Methodist Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $180,222 – $407,354 · median $208,254 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $151,831 – $528,860 · median $250,410 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,905 – $104,675 · median $50,757 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,712 – $80,913 · median $39,282 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,805 – $55,308 · median $26,917 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $86,253 – $183,607 · median $87,462 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $58,027 – $165,102 · median $78,587 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $34,829 – $151,482 · median $71,748 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $56,397 – $119,071 · median $60,172 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,454 – $75,077 · median $36,464 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,168 – $87,260 · median $42,347 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,494 – $59,672 · median $29,024 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,140 – $48,420 · median $23,590 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,020 – $115,311 · median $55,893 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,739 – $65,475 · median $31,827 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,707 – $42,130 · median $20,553 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,676 – $85,990 · median $41,734 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,231 – $40,898 · median $19,958 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,755 – $31,914 · median $15,620 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,148 – $74,286 · median $36,082 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,157 – $45,878 · median $22,363 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,833 – $37,286 · median $18,214 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,852 – $63,182 · median $30,719 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,456 – $31,141 · median $15,246 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,136 – $22,560 · median $11,102 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,365 – $74,104 · median $37,671 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,733 – $42,197 · median $20,586 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,236 – $33,158 · median $16,220 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,857 – $34,762 · median $16,995 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,678 – $18,793 · median $9,283 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,745 – $29,304 · median $14,359 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,978 – $19,568 · median $9,658 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,900 – $44,585 · median $21,650 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,427 – $24,865 · median $12,165 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,101 – $32,809 · median $16,052 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,621 – $23,815 · median $11,709 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,237 – $17,653 · median $8,733 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,879 – $52,914 · median $25,761 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,455 – $33,724 · median $16,494 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,831 – $26,942 · median $13,218 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,339 – $38,595 · median $18,846 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,909 – $19,390 · median $9,571 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,489 – $13,135 · median $6,551 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,313 – $28,187 · median $13,820 | 16 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,826 – $16,590 · median $8,219 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,339 – $15,331 · median $7,611 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $18,249 – $39,707 · median $18,925 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,026 – $19,691 · median $9,717 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,022 – $14,513 · median $7,216 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,320 – $30,790 · median $15,077 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,061 – $19,783 · median $9,761 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,645 – $36,801 · median $17,979 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,535 – $15,837 · median $7,856 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,427 – $34,738 · median $16,914 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,250 – $17,188 · median $8,473 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,378 – $43,865 · median $21,391 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,771 – $26,788 · median $13,144 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,504 – $18,344 · median $9,066 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,277 – $43,602 · median $21,264 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,080 – $25,001 · median $12,281 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,199 – $17,555 · median $8,685 | 16 plans |
| 088 | CONCUSSION WITH MCC | $10,445 – $25,944 · median $12,736 | 16 plans |
| 089 | CONCUSSION WITH CC | $8,565 – $21,084 · median $10,390 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,520 – $15,799 · median $7,837 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,448 – $33,705 · median $16,484 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,003 – $19,633 · median $9,689 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,320 – $15,283 · median $7,588 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,540 – $67,544 · median $32,826 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,558 – $49,500 · median $24,112 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,558 – $49,500 · median $24,112 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,226 – $69,318 · median $33,682 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,447 – $44,044 · median $21,477 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,524 – $26,147 · median $12,835 | 16 plans |
| 100 | SEIZURES WITH MCC | $14,789 – $37,171 · median $18,158 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $7,109 – $17,323 · median $8,573 | 16 plans |
| 102 | HEADACHES WITH MCC | $8,730 – $21,512 · median $10,596 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $6,617 – $16,050 · median $7,959 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,865 – $45,122 · median $21,998 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,454 – $25,967 · median $12,748 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,804 – $29,458 · median $14,433 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,833 – $34,701 · median $16,965 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,463 – $20,821 · median $10,263 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,045 – $22,326 · median $10,989 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,242 – $15,081 · median $7,491 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,337 – $15,327 · median $7,609 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,232 – $25,393 · median $12,470 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,108 – $14,736 · median $7,324 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,520 – $41,647 · median $20,320 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,946 – $19,486 · median $9,618 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,495 – $28,657 · median $14,047 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,988 – $17,008 · median $8,421 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,583 – $23,716 · median $11,660 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,078 – $81,860 · median $39,739 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,603 – $41,860 · median $20,422 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,261 – $30,638 · median $15,003 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,227 – $71,905 · median $34,932 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,275 – $33,258 · median $16,269 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,335 – $23,075 · median $11,351 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,130 – $40,637 · median $19,832 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,849 – $24,403 · median $11,992 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,326 – $15,298 · median $7,595 | 16 plans |
