Carlsbad Medical Center (Acute Care) — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,000 – $37,025 · median $9,106 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,650 – $77,989 · median $19,142 | 29 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,650 – $36,691 · median $9,024 | 29 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,650 – $33,718 · median $8,296 | 29 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,650 – $53,818 · median $13,220 | 29 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,650 – $38,338 · median $9,428 | 29 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,650 – $33,747 · median $8,303 | 29 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,000 – $39,797 · median $9,785 | 29 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,000 – $34,956 · median $8,599 | 29 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,000 – $33,697 · median $8,291 | 29 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,000 – $37,246 · median $9,160 | 29 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,000 – $27,796 · median $6,845 | 29 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,937 – $25,477 · median $6,277 | 29 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $15,000 – $674,244 · median $168,561 | 27 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $15,000 – $500,164 · median $122,575 | 27 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $15,000 – $173,256 · median $43,314 | 27 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $15,000 – $133,926 · median $32,847 | 27 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,230 – $91,544 · median $22,463 | 27 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $15,000 – $249,962 · median $63,740 | 27 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $15,000 – $168,164 · median $42,883 | 27 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $15,000 – $103,514 · median $26,410 | 27 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $15,000 – $182,030 · median $45,893 | 27 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $15,000 – $124,266 · median $31,698 | 27 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $15,000 – $144,431 · median $36,836 | 27 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $15,000 – $98,767 · median $25,201 | 27 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,000 – $80,143 · median $20,455 | 27 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $15,000 – $190,861 · median $46,796 | 27 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $15,000 – $108,374 · median $27,648 | 27 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,372 – $69,733 · median $17,803 | 27 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $15,000 – $142,328 · median $34,905 | 27 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,284 – $67,810 · median $16,952 | 27 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,130 – $54,207 · median $13,847 | 27 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $15,000 – $122,957 · median $31,364 | 27 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,624 – $75,937 · median $18,984 | 27 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,982 – $62,341 · median $15,308 | 27 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $13,514 – $104,578 · median $25,656 | 27 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,884 – $53,036 · median $13,548 | 27 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,161 – $40,044 · median $10,238 | 27 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $15,000 – $122,656 · median $31,287 | 27 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,553 – $69,844 · median $17,147 | 27 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,449 – $56,090 · median $13,777 | 27 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,848 – $58,520 · median $14,946 | 27 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,965 – $34,340 · median $8,784 | 27 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,716 – $50,255 · median $12,347 | 27 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,846 – $35,514 · median $8,736 | 27 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,999 – $73,796 · median $18,115 | 27 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,336 – $43,534 · median $10,701 | 27 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $6,350 – $55,561 · median $13,647 | 27 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,496 – $41,944 · median $10,311 | 27 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,115 – $32,614 · median $8,025 | 27 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,000 – $87,583 · median $22,351 | 27 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,704 – $56,947 · median $14,545 | 27 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,552 – $46,678 · median $11,928 | 27 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,577 – $64,323 · median $15,794 | 27 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,154 – $35,243 · median $9,015 | 27 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,169 – $25,773 · median $6,602 | 27 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,947 – $48,564 · median $12,409 | 27 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,266 – $31,004 · median $7,934 | 27 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,866 – $29,097 · median $7,392 | 27 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,141 – $54,262 · median $13,994 | 27 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,250 – $35,700 · median $9,218 | 27 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,607 – $27,860 · median $7,133 | 27 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,052 – $52,504 · median $12,898 | 27 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,572 – $35,839 · median $8,815 | 27 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,663 – $61,606 · median $15,128 | 27 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,614 – $29,865 · median $7,352 | 27 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $6,749 – $58,482 · median $14,363 | 27 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,019 – $31,910 · median $7,853 | 27 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,923 – $72,605 · median $18,534 | 27 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,503 – $46,446 · median $11,983 | 27 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,822 – $33,660 · median $8,694 | 27 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $9,113 – $72,170 · median $17,716 | 27 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,605 – $43,740 · median $10,751 | 27 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,572 – $32,465 · median $7,989 | 27 plans |
| 088 | CONCUSSION WITH MCC | $4,820 – $45,167 · median $11,101 | 27 plans |
| 089 | CONCUSSION WITH CC | $4,445 – $37,809 · median $9,298 | 27 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,655 – $29,806 · median $7,337 | 27 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,742 – $56,918 · median $13,980 | 27 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,017 – $35,612 · median $8,760 | 27 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,476 – $29,025 · median $7,146 | 27 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $15,000 – $111,798 · median $27,425 | 27 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,837 – $81,931 · median $20,483 | 27 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,220 – $81,931 · median $20,108 | 27 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $13,274 – $114,733 · median $28,144 | 27 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,799 – $72,900 · median $17,895 | 27 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,808 – $45,475 · median $11,176 | 27 plans |
| 100 | SEIZURES WITH MCC | $4,033 – $62,166 · median $15,265 | 27 plans |
| 101 | SEIZURES WITHOUT MCC | $3,442 – $32,114 · median $7,903 | 27 plans |
| 102 | HEADACHES WITH MCC | $3,671 – $38,457 · median $9,457 | 27 plans |
