 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,440 – $104,818 · median $37,650 | 32 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,802 – $46,720 · median $23,500 | 32 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,197 – $81,765 · median $18,316 | 32 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,082 – $41,799 · median $20,926 | 32 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,529 – $35,018 · median $17,537 | 32 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,710 – $46,553 · median $23,517 | 32 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,266 – $33,083 · median $16,556 | 32 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,754 – $43,014 · median $21,533 | 32 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,842 – $28,697 · median $14,293 | 32 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,087 – $34,570 · median $17,313 | 32 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,502 – $28,082 · median $13,864 | 32 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,984 – $45,247 · median $22,649 | 32 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,827 – $34,099 · median $17,077 | 32 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,200 – $40,201 · median $20,127 | 32 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,799 – $32,238 · median $16,133 | 32 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,125 – $43,686 · median $21,976 | 32 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,818 – $32,273 · median $16,151 | 32 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,739 – $82,339 · median $33,803 | 32 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,567 – $42,676 · median $21,364 | 32 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,807 – $34,062 · median $17,045 | 32 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,110 – $64,821 · median $33,058 | 32 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,211 – $51,724 · median $19,539 | 32 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,466 – $87,706 · median $16,737 | 32 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,752 – $39,391 · median $19,722 | 32 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,475 – $42,509 · median $21,281 | 32 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,146 – $145,941 · median $14,566 | 32 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,966 – $37,970 · median $19,012 | 32 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,912 – $25,206 · median $12,447 | 32 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,020 – $32,881 · median $16,374 | 32 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,644 – $50,052 · median $25,411 | 32 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,865 – $39,008 · median $17,098 | 32 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,586 – $55,678 · median $18,668 | 32 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,062 – $27,286 · median $13,540 | 32 plans |
| 799 | SPLENECTOMY WITH MCC | $36,412 – $78,584 · median $41,650 | 32 plans |
| 800 | SPLENECTOMY WITH CC | $22,588 – $85,946 · median $27,320 | 32 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,348 – $40,469 · median $20,261 | 32 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,032 – $138,089 · median $37,305 | 32 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,946 – $39,742 · median $19,898 | 32 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,902 – $32,426 · median $16,148 | 32 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,856 – $45,891 · median $23,008 | 32 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,786 – $29,563 · median $14,723 | 32 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,914 – $25,209 · median $12,387 | 32 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $47,153 – $98,018 · median $51,950 | 32 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,998 – $45,266 · median $22,769 | 32 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,680 – $30,214 · median $15,136 | 32 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,862 – $102,258 · median $42,081 | 32 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,215 – $45,658 · median $22,869 | 32 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,849 – $32,330 · median $16,193 | 32 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,610 – $89,973 · median $42,798 | 32 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,582 – $49,020 · median $23,265 | 32 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,699 – $37,485 · median $18,770 | 32 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,406 – $58,670 · median $29,922 | 32 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,100 – $67,985 · median $17,311 | 32 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,706 – $84,544 · median $43,309 | 32 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,065 – $41,767 · median $20,910 | 32 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,037 – $34,480 · median $17,223 | 32 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,572 – $78,872 · median $40,225 | 32 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,606 – $43,853 · median $21,952 | 32 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,199 – $32,963 · median $16,495 | 32 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,741 – $73,750 · median $39,087 | 32 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,393 – $40,551 · median $20,337 | 32 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,404 – $29,714 · median $14,871 | 32 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,532 – $76,916 · median $34,646 | 32 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,927 – $72,059 · median $17,167 | 32 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,793 – $41,275 · median $20,664 | 32 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,868 – $68,552 · median $36,067 | 32 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,041 – $119,412 · median $20,889 | 32 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,554 – $31,796 · median $15,912 | 32 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $158,451 – $323,299 · median $174,736 | 32 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $34,984 – $117,045 · median $59,400 | 32 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,895 – $97,206 · median $30,778 | 32 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,173 – $83,278 · median $34,264 | 32 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,789 – $46,696 · median $23,488 | 32 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,303 – $42,197 · median $21,125 | 32 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $54,118 – $122,026 · median $58,629 | 32 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,255 – $75,104 · median $35,414 | 32 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,575 – $123,551 · median $65,482 | 32 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,880 – $74,002 · median $39,221 | 32 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,671 – $118,250 · median $28,320 | 32 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,215 – $444,531 · median $89,826 | 32 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,205 – $174,193 · median $26,044 | 32 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,722 – $80,954 · median $42,906 | 32 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,766 – $68,764 · median $24,540 | 32 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,781 – $49,085 · median $18,844 | 32 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $11,691 – $62,574 · median $31,913 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,841 – $36,610 · median $18,332 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,642 – $30,145 · median $15,013 | 32 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,247 – $39,049 · median $19,552 | 31 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,247 – $26,944 · median $13,237 | 31 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,247 – $34,912 · median $17,313 | 31 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,247 – $27,532 · median $13,525 | 31 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,247 – $37,568 · median $18,811 | 31 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,247 – $30,751 · median $15,254 | 31 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,247 – $26,080 · median $12,814 | 31 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $5,247 – $52,808 · median $26,687 | 31 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $5,247 – $38,262 · median $19,158 | 31 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,247 – $33,121 · median $16,589 | 31 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $5,247 – $41,954 · median $21,004 | 31 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,247 – $27,397 · median $13,459 | 31 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,247 – $22,656 · median $11,136 | 31 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,247 – $34,065 · median $17,033 | 31 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,247 – $25,274 · median $12,419 | 31 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,247 – $24,320 · median $11,951 | 31 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $5,247 – $36,918 · median $18,486 | 31 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,247 – $27,625 · median $13,571 | 31 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,247 – $23,700 · median $11,648 | 31 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,247 – $36,038 · median $17,870 | 31 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,247 – $27,695 · median $13,605 | 31 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,247 – $40,594 · median $20,297 | 31 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,247 – $24,704 · median $12,140 | 31 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,247 – $45,949 · median $23,000 | 31 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,247 – $33,005 · median $16,369 | 31 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,247 – $26,604 · median $13,071 | 31 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $5,247 – $45,750 · median $22,901 | 31 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,247 – $31,650 · median $15,698 | 31 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,247 – $26,006 · median $12,778 | 31 plans |
| 088 | CONCUSSION WITH MCC | $5,247 – $32,365 · median $16,108 | 31 plans |
| 089 | CONCUSSION WITH CC | $5,247 – $28,681 · median $14,088 | 31 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,247 – $24,675 · median $12,125 | 31 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,247 – $38,248 · median $19,151 | 31 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,247 – $27,581 · median $13,550 | 31 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,247 – $24,283 · median $11,934 | 31 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $5,247 – $63,898 · median $32,284 | 31 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,247 – $50,220 · median $25,135 | 31 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,247 – $50,220 · median $25,135 | 31 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,247 – $65,242 · median $32,643 | 31 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,247 – $46,085 · median $23,068 | 31 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,247 – $32,519 · median $16,128 | 31 plans |
| 100 | SEIZURES WITH MCC | $5,247 – $40,875 · median $20,464 | 31 plans |
| 101 | SEIZURES WITHOUT MCC | $5,247 – $25,830 · median $12,691 | 31 plans |
| 102 | HEADACHES WITH MCC | $5,247 – $29,006 · median $14,247 | 31 plans |
| 103 | HEADACHES WITHOUT MCC | $5,247 – $24,865 · median $12,219 | 31 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,247 – $29,622 · median $14,664 | 31 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,195 – $24,131 · median $11,859 | 31 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,247 – $24,317 · median $11,950 | 31 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $5,247 – $31,947 · median $15,845 | 31 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,247 – $23,869 · median $11,730 | 31 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $5,247 – $43,502 · median $21,777 | 31 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,247 – $31,196 · median $15,598 | 31 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,247 – $24,295 · median $11,939 | 31 plans |
| 149 | DYSEQUILIBRIUM | $5,247 – $23,633 · median $11,615 | 31 plans |