| 149 | DYSEQUILIBRIUM | $5,988 – $14,425 · median $7,174 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $10,294 – $25,554 · median $12,548 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,858 – $14,087 · median $7,011 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,185 – $22,689 · median $11,165 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,889 – $14,168 · median $7,050 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,017 – $30,007 · median $14,698 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,213 – $17,589 · median $8,702 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,539 – $13,264 · median $6,613 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,155 – $32,949 · median $16,119 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,163 – $17,461 · median $8,640 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,668 – $13,598 · median $6,774 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $49,127 – $215,070 · median $101,853 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,149 – $48,441 · median $23,601 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,621 – $36,737 · median $17,949 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,161 – $71,734 · median $34,849 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,798 – $34,611 · median $16,922 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,553 – $26,224 · median $12,872 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,508 – $57,123 · median $27,793 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,607 – $26,362 · median $12,938 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,385 – $15,450 · median $7,669 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,011 – $29,991 · median $14,691 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,654 – $18,731 · median $9,253 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,013 – $14,490 · median $7,205 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,520 – $33,893 · median $16,575 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,360 – $20,555 · median $10,134 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,005 – $14,467 · median $7,194 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,767 – $29,362 · median $14,387 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,309 – $20,422 · median $10,070 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,247 – $15,095 · median $7,497 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,980 – $29,911 · median $14,652 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,752 – $18,983 · median $9,375 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,733 – $13,765 · median $6,855 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,581 – $23,710 · median $11,658 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,632 – $21,259 · median $10,474 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,667 – $16,179 · median $8,021 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,174 – $12,321 · median $6,158 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,167 – $25,226 · median $12,390 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,391 – $15,467 · median $7,677 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,074 – $12,062 · median $6,033 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,420 – $36,219 · median $17,699 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,403 – $108,722 · median $51,504 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,851 – $22,496 · median $10,735 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,506 – $33,857 · median $16,558 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,570 – $21,098 · median $10,396 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,717 – $13,724 · median $6,835 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,619 – $18,639 · median $9,209 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,382 – $12,859 · median $6,417 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,403 – $15,496 · median $7,691 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,003 – $35,141 · median $17,178 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,395 – $18,062 · median $8,930 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $70,533 – $278,158 · median $131,720 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,817 – $52,753 · median $25,683 | 16 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $81,150 – $208,696 · median $100,990 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,229 – $191,095 · median $93,964 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,047 – $187,752 · median $90,876 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,230 – $126,193 · median $61,148 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,230 – $126,193 · median $61,148 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $64,245 – $147,362 · median $74,852 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,004 – $102,347 · median $49,633 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,832 – $96,732 · median $46,921 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,143 – $94,951 · median $46,061 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,793 – $60,445 · median $29,398 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $68,356 – $161,787 · median $81,068 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,423 – $116,353 · median $56,397 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $57,174 – $146,727 · median $71,064 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,969 – $104,840 · median $50,837 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,983 – $112,630 · median $54,599 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,510 – $80,391 · median $39,030 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,952 – $94,457 · median $45,823 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,573 – $54,707 · median $26,627 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,687 – $26,569 · median $13,039 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,115 – $61,276 · median $29,799 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,230 – $40,896 · median $19,957 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,828 – $34,690 · median $16,960 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,284 – $87,562 · median $42,493 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $16,613 – $41,887 · median $20,435 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,504 – $28,682 · median $14,059 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,309 – $66,947 · median $32,538 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,680 – $49,815 · median $24,264 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,637 – $34,194 · median $16,721 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,436 – $51,769 · median $25,208 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,015 – $32,586 · median $15,944 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,517 – $20,962 · median $10,330 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,738 – $60,303 · median $29,329 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,422 – $38,808 · median $18,949 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,560 – $62,428 · median $30,355 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,445 – $36,282 · median $17,729 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,510 – $31,281 · median $15,314 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,109 – $58,678 · median $28,544 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,212 – $64,113 · median $31,169 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $27,273 – $69,440 · median $33,742 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,912 – $117,616 · median $57,007 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,757 – $91,369 · median $44,331 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $75,391 – $269,574 · median $127,656 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,091 – $81,052 · median $40,025 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,585 – $101,263 · median $49,109 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,814 – $68,253 · median $33,168 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,364 – $48,997 · median $23,869 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,040 – $79,177 · median $38,443 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,849 – $63,174 · median $30,716 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,352 – $136,847 · median $66,293 | 16 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $45,008 – $115,279 · median $55,878 | 16 plans |