| 103 | HEADACHES WITHOUT MCC | $2,872 – $30,187 · median $7,431 | 27 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $5,507 – $74,685 · median $18,333 | 27 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,137 – $45,202 · median $11,109 | 27 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,270 – $50,488 · median $12,404 | 27 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $5,982 – $58,427 · median $14,349 | 27 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,489 – $37,411 · median $9,200 | 27 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,061 – $39,689 · median $9,759 | 27 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,247 – $28,720 · median $7,071 | 27 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,644 – $29,092 · median $7,162 | 27 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $4,226 – $44,333 · median $10,896 | 27 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,649 – $28,197 · median $6,943 | 27 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,454 – $68,943 · median $16,926 | 27 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,357 – $35,389 · median $8,705 | 27 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,125 – $49,276 · median $12,107 | 27 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,181 – $31,637 · median $7,786 | 27 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,477 – $41,793 · median $10,274 | 27 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $10,231 – $135,492 · median $33,230 | 27 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $6,712 – $69,285 · median $17,010 | 27 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,446 – $52,275 · median $12,842 | 27 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $7,994 – $119,015 · median $29,193 | 27 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $4,894 – $56,241 · median $13,814 | 27 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,110 – $40,823 · median $10,036 | 27 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,085 – $67,414 · median $16,854 | 27 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,746 – $42,834 · median $10,949 | 27 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,856 – $29,048 · median $7,436 | 27 plans |
| 149 | DYSEQUILIBRIUM | $3,061 – $27,726 · median $6,828 | 27 plans |
| 150 | EPISTAXIS WITH MCC | $6,006 – $44,577 · median $10,956 | 27 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,979 – $27,214 · median $6,702 | 27 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,888 – $40,239 · median $9,893 | 27 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,708 – $27,336 · median $6,732 | 27 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,951 – $51,319 · median $12,608 | 27 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,702 – $32,518 · median $8,002 | 27 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,071 – $25,968 · median $6,397 | 27 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,309 – $55,773 · median $13,699 | 27 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,231 – $32,323 · median $7,954 | 27 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,626 – $26,473 · median $6,521 | 27 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $15,000 – $166,526 · median $42,466 | 27 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,000 – $80,178 · median $20,464 | 27 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,661 – $61,510 · median $15,707 | 27 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $14,300 – $118,733 · median $29,124 | 27 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,783 – $58,290 · median $14,316 | 27 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,324 – $45,591 · median $11,651 | 27 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $11,738 – $94,549 · median $23,199 | 27 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,368 – $45,800 · median $11,817 | 27 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,904 – $29,278 · median $7,566 | 27 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,519 – $51,296 · median $13,105 | 27 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,945 – $34,247 · median $8,761 | 27 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,599 – $27,825 · median $7,124 | 27 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,758 – $57,203 · median $14,610 | 27 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,524 – $37,007 · median $9,464 | 27 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,532 – $27,790 · median $6,947 | 27 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,122 – $50,342 · median $12,369 | 27 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,269 – $36,807 · median $9,052 | 27 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,695 – $28,740 · median $7,076 | 27 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,500 – $51,173 · median $12,572 | 27 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,025 – $34,627 · median $8,657 | 27 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,369 – $26,726 · median $6,583 | 27 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,526 – $41,784 · median $10,681 | 27 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,748 – $38,074 · median $9,736 | 27 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,135 – $30,382 · median $7,595 | 27 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,911 – $24,541 · median $6,135 | 27 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,007 – $44,080 · median $11,266 | 27 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,909 – $29,304 · median $7,501 | 27 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,615 – $24,149 · median $5,951 | 27 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,536 – $60,725 · median $14,912 | 27 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,782 – $52,551 · median $12,910 | 27 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,363 – $26,697 · median $6,666 | 27 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,555 – $57,148 · median $14,388 | 27 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,379 – $37,830 · median $9,303 | 27 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,207 – $26,665 · median $6,568 | 27 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,141 – $34,107 · median $8,391 | 27 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,707 – $25,355 · median $6,247 | 27 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,521 – $29,347 · median $7,225 | 27 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,687 – $59,092 · median $14,512 | 27 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,678 – $33,233 · median $8,177 | 27 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $15,000 – $233,778 · median $58,663 | 27 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,000 – $87,316 · median $22,283 | 27 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $15,000 – $345,429 · median $84,665 | 27 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $15,000 – $316,296 · median $77,527 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $15,000 – $310,762 · median $79,244 | 27 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $15,000 – $208,872 · median $53,262 | 27 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $15,000 – $208,872 · median $51,208 | 27 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $15,000 – $243,910 · median $60,978 | 27 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $15,000 – $169,403 · median $43,199 | 27 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $15,000 – $160,108 · median $39,261 | 27 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $15,000 – $157,160 · median $40,079 | 27 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $15,000 – $100,048 · median $25,527 | 27 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $15,000 – $267,786 · median $66,946 | 27 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $15,000 – $192,586 · median $49,109 | 27 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $15,000 – $242,859 · median $59,535 | 27 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $15,000 – $173,529 · median $44,250 | 27 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $15,000 – $186,423 · median $47,538 | 27 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $15,000 – $133,062 · median $33,939 | 27 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $15,000 – $156,344 · median $38,339 | 27 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,857 – $90,550 · median $22,219 | 27 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,433 – $46,114 · median $11,785 | 27 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $15,000 – $101,423 · median $24,883 | 27 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,981 – $67,807 · median $17,312 | 27 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,011 – $58,409 · median $14,917 | 27 plans |