| 150 | EPISTAXIS WITH MCC | $5,247 – $32,069 · median $16,035 | 31 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,247 – $23,377 · median $11,489 | 31 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,247 – $29,897 · median $14,831 | 31 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,247 – $23,438 · median $11,519 | 31 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,247 – $35,444 · median $17,576 | 31 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,247 – $26,032 · median $12,790 | 31 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,247 – $22,753 · median $11,184 | 31 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,247 – $37,675 · median $18,680 | 31 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,247 – $25,935 · median $12,743 | 31 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,247 – $23,006 · median $11,308 | 31 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,247 – $32,682 · median $16,341 | 31 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,247 – $24,410 · median $11,996 | 31 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,247 – $35,433 · median $17,716 | 31 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,247 – $26,898 · median $13,215 | 31 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,247 – $23,683 · median $11,639 | 31 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,247 – $38,390 · median $19,195 | 31 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,247 – $28,280 · median $13,892 | 31 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,247 – $23,665 · median $11,631 | 31 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,247 – $34,956 · median $17,334 | 31 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,247 – $28,179 · median $13,843 | 31 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,247 – $24,141 · median $11,864 | 31 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,247 – $35,372 · median $17,540 | 31 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,247 – $27,088 · median $13,308 | 31 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,247 – $23,133 · median $11,370 | 31 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,247 – $30,671 · median $15,214 | 31 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,247 – $28,813 · median $14,153 | 31 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,247 – $24,963 · median $12,266 | 31 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,162 – $22,039 · median $10,834 | 31 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,247 – $31,821 · median $15,783 | 31 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,247 – $24,423 · median $12,002 | 31 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,053 – $21,842 · median $10,737 | 31 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,247 – $40,153 · median $20,082 | 31 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,247 – $35,834 · median $17,594 | 31 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,247 – $23,118 · median $11,363 | 31 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,247 – $38,363 · median $19,181 | 31 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,247 – $28,691 · median $14,093 | 31 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,247 – $23,102 · median $11,355 | 31 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,247 – $26,828 · median $13,180 | 31 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,247 – $22,446 · median $11,033 | 31 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,247 – $24,445 · median $12,013 | 31 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $5,247 – $39,336 · median $19,502 | 31 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,247 – $26,390 · median $12,966 | 31 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,730 – $129,432 · median $64,725 | 31 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $5,247 – $52,686 · median $26,367 | 31 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $75,993 – $155,016 · median $79,058 | 31 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,865 – $108,354 · median $55,261 | 31 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,865 – $108,354 · median $55,261 | 31 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,991 – $124,401 · median $63,444 | 31 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,876 – $90,279 · median $46,042 | 31 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,007 – $86,022 · median $43,871 | 31 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,777 – $92,212 · median $43,183 | 31 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,322 – $58,517 · median $29,844 | 31 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,349 – $135,335 · median $69,021 | 31 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,743 – $100,896 · median $51,457 | 31 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,755 – $123,919 · median $63,199 | 31 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,184 – $98,074 · median $50,018 | 31 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,921 – $84,298 · median $42,992 | 31 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,670 – $59,147 · median $30,165 | 31 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,132 – $43,699 · median $21,875 | 31 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,532 – $38,994 · median $19,524 | 31 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,682 – $96,678 · median $40,326 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,547 – $44,449 · median $22,251 | 31 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,016 – $34,441 · median $17,248 | 31 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,262 – $58,409 · median $29,789 | 31 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,258 – $42,116 · median $21,084 | 31 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,247 – $36,035 · median $17,950 | 31 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,247 – $26,070 · median $12,809 | 31 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,247 – $23,218 · median $11,412 | 31 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,247 – $41,515 · median $20,784 | 31 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,247 – $22,769 · median $11,192 | 31 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,815 – $21,412 · median $10,526 | 31 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,247 – $44,890 · median $22,471 | 31 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,247 – $28,267 · median $13,885 | 31 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,247 – $52,068 · median $26,201 | 31 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,247 – $37,531 · median $18,765 | 31 