Cheshire Medical Center (Acute Care) — Pricing
868 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 868 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 868 procedures
Procedures with negotiated rates only
These 868 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 |
|---|---|---|---|
| 788 | NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE | $4,100 – $12,640 · median $6,796 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $9,319 – $28,729 · median $13,717 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $5,541 – $17,082 · median $8,408 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,846 – $11,857 · median $6,144 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $9,586 – $29,550 · median $15,031 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,900 – $15,104 · median $7,673 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,961 – $24,543 · median $11,816 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,890 – $15,073 · median $8,018 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,874 – $11,944 · median $5,453 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,625 – $17,339 · median $10,080 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,511 – $23,154 · median $11,667 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,683 – $14,438 · median $7,265 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,529 – $10,879 · median $5,446 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $25,264 – $77,883 · median $36,831 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $12,790 – $39,428 · median $19,841 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,414 – $29,022 · median $15,002 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,816 – $21,012 · median $10,999 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $11,712 – $36,105 · median $18,009 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,073 – $18,721 · median $9,368 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,653 – $14,343 · median $7,339 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $14,138 – $43,584 · median $21,699 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,922 – $21,339 · median $10,775 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,894 – $15,086 · median $7,420 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,561 – $47,971 · median $22,122 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $7,466 – $23,014 · median $12,399 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,658 – $14,359 · median $7,840 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,217 – $40,744 · median $20,696 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,013 – $21,620 · median $11,000 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,812 – $24,082 · median $12,723 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,960 – $15,290 · median $7,651 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $18,987 – $58,533 · median $29,780 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,462 – $32,251 · median $16,575 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,094 – $21,869 · median $11,634 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $6,807 – $20,983 · median $10,497 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $4,028 – $12,419 · median $6,207 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,753 – $8,486 · median $4,255 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,546 – $26,345 · median $12,784 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,771 – $14,707 · median $7,427 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,282 – $10,118 · median $5,601 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,304 – $16,350 · median $8,224 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,637 – $11,213 · median $5,738 | 23 plans |
| 693 | URINARY STONES WITH MCC | $6,664 – $20,543 · median $9,529 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,541 – $10,917 · median $5,541 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,111 – $15,756 · median $8,107 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,135 – $9,665 · median $4,883 | 23 plans |
| 697 | URETHRAL STRICTURE | $4,540 – $13,996 · median $7,639 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,618 – $23,484 · median $11,726 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,622 – $14,249 · median $7,194 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $14,453 – $44,554 · median $22,928 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,344 – $13,393 · median $6,806 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $4,143 – $12,771 · median $6,669 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,360 – $13,440 · median $7,611 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $8,402 – $25,901 · median $13,937 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,569 – $23,334 · median $11,403 | 23 plans |
| 885 | PSYCHOSES | $5,110 – $19,694 · median $9,900 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,400 – $25,099 · median $14,709 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,390 – $16,617 · median $7,590 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,600 – $26,511 · median $13,570 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,525 – $17,032 · median $8,290 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,499 – $63,655 · median $26,034 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,470 – $23,027 · median $10,514 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,103 – $30,492 · median $13,922 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $18,054 – $55,656 · median $27,212 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $9,142 – $28,181 · median $14,141 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,748 – $17,719 · median $9,304 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,334 – $22,609 · median $11,586 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,153 – $12,803 · median $6,276 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,876 – $24,280 · median $11,919 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,010 – $9,278 · median $4,723 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,431 – $22,908 · median $11,116 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,009 – $12,359 · median $6,075 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,265 – $25,478 · median $12,976 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,604 – $14,193 · median $7,104 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,117 – $9,608 · median $4,879 | 23 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,656 – $23,603 · median $12,399 | 23 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,622 – $14,249 · median $7,213 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $107,512 – $331,431 · median $151,327 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $30,269 – $93,311 · median $50,838 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $14,414 – $44,433 · median $22,828 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $19,610 – $60,451 · median $27,601 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,496 – $29,979 · median $15,668 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $9,954 – $30,686 · median $14,601 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $14,385 – $44,344 · median $25,718 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,569 – $29,498 · median $16,563 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,857 – $27,304 · median $14,372 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $6,918 – $21,327 · median $10,976 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,060 – $15,599 · median $8,128 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,829 – $17,970 · median $8,997 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,601 – $11,100 · median $5,674 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,890 – $23,694 · median $8,432 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,656 – $18,916 · median $4,449 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,570 – $7,922 · median $3,941 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $30,946 – $96,146 · median $47,708 | 23 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,323 – $68,253 · median $26,671 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $33,828 – $104,282 · median $54,008 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,626 – $57,418 · median $29,867 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,982 – $36,938 · median $20,867 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,312 – $37,955 · median $19,377 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,798 – $20,958 · median $10,863 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,136 – $12,750 · median $6,666 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $28,662 – $88,357 · median $43,386 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $12,025 – $37,069 · median $18,693 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $13,533 – $44,454 · median $20,455 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,442 – $19,858 · median $9,179 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,546 – $14,013 · median $6,398 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,535 – $20,145 · median $9,198 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,545 – $66,417 · median $33,254 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,096 – $34,205 · median $17,425 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,560 – $23,306 · median $12,148 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,874 – $48,936 · median $24,300 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,777 – $25,256 · median $11,649 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,237 – $16,143 · median $8,500 | 23 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,008 – $21,603 · median $10,960 | 22 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,522 – $13,942 · median $7,073 | 22 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,021 – $9,314 · median $4,725 | 22 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $5,565 – $17,156 · median $8,704 | 22 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,579 – $11,034 · median $5,598 | 22 plans |