| 277 | CELLULITIS AGE >17 W CC | $40,110 – $88,638 · median $45,771 | 16 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $41,738 – $106,827 · median $51,796 | 16 plans |
| 279 | CELLULITIS AGE 0-17 | $27,186 – $69,214 · median $33,632 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,318 – $30,786 · median $15,075 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,232 – $17,639 · median $8,726 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,777 – $13,878 · median $6,910 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,115 – $38,016 · median $18,566 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,547 – $13,285 · median $6,623 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,854 – $11,494 · median $5,758 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,838 – $42,468 · median $20,716 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,353 – $20,537 · median $10,126 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,571 – $51,937 · median $27,364 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,081 – $32,759 · median $16,028 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,311 – $17,843 · median $8,824 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,940 – $24,639 · median $12,106 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,711 – $16,294 · median $8,076 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,610 – $10,863 · median $5,454 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,005 – $29,976 · median $14,684 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,115 – $12,168 · median $6,084 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,787 – $8,734 · median $4,426 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,531 – $31,335 · median $15,340 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,334 – $20,487 · median $10,102 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,751 – $13,812 · median $6,878 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,292 – $22,965 · median $11,298 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,406 – $12,920 · median $6,447 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $9,243 – $22,838 · median $11,237 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,014 – $14,492 · median $7,206 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,108 – $30,243 · median $14,812 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,188 – $17,526 · median $8,671 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,347 – $23,107 · median $11,367 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,870 – $14,120 · median $7,026 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,611 – $10,865 · median $5,454 | 16 plans |
| 311 | ANGINA PECTORIS | $5,619 – $13,471 · median $6,713 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,879 – $16,728 · median $8,286 | 16 plans |
| 313 | CHEST PAIN | $5,754 – $13,818 · median $6,881 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,857 – $53,930 · median $25,692 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,560 – $18,488 · median $9,136 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,472 – $13,091 · median $6,530 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,545 – $85,652 · median $41,570 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,267 – $46,163 · median $22,500 | 16 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $20,610 – $52,218 · median $25,424 | 16 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $13,498 – $33,836 · median $16,547 | 16 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $32,539 – $83,051 · median $40,315 | 16 plans |
| 324 | URINARY STONES W/O CC | $23,804 – $60,474 · median $29,412 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,245 – $61,614 · median $29,962 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $54,669 – $170,879 · median $80,931 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,792 – $66,618 · median $31,729 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,305 – $30,751 · median $15,058 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,537 – $88,216 · median $42,809 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,207 – $46,007 · median $22,425 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,903 – $32,298 · median $15,805 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,292 – $69,488 · median $33,765 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $25,674 – $67,007 · median $31,914 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,569 – $31,435 · median $15,388 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,922 – $68,533 · median $33,303 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,065 – $40,470 · median $19,751 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,805 – $29,460 · median $14,434 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,585 – $49,569 · median $24,145 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,580 – $28,878 · median $14,154 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,215 – $22,766 · median $11,202 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $25,163 – $112,334 · median $53,214 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,126 – $25,118 · median $12,338 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,872 – $16,709 · median $8,277 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,910 – $47,825 · median $23,303 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,727 – $29,258 · median $14,337 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,079 – $22,412 · median $11,031 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,955 – $55,695 · median $27,104 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,900 – $32,289 · median $15,800 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,394 – $25,813 · median $12,673 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $48,151 – $139,534 · median $66,258 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,675 – $44,631 · median $21,761 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,787 – $26,829 · median $13,164 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,228 – $30,552 · median $14,962 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,834 – $19,196 · median $9,478 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,611 – $13,450 · median $6,703 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,573 – $34,029 · median $16,641 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,989 – $19,595 · median $9,671 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,809 – $13,960 · median $6,949 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,288 – $41,046 · median $20,030 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,389 – $23,215 · median $11,418 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,271 – $17,739 · median $8,774 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,981 – $35,083 · median $17,150 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,689 – $18,822 · median $9,297 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,088 – $12,099 · median $6,050 