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,247 – $26,224 · median $12,884 | 31 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,247 – $31,375 · median $15,562 | 31 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,247 – $25,050 · median $12,309 | 31 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,551 – $20,933 · median $10,292 | 31 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,247 – $35,421 · median $17,711 | 31 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,097 – $21,922 · median $10,777 | 31 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,659 – $19,320 · median $9,501 | 31 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,247 – $36,451 · median $18,074 | 31 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,247 – $28,229 · median $13,867 | 31 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,247 – $23,169 · median $11,388 | 31 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,247 – $30,107 · median $15,053 | 31 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,247 – $22,493 · median $11,056 | 31 plans |
| 304 | HYPERTENSION WITH MCC | $5,247 – $30,011 · median $14,887 | 31 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,247 – $23,684 · median $11,640 | 31 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,247 – $35,623 · median $17,665 | 31 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,247 – $25,984 · median $12,767 | 31 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,247 – $30,214 · median $14,988 | 31 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,247 – $23,402 · median $11,502 | 31 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,551 – $20,935 · median $10,293 | 31 plans |
| 311 | ANGINA PECTORIS | $5,247 – $22,910 · median $11,261 | 31 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,247 – $25,379 · median $12,470 | 31 plans |
| 313 | CHEST PAIN | $5,247 – $23,173 · median $11,390 | 31 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,247 – $43,034 · median $21,543 | 31 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,247 – $26,713 · median $13,124 | 31 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,247 – $22,622 · median $11,120 | 31 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,551 – $38,347 · median $19,200 | 31 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,247 – $35,858 · median $17,956 | 31 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,247 – $27,250 · median $13,387 | 31 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,247 – $22,894 · median $11,253 | 31 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,247 – $38,494 · median $19,085 | 31 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,247 – $27,552 · median $13,535 | 31 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,247 – $23,281 · median $11,442 | 31 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,247 – $43,812 · median $21,932 | 31 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,247 – $30,296 · median $15,148 | 31 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,247 – $26,145 · median $12,846 | 31 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,247 – $39,292 · median $19,646 | 31 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,247 – $26,966 · median $13,248 | 31 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,068 – $21,870 · median $10,751 | 31 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,247 – $41,245 · median $20,649 | 31 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,247 – $28,461 · median $13,981 | 31 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,247 – $24,346 · median $11,964 | 31 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,247 – $32,785 · median $16,260 | 31 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,247 – $25,134 · median $12,351 | 31 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,247 – $35,718 · median $17,859 | 31 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,247 – $26,902 · median $13,217 | 31 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,247 – $22,610 · median $11,114 | 31 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,247 – $34,183 · median $16,952 | 31 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,247 – $24,189 · median $11,887 | 31 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,374 – $20,613 · median $10,135 | 31 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,247 – $31,150 · median $15,451 | 31 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,247 – $35,965 · median $17,983 | 31 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,247 – $26,311 · median $12,927 | 31 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,218 – $22,141 · median $10,884 | 31 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $9,203 – $108,230 · median $14,676 | 31 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,247 – $41,332 · median $20,692 | 31 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,247 – $28,064 · median $13,786 | 31 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,247 – $23,064 · median $11,336 | 31 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,247 – $39,419 · median $19,544 | 31 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,247 – $29,154 · median $14,320 | 31 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,247 – $25,113 · median $12,340 | 31 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,247 – $36,415 · median $18,207 | 31 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,247 – $24,937 · median $12,254 | 31 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,996 – $21,739 · median $10,687 | 31 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,247 – $38,808 · median $19,404 | 31 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,247 – $26,742 · median $13,138 | 31 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,247 – $22,878 · median $11,245 | 31 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,247 – $37,007 · median $18,420 | 31 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,247 – $28,620 · median $14,059 | 31 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,247 – $24,734 · median $12,155 | 31 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,386 – $47,051 · median $26,212 | 31 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,508 – $40,760 · median $20,407 | 31 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,209 – $48,214 · median $24,132 | 31 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,011 – $34,432 · median $17,244 | 31 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,026 – $47,145 · median $21,993 | 31 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,247 – $35,505 · median $17,606 | 31 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,247 – $24,426 · median $12,003 | 31 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,247 – $31,349 · median $15,675 | 31 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,247 – $24,448 · median $12,014 | 31 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,247 – $26,582 · median $13,060 | 31 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,247 – $23,178 · median $11,392 | 31 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,247 – $41,354 · median $20,703 | 31 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,247 – $31,557 · median $15,779 | 31 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,247 – $24,154 · median $11,870 | 31 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,247 – $38,398 · median $19,226 | 31 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,247 – $27,654 · median $13,721 | 31 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,247 – $23,677 · median $11,636 | 31 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $5,247 – $48,802 · median $24,426 | 31 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,247 – $29,478 · median $14,624 | 31 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,247 – $24,864 · median $12,218 | 31 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,247 – $40,789 · median $20,421 | 31 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,247 – $30,261 · median $15,131 | 31 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,247 – $25,415 · median $12,488 | 31 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,247 – $37,082 · median $18,387 | 31 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,247 – $26,684 · median $13,110 | 31 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,247 – $31,557 · median $15,652 | 31 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,247 – $24,775 · median $12,175 | 31 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,247 – $31,928 · median $15,964 | 31 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,247 – $24,782 · median $12,178 | 31 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,247 – $34,330 · median $17,025 | 31 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,247 – $25,693 · median $12,624 | 31 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,247 – $39,829 · median $19,941 | 31 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,247 – $29,081 · median $14,427 | 31 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,247 – $24,394 · median $11,988 | 31 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,247 – $33,427 · median $16,654 | 31 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,247 – $25,727 · median $12,641 | 31 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,247 – $35,155 · median $17,433 | 31 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,247 – $26,874 · median $13,203 | 31 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,247 – $23,600 · median $11,599 | 31 plans |
| 592 | SKIN ULCERS WITH MCC | $5,247 – $40,853 · median $20,453 | 31 plans |
| 593 | SKIN ULCERS WITH CC | $5,247 – $29,957 · median $14,860 | 31 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,247 – $25,309 · median $12,436 | 31 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $5,247 – $43,550 · median $21,801 | 31 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,247 – $28,447 · median $13,974 | 31 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,247 – $36,952 · median $18,476 | 31 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,247 – $29,157 · median $14,464 | 31 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,247 – $23,892 · median $11,742 | 31 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,247 – $27,852 · median $13,819 | 31 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,864 – $21,500 · median $10,570 | 31 plans |
| 602 | CELLULITIS WITH MCC | $5,247 – $33,376 · median $16,552 | 31 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,247 – $25,369 · median $12,465 | 31 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,247 – $34,115 · median $16,918 | 31 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,247 – $26,025 · median $12,787 | 31 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,247 – $34,713 · median $17,214 | 31 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,247 – $25,885 · median $12,718 | 31 plans |
| 637 | DIABETES WITH MCC | $5,247 – $33,600 · median $16,663 | 31 plans |
| 638 | DIABETES WITH CC | $5,247 – $25,737 · median $12,646 | 31 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,994 – $21,736 · median $10,685 | 31 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,247 – $32,129 · median $16,064 | 31 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,247 – $24,020 · median $11,805 | 31 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,247 – $33,387 · median $16,558 | 31 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,247 – $36,646 · median $18,350 | 31 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,247 – $27,610 · median $13,564 | 31 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,247 – $23,876 · median $11,734 | 31 plans |
| 682 | RENAL FAILURE WITH MCC | $5,247 – $34,244 · median $17,122 | 31 plans |
| 683 | RENAL FAILURE WITH CC | $5,247 – $25,440 · median $12,500 | 31 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,826 – $21,432 · median $10,536 | 31 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,247 – $38,939 · median $19,496 | 31 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,247 – $27,942 · median $13,863 | 31 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,247 – $24,196 · median $11,891 | 31 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,247 – $29,579 · median $14,626 | 31 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,247 – $24,475 · median $12,028 | 31 plans |
| 693 | URINARY STONES WITH MCC | $5,247 – $32,258 · median $16,129 | 31 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,247 – $24,071 · median $11,830 | 31 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,247 – $29,339 · median $14,418 | 31 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,247 – $22,722 · median $11,169 | 31 plans |