| 509 | ARTHROSCOPY | $7,961 – $24,543 · median $12,451 | 22 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $13,907 – $42,871 · median $21,487 | 21 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $49,371 – $152,199 · median $77,073 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $32,028 – $98,733 · median $50,539 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $28,073 – $86,542 · median $42,573 | 21 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $21,082 – $64,992 · median $32,735 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $22,675 – $69,901 · median $39,452 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $14,522 – $44,769 · median $25,561 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $12,902 – $39,773 · median $19,934 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,199 – $25,276 · median $12,668 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $19,304 – $59,508 · median $30,672 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,480 – $44,639 · median $22,372 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $12,971 – $39,986 · median $22,755 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $11,229 – $34,617 · median $17,348 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $6,858 – $25,120 · median $10,728 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,093 – $16,158 · median $8,113 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,854 – $15,316 · median $7,595 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,763 – $25,736 · median $17,401 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,763 – $15,131 · median $7,514 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,959 – $12,204 · median $6,789 | 21 plans |
| 787 | NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB | $4,763 – $14,834 · median $7,916 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,802 – $17,835 · median $8,271 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,854 – $13,527 · median $7,091 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,854 – $13,943 · median $7,649 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,854 – $10,109 · median $5,344 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,854 – $8,904 · median $4,779 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $170,914 – $526,886 · median $306,069 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $35,927 – $110,752 · median $52,338 | 20 plans |
| 140 | SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 | $5,007 – $59,086 · median $30,231 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,823 – $30,017 · median $15,459 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,126 – $21,968 · median $11,315 | 20 plans |
| 143 | STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17 | $14,964 – $46,131 · median $26,555 | 20 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,961 – $24,543 · median $12,282 | 20 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,761 – $16,553 · median $8,522 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $14,493 – $93,153 · median $48,749 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $6,588 – $58,129 · median $29,933 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,508 – $71,713 · median $37,397 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,399 – $48,122 · median $25,206 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $11,340 – $34,958 · median $18,095 | 20 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $17,721 – $54,631 · median $29,241 | 20 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $14,144 – $43,603 · median $23,331 | 20 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC | $28,037 – $86,430 · median $47,392 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $19,908 – $61,372 · median $31,632 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $10,491 – $32,340 · median $17,048 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $13,209 – $40,721 · median $20,376 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $9,554 – $29,452 · median $15,010 | 20 plans |
| 650 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB | $20,880 – $64,369 · median $33,322 | 20 plans |
| 651 | NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB | $15,737 – $129,987 · median $26,266 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,854 – $19,413 · median $11,977 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,234 – $9,968 · median $4,640 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,763 – $22,576 · median $11,691 | 20 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,169 – $25,184 · median $12,774 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $7,055 – $83,055 · median $42,126 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,785 – $56,721 · median $28,769 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,177 – $34,225 · median $17,359 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $18,901 – $58,266 · median $29,553 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,690 – $25,452 · median $10,461 | 20 plans |
| 795 | NORMAL NEWBORN | $905 – $2,791 · median $1,416 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,854 – $13,527 · median $6,784 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,489 – $35,418 · median $16,171 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,837 – $17,995 · median $8,504 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,700 – $11,407 · median $6,095 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,216 – $16,081 · median $8,523 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,387 – $10,442 · median $5,115 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,356 – $7,262 · median $3,706 | 20 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $127,659 – $393,539 · median $198,627 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $49,941 – $153,956 · median $80,317 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $97,128 – $299,421 · median $150,439 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $64,037 – $197,410 · median $98,175 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $48,263 – $148,783 · median $73,078 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $21,977 – $67,748 · median $32,866 | 19 plans |
| 007 | LUNG TRANSPLANT | $59,228 – $182,584 · median $91,788 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $24,659 – $76,018 · median $39,724 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $36,134 – $111,391 · median $50,860 | 19 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $24,454 – $75,386 · median $38,657 | 19 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $18,598 – $57,333 · median $29,882 | 19 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $12,010 – $37,023 · median $20,425 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $59,377 – $183,045 · median $85,180 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $27,355 – $84,328 · median $42,028 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $27,355 – $84,328 · median $38,503 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $36,533 – $125,092 · median $55,772 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $25,050 – $77,222 · median $37,521 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,000 – $49,323 · median $22,521 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $25,856 – $79,706 · median $40,615 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,229 – $53,114 · median $27,727 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $20,268 – $62,483 · median $32,226 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $13,862 – $42,732 · median $22,037 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,184 – $34,478 · median $17,882 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $27,552 – $84,937 · median $42,585 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $15,213 – $46,896 · median $24,181 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,086 – $31,091 · median $15,559 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $18,992 – $58,547 · median $31,757 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $9,679 – $29,836 · median $15,104 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,231 – $22,291 · median $11,786 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,624 – $54,329 · median $27,435 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $10,309 – $31,781 · median $16,943 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,308 – $25,610 · median $13,770 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $15,050 – $46,396 · median $23,334 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,302 – $22,511 · median $11,501 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,158 – $15,902 · median $8,332 | 19 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,095 – $52,700 · median $27,367 | 19 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $10,234 – $31,549 · median $15,584 | 19 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,965 – $24,555 · median $12,246 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,121 – $28,117 · median $12,838 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,176 – $12,873 · median $6,940 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,794 – $20,944 · median $10,822 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,944 – $15,242 · median $7,227 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $11,349 – $34,985 · median $16,466 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,048 – $18,643 · median $9,183 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,366 – $25,789 · median $12,117 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,545 – $17,095 · median $8,795 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,044 – $12,468 · median $6,519 | 19 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $12,252 – $37,769 · median $19,542 | 19 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,071 – $24,881 · median $12,455 | 19 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $6,367 – $19,626 · median $9,950 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,015 – $27,791 · median $14,253 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,609 – $14,207 · median $7,161 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,119 – $9,616 · median $4,851 | 19 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,594 – $20,326 · median $10,410 | 19 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,995 – $12,315 · median $6,127 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,626 – $11,178 · median $5,662 | 19 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $7,880 – $24,293 · median $11,800 | 19 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $4,776 – $14,724 · median $7,272 | 19 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,400 – $10,481 · median $5,360 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,005 – $21,594 · median $11,371 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,724 – $14,563 · median $7,306 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,806 – $24,064 · median $13,591 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,122 – $12,810 · median $5,849 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,009 – $27,772 · median $12,829 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,101 – $12,641 · median $6,348 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $10,515 – $32,416 · median $16,200 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,301 – $19,425 · median $9,893 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,333 – $13,358 · median $6,774 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,270 – $31,658 · median $16,103 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,944 – $18,324 · median $9,233 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,006 – $12,350 · median $6,483 | 19 plans |
| 088 | CONCUSSION WITH MCC | $6,393 – $19,709 · median $9,581 | 19 plans |
| 089 | CONCUSSION WITH CC | $4,859 – $14,978 · median $7,787 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,885 – $11,977 · median $5,835 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,261 – $25,468 · median $12,448 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,798 – $14,791 · median $7,251 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,577 – $11,027 · median $5,644 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $16,536 – $50,976 · median $24,945 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $10,864 – $33,491 · median $18,281 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,864 – $33,491 · median $18,281 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $16,245 – $50,080 · median $25,600 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,831 – $30,307 · median $16,266 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,314 – $19,466 · median $9,656 | 19 plans |
| 100 | SEIZURES WITH MCC | $8,997 – $27,737 · median $13,728 | 19 plans |
| 101 | SEIZURES WITHOUT MCC | $4,177 – $12,877 · median $6,397 | 19 plans |
| 102 | HEADACHES WITH MCC | $5,255 – $16,199 · median $7,945 | 19 plans |
| 103 | HEADACHES WITHOUT MCC | $3,853 – $11,878 · median $5,927 | 19 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,227 – $31,527 · median $16,664 | 19 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,357 – $16,515 · median $9,590 | 19 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,938 – $22,365 · median $10,879 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,562 – $23,312 · median $12,815 | 19 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,888 – $15,069 · median $7,690 | 19 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,637 – $16,251 · median $8,245 | 19 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,974 – $9,477 · median $5,570 | 19 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,640 – $11,222 · median $5,660 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,909 – $18,217 · median $9,378 | 19 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,742 – $11,536 · median $5,442 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,927 – $33,685 · median $15,380 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,433 – $13,666 · median $7,196 | 19 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,338 – $19,540 · median $10,583 | 19 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,687 – $11,365 · median $6,281 | 19 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,222 – $19,182 · median $8,758 | 19 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $10,397 – $32,051 · median $15,008 | 19 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $5,641 – $17,391 · median $9,012 | 19 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,629 – $11,187 · median $5,650 | 19 plans |
| 149 | DYSEQUILIBRIUM | $3,388 – $10,443 · median $5,327 | 19 plans |
| 150 | EPISTAXIS WITH MCC | $6,264 – $19,311 · median $9,437 | 19 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,435 – $10,590 · median $5,202 | 19 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,143 – $15,854 · median $8,379 | 19 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,225 – $9,943 · median $5,232 | 19 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $7,370 – $22,721 · median $11,082 | 19 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $4,231 – $13,043 · median $6,496 | 19 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,047 – $9,394 · median $4,898 | 19 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,421 – $22,878 · median $12,168 | 19 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,263 – $13,141 · median $6,448 | 19 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,989 – $9,215 · median $5,022 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $20,889 – $64,395 · median $31,766 | 19 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $11,407 – $35,165 · median $17,889 | 19 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $8,448 – $26,042 · median $13,567 | 19 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,450 – $53,793 · median $26,492 | 19 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,281 – $25,528 · median $12,782 | 19 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,136 – $18,915 · median $9,685 | 19 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $6,386 – $19,687 · median $9,736 | 19 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,691 – $11,379 · median $5,706 | 19 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,326 – $22,584 · median $11,076 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,496 – $13,861 · median $6,918 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,488 – $10,753 · median $5,351 | 19 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,921 – $24,419 · median $12,517 | 19 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,032 – $15,512 · median $7,591 | 19 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,796 – $11,701 · median $5,343 | 19 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,194 – $22,176 · median $10,844 | 19 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,841 – $14,922 · median $7,542 | 19 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,525 – $10,865 · median $5,575 | 19 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,161 – $22,074 · median $11,046 | 19 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,550 – $14,027 · median $7,011 | 19 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,327 – $10,258 · median $5,083 | 19 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,608 – $17,288 · median $8,756 | 19 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,089 – $15,689 · median $7,851 | 19 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,893 – $12,002 · median $5,975 | 19 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,933 – $9,042 · median $4,550 | 19 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,972 – $18,410 · median $9,316 | 19 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,716 – $11,456 · median $5,712 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,822 – $8,700 · median $4,455 | 19 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,539 – $26,323 · median $13,376 | 19 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,487 – $13,831 · median $6,727 | 19 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,174 – $9,785 · median $5,076 | 19 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,000 – $24,663 · median $12,504 | 19 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,019 – $15,473 · median $7,792 | 19 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,069 – $9,460 · median $5,068 | 19 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,381 – $13,506 · median $6,884 | 19 