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,977 – $37,659 · median $18,394 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,453 – $20,795 · median $10,250 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,352 – $15,365 · median $7,628 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,659 – $26,498 · median $13,004 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,754 – $16,405 · median $8,130 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,156 – $30,368 · median $14,873 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,657 – $18,737 · median $9,256 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,466 – $13,076 · median $6,522 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,373 – $28,343 · median $13,895 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,272 – $15,158 · median $7,528 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,447 – $10,440 · median $5,250 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,825 – $24,341 · median $11,963 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,196 – $14,962 · median $7,433 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,283 – $30,694 · median $15,030 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,355 – $17,958 · median $8,880 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,226 – $12,456 · median $6,223 | 16 plans |
| 397 | COAGULATION DISORDERS | $18,190 – $45,963 · median $22,404 | 16 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,646 – $29,049 · median $14,236 | 16 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $12,548 – $42,149 · median $19,987 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,027 – $104,990 · median $50,909 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,942 – $55,661 · median $27,087 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,888 – $42,599 · median $20,779 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,883 – $68,431 · median $33,254 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,574 – $41,787 · median $20,387 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,196 – $30,471 · median $14,923 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,935 – $63,397 · median $30,823 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,019 – $40,351 · median $19,694 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,737 – $31,868 · median $15,597 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,860 – $68,373 · median $33,226 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,753 – $39,664 · median $19,362 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,530 – $26,164 · median $12,843 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,127 – $45,800 · median $22,325 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,968 – $32,465 · median $15,886 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,549 – $26,212 · median $12,866 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,706 – $65,389 · median $31,785 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,309 – $33,346 · median $16,311 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,799 – $26,859 · median $13,179 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,244 – $79,704 · median $38,698 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,653 – $41,990 · median $20,486 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,547 – $28,794 · median $14,113 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,574 – $79,224 · median $37,539 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,250 – $20,271 · median $9,997 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,698 – $13,674 · median $6,811 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,045 – $35,250 · median $17,231 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,806 – $21,708 · median $10,691 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,743 – $16,377 · median $8,116 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,512 – $31,287 · median $15,317 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,653 – $16,144 · median $8,004 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,021 – $11,926 · median $5,967 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,733 – $34,444 · median $16,841 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,575 – $18,526 · median $9,154 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,603 – $13,429 · median $6,693 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,814 – $32,068 · median $15,694 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,534 – $21,004 · median $10,351 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,550 – $15,878 · median $7,875 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $71,690 – $161,278 · median $82,623 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,685 – $114,444 · median $55,474 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,390 – $80,081 · median $38,880 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $60,540 – $168,466 · median $80,187 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,158 – $51,051 · median $24,861 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,727 – $109,385 · median $53,031 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,535 – $59,777 · median $29,075 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,949 – $35,000 · median $17,110 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,058 – $99,902 · median $48,452 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,593 – $67,683 · median $32,893 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,812 – $52,740 · median $25,677 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,930 – $58,213 · median $28,320 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,730 – $37,019 · median $18,085 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $52,929 – $175,164 · median $82,960 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,283 – $56,542 · median $27,513 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,535 – $46,853 · median $22,834 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,283 – $82,389 · median $39,995 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,305 – $43,675 · median $21,299 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,171 – $22,650 · median $11,146 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,058 – $66,301 · median $32,225 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,667 – $47,197 · median $23,000 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,210 – $35,676 · median $17,436 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,032 – $55,893 · median $27,199 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,959 – $40,198 · median $19,620 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,518 – $31,302 · median $15,324 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,989 – $53,198 · median $25,898 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $35,374 – $79,842 · median $38,021 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,934 – $40,132 · median $19,588 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,037 – $30,059 · median $14,724 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,542 – $33,949 · median $16,602 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,700 – $21,434 · median $10,558 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,670 – $70,465 · median $34,237 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,238 – $48,673 · median $23,713 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,306 – $38,509 · median $18,804 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,329 – $69,584 · median $33,811 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,802 – $34,620 · median $16,927 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,379 – $23,190 · median $11,406 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,808 – $57,898 · median $28,168 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,368 – $38,668 · median $18,881 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,907 – $60,739 · median $29,540 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,387 – $33,550 · median $16,409 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,401 – $25,831 · median $12,682 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,042 – $61,284 · median $30,110 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,287 – $35,874 · median $17,532 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,719 – $34,407 · median $16,824 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,425 – $25,894 · median $12,712 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,820 – $34,668 · median $16,950 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,652 – $29,064 · median $14,243 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,835 – $57,969 · median $28,202 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,847 – $39,908 · median $19,480 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,699 – $31,770 · median $15,550 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,097 – $30,214 · median $14,799 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,998 – $19,620 · median $9,683 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,071 – $61,163 · median $29,744 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,838 – $39,883 · median $19,468 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,818 – $29,492 · median $14,450 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,158 – $71,726 · median $34,846 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,259 – $38,388 · median $18,746 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,500 – $28,671 · median $14,053 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,719 – $55,085 · median $26,809 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,132 – $40,643 · median $19,835 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,048 – $30,087 · median $14,737 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,393 – $15,471 · median $7,679 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,927 – $24,604 · median $12,090 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,404 – $15,499 · median $7,693 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,493 – $18,315 · median $9,052 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,756 – $13,824 · median $6,884 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,033 – $37,802 · median $18,463 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,033 – $24,879 · median $12,222 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,254 – $15,112 · median $7,506 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,524 – $33,903 · median $16,580 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,041 – $19,729 · median $9,735 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,010 – $14,482 · median $7,202 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,835 – $47,629 · median $23,208 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,972 – $22,136 · median $10,898 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,616 – $16,048 · median $7,958 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,745 – $37,058 · median $18,104 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,371 – $23,169 · median $11,396 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,898 – $16,776 · median $8,309 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,853 – $32,168 · median $15,742 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,545 – $18,449 · median $9,117 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,033 – $24,879 · median $12,222 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,571 – $15,931 · median $7,901 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,222 – $25,368 · median $12,458 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,575 – $15,941 · median $7,906 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,448 – $28,537 · median $13,989 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,040 – $17,142 · median $8,486 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,255 – $35,791 · median $17,492 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,769 – $21,612 · median $10,645 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,377 – $15,428 · median $7,658 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,987 – $27,345 · median $13,413 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,057 – $17,186 · median $8,507 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,869 – $29,625 · median $14,514 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,643 – $18,701 · median $9,239 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,971 – $14,381 · median $7,152 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $32,239 – $269,219 · median $127,488 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,952 – $32,425 · median $15,866 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,919 – $22,000 · median $10,832 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,053 – $125,734 · median $60,927 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,183 – $66,623 · median $32,381 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,750 – $34,488 · median $16,863 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,800 – $94,064 · median $45,633 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,089 – $50,872 · median $24,775 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,335 – $30,830 · median $15,096 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,454 – $62,153 · median $30,223 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,238 – $33,164 · median $16,223 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,123 – $27,696 · median $13,583 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,713 – $36,975 · median $18,064 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,211 – $33,095 · median $16,190 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,303 – $41,084 · median $20,048 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,731 – $37,023 · median $18,087 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $14,777 – $37,142 · median $18,144 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $9,216 – $22,767 · median $11,203 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,844 – $16,636 · median $8,241 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,154 – $40,700 · median $19,863 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,445 – $20,775 · median $10,241 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,786 – $31,995 · median $15,659 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,401 – $42,521 · median $20,163 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,120 – $14,766 · median $7,339 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,142 – $19,990 · median $9,861 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,900 – $11,611 · median $5,815 | 16 plans |
| 602 | CELLULITIS WITH MCC | $10,961 – $27,278 · median $13,381 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,874 – $16,714 · median $8,279 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,338 – $28,253 · median $13,851 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,209 – $17,580 · median $8,697 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,643 – $29,041 · median $14,232 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,138 – $17,396 · median $8,608 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,682 – $42,065 · median $20,522 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,798 – $26,855 · median $13,177 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,302 – $66,930 · median $32,529 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,295 – $35,895 · median $17,542 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,939 – $27,220 · median $13,353 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,847 – $55,415 · median $26,969 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,290 – $30,713 · median $15,040 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,608 – $28,949 · median $14,188 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,835 – $68,308 · median $33,195 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,727 – $34,429 · median $16,834 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,703 – $24,026 · median $11,811 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,832 – $57,962 · median $28,198 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,541 – $28,776 · median $14,104 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,270 – $25,493 · median $12,519 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,080 – $71,525 · median $34,748 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,585 – $41,816 · median $20,401 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,782 – $28,011 · median $14,009 | 16 plans |
