Eastern New Mexico Medical Center — 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 | $1,940 – $23,638 · median $8,563 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,909 – $52,334 · median $18,915 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,909 – $23,399 · median $8,545 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,909 – $21,278 · median $7,772 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,909 – $35,625 · median $12,887 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,909 – $24,575 · median $8,973 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,909 – $21,298 · median $7,779 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,940 – $25,617 · median $9,276 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,940 – $22,161 · median $8,030 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,940 – $21,263 · median $7,706 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,940 – $23,796 · median $8,619 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,940 – $17,050 · median $6,186 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,940 – $15,395 · median $5,589 | 26 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $63,806 – $441,656 · median $166,505 | 24 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $41,639 – $288,712 · median $108,857 | 24 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $16,396 – $114,538 · median $43,207 | 24 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $12,674 – $88,858 · median $32,719 | 24 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $8,663 – $61,184 · median $22,978 | 24 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $23,655 – $164,623 · median $62,085 | 24 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $15,914 – $111,213 · median $41,954 | 24 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $9,552 – $74,662 · median $25,408 | 24 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $17,226 – $120,267 · median $45,366 | 24 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $11,760 – $82,550 · median $31,150 | 24 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $13,668 – $95,717 · median $36,113 | 24 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $9,347 – $65,901 · median $24,874 | 24 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,584 – $53,740 · median $20,291 | 24 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $18,062 – $126,033 · median $45,948 | 24 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $10,256 – $72,173 · median $27,239 | 24 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $6,599 – $46,943 · median $17,729 | 24 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $13,469 – $94,344 · median $34,399 | 24 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $6,406 – $45,612 · median $17,227 | 24 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $4,999 – $35,902 · median $13,567 | 24 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,636 – $81,696 · median $30,828 | 24 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,186 – $50,994 · median $19,256 | 24 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $5,840 – $41,708 · median $15,651 | 24 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,896 – $69,695 · median $25,416 | 24 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $4,878 – $35,067 · median $13,252 | 24 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,534 – $25,793 · median $9,757 | 24 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $11,607 – $81,499 · median $30,753 | 24 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $6,610 – $47,016 · median $17,756 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $5,194 – $37,247 · median $14,074 | 24 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,445 – $38,981 · median $14,727 | 24 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,944 – $21,721 · median $8,222 | 24 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,590 – $33,082 · median $12,192 | 24 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,065 – $22,559 · median $8,538 | 24 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $6,984 – $49,596 · median $18,092 | 24 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,895 – $28,284 · median $10,325 | 24 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,139 – $36,869 · median $13,454 | 24 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,730 – $27,149 · median $10,009 | 24 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,765 – $20,489 · median $7,558 | 24 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $8,288 – $58,598 · median $22,122 | 24 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $5,282 – $37,858 · median $14,304 | 24 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $4,220 – $30,528 · median $11,542 | 24 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,045 – $43,123 · median $16,289 | 24 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,037 – $22,366 · median $8,465 | 24 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,057 – $15,607 · median $5,917 | 24 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,415 – $31,874 · median $12,049 | 24 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,599 – $19,340 · median $7,325 | 24 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,401 – $17,980 · median $6,812 | 24 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $5,005 – $35,942 · median $13,582 | 24 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,084 – $22,692 · median $8,588 | 24 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,273 – $17,096 · median $6,479 | 24 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,823 – $34,687 · median $12,658 | 24 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,099 – $22,792 · median $8,323 | 24 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,764 – $41,183 · median $15,026 | 24 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,481 – $18,527 · median $6,769 | 24 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,441 – $38,954 · median $14,213 | 24 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,692 – $19,987 · median $7,568 | 24 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $6,871 – $48,818 · median $18,435 | 24 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,196 – $30,362 · median $11,479 | 24 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,873 – $21,236 · median $8,039 | 24 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $6,830 – $48,534 · median $17,705 | 24 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,916 – $28,431 · median $10,751 | 24 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,750 – $20,384 · median $7,718 | 24 plans |
| 088 | CONCUSSION WITH MCC | $4,064 – $29,450 · median $10,750 | 24 plans |
| 089 | CONCUSSION WITH CC | $3,303 – $24,198 · median $8,836 | 24 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,475 – $18,486 · median $6,761 | 24 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,279 – $37,838 · median $13,807 | 24 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,075 – $22,630 · median $8,510 | 24 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,394 – $17,928 · median $6,792 | 24 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $10,580 – $74,409 · median $28,081 | 24 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $7,753 – $54,908 · median $20,731 | 24 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,753 – $54,908 · median $20,225 | 24 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $10,858 – $76,326 · median $27,833 | 24 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,899 – $49,011 · median $18,055 | 24 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,096 – $29,670 · median $11,218 | 24 plans |
| 100 | SEIZURES WITH MCC | $5,822 – $41,584 · median $15,172 | 24 plans |
| 101 | SEIZURES WITHOUT MCC | $2,713 – $20,133 · median $7,354 | 24 plans |