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,157 – $9,732 · median $4,749 | 19 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,675 – $11,330 · median $5,723 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,556 – $26,374 · median $12,978 | 19 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,105 – $12,655 · median $6,670 | 19 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $29,309 – $90,353 · median $45,608 | 19 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $12,163 – $37,495 · median $19,482 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $48,016 – $148,020 · median $70,573 | 19 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $43,739 – $134,836 · median $69,338 | 19 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $29,267 – $90,223 · median $46,604 | 19 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $26,962 – $83,118 · median $46,604 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,066 – $108,101 · median $54,422 | 19 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $24,005 – $74,000 · median $37,798 | 19 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $20,814 – $64,163 · median $35,724 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $22,584 – $69,622 · median $35,066 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $14,078 – $43,398 · median $22,323 | 19 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $38,404 – $118,389 · median $59,749 | 19 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $27,685 – $85,345 · median $42,970 | 19 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $35,424 – $109,203 · median $54,187 | 19 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $24,111 – $74,329 · median $38,718 | 19 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $26,667 – $82,208 · median $41,595 | 19 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $18,636 – $57,450 · median $29,689 | 19 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,827 – $70,371 · median $34,884 | 19 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,198 – $40,686 · median $20,204 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,843 – $21,095 · median $9,812 | 19 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $15,373 – $47,390 · median $22,630 | 19 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,210 – $31,474 · median $15,103 | 19 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,179 – $25,213 · median $12,811 | 19 plans |
| 245 | AICD GENERATOR PROCEDURES | $22,147 – $68,273 · median $32,337 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $10,481 – $32,309 · median $15,469 | 19 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,082 – $21,831 · median $10,593 | 19 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $15,547 – $47,926 · median $24,724 | 19 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $11,570 – $35,668 · median $18,397 | 19 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,928 – $24,441 · median $12,628 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,858 – $36,555 · median $19,119 | 19 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,676 – $23,663 · median $12,034 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,042 – $12,461 · median $7,741 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,715 – $39,196 · median $22,270 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,966 – $24,557 · median $14,332 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,437 – $56,750 · median $23,055 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,600 – $26,645 · median $13,399 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,879 – $21,205 · median $11,552 | 19 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,155 – $37,472 · median $21,670 | 19 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $15,840 – $48,830 · median $23,677 | 19 plans |
| 265 | AICD LEAD PROCEDURES | $16,167 – $49,837 · median $25,645 | 19 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $27,150 – $83,697 · median $43,437 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,887 – $65,729 · median $33,743 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $7,439 – $22,932 · median $11,369 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $4,178 – $12,878 · median $6,514 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $3,286 – $10,130 · median $5,125 | 19 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $8,862 – $27,319 · median $14,039 | 19 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $3,358 – $10,353 · median $4,906 | 19 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $2,544 – $7,843 · median $4,245 | 19 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $10,031 – $30,922 · median $15,684 | 19 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,939 – $15,224 · median $7,585 | 19 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $12,379 – $38,162 · median $19,181 | 19 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,146 – $22,028 · median $12,098 | 19 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,437 – $13,678 · median $6,589 | 19 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,913 – $18,229 · median $9,099 | 19 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,903 – $12,032 · median $6,018 | 19 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,487 – $7,666 · median $4,012 | 19 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $7,425 – $22,890 · median $11,070 | 19 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $3,192 – $9,841 · median $4,494 | 19 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,002 – $6,171 · median $3,226 | 19 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,331 – $22,599 · median $11,572 | 19 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,852 – $14,957 · median $7,566 | 19 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,233 – $9,967 · median $5,101 | 19 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,272 – $16,252 · median $8,481 | 19 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,047 – $9,394 · median $4,771 | 19 plans |
| 304 | HYPERTENSION WITH MCC | $5,324 – $16,413 · median $8,434 | 19 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,402 – $10,488 · median $5,352 | 19 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,786 – $20,920 · median $11,169 | 19 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,198 – $12,943 · median $6,473 | 19 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,465 – $16,848 · median $8,534 | 19 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,351 – $10,329 · median $5,214 | 19 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,536 – $7,817 · median $4,012 | 19 plans |
| 311 | ANGINA PECTORIS | $3,165 – $9,756 · median $4,975 | 19 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,949 – $12,173 · median $6,178 | 19 plans |
| 313 | CHEST PAIN | $3,233 – $9,967 · median $5,103 | 19 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,760 – $30,087 · median $14,779 | 19 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,361 – $13,444 · median $6,828 | 19 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,094 – $9,538 · median $4,835 | 19 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $23,018 – $70,959 · median $35,349 | 19 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $11,004 – $33,923 · median $17,324 | 19 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,222 – $22,263 · median $11,357 | 19 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,810 – $64,153 · median $32,579 | 19 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,712 – $33,023 · median $16,991 | 19 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,482 – $23,066 · median $11,928 | 19 plans |
| 332 | RECTAL RESECTION WITH MCC | $15,720 – $48,461 · median $25,663 | 19 plans |
| 333 | RECTAL RESECTION WITH CC | $9,632 – $32,592 · median $16,601 | 19 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,517 – $23,443 · median $11,609 | 19 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $16,421 – $50,623 · median $25,310 | 19 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,573 – $29,511 · median $14,946 | 19 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $6,957 – $21,447 · median $10,880 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $12,211 – $37,645 · median $18,306 | 19 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,747 – $20,799 · median $10,665 | 19 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,644 – $17,398 · median $8,408 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,726 – $33,067 · median $16,271 | 19 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,705 – $17,588 · median $9,276 | 19 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,992 – $12,307 · median $6,171 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,962 – $33,792 · median $17,662 | 19 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,818 – $21,019 · median $10,805 | 19 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,997 – $15,404 · median $8,277 | 19 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,292 – $40,977 · median $20,569 | 19 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,709 – $23,766 · median $11,924 | 19 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,042 – $18,626 · median $9,533 | 19 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $19,332 – $59,596 · median $31,135 | 19 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,206 – $31,463 · median $16,483 | 19 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,141 – $18,932 · median $9,908 | 19 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,568 – $23,332 · median $11,283 | 19 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,612 – $14,217 · median $7,089 | 19 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,163 – $9,752 · median $4,967 | 19 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,922 – $24,421 · median $12,567 | 19 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,665 – $14,380 · median $7,237 | 19 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,288 – $10,135 · median $5,156 | 19 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,569 – $29,498 · median $15,159 | 19 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,568 – $17,166 · median $8,573 | 19 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,002 – $12,336 · median $6,551 | 19 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,240 – $25,402 · median $12,956 | 19 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,468 – $13,774 · median $6,951 | 19 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,886 – $8,895 · median $4,468 | 19 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,721 – $26,884 · median $13,908 | 19 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,936 – $15,216 · median $7,680 | 19 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,396 – $10,468 · median $5,674 | 19 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,729 – $17,662 · median $9,786 | 19 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,941 – $12,149 · median $6,059 | 19 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,364 – $22,700 · median $11,215 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,498 – $13,866 · median $6,920 | 19 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,038 – $9,365 · median $4,829 | 19 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,662 – $20,536 · median $10,467 | 19 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,633 – $11,199 · median $5,598 | 19 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,480 – $7,645 · median $3,856 | 19 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,821 – $17,946 · median $8,989 | 19 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,536 – $10,902 · median $5,526 | 19 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,505 – $23,136 · median $11,335 | 19 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,266 – $13,151 · median $6,632 | 19 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,884 – $8,891 · median $4,600 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $11,848 – $54,657 · median $28,496 | 19 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $24,603 – $75,844 · median $38,774 | 19 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $12,728 – $39,236 · median $20,556 | 19 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,679 – $29,839 · median $15,732 | 19 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $15,868 – $56,021 · median $25,272 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $9,501 – $29,290 · median $15,432 | 19 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,030 – $21,670 · median $11,253 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $12,401 – $38,230 · median $23,413 | 19 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,660 – $29,781 · median $14,902 | 19 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,534 – $23,227 · median $11,769 | 19 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $15,879 – $48,952 · median $25,251 | 19 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,965 – $27,636 · median $14,648 | 19 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,210 – $21,823 · median $9,663 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,770 – $33,202 · median $16,914 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,516 – $23,170 · median $11,990 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,971 – $18,408 · median $9,680 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $15,996 – $55,001 · median $24,149 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,422 – $22,879 · median $12,315 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,659 – $20,529 · median $9,919 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $18,433 – $58,689 · median $29,435 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,348 – $31,900 · median $15,507 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,006 – $21,596 · median $10,634 | 19 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,505 – $146,352 · median $78,116 | 19 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $14,622 – $99,232 · median $51,164 | 19 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $11,110 – $76,898 · median $39,847 | 19 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $37,800 – $116,527 · median $63,858 | 19 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $24,792 – $76,428 · median $40,876 | 19 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,879 – $27,371 · median $13,950 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,848 – $14,946 · median $7,486 | 19 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,157 – $9,731 · median $5,050 | 19 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,269 – $25,491 · median $13,018 | 19 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,111 – $15,755 · median $8,017 | 19 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,559 – $10,970 · median $6,048 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,540 – $23,244 · median $11,554 | 19 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,898 – $12,018 · median $5,962 | 19 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,788 – $8,594 · median $4,404 | 19 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,567 – $26,411 · median $12,720 | 19 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,379 – $13,499 · median $6,842 | 19 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,185 – $9,817 · median $4,959 | 19 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,634 – $23,533 · median $11,843 | 19 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,915 – $15,152 · median $7,757 | 19 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,613 – $11,139 · median $5,864 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $30,386 – $102,921 · median $47,358 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,506 – $57,051 · median $30,058 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,340 – $71,952 · median $37,775 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $13,986 – $43,115 · median $22,896 | 19 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $38,382 – $118,323 · median $59,561 | 19 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $26,011 – $80,185 · median $42,265 | 19 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $19,569 – $60,327 · median $29,574 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $27,812 – $85,736 · median $39,146 | 19 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $12,979 – $40,010 · median $18,853 | 19 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,477 – $75,457 · median $40,397 | 19 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,363 – $41,195 · median $22,076 | 19 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,868 – $24,255 · median $12,926 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $23,089 – $71,177 · median $36,895 | 19 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $15,523 – $47,853 · median $24,996 | 19 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,889 – $36,650 · median $19,477 | 19 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $14,814 – $45,667 · median $21,499 | 19 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $8,545 – $26,342 · median $13,672 | 19 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,013 – $67,861 · median $34,225 | 19 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $13,130 – $40,477 · median $20,881 | 19 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,729 – $33,075 · median $17,303 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $20,325 – $62,656 · median $30,427 | 19 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,777 – $30,140 · median $16,130 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,271 – $16,250 · median $8,365 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,586 – $48,046 · median $24,485 | 19 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,599 – $32,673 · median $17,430 | 19 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,048 – $24,810 · median $13,175 | 19 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $13,329 – $41,089 · median $20,642 | 19 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,403 – $28,988 · median $14,845 | 19 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,190 – $22,164 · median $11,560 | 19 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $11,548 – $35,601 · median $19,647 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $14,590 – $44,977 · median $22,873 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $9,612 – $29,631 · median $14,821 | 19 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,161 – $22,077 · median $11,101 | 19 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,907 – $27,459 · median $12,538 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,612 – $17,302 · median $7,916 | 19 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $16,094 – $49,614 · median $26,023 | 19 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $10,881 – $33,544 · median $17,975 | 19 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $8,545 – $26,341 · median $14,222 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $15,955 – $49,186 · median $25,698 | 19 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,942 – $27,565 · median $12,786 | 19 