| 637 | DIABETES WITH MCC | $11,075 – $27,573 · median $13,523 | 16 plans |
| 638 | DIABETES WITH CC | $7,062 – $17,200 · median $8,514 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,020 – $11,922 · median $5,965 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,325 – $25,633 · median $12,586 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,186 – $14,935 · median $7,420 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,967 – $27,293 · median $13,388 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,630 – $31,592 · median $15,464 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,018 – $19,672 · median $9,708 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,112 – $14,745 · median $7,328 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $56,960 – $201,460 · median $95,409 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,193 – $53,724 · median $26,152 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,124 – $40,622 · median $19,825 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,048 – $61,103 · median $29,716 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,996 – $35,121 · median $17,168 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,930 – $29,782 · median $14,590 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,274 – $48,765 · median $23,757 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,221 – $25,366 · median $12,457 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,095 – $19,871 · median $9,804 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,140 – $58,756 · median $28,582 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,695 – $29,176 · median $14,297 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,181 – $20,092 · median $9,911 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,583 – $59,902 · median $29,135 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $13,396 – $33,573 · median $16,421 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,621 – $21,230 · median $10,460 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,089 – $56,041 · median $27,271 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,931 – $29,786 · median $14,592 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,664 – $18,756 · median $9,266 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,736 – $34,450 · median $16,844 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,423 – $20,718 · median $10,213 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,605 – $80,637 · median $39,149 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,772 – $44,882 · median $21,882 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,595 – $31,502 · median $15,420 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $11,404 – $28,423 · median $13,934 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $6,910 – $16,808 · median $8,325 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,865 – $11,521 · median $5,771 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,800 – $34,617 · median $16,925 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,188 – $20,109 · median $9,919 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,276 – $15,167 · median $7,532 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,023 – $22,268 · median $10,962 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,418 – $15,536 · median $7,710 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,391 – $25,804 · median $12,669 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,212 – $15,002 · median $7,453 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,900 – $21,952 · median $10,809 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,523 – $13,223 · median $6,594 | 16 plans |
| 697 | URETHRAL STRICTURE | $8,410 – $20,685 · median $10,197 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,692 – $31,751 · median $15,541 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,944 – $19,480 · median $9,615 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,530 – $13,241 · median $6,602 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,260 – $38,390 · median $18,747 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,799 – $29,444 · median $14,427 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,687 – $44,662 · median $21,776 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,812 – $26,892 · median $13,194 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,880 – $39,992 · median $19,521 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,573 – $21,105 · median $10,400 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,570 – $28,853 · median $14,141 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,259 – $20,294 · median $10,008 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,020 – $42,938 · median $20,943 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,330 – $28,231 · median $13,841 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,445 – $36,282 · median $17,729 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,380 – $25,777 · median $12,656 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,845 – $34,732 · median $16,980 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,892 – $21,931 · median $10,798 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,276 – $12,584 · median $6,285 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,096 – $22,458 · median $11,053 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,768 – $13,857 · median $6,899 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,418 – $28,460 · median $13,951 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,431 – $15,569 · median $7,726 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,268 – $20,319 · median $10,020 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,397 – $12,897 · median $6,436 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,223 – $40,879 · median $19,949 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,398 – $25,823 · median $12,678 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,949 – $68,602 · median $33,337 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,708 – $39,547 · median $19,306 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,311 – $28,183 · median $13,818 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,010 – $68,761 · median $33,414 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,844 – $34,730 · median $16,979 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,214 – $27,370 · median $13,536 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,031 – $35,213 · median $17,213 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,620 – $23,812 · median $11,707 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,622 – $39,326 · median $19,199 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,469 – $78,603 · median $37,245 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,306 – $33,338 · median $16,307 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,791 – $16,499 · median $8,176 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,708 – $26,625 · median $13,065 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,472 – $49,277 · median $24,005 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,366 – $28,324 · median $13,886 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,082 – $35,346 · median $17,277 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,485 – $20,877 · median $10,290 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,539 – $18,434 · median $9,110 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,040 – $27,481 · median $13,479 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,677 – $18,789 · median $9,281 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,335 – $12,736 · median $6,358 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,888 – $19,336 · median $9,545 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,643 – $10,949 · median $5,495 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,881 – $17,603 · median $8,365 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,955 – $32,431 · median $15,869 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,853 – $19,244 · median $9,501 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,269 – $12,565 · median $6,276 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $6,654 – $16,146 · median $8,005 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,524 – $87,559 · median $23,711 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,524 – $17,422 · median $8,404 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,118 – $15,817 · median $7,633 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,524 – $57,638 · median $12,657 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,524 – $18,312 · median $8,745 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,118 – $15,833 · median $7,641 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,881 – $19,099 · median $9,074 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,881 – $16,486 · median $7,837 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,881 – $15,807 · median $7,515 | 16 plans |
| 799 | SPLENECTOMY WITH MCC | $34,035 – $86,919 · median $42,182 | 16 plans |
| 800 | SPLENECTOMY WITH CC | $21,268 – $53,918 · median $26,246 | 16 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $14,581 – $36,636 · median $17,900 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $38,153 – $80,531 · median $41,296 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,210 – $35,676 · median $17,436 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,476 – $26,024 · median $12,775 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,706 – $19,277 · median $8,422 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,706 – $12,621 · median $6,037 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,387 – $11,369 · median $5,495 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,801 – $42,374 · median $20,671 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,038 – $24,295 · median $12,058 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,179 – $20,086 · median $9,908 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,835 – $26,951 · median $13,223 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,225 – $17,622 · median $8,718 | 16 plans |
| 813 | COAGULATION DISORDERS | $11,733 – $29,274 · median $14,344 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,199 – $40,816 · median $19,918 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,937 – $19,461 · median $9,606 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,100 – $12,129 · median $6,065 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,349 – $43,788 · median $21,354 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,015 – $22,247 · median $10,951 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,792 – $16,503 · median $8,177 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,955 – $112,557 · median $54,563 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,029 – $42,963 · median $20,955 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,347 – $23,107 · median $11,367 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,450 – $87,991 · median $42,700 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,230 – $43,481 · median $21,206 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,427 – $25,898 · median $12,714 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,141 – $89,776 · median $43,562 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,569 – $44,357 · median $21,628 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,058 – $32,699 · median $15,999 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,871 – $60,647 · median $29,495 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,582 – $28,884 · median $14,156 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,336 – $23,078 · median $11,353 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,765 – $13,849 · median $6,896 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,290 – $10,036 · median $5,054 | 16 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,171 – $105,362 · median $51,089 | 16 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,895 – $40,031 · median $19,539 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,462 – $23,405 · median $11,510 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,662 – $220,920 · median $104,622 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,907 – $40,061 · median $19,554 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,129 – $27,711 · median $13,590 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,427 – $62,084 · median $30,189 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,882 – $54,223 · median $25,703 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,910 – $19,392 · median $9,572 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,219 – $38,284 · median $18,696 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,447 – $23,364 · median $11,491 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,731 – $16,344 · median $8,101 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,657 – $49,755 · median $24,235 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,121 – $25,107 · median $12,332 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,714 – $16,302 · median $8,080 | 16 plans |
| 849 | RADIOTHERAPY | $29,700 – $96,890 · median $45,902 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,077 – $94,782 · median $45,979 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,244 – $38,348 · median $18,726 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,524 – $28,734 · median $14,084 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,182 – $87,299 · median $42,366 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,308 – $41,100 · median $20,055 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,750 – $26,733 · median $13,117 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,949 – $35,000 · median $17,110 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,817 – $19,152 · median $9,456 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,999 – $17,037 · median $8,435 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,533 – $28,755 · median $14,094 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,864 – $16,689 · median $8,267 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,259 – $40,173 · median $20,276 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,064 – $19,789 · median $9,764 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,826 – $14,004 · median $6,971 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,729 – $132,651 · median $64,267 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,831 – $37,280 · median $18,211 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,006 – $19,639 · median $9,692 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,552 – $74,175 · median $35,883 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,274 – $18,428 · median $9,069 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $1,250 – $18,058 · median $8,891 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,227 – $20,608 · median $10,118 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,435 – $37,737 · median $18,357 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,274 – $30,878 · median $15,057 | 16 plans |