| 102 | HEADACHES WITH MCC | $3,370 – $24,661 · median $9,004 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $2,514 – $18,757 · median $6,853 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $7,068 – $50,177 · median $18,303 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,067 – $29,475 · median $10,759 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,614 – $33,248 · median $12,134 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $5,435 – $38,914 · median $14,199 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,261 – $23,914 · median $8,732 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,497 – $25,540 · median $9,325 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,362 – $17,710 · median $6,471 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,401 – $17,975 · median $6,633 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $3,977 – $28,854 · median $10,533 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,308 – $17,337 · median $6,335 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $6,523 – $46,421 · median $16,935 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,052 – $22,470 · median $8,206 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,489 – $32,383 · median $11,819 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,664 – $19,792 · median $7,302 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $3,715 – $27,042 · median $9,872 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $12,822 – $89,880 · median $32,773 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $6,557 – $46,651 · median $17,018 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,799 – $34,523 · median $12,599 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,263 – $79,122 · median $28,852 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $5,209 – $37,354 · median $13,630 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,614 – $26,349 · median $9,620 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $6,365 – $45,330 · median $17,120 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,822 – $27,784 · median $10,507 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,396 – $17,944 · median $6,798 | 24 plans |
| 149 | DYSEQUILIBRIUM | $2,259 – $17,001 · median $6,213 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $4,003 – $29,029 · median $10,701 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,207 – $16,636 · median $6,080 | 24 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,554 – $25,932 · median $9,468 | 24 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,219 – $16,723 · median $6,112 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,700 – $33,841 · median $12,350 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,755 – $20,421 · median $7,459 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,078 – $15,746 · median $5,756 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,161 – $37,020 · median $13,509 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,735 – $20,282 · median $7,409 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,130 – $16,107 · median $5,887 | 24 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $13,473 – $94,371 · median $35,605 | 24 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $7,587 – $53,763 · median $20,299 | 24 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $5,754 – $41,115 · median $15,532 | 24 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $11,236 – $78,937 · median $28,785 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $5,421 – $38,817 · median $14,666 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,108 – $29,753 · median $11,249 | 24 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $8,947 – $63,147 · median $23,030 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,129 – $29,902 · median $11,305 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,420 – $20,310 · median $6,860 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,698 – $33,824 · median $12,784 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,934 – $21,655 · median $8,197 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,270 – $17,071 · median $6,469 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,309 – $38,041 · median $14,373 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,220 – $23,626 · median $8,940 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,266 – $17,046 · median $6,460 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,599 – $33,144 · median $12,527 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,199 – $23,482 · median $8,881 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,364 – $17,725 · median $6,716 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,685 – $33,737 · median $12,751 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,973 – $21,927 · median $8,299 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,156 – $16,287 · median $6,174 | 24 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $3,714 – $27,035 · median $10,225 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,330 – $24,387 · median $9,227 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,534 – $18,896 · median $7,157 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,930 – $14,727 · median $5,586 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,951 – $28,674 · median $10,843 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,423 – $18,127 · median $6,867 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,889 – $14,447 · median $5,480 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,673 – $40,555 · median $15,321 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,853 – $21,097 · median $7,987 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,153 – $16,266 · median $6,166 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,303 – $38,001 · median $14,358 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,305 – $24,212 · median $9,161 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,150 – $16,244 · median $6,157 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,920 – $21,555 · median $7,873 | 24 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,014 – $15,308 · median $5,805 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,427 – $18,158 · median $6,635 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $5,504 – $39,389 · median $14,372 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,829 – $20,931 · median $7,924 | 24 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $19,344 – $134,877 · median $50,873 | 24 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,263 – $58,424 · median $22,056 | 24 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $32,689 – $226,958 · median $83,543 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $29,932 – $207,935 · median $78,410 | 24 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $29,408 – $204,322 · median $77,048 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $19,766 – $137,794 · median $51,972 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $19,766 – $137,794 · median $51,972 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $23,082 – $160,672 · median $60,596 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $16,031 – $112,022 · median $42,258 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $15,151 – $105,953 · median $39,971 | 24 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $14,873 – $104,028 · median $39,245 | 24 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $9,468 – $66,737 · median $25,189 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $25,341 – $176,261 · median $66,472 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $18,225 – $127,159 · median $47,964 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $22,982 – $159,985 · median $60,337 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $16,422 – $114,716 · median $43,274 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,642 – $123,135 · median $46,447 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $12,592 – $88,294 · median $33,315 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $14,795 – $103,495 · median $39,044 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $8,569 – $60,535 · median $22,852 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,162 – $30,126 · median $11,390 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $9,598 – $67,635 · median $25,528 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $6,406 – $45,610 · median $17,226 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $5,434 – $38,902 · median $14,698 | 24 plans |