| 697 | URETHRAL STRICTURE | $5,247 – $28,379 · median $13,940 | 31 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,247 – $36,767 · median $18,231 | 31 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,247 – $27,465 · median $13,493 | 31 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,247 – $22,736 · median $11,175 | 31 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,247 – $39,026 · median $19,349 | 31 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,247 – $29,323 · median $14,547 | 31 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,247 – $22,238 · median $10,931 | 31 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,247 – $29,723 · median $14,751 | 31 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,247 – $23,203 · median $11,404 | 31 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,247 – $34,272 · median $17,164 | 31 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,247 – $24,500 · median $12,040 | 31 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,247 – $28,101 · median $13,804 | 31 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,247 – $22,475 · median $11,048 | 31 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,247 – $39,492 · median $19,773 | 31 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,247 – $28,524 · median $14,011 | 31 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,247 – $26,672 · median $13,104 | 31 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,247 – $33,530 · median $16,793 | 31 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,247 – $26,941 · median $13,236 | 31 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,247 – $22,353 · median $10,988 | 31 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,247 – $27,356 · median $13,439 | 31 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,587 – $20,999 · median $10,324 | 31 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,521 – $22,223 · median $10,924 | 31 plans |
| 779 | ABORTION WITHOUT D&C | $5,247 – $24,938 · median $12,254 | 31 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,247 – $38,917 · median $19,458 | 31 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,680 – $99,163 · median $49,596 | 31 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,365 – $71,748 · median $35,894 | 31 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $735 – $48,329 · median $24,190 | 31 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $945 – $73,357 · median $36,699 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $630 – $34,170 · median $16,945 | 31 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $5,247 – $44,819 · median $22,435 | 31 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,247 – $31,115 · median $15,434 | 31 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,247 – $27,925 · median $13,718 | 31 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,247 – $33,128 · median $16,430 | 31 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,247 – $26,057 · median $12,803 | 31 plans |
| 813 | COAGULATION DISORDERS | $5,247 – $34,889 · median $17,444 | 31 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,247 – $43,638 · median $21,845 | 31 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,247 – $27,450 · median $13,485 | 31 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,081 – $21,893 · median $10,762 | 31 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,247 – $30,193 · median $14,977 | 31 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,247 – $23,197 · median $11,401 | 31 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,204 – $20,306 · median $9,985 | 31 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $5,247 – $92,564 · median $46,752 | 31 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $5,247 – $43,043 · median $21,547 | 31 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,247 – $30,440 · median $15,220 | 31 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $5,247 – $98,123 · median $49,077 | 31 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $5,247 – $43,066 · median $21,559 | 31 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,247 – $33,704 · median $16,715 | 31 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $5,247 – $59,759 · median $30,195 | 31 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,247 – $36,432 · median $18,216 | 31 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,247 – $27,398 · median $13,460 | 31 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,247 – $41,719 · median $20,886 | 31 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,247 – $30,409 · median $15,205 | 31 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,247 – $25,088 · median $12,328 | 31 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $5,247 – $50,414 · median $25,232 | 31 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,247 – $31,730 · median $15,738 | 31 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,247 – $25,056 · median $12,312 | 31 plans |
| 849 | RADIOTHERAPY | $5,247 – $52,116 · median $26,082 | 31 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,247 – $39,230 · median $19,615 | 31 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,247 – $27,216 · median $13,371 | 31 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,247 – $25,613 · median $12,585 | 31 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,247 – $34,496 · median $17,107 | 31 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,247 – $25,350 · median $12,456 | 31 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $5,247 – $43,150 · median $21,601 | 31 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,247 – $27,699 · median $13,607 | 31 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,247 – $23,315 · median $11,459 | 31 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,150 – $113,250 · median $56,637 | 31 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,247 – $40,958 · median $20,505 | 31 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,247 – $27,586 · median $13,552 | 31 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,247 – $36,479 · median $18,191 | 31 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,247 – $25,581 · median $12,569 | 31 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $5,247 – $37,162 · median $18,581 | 31 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,247 – $22,392 · median $11,007 | 31 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,247 – $39,333 · median $19,666 | 31 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,247 – $27,280 · median $13,402 | 31 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,247 – $22,714 · median $11,164 | 31 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,247 – $38,149 · median $18,915 | 31 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,247 – $27,504 · median $13,512 | 31 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $5,247 – $69,351 · median $34,696 | 31 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,247 – $44,858 · median $22,429 | 31 plans |