| 885 | PSYCHOSES | $1,250 – $26,807 · median $13,100 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,262 – $39,829 · median $19,363 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,238 – $20,553 · median $10,091 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,065 – $11,840 · median $5,900 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,517 – $80,994 · median $33,358 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,909 – $41,432 · median $19,647 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,243 – $16,943 · median $8,355 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,568 – $80,541 · median $39,102 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,623 – $36,743 · median $17,952 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,092 – $22,447 · median $11,048 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,681 – $70,494 · median $34,250 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,422 – $28,469 · median $13,956 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,993 – $37,699 · median $18,413 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,915 – $73,684 · median $35,791 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,870 – $55,677 · median $26,523 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,154 – $25,193 · median $12,374 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,545 – $31,371 · median $15,357 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,982 – $16,995 · median $8,415 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,894 – $32,273 · median $15,793 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,355 – $12,788 · median $6,383 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,530 – $30,101 · median $14,684 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,466 – $16,449 · median $8,118 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,001 – $35,137 · median $17,176 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,850 – $19,236 · median $9,497 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,519 – $13,212 · median $6,588 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,397 – $33,574 · median $16,421 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,964 – $19,532 · median $9,640 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $158,939 – $409,759 · median $198,087 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,666 – $137,658 · median $66,685 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,322 – $61,814 · median $30,059 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,323 – $74,737 · median $36,300 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,822 – $42,426 · median $20,696 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $15,703 – $39,536 · median $19,300 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,350 – $69,638 · median $33,837 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,759 – $44,850 · median $21,866 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,463 – $38,916 · median $19,001 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,906 – $29,721 · median $14,560 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,923 – $22,009 · median $10,836 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,583 – $24,362 · median $11,924 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,427 – $15,363 · median $7,595 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,241 – $22,833 · median $11,234 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,068 – $12,047 · median $6,025 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,536 – $10,671 · median $5,361 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,387 – $129,183 · median $62,592 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,348 – $72,220 · median $35,084 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,987 – $146,241 · median $70,830 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,696 – $80,873 · median $39,263 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,482 – $57,988 · median $30,153 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,706 – $52,467 · median $25,545 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,787 – $29,414 · median $14,412 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,391 – $18,050 · median $8,924 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $67,098 – $383,310 · median $181,502 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $28,910 – $110,712 · median $52,446 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,837 – $55,388 · median $26,956 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,023 – $24,854 · median $12,210 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,110 – $17,325 · median $8,574 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,043 – $24,905 · median $12,235 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,245 – $90,045 · median $43,692 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,662 – $47,184 · median $22,993 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,134 – $32,895 · median $16,093 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,864 – $65,798 · median $31,983 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,611 – $31,544 · median $15,441 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,312 – $23,015 · median $11,322 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $473,344 – $1,731,360 · median $819,709 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,383 – $126,917 · median $54,459 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,248 – $87,070 · median $42,078 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,734 – $73,309 · median $35,433 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,536 – $32,059 · median $13,791 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,384 – $105,729 · median $44,546 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,749 – $72,206 · median $30,551 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,461 – $43,569 · median $18,596 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,509 – $74,173 · median $31,372 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,220 – $26,255 · median $11,368 | 13 plans |
| 795 | NORMAL NEWBORN | $539 – $3,927 · median $1,891 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $246,180 – $519,926 · median $279,142 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $124,212 – $406,888 · median $192,665 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $113,018 – $241,522 · median $114,948 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,828 – $304,362 · median $144,126 | 12 plans |
| 007 | LUNG TRANSPLANT | $141,952 – $1,230,335 · median $582,509 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $61,434 – $295,221 · median $139,798 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $78,656 – $167,889 · median $79,913 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $89,656 – $213,786 · median $111,591 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,443 – $105,483 · median $55,165 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,749 – $96,635 · median $50,555 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $24,391 – $57,450 · median $30,139 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,889 – $25,049 · median $11,891 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,817 – $16,447 · median $7,818 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,358 – $11,251 · median $5,359 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,526 – $20,056 · median $9,527 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,272 – $13,182 · median $6,273 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $66,205 – $139,795 · median $66,215 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $45,822 – $96,735 · median $45,829 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $34,605 – $73,038 · median $34,610 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $49,653 – $104,829 · median $49,661 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,568 – $58,172 · median $27,572 | 10 plans |
| 509 | ARTHROSCOPY | $13,451 – $28,349 · median $13,453 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $5,120 – $6,827 · median $5,689 | 4 plans |
| 999 | UNGROUPABLE | $9,794 – $13,059 · median $10,883 | 4 plans |
No procedures match that keyword.