| 245 | AICD GENERATOR PROCEDURES | $13,715 – $96,043 · median $35,795 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $6,561 – $46,680 · median $17,629 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $4,493 – $32,410 · median $12,251 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $10,486 – $73,764 · median $27,283 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $7,803 – $55,248 · median $20,859 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $5,356 – $38,367 · median $14,496 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $8,109 – $57,360 · median $21,655 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,104 – $36,628 · median $13,841 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,283 – $24,065 · median $9,105 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,446 – $66,583 · median $24,522 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $6,079 – $43,353 · median $16,375 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $9,778 – $68,880 · median $25,367 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $5,683 – $40,623 · median $15,199 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $4,900 – $35,218 · median $12,978 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $8,735 – $64,827 · median $23,642 | 24 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $10,042 – $70,701 · median $25,783 | 24 plans |
| 265 | AICD LEAD PROCEDURES | $10,877 – $76,459 · median $28,156 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $18,423 – $128,524 · median $48,478 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $14,312 – $100,158 · median $37,787 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $20,676 – $144,070 · median $52,521 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $12,695 – $89,007 · median $32,454 | 24 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $15,861 – $110,850 · median $41,817 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $10,691 – $75,175 · median $28,370 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $7,675 – $54,365 · median $20,526 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $12,402 – $90,908 · median $32,820 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $9,895 – $69,686 · median $26,301 | 24 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $21,435 – $149,307 · median $56,312 | 24 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $18,057 – $125,998 · median $47,526 | 24 plans |
| 277 | CELLULITIS AGE >17 W CC | $13,884 – $97,206 · median $36,674 | 24 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $16,733 – $116,863 · median $42,606 | 24 plans |
| 279 | CELLULITIS AGE 0-17 | $10,841 – $76,214 · median $27,792 | 24 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $4,822 – $34,683 · median $13,108 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,763 – $24,852 · median $7,752 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,174 – $20,034 · median $6,220 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,955 – $42,496 · median $16,053 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,081 – $20,057 · median $5,978 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,800 – $16,789 · median $5,249 | 24 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $6,652 – $47,308 · median $17,258 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,217 – $23,607 · median $8,933 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $8,135 – $57,542 · median $21,724 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,131 – $36,815 · median $13,911 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,795 – $20,695 · median $7,835 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,859 – $28,039 · median $10,603 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,552 – $19,021 · median $7,204 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,701 – $13,151 · median $4,992 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,695 – $33,808 · median $12,778 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,906 – $15,543 · median $5,523 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,368 – $12,754 · median $4,125 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $4,908 – $35,276 · median $13,331 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,209 – $23,553 · median $8,912 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,164 – $16,339 · median $6,193 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,597 – $26,231 · median $9,631 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,024 – $15,374 · median $5,830 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $3,577 – $26,094 · median $9,527 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,270 – $17,073 · median $6,425 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,737 – $34,096 · median $12,886 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,745 – $38,109 · median $7,706 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,619 – $26,384 · median $9,980 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,212 – $16,671 · median $6,318 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,702 – $13,153 · median $4,992 | 24 plans |
| 311 | ANGINA PECTORIS | $2,110 – $15,970 · median $6,054 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,620 – $19,490 · median $7,120 | 24 plans |
| 313 | CHEST PAIN | $2,164 – $16,345 · median $6,033 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $6,268 – $44,662 · median $16,454 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,896 – $21,392 · median $8,098 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,050 – $15,559 · median $5,899 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $13,416 – $93,979 · median $35,458 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $7,231 – $59,566 · median $19,371 | 24 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $8,179 – $84,318 · median $21,838 | 24 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $5,300 – $59,356 · median $14,350 | 24 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $13,009 – $91,168 · median $33,242 | 24 plans |
| 324 | URINARY STONES W/O CC | $9,472 – $66,768 · median $24,350 | 24 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,651 – $68,000 · median $24,799 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $14,993 – $104,858 · median $38,607 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $7,348 – $52,108 · median $19,675 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $4,817 – $34,646 · median $13,093 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,818 – $96,750 · median $35,319 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,206 – $51,133 · median $19,308 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,059 – $36,317 · median $13,724 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $10,884 – $76,510 · median $28,873 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $7,041 – $49,992 · median $18,878 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,924 – $35,384 · median $13,372 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $10,735 – $75,477 · median $28,484 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $6,339 – $45,149 · median $17,052 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,614 – $33,250 · median $12,567 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,764 – $54,983 · median $20,759 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,523 – $32,621 · median $12,330 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,566 – $26,015 · median $9,840 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $6,901 – $49,026 · median $18,489 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,934 – $28,558 · median $10,734 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,617 – $19,469 · median $7,182 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,491 – $53,097 · median $19,368 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,583 – $33,032 · median $12,055 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,511 – $25,633 · median $9,359 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $8,724 – $61,603 · median $22,468 