| 245 | AICD GENERATOR PROCEDURES | $15,000 – $144,930 · median $35,543 | 27 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,295 – $69,330 · median $17,700 | 27 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,104 – $49,314 · median $12,600 | 27 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $15,000 – $110,810 · median $27,183 | 27 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,421 – $82,452 · median $20,236 | 27 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,843 – $57,659 · median $14,161 | 27 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,000 – $85,686 · median $21,422 | 27 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,428 – $55,224 · median $13,565 | 27 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,518 – $37,623 · median $9,252 | 27 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,594 – $99,813 · median $24,489 | 27 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,636 – $64,645 · median $16,161 | 27 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,105 – $103,329 · median $25,350 | 27 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,700 – $60,821 · median $14,936 | 27 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,344 – $53,248 · median $13,081 | 27 plans |
| 263 | VEIN LIGATION AND STRIPPING | $5,186 – $97,122 · median $23,830 | 27 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $11,467 – $106,118 · median $26,034 | 27 plans |
| 265 | AICD LEAD PROCEDURES | $15,000 – $114,937 · median $28,194 | 27 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $15,000 – $194,676 · median $49,642 | 27 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $15,000 – $151,232 · median $38,569 | 27 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $15,000 – $226,414 · median $55,506 | 27 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $10,427 – $134,155 · median $32,903 | 27 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $15,000 – $167,608 · median $42,741 | 27 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $15,000 – $112,970 · median $27,712 | 27 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,836 – $81,099 · median $19,904 | 27 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $15,000 – $131,051 · median $33,427 | 27 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $15,000 – $104,565 · median $26,678 | 27 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $15,000 – $226,506 · median $57,759 | 27 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $15,000 – $190,807 · median $48,656 | 27 plans |
| 277 | CELLULITIS AGE >17 W CC | $15,000 – $146,712 · median $37,417 | 27 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $15,000 – $176,817 · median $43,355 | 27 plans |
| 279 | CELLULITIS AGE 0-17 | $11,742 – $114,562 · median $28,102 | 27 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,772 – $52,499 · median $13,540 | 27 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,599 – $32,593 · median $8,419 | 27 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,405 – $26,898 · median $6,954 | 27 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,066 – $63,445 · median $16,201 | 27 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,217 – $26,000 · median $6,723 | 27 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,648 – $23,289 · median $6,005 | 27 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $8,328 – $70,292 · median $17,256 | 27 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,519 – $36,981 · median $9,458 | 27 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,000 – $85,966 · median $21,939 | 27 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,398 – $55,486 · median $14,172 | 27 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,663 – $32,901 · median $8,418 | 27 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,721 – $43,191 · median $10,798 | 27 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,170 – $30,556 · median $7,521 | 27 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,448 – $22,332 · median $5,506 | 27 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,515 – $51,272 · median $13,099 | 27 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,798 – $24,309 · median $6,251 | 27 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,772 – $19,110 · median $4,904 | 27 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,544 – $53,330 · median $13,100 | 27 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,898 – $36,905 · median $9,077 | 27 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,840 – $26,799 · median $6,600 | 27 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,198 – $40,657 · median $9,996 | 27 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,101 – $25,448 · median $6,269 | 27 plans |
| 304 | HYPERTENSION WITH MCC | $5,018 – $40,465 · median $9,949 | 27 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,796 – $27,828 · median $6,852 | 27 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,599 – $51,676 · median $13,328 | 27 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,563 – $32,422 · median $8,375 | 27 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,592 – $40,872 · median $10,048 | 27 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,482 – $27,264 · median $6,714 | 27 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,271 – $22,335 · median $5,507 | 27 plans |
| 311 | ANGINA PECTORIS | $4,047 – $26,282 · median $6,474 | 27 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,406 – $31,213 · median $7,682 | 27 plans |
| 313 | CHEST PAIN | $3,358 – $26,808 · median $6,603 | 27 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $8,944 – $66,479 · median $16,322 | 27 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,868 – $33,878 · median $8,667 | 27 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,155 – $25,706 · median $6,648 | 27 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $15,000 – $141,769 · median $36,158 | 27 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,652 – $76,407 · median $19,503 | 27 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,000 – $86,429 · median $22,057 | 27 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,740 – $57,116 · median $14,728 | 27 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $15,000 – $137,465 · median $33,714 | 27 plans |
| 324 | URINARY STONES W/O CC | $12,101 – $100,095 · median $24,558 | 27 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $10,803 – $101,982 · median $25,020 | 27 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $15,000 – $158,431 · median $38,850 | 27 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,889 – $77,643 · median $19,818 | 27 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,761 – $52,446 · median $13,398 | 27 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,000 – $146,013 · median $35,808 | 27 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,603 – $76,150 · median $19,438 | 27 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,252 – $54,788 · median $13,995 | 27 plans |
| 332 | RECTAL RESECTION WITH MCC | $15,000 – $115,016 · median $28,214 | 27 plans |
| 333 | RECTAL RESECTION WITH CC | $13,340 – $74,403 · median $18,601 | 27 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,978 – $53,481 · median $13,662 | 27 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $15,000 – $113,434 · median $27,826 | 27 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,846 – $67,162 · median $17,148 | 27 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,192 – $50,491 · median $12,623 | 27 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $12,752 – $82,046 · median $20,136 | 27 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,857 – $49,610 · median $12,403 | 27 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,226 – $40,355 · median $10,298 | 27 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,885 – $72,922 · median $17,901 | 27 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,273 – $43,917 · median $10,794 | 27 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,925 – $31,184 · median $7,675 | 27 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,806 – $79,158 · median $19,428 | 27 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,713 – $50,185 · median $12,330 | 27 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,353 – $39,820 · median $9,791 | 27 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,870 – $92,185 · median $22,620 | 27 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $5,641 – $54,774 · median $13,454 | 27 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,930 – $44,969 · median $11,052 | 27 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $15,000 – $139,543 · median $34,223 | 27 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,042 – $73,872 · median $18,857 | 27 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,884 – $46,507 · median $11,429 | 27 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,529 – $52,144 · median $12,810 | 27 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,666 – $34,950 · median $8,597 | 27 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,717 – $26,250 · median $6,466 | 27 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,772 – $57,409 · median $14,100 | 27 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,519 – $35,554 · median $8,746 | 27 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,274 – $27,023 · median $6,655 | 27 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,015 – $68,033 · median $16,703 | 27 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,369 – $41,035 · median $10,490 | 27 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,631 – $32,744 · median $8,057 | 27 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,099 – $59,005 · median $14,491 | 27 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,440 – $34,383 · median $8,459 | 27 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,279 – $24,204 · median $5,965 | 27 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,703 – $62,905 · median $15,446 | 27 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,223 – $37,370 · median $9,190 | 27 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,817 – $29,150 · median $7,176 | 27 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,202 – $46,007 · median $11,306 | 27 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,797 – $30,725 · median $7,562 | 27 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,287 – $51,865 · median $12,742 | 27 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,201 – $34,255 · median $8,427 | 27 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,150 – $25,683 · median $6,327 | 27 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,594 – $48,799 · median $11,991 | 27 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,942 – $28,836 · median $7,100 | 27 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,733 – $21,693 · median $5,350 | 27 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,463 – $42,741 · median $10,506 | 27 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,080 – $28,540 · median $7,027 | 27 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,521 – $52,359 · median $12,863 | 27 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,248 – $33,076 · median $8,138 | 27 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,641 – $24,744 · median $6,097 | 27 plans |
| 397 | COAGULATION DISORDERS | $8,609 – $76,077 · median $18,674 | 27 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $6,434 – $49,869 · median $12,253 | 27 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $4,816 – $39,149 · median $9,626 | 27 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $15,000 – $173,777 · median $42,610 | 27 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,766 – $92,128 · median $22,606 | 27 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,408 – $70,508 · median $17,423 | 27 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $15,000 – $113,266 · median $27,785 | 27 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,263 – $69,164 · median $17,658 | 27 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,672 – $52,022 · median $13,290 | 27 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,501 – $104,933 · median $25,743 | 27 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,334 – $66,981 · median $16,445 | 27 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,903 – $54,137 · median $13,298 | 27 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,293 – $113,170 · median $27,761 | 27 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,875 – $65,941 · median $16,190 | 27 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,374 – $45,501 · median $11,183 | 27 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,986 – $75,807 · median $18,607 | 27 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,840 – $55,041 · median $13,520 | 27 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,200 – $45,574 · median $11,200 | 27 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $15,000 – $108,231 · median $26,551 | 27 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,584 – $56,375 · median $14,399 | 27 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,525 – $46,553 · median $11,896 | 27 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $15,000 – $131,925 · median $32,618 | 27 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,328 – $69,501 · median $17,744 | 27 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,139 – $49,482 · median $12,643 | 27 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,144 – $63,079 · median $15,489 | 27 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,578 – $36,577 · median $8,996 | 27 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,353 – $26,590 · median $6,549 | 27 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,679 – $59,258 · median $14,553 | 27 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,465 – $38,754 · median $9,529 | 27 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,927 – $30,681 · median $7,552 | 27 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,783 – $53,257 · median $13,083 | 27 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,124 – $30,329 · median $7,763 | 27 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,785 – $23,942 · median $6,135 | 27 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,225 – $58,037 · median $14,254 | 27 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,310 – $33,936 · median $8,349 | 27 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,262 – $26,218 · median $6,458 | 27 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,080 – $54,440 · median $13,372 | 27 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,874 – $37,687 · median $9,268 | 27 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,036 – $29,926 · median $7,366 | 27 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $15,000 – $266,944 · median $65,436 | 27 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $15,000 – $189,425 · median $46,444 | 27 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $15,000 – $132,548 · median $32,509 | 27 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $15,000 – $175,445 · median $44,738 | 27 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,000 – $84,498 · median $21,565 | 27 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $15,000 – $181,051 · median $46,168 | 27 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,000 – $98,942 · median $24,276 | 27 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,045 – $58,880 · median $14,460 | 27 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $15,000 – $165,356 · median $42,167 | 27 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $15,000 – $112,027 · median $28,579 | 27 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,000 – $87,293 · median $22,277 | 27 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $15,000 – $96,353 · median $24,586 | 27 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,750 – $61,937 · median $15,816 | 27 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $13,417 – $153,389 · median $37,615 | 27 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $11,505 – $93,586 · median $22,963 | 27 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $9,054 – $77,551 · median $19,035 | 27 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $15,000 – $136,369 · median $33,445 | 27 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,238 – $72,290 · median $17,746 | 27 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,217 – $40,180 · median $9,879 | 27 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,000 – $109,739 · median $26,921 | 27 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,941 – $78,119 · median $19,174 | 27 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,623 – $59,903 · median $14,711 | 27 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,000 – $92,513 · median $23,128 | 27 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,217 – $66,749 · median $16,687 | 27 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,936 – $53,280 · median $13,611 | 27 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,209 – $88,053 · median $21,608 | 27 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $15,000 – $102,513 · median $25,628 | 27 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,036 – $66,650 · median $16,364 | 27 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,492 – $51,397 · median $12,627 | 27 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,740 – $57,287 · median $14,070 | 27 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,353 – $38,338 · median $9,428 | 27 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $10,247 – $116,633 · median $28,610 | 27 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $7,207 – $80,562 · median $19,772 | 27 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $6,122 – $64,192 · median $15,762 | 27 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $15,000 – $115,175 · median $28,253 | 27 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,403 – $58,304 · median $14,319 | 27 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,935 – $40,997 · median $10,079 | 27 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $5,273 – $95,832 · median $23,514 | 27 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,964 – $64,433 · median $15,821 | 27 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,839 – $100,534 · median $24,665 | 27 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $5,271 – $56,683 · median $13,922 | 27 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,915 – $44,996 · median $11,059 | 27 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,961 – $88,663 · median $21,757 | 27 plans |
| 504 | FOOT PROCEDURES WITH CC | $5,953 – $60,202 · median $14,784 | 27 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,171 – $57,982 · median $14,240 | 27 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,286 – $45,091 · median $11,082 | 27 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,504 – $58,377 · median $14,337 | 27 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,616 – $49,892 · median $12,258 | 27 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $8,335 – $95,950 · median $23,542 | 27 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $5,601 – $66,310 · median $16,281 | 27 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $5,154 – $53,989 · median $13,262 | 27 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,482 – $51,633 · median $12,685 | 27 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,815 – $35,592 · median $8,755 | 27 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $15,000 – $101,236 · median $25,830 | 27 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,457 – $66,272 · median $16,271 | 27 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,030 – $50,540 · median $12,417 | 27 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,860 – $118,720 · median $29,121 | 27 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,953 – $64,009 · median $15,717 | 27 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,069 – $49,296 · median $12,112 | 27 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,000 – $91,175 · median $23,266 | 27 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,900 – $67,423 · median $17,214 | 27 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,075 – $51,441 · median $12,729 | 27 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,911 – $29,310 · median $7,216 | 27 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,702 – $43,139 · median $10,604 | 27 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,835 – $29,353 · median $7,226 | 27 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,256 – $33,616 · median $8,271 | 27 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,233 – $26,816 · median $6,605 | 27 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,721 – $63,122 · median $15,500 | 27 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,897 – $43,554 · median $11,062 | 27 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,700 – $28,766 · median $7,364 | 27 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,761 – $57,218 · median $14,614 | 27 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,262 – $35,758 · median $9,146 | 27 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,597 – $27,813 · median $7,121 | 27 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $11,111 – $78,834 · median $19,349 | 27 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,764 – $39,402 · median $9,688 | 27 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,969 – $30,184 · median $7,430 | 27 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,762 – $61,995 · median $15,831 | 27 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,354 – $40,965 · median $10,290 | 27 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,638 – $31,286 · median $7,700 | 27 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,478 – $54,591 · median $13,409 | 27 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,190 – $33,819 · median $8,320 | 27 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,897 – $43,554 · median $11,239 | 27 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,057 – $30,007 · median $7,680 | 27 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,318 – $44,295 · median $10,887 | 27 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,528 – $30,022 · median $7,390 | 27 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,545 – $49,093 · median $12,062 | 27 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,493 – $31,841 · median $7,836 | 27 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,303 – $60,077 · median $14,754 | 27 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,001 – $38,608 · median $9,494 | 27 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,447 – $29,246 · median $7,200 | 27 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,720 – $47,288 · median $11,620 | 27 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,975 – $31,907 · median $7,852 | 27 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,390 – $50,740 · median $12,466 | 27 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,230 – $34,200 · median $8,414 | 27 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,897 – $27,659 · median $6,811 | 27 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,000 – $216,143 · median $52,990 | 27 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,427 – $54,980 · median $13,505 | 27 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,876 – $39,195 · median $9,638 | 27 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $15,000 – $208,113 · median $51,022 | 27 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,000 – $110,273 · median $27,052 | 27 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,951 – $58,104 · median $14,840 | 27 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $15,000 – $155,693 · median $39,705 | 27 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,000 – $84,203 · median $21,490 | 27 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,786 – $52,565 · median $13,428 | 27 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,908 – $102,875 · median $25,239 | 27 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $5,948 – $56,099 · median $13,779 | 27 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,543 – $47,820 · median $11,751 | 27 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $5,488 – $61,870 · median $15,193 | 27 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,124 – $55,994 · median $13,753 | 27 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,208 – $68,092 · median $16,717 | 27 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,656 – $61,943 · median $15,211 | 27 plans |
| 592 | SKIN ULCERS WITH MCC | $8,461 – $62,123 · median $15,255 | 27 plans |
| 593 | SKIN ULCERS WITH CC | $4,392 – $40,358 · median $9,922 | 27 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,785 – $31,073 · median $7,648 | 27 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,919 – $67,510 · median $17,236 | 27 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,015 – $37,341 · median $9,183 | 27 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $6,128 – $54,329 · median $13,345 | 27 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,503 – $38,759 · median $9,531 | 27 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,148 – $28,243 · median $6,954 | 27 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,444 – $36,153 · median $8,892 | 27 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,166 – $23,466 · median $5,784 | 27 plans |