| 935 | NON-EXTENSIVE BURNS | $5,247 – $42,667 · median $21,340 | 31 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,247 – $30,006 · median $14,997 | 31 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,047 – $21,831 · median $10,732 | 31 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,470 – $20,788 · median $10,221 | 31 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $5,247 – $52,470 · median $26,469 | 31 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,247 – $34,995 · median $17,354 | 31 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,247 – $26,381 · median $12,961 | 31 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $5,247 – $54,684 · median $27,634 | 31 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,247 – $31,538 · median $15,643 | 31 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,247 – $25,831 · median $12,692 | 31 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,247 – $31,578 · median $15,789 | 31 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,247 – $46,495 · median $23,273 | 30 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,247 – $31,547 · median $15,710 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,247 – $39,030 · median $19,433 | 30 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,247 – $25,728 · median $12,641 | 30 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,920 – $92,169 · median $46,927 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,678 – $73,636 · median $37,377 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,170 – $24,040 · median $11,815 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,975 – $31,193 · median $15,403 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,247 – $35,516 · median $17,524 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,247 – $25,168 · median $12,367 | 30 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,247 – $31,166 · median $15,382 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,247 – $24,345 · median $11,964 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $9,821 – $169,870 · median $59,410 | 29 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,799 – $175,827 · median $41,358 | 29 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,795 – $175,827 · median $33,971 | 29 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,412 – $60,309 · median $35,151 | 29 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,325 – $35,228 · median $17,614 | 29 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,000 – $29,382 · median $14,576 | 29 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $206,022 – $507,955 · median $228,261 | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $91,108 – $451,732 · median $106,255 | 28 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $79,754 – $284,137 · median $86,227 | 28 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,281 – $367,804 · median $70,115 | 28 plans |
| 007 | LUNG TRANSPLANT | $104,120 – $1,297,708 · median $309,150 | 28 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $45,061 – $355,164 · median $68,472 | 28 plans |
| 010 | PANCREAS TRANSPLANT | $39,932 – $218,345 · median $59,422 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $72,060 – $917,827 · median $458,765 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,247 – $35,194 · median $17,625 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,773 – $27,216 · median $13,437 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,712 – $22,398 · median $11,159 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,596 – $30,564 · median $15,221 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,974 – $24,189 · median $11,947 | 28 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $54,731 – $232,607 · median $71,159 | 28 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $17,919 – $101,677 · median $51,102 | 28 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $29,232 – $124,235 · median $40,064 | 28 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $35,395 – $150,428 · median $54,872 | 28 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,946 – $67,770 · median $33,140 | 28 plans |
| 509 | ARTHROSCOPY | $17,743 – $115,815 · median $19,248 | 28 plans |
| 652 | KIDNEY TRANSPLANT | $25,965 – $202,201 · median $30,853 | 28 plans |
| 795 | NORMAL NEWBORN | $1,606 – $15,606 · median $7,720 | 28 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,925 – $264,713 · median $96,624 | 27 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,675 – $98,962 · median $50,471 | 27 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,676 – $91,726 · median $46,780 | 27 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $850 – $23,334 · median $13,102 | 27 plans |
| 881 | DEPRESSIVE NEUROSES | $850 – $23,089 · median $12,964 | 27 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $850 – $24,780 · median $13,912 | 27 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $850 – $36,141 · median $20,652 | 27 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $850 – $31,592 · median $17,903 | 27 plans |
| 885 | PSYCHOSES | $850 – $28,892 · median $16,376 | 27 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $850 – $37,529 · median $21,445 | 27 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $850 – $24,743 · median $13,891 | 27 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $850 – $18,964 · median $10,655 | 27 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $850 – $29,131 · median $16,646 | 27 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $850 – $33,325 · median $19,043 | 27 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $850 – $22,349 · median $12,550 | 27 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $9,671 · median $4,267 | 12 plans |
| 999 | UNGROUPABLE | $1,676 – $18,501 · median $8,162 | 12 plans |
No procedures match that keyword.