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $5,058 – $36,307 · median $13,249 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,043 – $29,309 · median $10,698 | 24 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,205 – $92,525 · median $34,910 | 24 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $6,991 – $49,646 · median $18,747 | 24 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,202 – $30,406 · median $11,495 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,785 – $34,430 · median $12,565 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,007 – $22,157 · median $8,172 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,107 – $15,947 · median $6,046 | 24 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,330 – $38,188 · median $14,071 | 24 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,069 – $22,588 · median $8,549 | 24 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,187 – $16,499 · median $6,253 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $6,429 – $45,771 · median $17,287 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,636 – $26,500 · median $10,023 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,779 – $20,583 · median $7,793 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,495 – $39,327 · median $14,491 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,948 – $21,753 · median $8,023 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,895 – $14,487 · median $5,488 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,899 – $42,110 · median $15,515 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,257 – $23,885 · median $8,981 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,407 – $18,017 · median $6,654 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,151 – $30,049 · median $10,968 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,570 – $19,141 · median $7,015 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,757 – $34,231 · median $12,730 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,935 – $21,661 · median $8,199 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,048 – $15,543 · median $5,893 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,439 – $32,042 · median $11,810 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,374 – $17,793 · median $6,695 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,635 – $12,695 · median $4,714 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,813 – $27,718 · median $10,119 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,344 – $17,581 · median $6,425 | 24 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,808 – $34,583 · median $12,621 | 24 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,813 – $20,819 · median $7,679 | 24 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,951 – $14,873 · median $5,641 | 24 plans |
| 397 | COAGULATION DISORDERS | $7,199 – $51,085 · median $18,634 | 24 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $4,550 – $32,806 · median $11,998 | 24 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $3,441 – $25,154 · median $9,184 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $16,445 – $114,878 · median $41,883 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $8,718 – $61,566 · median $23,240 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $6,672 – $47,449 · median $17,919 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $10,719 – $75,368 · median $28,442 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $6,545 – $46,572 · median $17,589 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $4,773 – $34,343 · median $12,979 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,930 – $69,927 · median $25,501 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $6,320 – $45,020 · median $16,586 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,992 – $35,853 · median $13,548 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $10,710 – $75,305 · median $27,461 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $6,213 – $44,278 · median $16,724 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,098 – $29,688 · median $11,225 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,174 – $50,909 · median $18,570 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,085 – $36,498 · median $13,318 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,106 – $29,740 · median $10,962 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $10,242 – $72,080 · median $27,203 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,223 – $37,450 · median $14,150 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,207 – $30,439 · median $11,508 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $12,484 – $87,551 · median $33,035 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,577 – $46,792 · median $17,672 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,510 – $32,530 · median $12,296 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,917 – $42,235 · median $15,954 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,175 – $23,318 · median $8,824 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,142 – $16,190 · median $5,976 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,521 – $39,507 · median $14,843 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,400 – $24,872 · median $9,410 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,565 – $19,110 · median $7,238 | 24 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,901 – $35,224 · median $13,240 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,529 – $18,859 · median $7,143 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,868 – $14,300 · median $5,425 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,395 – $38,636 · median $14,098 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,902 – $21,433 · median $8,113 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,103 – $15,924 · median $6,037 | 24 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,023 – $36,068 · median $13,162 | 24 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,290 – $24,111 · median $8,804 | 24 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,487 – $18,571 · median $6,785 | 24 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $25,262 – $175,711 · median $64,052 | 24 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,926 – $125,096 · median $45,722 | 24 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $12,543 – $87,958 · median $32,935 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $16,603 – $115,967 · median $43,745 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $7,996 – $56,584 · median $21,362 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,133 – $119,628 · median $45,125 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,363 – $66,015 · median $24,917 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,482 – $39,238 · median $14,824 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $15,648 – $109,380 · median $41,262 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $10,601 – $74,559 · median $28,138 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $8,261 – $58,409 · median $22,050 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $9,118 – $64,325 · median $24,280 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $5,799 – $41,420 · median $15,647 | 24 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $14,516 – $101,566 · median $37,031 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $8,856 – $62,518 · median $22,801 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $7,339 – $52,048 · median $18,985 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $12,905 – $90,453 · median $34,128 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $6,841 – $48,613 · median $17,971 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,548 – $25,891 · median $9,793 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,385 – $73,065 · median $26,907 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,393 – $52,419 · median $19,309 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,588 – $39,968 · median $15,009 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $8,755 – $61,817 · median $23,335 