| 602 | CELLULITIS WITH MCC | $7,408 – $47,187 · median $11,595 | 27 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,673 – $31,193 · median $7,677 | 27 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,398 – $48,663 · median $11,957 | 27 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,398 – $32,503 · median $7,998 | 27 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,934 – $49,857 · median $12,250 | 27 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,739 – $32,224 · median $7,930 | 27 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,516 – $69,625 · median $17,093 | 27 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,524 – $46,547 · median $11,895 | 27 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,000 – $110,781 · median $28,262 | 27 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,648 – $60,234 · median $14,945 | 27 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,640 – $47,099 · median $12,036 | 27 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,000 – $91,722 · median $23,405 | 27 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,681 – $52,388 · median $13,193 | 27 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,071 – $49,718 · median $12,216 | 27 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,000 – $113,062 · median $27,735 | 27 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,655 – $58,014 · median $14,248 | 27 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,951 – $42,264 · median $10,389 | 27 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,731 – $95,937 · median $23,539 | 27 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,028 – $49,456 · median $12,151 | 27 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,791 – $44,484 · median $10,933 | 27 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $15,000 – $118,386 · median $29,039 | 27 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,296 – $69,212 · median $16,992 | 27 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,564 – $48,297 · median $11,867 | 27 plans |
| 637 | DIABETES WITH MCC | $5,868 – $47,634 · median $11,705 | 27 plans |
| 638 | DIABETES WITH CC | $3,830 – $31,928 · median $7,857 | 27 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,075 – $23,937 · median $5,899 | 27 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,136 – $44,696 · median $11,420 | 27 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,992 – $28,499 · median $7,017 | 27 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,533 – $47,210 · median $11,601 | 27 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $6,879 – $53,719 · median $13,196 | 27 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,936 – $35,671 · median $8,774 | 27 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,391 – $28,211 · median $6,946 | 27 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $15,000 – $165,070 · median $40,477 | 27 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,000 – $88,923 · median $21,821 | 27 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,318 – $67,391 · median $16,546 | 27 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,000 – $101,137 · median $25,759 | 27 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,148 – $59,063 · median $15,084 | 27 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,335 – $50,979 · median $12,745 | 27 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,465 – $80,715 · median $20,179 | 27 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,051 – $44,292 · median $11,320 | 27 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,307 – $35,973 · median $9,201 | 27 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $12,065 – $97,252 · median $23,862 | 27 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,026 – $50,060 · median $12,300 | 27 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,316 – $36,307 · median $8,930 | 27 plans |
| 665 | PROSTATECTOMY WITH MCC | $8,025 – $99,149 · median $24,326 | 27 plans |
| 666 | PROSTATECTOMY WITH CC | $6,285 – $56,718 · median $13,931 | 27 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,390 – $38,030 · median $9,352 | 27 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $7,677 – $92,757 · median $22,760 | 27 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,878 – $50,985 · median $12,526 | 27 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,333 – $34,284 · median $8,434 | 27 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,382 – $58,046 · median $14,256 | 27 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,227 – $37,254 · median $9,162 | 27 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $12,843 – $133,469 · median $32,735 | 27 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $8,085 – $74,288 · median $18,235 | 27 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,713 – $53,582 · median $13,162 | 27 plans |
| 682 | RENAL FAILURE WITH MCC | $9,022 – $48,921 · median $12,620 | 27 plans |
| 683 | RENAL FAILURE WITH CC | $5,335 – $31,335 · median $8,096 | 27 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,657 – $23,329 · median $6,019 | 27 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,988 – $58,299 · median $14,889 | 27 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,383 – $36,333 · median $9,292 | 27 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,814 – $28,850 · median $7,386 | 27 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,412 – $39,602 · median $9,737 | 27 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,800 – $29,408 · median $7,240 | 27 plans |
| 693 | URINARY STONES WITH MCC | $4,754 – $44,955 · median $11,049 | 27 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,377 – $28,601 · median $7,042 | 27 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,342 – $39,123 · median $9,620 | 27 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,299 – $25,907 · median $6,382 | 27 plans |
| 697 | URETHRAL STRICTURE | $5,168 – $37,205 · median $9,150 | 27 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,473 – $53,960 · median $13,255 | 27 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,183 – $35,380 · median $8,845 | 27 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,203 – $25,933 · median $6,388 | 27 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,000 – $64,012 · median $15,718 | 27 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,886 – $50,467 · median $12,462 | 27 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $6,872 – $73,923 · median $18,146 | 27 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,047 – $46,602 · median $11,452 | 27 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,407 – $66,438 · median $16,312 | 27 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,803 – $37,841 · median $9,306 | 27 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $6,227 – $49,572 · median $12,180 | 27 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,726 – $36,612 · median $9,005 | 27 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,138 – $71,070 · median $17,447 | 27 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,961 – $48,631 · median $12,426 | 27 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $5,794 – $60,821 · median $14,936 | 27 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,350 – $44,914 · median $11,039 | 27 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,422 – $58,473 · median $14,361 | 27 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,839 – $39,091 · median $9,612 | 27 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,726 – $24,939 · median $6,145 | 27 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,557 – $39,890 · median $9,808 | 27 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,765 – $26,866 · median $6,617 | 27 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,066 – $48,977 · median $12,034 | 27 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,204 – $29,458 · median $7,252 | 27 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,989 – $36,650 · median $9,014 | 27 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,796 – $25,413 · median $6,261 | 27 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,975 – $67,781 · median $17,305 | 27 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,196 – $44,984 · median $11,497 | 27 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $15,000 – $113,548 · median $27,854 | 27 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,313 – $65,764 · median $16,791 | 27 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,946 – $48,558 · median $12,407 | 27 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $9,212 – $113,812 · median $27,919 | 27 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $6,590 – $58,470 · median $14,360 | 27 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,244 – $47,326 · median $11,630 | 27 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $6,461 – $59,202 · median $14,539 | 27 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,171 – $41,939 · median $10,310 | 27 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,444 – $65,430 · median $16,065 | 27 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,280 – $38,940 · median $9,575 | 27 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $6,349 – $56,363 · median $13,844 | 27 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,675 – $30,867 · median $7,597 | 27 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,590 – $46,199 · median $11,353 | 27 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,135 – $81,563 · median $20,018 | 27 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,256 – $48,770 · median $11,983 | 27 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,656 – $59,403 · median $14,588 | 27 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,813 – $37,495 · median $9,221 | 27 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,792 – $33,796 · median $8,315 | 27 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,162 – $47,495 · median $11,671 | 27 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,422 – $34,334 · median $8,447 | 27 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,746 – $25,169 · median $6,201 | 27 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,927 – $35,162 · median $8,649 | 27 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,887 – $22,463 · median $5,538 | 27 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,591 – $54,989 · median $13,507 | 27 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,827 – $35,023 · median $8,615 | 27 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,638 – $24,910 · median $6,138 | 27 plans |
| 779 | ABORTION WITHOUT D&C | $2,193 – $30,332 · median $7,466 | 27 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,978 – $58,255 · median $14,878 | 27 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $15,000 – $188,802 · median $46,291 | 27 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $13,423 – $128,939 · median $31,625 | 27 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,113 – $77,802 · median $19,096 | 27 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,543 – $132,452 · median $32,486 | 27 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,261 – $48,773 · median $11,984 | 27 plans |
| 795 | NORMAL NEWBORN | $715 – $11,691 · median $2,899 | 27 plans |
| 799 | SPLENECTOMY WITH MCC | $15,000 – $143,866 · median $35,282 | 27 plans |
| 800 | SPLENECTOMY WITH CC | $12,230 – $89,244 · median $21,899 | 27 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,002 – $61,356 · median $15,067 | 27 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $15,000 – $126,560 · median $31,042 | 27 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,159 – $59,903 · median $14,711 | 27 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,260 – $45,289 · median $11,520 | 27 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,448 – $70,137 · median $17,218 | 27 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,017 – $42,671 · median $10,489 | 27 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,467 – $36,298 · median $8,928 | 27 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,703 – $46,693 · median $11,474 | 27 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,575 – $32,567 · median $8,014 | 27 plans |
| 813 | COAGULATION DISORDERS | $4,147 – $50,209 · median $12,336 | 27 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,615 – $67,685 · median $16,617 | 27 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,800 – $35,351 · median $8,696 | 27 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,176 – $24,250 · median $5,976 | 27 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $5,534 – $72,478 · median $17,792 | 27 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,386 – $39,570 · median $9,729 | 27 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,672 – $30,873 · median $7,599 | 27 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $15,000 – $186,302 · median $45,679 | 27 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,136 – $71,112 · median $17,457 | 27 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,546 – $40,872 · median $10,048 | 27 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $15,000 – $145,642 · median $35,717 | 27 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,964 – $71,969 · median $17,667 | 27 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,999 – $45,097 · median $11,084 | 27 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $15,000 – $148,596 · median $36,441 | 27 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,731 – $73,418 · median $18,733 | 27 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,812 – $55,396 · median $13,607 | 27 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $10,310 – $100,381 · median $24,628 | 27 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,765 – $49,619 · median $12,191 | 27 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,606 – $40,828 · median $10,038 | 27 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,427 – $26,854 · median $6,614 | 27 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,777 – $21,080 · median $5,199 | 27 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $15,000 – $174,393 · median $44,470 | 27 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,706 – $66,496 · median $16,978 | 27 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,429 – $48,130 · median $10,665 | 27 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $13,216 – $173,118 · median $42,449 | 27 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,922 – $66,543 · median $16,338 | 27 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,230 – $47,843 · median $11,756 | 27 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $15,000 – $102,760 · median $25,211 | 27 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,938 – $53,292 · median $13,613 | 27 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,155 – $35,246 · median $9,015 | 27 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,152 – $63,852 · median $16,304 | 27 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,416 – $41,261 · median $10,548 | 27 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,482 – $30,632 · median $7,539 | 27 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,304 – $82,354 · median $20,211 | 27 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,889 – $43,900 · median $10,790 | 27 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,007 – $30,568 · median $7,524 | 27 plans |
| 849 | RADIOTHERAPY | $5,612 – $86,071 · median $21,122 | 27 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $15,000 – $156,881 · median $38,470 | 27 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,172 – $63,948 · median $16,329 | 27 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,120 – $49,392 · median $12,620 | 27 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $15,000 – $144,495 · median $35,436 | 27 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $8,441 – $68,115 · median $16,723 | 27 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,090 – $46,361 · median $11,393 | 27 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,134 – $58,880 · median $14,460 | 27 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,799 – $34,883 · median $8,581 | 27 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,888 – $31,681 · median $7,797 | 27 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,405 – $49,424 · median $12,144 | 27 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,568 – $31,155 · median $7,668 | 27 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,196 – $66,711 · median $16,379 | 27 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,281 – $35,848 · median $9,169 | 27 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,445 – $27,089 · median $6,937 | 27 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $15,000 – $219,562 · median $53,827 | 27 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,044 – $62,332 · median $15,306 | 27 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,167 – $35,621 · median $8,762 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $10,725 – $122,773 · median $30,114 | 27 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,401 – $33,788 · median $8,313 | 27 plans |