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,085 – $18,757 · median $8,564 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $11,443 – $35,275 · median $21,382 | 19 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,261 – $16,218 · median $14,280 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $14,361 – $44,270 · median $22,431 | 19 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,088 – $24,934 · median $12,390 | 19 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,332 – $19,520 · median $9,539 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $11,994 – $36,976 · median $19,783 | 19 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,954 – $24,519 · median $13,248 | 19 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,954 – $24,519 · median $12,707 | 19 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,794 – $20,944 · median $9,563 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,784 – $27,079 · median $12,803 | 19 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,849 – $18,031 · median $10,734 | 19 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $12,953 – $39,931 · median $21,409 | 19 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $8,888 – $27,400 · median $14,738 | 19 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $7,287 – $22,463 · median $11,733 | 19 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,823 – $21,035 · median $11,158 | 19 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,621 – $14,245 · median $7,246 | 19 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $14,015 – $43,204 · median $22,588 | 19 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,117 – $28,105 · median $14,729 | 19 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,765 – $20,855 · median $10,892 | 19 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $16,243 – $50,072 · median $26,489 | 19 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,937 – $27,549 · median $14,177 | 19 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,495 – $20,023 · median $10,588 | 19 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,911 – $21,304 · median $11,111 | 19 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,689 – $11,372 · median $5,713 | 19 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,027 – $18,580 · median $9,087 | 19 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,675 – $11,329 · median $5,724 | 19 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $4,165 – $12,839 · median $6,764 | 19 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $3,043 – $9,382 · median $5,105 | 19 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,166 – $28,255 · median $13,961 | 19 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,865 – $18,080 · median $9,188 | 19 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,965 – $12,223 · median $5,581 | 19 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,453 – $26,945 · median $12,521 | 19 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,808 – $14,822 · median $7,286 | 19 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,425 – $10,558 · median $5,348 | 19 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $11,452 – $35,303 · median $17,590 | 19 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,247 – $16,174 · median $8,175 | 19 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,382 – $10,425 · median $5,927 | 19 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,130 – $28,146 · median $13,686 | 19 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,462 – $16,836 · median $8,556 | 19 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,907 – $12,044 · median $6,195 | 19 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,733 – $23,840 · median $11,880 | 19 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,368 – $13,465 · median $6,813 | 19 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,919 – $18,246 · median $9,188 | 19 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,782 – $11,660 · median $5,884 | 19 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,103 – $18,813 · median $9,369 | 19 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,700 – $11,407 · median $5,887 | 19 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $7,023 – $21,651 · median $10,539 | 19 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $3,915 – $12,068 · median $6,331 | 19 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,413 – $25,934 · median $13,218 | 19 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,705 – $11,423 · median $5,698 | 19 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $6,633 – $20,447 · median $10,099 | 19 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $4,051 – $12,487 · median $6,347 | 19 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,112 – $21,923 · median $10,941 | 19 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,621 – $14,246 · median $6,906 | 19 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,390 – $10,790 · median $5,311 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,642 – $42,056 · median $20,846 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,588 – $23,392 · median $11,975 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,177 – $15,960 · median $8,125 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $27,909 – $86,036 · median $46,435 | 19 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,703 – $48,408 · median $24,604 | 19 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,049 – $27,896 · median $12,737 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $24,452 – $75,378 · median $34,739 | 19 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,068 – $47,658 · median $18,788 | 19 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,661 – $24,484 · median $11,386 | 19 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $14,772 – $45,537 · median $22,954 | 19 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,035 – $24,771 · median $12,248 | 19 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,522 – $20,796 · median $10,228 | 19 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,936 – $27,960 · median $13,655 | 19 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,445 – $26,712 · median $12,222 | 19 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,279 – $30,715 · median $15,173 | 19 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,996 – $29,053 · median $13,673 | 19 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,335 – $13,365 · median $7,383 | 19 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,717 – $8,376 · median $4,288 | 19 plans |
| 602 | CELLULITIS WITH MCC | $6,658 – $20,526 · median $10,074 | 19 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,992 – $12,306 · median $6,173 | 19 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,733 – $20,757 · median $10,434 | 19 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,186 – $12,905 · median $6,492 | 19 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,065 – $22,498 · median $10,725 | 19 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,917 – $12,074 · median $6,424 | 19 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,328 – $31,840 · median $15,535 | 19 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,494 – $20,020 · median $9,918 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,516 – $53,998 · median $24,718 | 19 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,754 – $26,986 · median $13,256 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,643 – $17,395 · median $10,053 | 19 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $12,357 – $38,092 · median $20,465 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,238 – $22,312 · median $11,343 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,625 – $20,423 · median $10,691 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,959 – $52,279 · median $25,227 | 19 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,669 – $26,724 · median $12,715 | 19 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,546 – $14,014 · median $8,873 | 19 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,994 – $40,056 · median $21,406 | 19 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,840 – $21,086 · median $10,627 | 19 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,742 – $17,700 · median $9,415 | 19 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,882 – $55,125 · median $26,415 | 19 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,193 – $31,422 · median $15,443 | 19 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,351 – $19,578 · median $10,345 | 19 plans |
| 637 | DIABETES WITH MCC | $6,600 – $20,346 · median $10,183 | 19 plans |
| 638 | DIABETES WITH CC | $4,157 – $12,814 · median $6,352 | 19 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,840 – $8,754 · median $4,403 | 19 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $6,019 – $18,553 · median $9,466 | 19 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,541 – $10,917 · median $5,516 | 19 plans |