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $6,296 – $44,855 · median $16,941 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $4,903 – $35,241 · median $13,318 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $8,333 – $58,905 · median $21,484 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $9,701 – $68,346 · median $25,796 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,286 – $44,784 · median $16,915 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,708 – $33,897 · median $12,741 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $5,318 – $38,101 · median $14,396 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,357 – $24,575 · median $9,298 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $11,037 – $77,566 · median $28,285 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $7,624 – $54,014 · median $19,702 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $6,032 – $43,029 · median $15,699 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $10,899 – $76,614 · median $28,912 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $5,423 – $38,827 · median $14,670 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,632 – $26,473 · median $10,013 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $8,884 – $63,985 · median $23,335 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,057 – $43,201 · median $15,761 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,514 – $67,054 · median $24,454 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $5,255 – $37,670 · median $13,745 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,046 – $29,327 · median $10,705 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,390 – $59,303 · median $21,629 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $5,619 – $40,181 · median $14,661 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $5,389 – $38,597 · median $14,083 | 24 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,056 – $29,396 · median $10,964 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $5,430 – $38,879 · median $14,186 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,552 – $32,822 · median $11,979 | 24 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $9,080 – $64,061 · median $23,363 | 24 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $6,251 – $44,541 · median $16,250 | 24 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $4,976 – $35,747 · median $13,045 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,733 – $34,065 · median $12,432 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,073 – $22,615 · median $8,383 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $9,580 – $67,513 · median $25,482 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $6,247 – $44,514 · median $16,813 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $4,620 – $33,285 · median $12,309 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $11,235 – $78,929 · median $28,782 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $6,013 – $42,899 · median $15,651 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,491 – $32,397 · median $12,175 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $8,628 – $60,944 · median $23,006 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $6,366 – $45,336 · median $17,123 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,713 – $33,928 · median $12,823 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,423 – $18,131 · median $6,869 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,854 – $28,002 · median $10,589 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,428 – $18,162 · median $6,701 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,869 – $21,205 · median $7,821 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,165 – $16,351 · median $5,976 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,921 – $42,266 · median $15,966 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,897 – $28,299 · median $10,701 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,367 – $17,743 · median $6,723 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,310 – $38,051 · median $14,377 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,090 – $22,734 · median $8,604 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,268 – $17,063 · median $6,466 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,460 – $52,886 · median $19,530 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,467 – $25,335 · median $9,250 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,514 – $18,755 · median $6,852 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,805 – $41,461 · median $15,662 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,629 – $26,450 · median $10,005 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,628 – $19,541 · median $7,400 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,039 – $36,176 · median $13,201 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,890 – $21,350 · median $7,798 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,897 – $31,954 · median $10,701 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,495 – $18,629 · median $7,056 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,974 – $28,828 · median $10,523 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,497 – $18,639 · median $6,810 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,470 – $32,252 · median $12,191 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,685 – $19,938 · median $7,283 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,606 – $40,092 · median $14,628 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,385 – $24,768 · median $9,044 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,417 – $18,085 · median $6,608 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $4,283 – $30,964 · median $11,302 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,692 – $19,985 · median $7,301 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,640 – $33,428 · median $12,200 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,929 – $21,622 · median $7,897 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,252 – $16,953 · median $6,196 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $8,841 – $96,375 · median $34,804 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $5,079 – $36,454 · median $13,775 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,446 – $25,187 · median $9,528 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,694 – $137,298 · median $51,542 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,435 – $73,414 · median $27,568 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,402 – $38,684 · median $14,616 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $14,734 – $103,070 · median $38,884 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,968 – $56,391 · median $21,290 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,829 – $34,731 · median $13,125 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $9,735 – $68,583 · median $25,011 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $5,195 – $37,253 · median $13,593 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,338 – $31,343 · median $11,440 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $5,792 – $41,372 · median $15,095 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,184 – $37,178 · median $13,566 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,435 – $45,813 · median $16,713 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,799 – $41,424 · median $15,114 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $5,818 – $41,552 · median $15,310 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $3,566 – $26,017 · median $9,499 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,606 – $19,390 · median $7,084 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $6,375 – $45,398 · median $17,146 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,254 – $23,864 · median $8,800 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,012 – $35,990 · median $13,133 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,401 – $24,876 · median $9,083 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,313 – $17,370 · median $6,347 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,131 – $23,016 · median $8,405 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,819 – $13,960 · median $5,292 | 24 plans |