| 881 | DEPRESSIVE NEUROSES | $3,581 – $33,227 · median $8,175 | 27 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,998 – $37,089 · median $9,121 | 27 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $5,349 – $63,024 · median $15,476 | 27 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $5,436 – $52,638 · median $12,931 | 27 plans |
| 885 | PSYCHOSES | $4,884 – $46,475 · median $11,421 | 27 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,736 – $66,191 · median $16,252 | 27 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,524 – $37,004 · median $9,463 | 27 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,045 – $23,812 · median $5,869 | 27 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,182 – $47,021 · median $11,555 | 27 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,605 – $56,596 · median $13,901 | 27 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,285 – $31,538 · median $7,762 | 27 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $15,000 – $133,310 · median $34,002 | 27 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,842 – $61,518 · median $15,107 | 27 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,966 – $39,872 · median $9,803 | 27 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $15,000 – $116,680 · median $28,621 | 27 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,415 – $48,991 · median $12,038 | 27 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $4,921 – $62,966 · median $15,461 | 27 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $15,000 – $121,960 · median $29,915 | 27 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,413 – $63,863 · median $15,681 | 27 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,103 – $44,031 · median $10,822 | 27 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,636 – $53,385 · median $13,114 | 27 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,511 – $31,617 · median $7,781 | 27 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,886 – $54,751 · median $13,449 | 27 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,771 – $25,247 · median $6,220 | 27 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,006 – $51,461 · median $12,643 | 27 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,315 – $30,792 · median $7,579 | 27 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,012 – $59,086 · median $14,511 | 27 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,779 – $35,011 · median $8,612 | 27 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,068 – $25,889 · median $6,378 | 27 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,953 – $56,721 · median $13,931 | 27 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,770 – $35,458 · median $8,722 | 27 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $15,000 – $678,224 · median $166,200 | 27 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $15,000 – $227,849 · median $55,858 | 27 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $14,969 – $102,313 · median $25,101 | 27 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $15,000 – $123,704 · median $30,342 | 27 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,782 – $70,222 · median $17,239 | 27 plans |
| 935 | NON-EXTENSIVE BURNS | $3,132 – $65,746 · median $16,143 | 27 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $11,671 – $115,264 · median $28,274 | 27 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,263 – $74,234 · median $18,222 | 27 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $5,115 – $64,808 · median $15,913 | 27 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,434 – $50,886 · median $13,125 | 27 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,986 – $39,210 · median $10,121 | 27 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,768 – $42,772 · median $10,514 | 27 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,915 – $29,147 · median $7,176 | 27 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,806 – $40,457 · median $9,947 | 27 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,255 – $24,125 · median $5,945 | 27 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,067 – $22,042 · median $5,435 | 27 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $15,000 – $213,821 · median $52,421 | 27 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $15,000 – $119,536 · median $30,493 | 27 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,000 – $242,055 · median $59,338 | 27 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,000 – $133,860 · median $34,142 | 27 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,000 – $93,523 · median $23,864 | 27 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,000 – $86,842 · median $22,162 | 27 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,336 – $50,421 · median $12,882 | 27 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,729 – $33,215 · median $8,579 | 27 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $15,000 – $336,881 · median $82,571 | 27 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,000 – $83,780 · median $21,382 | 27 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,009 – $91,677 · median $22,496 | 27 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,889 – $43,516 · median $11,123 | 27 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,449 – $32,117 · median $8,218 | 27 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,448 – $43,595 · median $10,715 | 27 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,000 – $149,041 · median $36,550 | 27 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,265 – $78,097 · median $19,169 | 27 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,042 – $55,692 · median $13,679 | 27 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $12,383 – $108,907 · median $26,717 | 27 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $6,093 – $53,646 · median $13,178 | 27 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,734 – $40,733 · median $10,014 | 27 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $15,000 – $172,563 · median $44,215 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $15,000 – $1,762,160 · median $431,764 | 26 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $15,000 – $226,639 · median $55,561 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $15,000 – $381,763 · median $97,350 | 25 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $15,000 – $890,213 · median $218,137 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $15,000 – $188,364 · median $48,491 | 23 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $15,000 – $149,346 · median $38,454 | 23 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $15,000 – $117,719 · median $30,318 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $15,000 – $373,304 · median $95,630 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $15,000 – $327,525 · median $83,519 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $15,000 – $255,138 · median $62,544 | 21 plans |
| 007 | LUNG TRANSPLANT | $15,000 – $1,190,963 · median $291,821 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $15,000 – $248,545 · median $60,928 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $15,000 – $227,945 · median $55,881 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $15,000 – $102,589 · median $26,160 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,300 – $50,819 · median $12,528 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,317 – $34,883 · median $8,609 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,259 – $25,259 · median $6,242 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $5,246 – $41,570 · median $10,253 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,973 – $28,836 · median $7,121 | 20 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | — | 20 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | — | 20 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | — | 20 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | — | 20 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 20 plans |
| 509 | ARTHROSCOPY | $5,444 – $56,933 · median $14,032 | 20 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $226 – $10,240 · median $274 | 10 plans |
| 999 | UNGROUPABLE | $226 – $19,589 | 10 plans |
No procedures match that keyword.