| 652 | KIDNEY TRANSPLANT | $13,920 – $42,911 · median $22,890 | 19 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $14,765 – $45,518 · median $22,566 | 19 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,285 – $25,540 · median $12,971 | 19 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,331 – $13,352 · median $6,927 | 19 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,146 – $9,699 · median $4,890 | 19 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $8,795 – $27,112 · median $14,178 | 19 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $6,719 – $21,422 · median $10,874 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,184 – $31,394 · median $16,494 | 19 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,804 – $20,976 · median $9,931 | 19 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,659 – $26,693 · median $14,769 | 19 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,847 – $14,943 · median $7,794 | 19 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $6,553 – $20,202 · median $10,656 | 19 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,259 – $13,129 · median $7,495 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,235 – $31,551 · median $15,857 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,432 – $19,829 · median $10,426 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $8,409 – $25,923 · median $13,399 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,583 – $17,211 · median $9,520 | 19 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $7,835 – $24,154 · median $12,827 | 19 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $5,089 – $15,688 · median $8,099 | 19 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,302 – $10,179 · median $4,647 | 19 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,722 – $17,640 · median $8,294 | 19 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,374 – $10,400 · median $5,117 | 19 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,659 – $20,529 · median $10,510 | 19 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,703 – $11,416 · median $5,750 | 19 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,989 – $15,381 · median $7,504 | 19 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,750 – $8,479 · median $4,763 | 19 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $9,530 – $29,378 · median $15,097 | 19 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,501 – $16,959 · median $9,537 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $17,845 – $55,012 · median $25,335 | 19 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,057 – $27,920 · median $14,605 | 19 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,875 – $21,193 · median $10,408 | 19 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $18,041 – $55,617 · median $25,394 | 19 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $8,241 – $25,403 · median $12,826 | 19 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $6,225 – $19,191 · median $10,108 | 19 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,279 – $25,521 · median $13,005 | 19 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,433 – $16,747 · median $8,794 | 19 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,856 – $27,299 · median $14,524 | 19 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,178 – $14,317 · median $8,062 | 19 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,589 – $23,396 · median $12,312 | 19 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,329 – $13,345 · median $6,093 | 19 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,174 – $19,033 · median $9,833 | 19 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $11,732 – $36,165 · median $18,199 | 19 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,844 – $18,428 · median $10,460 | 19 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,200 – $25,278 · median $13,054 | 19 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,031 – $15,509 · median $7,710 | 19 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,328 – $13,342 · median $6,808 | 19 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,414 – $19,773 · median $10,149 | 19 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,619 – $14,241 · median $6,939 | 19 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,900 – $8,941 · median $4,703 | 19 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,467 – $13,770 · median $7,141 | 19 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,873 – $8,856 · median $4,044 | 19 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,876 – $15,033 · median $7,107 | 19 plans |
| 779 | ABORTION WITHOUT D&C | $4,237 – $13,060 · median $5,963 | 19 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $21,549 – $66,429 · median $32,100 | 19 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $13,205 – $41,336 · median $19,912 | 19 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,440 – $22,936 · median $13,530 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $16,246 – $50,083 · median $28,238 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,067 – $24,868 · median $13,175 | 19 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,011 – $15,446 · median $9,611 | 19 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,380 – $31,998 · median $15,649 | 19 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,613 – $17,303 · median $8,972 | 19 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,314 – $13,298 · median $7,418 | 19 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $6,376 – $19,656 · median $9,953 | 19 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,183 – $12,894 · median $6,508 | 19 plans |
| 813 | COAGULATION DISORDERS | $7,016 – $21,627 · median $10,811 | 19 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,474 – $29,206 · median $15,074 | 19 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,605 – $14,196 · median $7,187 | 19 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,988 – $9,212 · median $4,479 | 19 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $26,387 – $81,343 · median $41,568 | 19 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,117 – $31,189 · median $15,867 | 19 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,183 – $19,950 · median $8,534 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $21,207 – $65,377 · median $32,496 | 19 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $9,968 – $30,728 · median $16,058 | 19 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,578 – $17,196 · median $9,564 | 19 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $21,643 – $66,719 · median $33,155 | 19 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,695 – $32,970 · median $16,381 | 19 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,264 – $22,394 · median $12,076 | 19 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,976 – $43,084 · median $22,397 | 19 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,628 – $20,433 · median $10,667 | 19 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $25,050 – $87,469 · median $38,911 | 19 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $9,680 – $29,841 · median $14,784 | 19 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,759 – $17,753 · median $8,644 | 19 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $22,693 – $69,956 · median $34,052 | 19 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $9,192 – $28,336 · median $14,795 | 19 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,211 – $19,146 · median $10,234 | 19 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,106 – $21,907 · median $11,563 | 19 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,767 – $14,696 · median $7,161 | 19 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $8,580 – $26,451 · median $14,139 | 19 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,417 – $16,698 · median $8,629 | 19 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,792 – $11,691 · median $6,036 | 19 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,574 – $35,679 · median $18,375 | 19 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,759 – $17,753 · median $9,272 | 19 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,711 – $11,441 · median $6,020 | 19 plans |
| 849 | RADIOTHERAPY | $12,105 – $37,318 · median $19,204 | 19 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $41,748 – $128,699 · median $61,376 | 19 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $22,666 – $69,873 · median $35,004 | 19 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,055 – $27,915 · median $14,162 | 19 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,367 – $23,496 · median $10,612 | 19 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $20,447 – $63,032 · median $32,240 | 19 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,875 – $30,441 · median $15,178 | 19 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,839 – $18,000 · median $9,873 | 19 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,333 – $25,688 · median $12,926 | 19 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,532 – $13,970 · median $7,073 | 19 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,070 – $12,546 · median $6,292 | 19 plans |
| 865 | VIRAL ILLNESS WITH MCC | $6,689 – $20,620 · median $10,620 | 19 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,010 – $12,362 · median $6,164 | 19 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,718 – $29,958 · median $14,836 | 19 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,759 – $14,671 · median $7,308 | 19 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,261 – $10,054 · median $5,172 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $31,527 – $97,189 · median $48,989 | 19 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $8,892 – $27,413 · median $13,768 | 19 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,672 – $14,404 · median $7,253 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,809 – $54,900 · median $27,393 | 19 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $2,828 – $8,719 · median $4,372 | 19 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $6,562 – $20,229 · median $10,033 | 19 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $8,071 – $24,880 · median $12,369 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $20,079 – $61,899 · median $29,744 | 19 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,973 – $15,909 · median $7,982 | 18 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $3,998 – $12,325 · median $6,257 | 18 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | — | 15 plans |