| 602 | CELLULITIS WITH MCC | $4,273 – $30,891 · median $11,678 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,618 – $19,475 · median $7,115 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,425 – $31,945 · median $11,659 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,754 – $20,411 · median $7,456 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,549 – $32,797 · median $11,970 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,725 – $20,211 · median $7,383 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $6,589 – $46,873 · median $17,702 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,206 – $30,435 · median $11,506 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,484 – $73,746 · median $27,831 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,622 – $40,204 · median $15,189 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,264 – $30,829 · median $11,655 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $8,680 – $61,301 · median $23,140 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,811 – $34,604 · median $13,078 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $4,534 – $32,698 · median $12,359 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,699 – $75,235 · median $28,392 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,393 – $38,620 · median $14,591 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,763 – $27,378 · median $10,354 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $9,079 – $64,053 · median $23,360 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,507 – $32,511 · median $11,866 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,993 – $28,962 · median $10,572 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $11,203 – $78,711 · median $29,703 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $6,550 – $46,603 · median $17,529 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,387 – $31,684 · median $11,678 | 24 plans |
| 637 | DIABETES WITH MCC | $4,319 – $31,211 · median $11,392 | 24 plans |
| 638 | DIABETES WITH CC | $2,694 – $20,000 · median $7,306 | 24 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,867 – $14,296 · median $5,312 | 24 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,015 – $29,114 · median $11,008 | 24 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,339 – $17,552 · median $6,651 | 24 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,275 – $30,908 · median $11,431 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,948 – $35,554 · median $12,974 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,081 – $22,671 · median $8,525 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,310 – $17,347 · median $6,573 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $15,621 – $109,193 · median $41,192 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $8,415 – $59,473 · median $22,452 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,363 – $45,313 · median $17,114 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $9,571 – $67,448 · median $25,458 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $5,501 – $39,368 · median $14,874 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $4,665 – $33,598 · median $12,699 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,638 – $54,114 · median $20,431 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,973 – $28,825 · median $10,900 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,113 – $22,887 · median $8,661 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $9,203 – $64,912 · median $23,673 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,570 – $32,943 · median $12,270 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,147 – $23,126 · median $8,445 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $9,383 – $66,150 · median $24,125 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $5,259 – $37,695 · median $13,754 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,325 – $24,356 · median $9,157 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $8,778 – $61,977 · median $22,604 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,666 – $33,602 · median $12,263 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,938 – $21,682 · median $7,984 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,396 – $38,642 · median $14,100 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,245 – $23,802 · median $8,692 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $12,631 – $88,559 · median $32,291 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,030 – $49,918 · median $18,209 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,934 – $35,457 · median $12,939 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $4,452 – $32,130 · median $12,145 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $2,633 – $19,577 · median $7,414 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,805 – $13,862 · median $5,260 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,422 – $38,823 · median $14,668 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,150 – $23,144 · median $8,758 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,376 – $17,803 · median $6,745 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,488 – $25,478 · median $9,638 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,433 – $18,202 · median $6,716 | 24 plans |
| 693 | URINARY STONES WITH MCC | $4,042 – $29,298 · median $10,695 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,350 – $17,625 · median $6,440 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,438 – $25,136 · median $9,314 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,071 – $15,702 · median $5,796 | 24 plans |
| 697 | URETHRAL STRICTURE | $3,240 – $23,767 · median $8,936 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,973 – $35,726 · median $13,501 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,051 – $22,464 · median $8,502 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,074 – $15,721 · median $5,960 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $6,013 – $42,901 · median $16,205 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,612 – $33,233 · median $12,561 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $6,996 – $49,679 · median $18,122 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,212 – $30,474 · median $11,123 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,264 – $44,633 · median $16,283 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,306 – $24,221 · median $8,891 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,519 – $32,594 · median $11,896 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,179 – $23,343 · median $8,608 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $6,726 – $47,816 · median $18,058 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,422 – $31,922 · median $12,067 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $5,683 – $40,623 · median $14,822 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,038 – $29,269 · median $10,684 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,440 – $38,947 · median $14,211 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,435 – $25,113 · median $9,500 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,971 – $15,012 · median $5,693 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,518 – $25,683 · median $9,715 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,170 – $16,387 · median $5,989 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,458 – $32,169 · median $11,741 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,439 – $18,237 · median $6,663 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,183 – $23,370 · median $8,678 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,020 – $15,350 · median $5,820 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $6,403 – $45,591 · median $17,219 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,045 – $29,319 · median $11,086 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $10,745 – $75,552 · median $28,512 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $6,194 – $44,151 · median $16,676 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,415 – $31,870 · median $12,047 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $10,770 – $75,724 · median $27,614 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $5,440 – $38,945 · median $14,210 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,287 – $30,991 · median $11,311 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $5,516 – $39,468 · median $14,401 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,730 – $27,145 · median $9,910 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $6,160 – $43,913 · median $16,021 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,419 – $25,005 · median $9,130 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $5,222 – $37,441 · median $13,662 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,584 – $19,243 · median $7,288 | 24 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,170 – $30,186 · median $11,018 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,719 – $54,667 · median $19,940 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,436 – $32,022 · median $12,104 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,536 – $39,611 · median $14,453 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,270 – $23,974 · median $8,840 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,887 – $21,334 · median $7,792 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,304 – $31,111 · median $11,355 | 24 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,943 – $21,717 · median $7,932 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,995 – $15,175 · median $5,548 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,029 – $22,308 · median $8,147 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,715 – $13,244 · median $4,959 | 24 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,080 – $36,460 · median $13,305 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,014 – $22,209 · median $8,111 | 24 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,968 – $14,991 · median $5,480 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $2,529 – $18,861 · median $6,891 | 24 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,418 – $38,792 · median $14,656 | 24 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $17,867 – $124,689 · median $46,810 | 24 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $12,202 – $85,601 · median $31,213 | 24 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,198 – $52,212 · median $19,045 | 24 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,931 – $87,895 · median $32,049 | 24 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,037 – $32,024 · median $11,688 | 24 plans |
| 795 | NORMAL NEWBORN | $601 – $5,555 · median $2,032 | 24 plans |
| 799 | SPLENECTOMY WITH MCC | $13,614 – $95,348 · median $34,765 | 24 plans |
| 800 | SPLENECTOMY WITH CC | $8,445 – $59,683 · median $21,982 | 24 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $5,738 – $41,005 · median $15,490 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $11,977 – $84,048 · median $31,714 | 24 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $5,588 – $39,968 · median $15,100 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,076 – $29,537 · median $11,168 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,637 – $47,207 · median $17,390 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,805 – $27,668 · median $10,400 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,146 – $23,119 · median $8,443 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,222 – $30,539 · median $11,147 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,760 – $20,456 · median $7,472 | 24 plans |
| 813 | COAGULATION DISORDERS | $4,585 – $33,048 · median $12,061 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $6,393 – $45,522 · median $16,607 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,048 – $22,443 · median $8,344 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,900 – $14,520 · median $5,453 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,859 – $48,735 · median $17,617 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,485 – $25,455 · median $9,294 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,585 – $19,247 · median $7,032 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $17,630 – $123,057 · median $46,418 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $6,730 – $47,843 · median $18,068 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,619 – $26,384 · median $9,980 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $13,783 – $96,507 · median $36,411 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $6,811 – $48,403 · median $18,279 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,056 – $29,400 · median $11,116 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $14,062 – $98,436 · median $35,891 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $6,948 – $49,349 · median $18,636 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,122 – $36,751 · median $13,887 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $9,499 – $66,955 · median $24,418 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,524 – $32,627 · median $12,333 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,615 – $26,353 · median $9,621 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,169 – $16,378 · median $5,986 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,572 – $12,257 · median $4,484 | 24 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $16,503 – $115,281 · median $43,487 | 24 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $6,270 – $44,897 · median $16,873 | 24 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,666 – $59,994 · median $10,101 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $14,442 – $101,060 · median $36,847 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $6,275 – $44,707 · median $16,471 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,341 – $31,360 · median $11,855 | 24 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,725 – $68,508 · median $25,857 | 24 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,904 – $35,249 · median $13,321 | 24 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,037 – $22,369 · median $8,466 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,997 – $42,787 · median $16,162 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,660 – $26,662 · median $10,084 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,560 – $19,075 · median $7,224 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,793 – $55,184 · median $20,128 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,933 – $28,545 · median $10,523 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,553 – $19,029 · median $7,207 | 24 plans |
| 849 | RADIOTHERAPY | $8,145 – $57,611 · median $21,013 | 24 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $14,846 – $103,846 · median $39,177 | 24 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $6,007 – $42,855 · median $16,188 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,501 – $32,466 · median $12,272 | 24 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $13,674 – $95,759 · median $36,128 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $6,438 – $45,829 · median $16,719 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,187 – $30,302 · median $11,169 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,482 – $39,238 · median $14,458 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,000 – $22,109 · median $8,075 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,669 – $19,824 · median $7,507 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,504 – $32,488 · median $11,857 | 24 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,614 – $19,448 · median $7,105 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $6,292 – $44,828 · median $16,515 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,100 – $22,798 · median $8,628 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,194 – $16,546 · median $6,271 | 24 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $20,778 – $144,773 · median $54,603 | 24 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,839 – $41,702 · median $15,753 | 24 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,076 – $22,636 · median $8,567 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $11,618 – $81,575 · median $29,746 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,886 – $21,327 · median $7,790 | 24 plans |