| 213 | SPLENECTOMY AGE 0-17 | $17,717 – $57,640 · median $40,449 | 15 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,959 – $38,022 · median $17,168 | 15 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $62,044 – $86,892 · median $62,807 | 15 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $42,824 – $59,975 · median $43,351 | 15 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $32,247 – $45,161 · median $32,643 | 15 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $46,437 – $65,035 · median $47,008 | 15 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,611 – $35,868 · median $25,926 | 15 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $53,612 – $75,079 · median $54,268 | 12 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $36,542 – $51,173 · median $36,989 | 12 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $49,639 – $69,515 · median $50,247 | 12 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $35,415 – $49,594 · median $35,848 | 12 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,820 – $62,765 · median $45,368 | 12 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,155 – $49,232 · median $35,585 | 12 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $20,974 – $29,372 · median $21,231 | 12 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $13,371 – $18,724 · median $13,534 | 12 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $21,075 – $29,513 · median $21,333 | 12 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $12,721 – $17,814 · median $12,876 | 12 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $18,601 – $26,049 · median $18,829 | 12 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $11,402 – $15,968 · median $11,542 | 12 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,402 – $11,766 · median $8,505 | 12 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $15,818 – $22,151 · median $16,011 | 12 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $10,175 – $14,250 · median $10,300 | 12 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,651 – $10,715 · median $7,745 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,076 – $34,730 · median $24,316 | 4 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,904 – $24,384 · median $17,073 | 4 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $12,539 – $50,473 · median $31,506 | 2 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $8,715 – $31,031 · median $19,873 | 2 plans |
| 104 | CRANIOTOMY VENTRICULAR SHUNT AND ENDOVASC INTRACRANIAL PROC AGE 0-17 | $28,314 – $28,314 · median $28,314 | 1 plans |
| 105 | TRAUMATIC STUPOR AND COMA COMA <1 HR AGE 0-17 | $4,106 – $4,106 · median $4,106 | 1 plans |
| 106 | CONCUSSION AGE 0-17 | $3,754 – $3,754 · median $3,754 | 1 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $5,242 – $5,242 · median $5,242 | 1 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $10,177 – $10,177 · median $10,177 | 1 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $7,881 – $7,881 · median $7,881 | 1 plans |
| 111 | SINUS AND MASTOID PROCEDURES AGE 0-17 | $22,582 – $22,582 · median $22,582 | 1 plans |
| 112 | OTITIS MEDIA AND URI AGE 0-17 | $3,020 – $3,020 · median $3,020 | 1 plans |
| 118 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES AGE 0-17 | $5,451 – $5,451 · median $5,451 | 1 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $6,911 – $6,911 · median $6,911 | 1 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $8,518 – $8,518 · median $8,518 | 1 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $17,980 – $17,980 · median $17,980 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $9,729 – $9,729 · median $9,729 | 1 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $18,303 – $18,303 · median $18,303 | 1 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $11,002 – $11,002 · median $11,002 | 1 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $14,397 – $14,397 · median $14,397 | 1 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $7,786 – $7,786 · median $7,786 | 1 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $8,621 – $8,621 · median $8,621 | 1 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $18,617 – $18,617 · median $18,617 | 1 plans |
| 162 | LOWER EXTREM AND HUMER PROC EXCEPT HIPFOOTFEMUR AGE 0-17 | $11,516 – $11,516 · median $11,516 | 1 plans |
| 169 | FX SPRN STRN & DISL EXCEPT FEMUR HIP PELVIS & THIGH AGE 0-17 | $4,395 – $4,395 · median $4,395 | 1 plans |
| 170 | CELLULITIS AGE 0-17 | $3,388 – $3,388 · median $3,388 | 1 plans |
| 171 | TRAUMA TO THE SKIN SUBCUT TISS AND BREAST AGE 0-17 | $5,253 – $5,253 · median $5,253 | 1 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES AND ELECTROLYTES 0-17 | $5,620 – $5,620 · median $5,620 | 1 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $4,045 – $4,045 · median $4,045 | 1 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $15,256 – $15,256 · median $15,256 | 1 plans |
| 211 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 | $5,987 – $5,987 · median $5,987 | 1 plans |
| 214 | RED BLOOD CELL DISORDERS AGE 0-17 | $5,829 – $5,829 · median $5,829 | 1 plans |
| 608 | BPD AND OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $35,534 – $35,534 · median $35,534 | 1 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $27,645 – $27,645 · median $27,645 | 1 plans |
| 610 | NEONATE DIED W/IN ONE DAY OF BIRTH | $3,492 – $3,492 · median $3,492 | 1 plans |
| 611 | NEONATE TRANSFERRED <5 DAYS OLD | $2,258 – $2,258 · median $2,258 | 1 plans |
| 612 | NEONATE BIRTHWT <750G DISCHARGED ALIVE | $299,521 – $299,521 · median $299,521 | 1 plans |
| 613 | NEONATE BIRTHWT <750G DIED | $41,993 – $41,993 · median $41,993 | 1 plans |
| 631 | NEONATE BIRTHWT 750-999G DISCHARGED ALIVE | $217,186 – $217,186 · median $217,186 | 1 plans |
| 632 | NEONATE BIRTHWT 750-999G DIED | $106,590 – $106,590 · median $106,590 | 1 plans |
| 633 | NEONATE BIRTHWT 1000-1499G WITH SIGNIF O.R. PROC DISCHARGED ALIVE | $326,859 – $326,859 · median $326,859 | 1 plans |
| 634 | NEONATE BIRTHWT 1000-1499G WITHOUT SIGNIF O.R. PROC DISCHARGED ALIVE | $117,157 – $117,157 · median $117,157 | 1 plans |
| 635 | NEONATE BIRTHWT 1000-1499G DIED | $65,206 – $65,206 · median $65,206 | 1 plans |
| 636 | NEONATE BIRTHWT 1500-1999G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB | $192,057 – $192,057 · median $192,057 | 1 plans |
| 646 | NEONATE BIRTHWT 1500-1999G WITH SIGNIF O.R. PROC WITHOUT MULT MAJOR PROB | $60,843 – $60,843 · median $60,843 | 1 plans |
| 647 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH MULT MAJOR PROB | $65,342 – $65,342 · median $65,342 | 1 plans |
| 648 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH MAJOR PROB | $45,549 – $45,549 · median $45,549 | 1 plans |
| 649 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH MINOR PROB | $32,098 – $32,098 · median $32,098 | 1 plans |
| 676 | NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITHOUT MULT MAJOR PROB | $31,018 – $31,018 · median $31,018 | 1 plans |
| 677 | NEONATE BIRTHWT 2000-2499G WITHOUT SIGNIF O.R. PROC WITH MULT MAJOR PROB | $43,146 – $43,146 · median $43,146 | 1 plans |
| 678 | NEONATE BIRTHWT 2000-2499G WITHOUT SIGNIF O.R. PROC WITH MAJOR PROB | $25,861 – $25,861 · median $25,861 | 1 plans |
| 679 | NEONATE BIRTHWT 2000-2499G WITHOUT SIGNIF O.R. PROC WITH MINOR PROB | $11,971 – $11,971 · median $11,971 | 1 plans |
| 680 | NEONATE BIRTHWT 2000-2499G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB | $8,069 – $8,069 · median $8,069 | 1 plans |
| 681 | NEONATE BIRTHWT >2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB | $130,815 – $130,815 · median $130,815 | 1 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $7,741 – $7,741 · median $7,741 | 1 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH MCC | $10,250 – $10,250 · median $10,250 | 1 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH CC | $7,818 – $7,818 · median $7,818 | 1 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT CC/MCC | $6,846 – $6,846 · median $6,846 | 1 plans |
| 765 | CESAREAN SECTION W CC/MCC | $8,436 – $8,436 · median $8,436 | 1 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $5,839 – $5,839 · median $5,839 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $6,574 – $6,574 · median $6,574 | 1 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,491 – $10,491 · median $10,491 | 1 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,514 – $8,514 · median $8,514 | 1 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,251 – $7,251 · median $7,251 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $5,535 – $5,535 · median $5,535 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $4,358 – $4,358 · median $4,358 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $7,834 – $7,834 · median $7,834 | 1 plans |
| 778 | THREATENED ABORTION | $4,354 – $4,354 · median $4,354 | 1 plans |
| 780 | FALSE LABOR | $2,224 – $2,224 · median $2,224 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $5,827 – $5,827 · median $5,827 | 1 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $3,133 – $3,133 · median $3,133 | 1 plans |
| 898 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC | $8,257 – $8,257 · median $8,257 | 1 plans |
| 899 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC | $8,419 – $8,419 · median $8,419 | 1 plans |
No procedures match that keyword.