| 881 | DEPRESSIVE NEUROSES | $2,828 – $20,927 · median $7,644 | 24 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,228 – $23,684 · median $8,648 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $5,911 – $42,195 · median $15,395 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,837 – $34,782 · median $12,693 | 24 plans |
| 885 | PSYCHOSES | $4,199 – $30,383 · median $11,090 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,239 – $44,456 · median $16,219 | 24 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,219 – $23,623 · median $8,939 | 24 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,854 – $14,207 · median $5,195 | 24 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,255 – $30,773 · median $11,232 | 24 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $5,246 – $37,607 · median $13,723 | 24 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,654 – $19,722 · median $7,205 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $12,616 – $88,455 · median $33,376 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $5,755 – $41,121 · median $15,417 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,516 – $25,671 · median $9,373 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $11,042 – $77,597 · median $29,138 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,459 – $32,179 · median $11,860 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $5,905 – $42,154 · median $15,380 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $11,541 – $81,045 · median $30,582 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $5,998 – $42,795 · median $15,690 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,946 – $28,639 · median $10,454 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,914 – $35,315 · median $12,887 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,662 – $19,778 · median $7,225 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $5,055 – $36,290 · median $13,243 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,003 – $15,231 · median $5,568 | 24 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,715 – $33,942 · median $12,387 | 24 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,577 – $19,189 · median $7,010 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,504 – $39,385 · median $14,371 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,013 – $22,201 · median $8,108 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,069 – $15,690 · median $5,735 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,259 – $37,697 · median $13,755 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,059 – $22,520 · median $8,224 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $64,182 – $444,255 · median $167,485 | 24 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $21,562 – $150,185 · median $54,749 | 24 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $9,682 – $68,216 · median $25,617 | 24 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $11,706 – $82,183 · median $30,263 | 24 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,645 – $47,263 · median $17,241 | 24 plans |
| 935 | NON-EXTENSIVE BURNS | $5,230 – $44,139 · median $16,103 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,908 – $76,672 · median $27,959 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,025 – $49,882 · median $18,196 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $6,096 – $43,469 · median $15,859 | 24 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,655 – $33,532 · median $12,674 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,447 – $25,198 · median $9,532 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,816 – $27,741 · median $10,227 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,406 – $18,015 · median $6,758 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,576 – $26,088 · median $9,525 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,887 – $14,431 · median $5,276 | 24 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,671 – $12,944 · median $4,734 | 24 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $20,235 – $141,025 · median $53,190 | 24 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $11,312 – $79,462 · median $29,986 | 24 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,906 – $159,460 · median $59,941 | 24 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,668 – $88,814 · median $33,511 | 24 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,850 – $62,477 · median $23,584 | 24 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $8,218 – $58,115 · median $21,939 | 24 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,607 – $33,200 · median $12,548 | 24 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,827 – $20,919 · median $7,919 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $18,401 – $163,501 · median $61,662 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,928 – $73,315 · median $21,186 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $8,676 – $61,271 · median $22,457 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $3,893 – $28,272 · median $10,691 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,714 – $20,135 · median $7,624 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,901 – $28,328 · median $10,341 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,104 – $98,727 · median $36,351 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,391 – $52,404 · median $19,192 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,153 – $36,962 · median $13,488 | 24 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,306 – $72,522 · median $26,447 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,941 – $35,502 · median $12,955 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,605 – $26,285 · median $9,596 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $84,243 – $582,672 · median $219,657 | 23 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $129,813 – $955,350 · median $346,410 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $36,127 – $250,682 · median $94,522 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $17,825 – $124,403 · median $46,925 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $16,330 – $114,086 · median $43,036 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $21,448 – $149,394 · median $56,345 | 22 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $14,133 – $105,190 · median $37,322 | 22 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $11,140 – $80,517 · median $29,539 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $34,065 – $236,451 · median $89,159 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $30,995 – $215,268 · median $81,174 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $13,939 – $118,825 · median $44,823 | 21 plans |
| 007 | LUNG TRANSPLANT | $38,930 – $620,287 · median $222,702 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $16,848 – $117,660 · median $44,383 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $19,793 – $150,247 · median $53,969 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $9,708 – $94,699 · median $25,815 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,931 – $33,484 · median $12,340 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,253 – $22,109 · median $8,154 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,447 – $15,240 · median $5,682 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,838 – $26,882 · median $9,911 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,422 – $17,793 · median $6,741 | 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 | $9,176 – $37,848 · median $13,946 | 20 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $269 – $10,240 · median $288 | 8 plans |
| 999 | UNGROUPABLE | $269 – $19,589 | 8 plans |
No procedures match that keyword.