Unm Hospital — Pricing
775 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 775 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 775 procedures
Procedures with negotiated rates only
These 775 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $8,509 – $435,941 · median $217,971 | 18 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $8,509 – $286,732 · median $143,366 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY | $8,509 – $116,813 · median $58,406 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION | $8,509 – $91,760 · median $45,880 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY | $8,509 – $64,762 · median $32,381 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $8,509 – $249,632 · median $124,816 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION/COMORBITY OR T-CELL IMMUNOTHERAPY | $8,509 – $126,437 · median $63,218 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $8,509 – $116,372 · median $58,186 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $8,509 – $880,254 · median $440,127 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $8,509 – $150,818 · median $75,409 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY | $8,509 – $165,674 · median $82,837 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION | $8,509 – $113,569 · median $56,785 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $8,509 – $70,744 · median $35,372 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $8,509 – $122,402 · median $61,201 | 18 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | $8,509 – $85,606 · median $42,803 | 18 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $8,509 – $98,452 · median $49,226 | 18 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $8,509 – $69,364 · median $34,682 | 18 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $57,500 · median $28,750 | 18 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $8,509 – $128,027 · median $64,014 | 18 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $8,509 – $75,483 · median $37,741 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $50,869 · median $25,434 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH COMORBITY | $8,509 – $97,112 · median $48,556 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION | $8,509 – $49,570 · median $24,785 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $40,098 · median $20,049 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | $8,509 – $84,773 · median $42,386 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $8,509 – $54,821 · median $27,410 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,509 – $45,762 · median $22,881 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $8,509 – $73,065 · median $36,532 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $8,509 – $39,282 · median $19,641 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,235 · median $15,118 | 18 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $8,509 – $84,580 · median $42,290 | 18 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | $8,509 – $50,940 · median $25,470 | 18 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $41,409 · median $20,705 | 18 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $8,509 – $43,101 · median $21,550 | 18 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $8,509 – $26,263 · median $13,132 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $8,509 – $37,346 · median $18,673 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $8,509 – $27,081 · median $13,540 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $8,509 – $53,457 · median $26,728 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $8,509 – $32,665 · median $16,333 | 18 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $8,509 – $41,041 · median $20,520 | 18 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $8,509 – $31,559 · median $15,779 | 18 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,061 · median $12,531 | 18 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $8,509 – $62,239 · median $31,119 | 18 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $8,509 – $42,006 · median $21,003 | 18 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,855 · median $17,427 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $8,509 – $47,142 · median $23,571 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $8,509 – $26,892 · median $13,446 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,298 · median $10,149 | 18 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $8,509 – $36,168 · median $18,084 | 18 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $8,509 – $23,940 · median $11,970 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,509 – $22,613 · median $11,306 | 18 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $8,509 – $40,136 · median $20,068 | 18 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $8,509 – $27,210 · median $13,605 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,751 · median $10,875 | 18 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $8,509 – $38,912 · median $19,456 | 18 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $8,509 – $27,307 · median $13,654 | 18 plans |
| 075 | VIRAL MENINGITIS WITH COMPLICATION/COMORBITY | $8,509 – $45,250 · median $22,625 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,509 – $23,147 · median $11,573 | 18 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | $8,509 – $43,074 · median $21,537 | 18 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $8,509 – $24,571 · median $12,286 | 18 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $8,509 – $52,698 · median $26,349 | 18 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $8,509 – $34,693 · median $17,346 | 18 plans |
| 084 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,790 · median $12,895 | 18 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $8,509 – $52,421 · median $26,210 | 18 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $8,509 – $32,809 · median $16,405 | 18 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $8,509 – $24,958 · median $12,479 | 18 plans |
| 088 | CONCUSSION WITH COMORBITY | $8,509 – $33,803 · median $16,901 | 18 plans |
| 089 | CONCUSSION WITH CC | $8,509 – $28,679 · median $14,340 | 18 plans |
| 090 | CONCUSSION WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,106 · median $11,553 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $8,509 – $41,986 · median $20,993 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $8,509 – $27,149 · median $13,575 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,562 · median $11,281 | 18 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $8,509 – $77,664 · median $38,832 | 18 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $8,509 – $58,639 · median $29,320 | 18 plans |
| 096 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $8,509 – $58,639 · median $29,320 | 18 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $8,509 – $79,534 · median $39,767 | 18 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION | $8,509 – $52,886 · median $26,443 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,509 – $34,017 · median $17,009 | 18 plans |
| 100 | SEIZURES WITH COMORBITY | $8,509 – $45,640 · median $22,820 | 18 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $8,509 – $24,713 · median $12,357 | 18 plans |
| 102 | HEADACHES WITH COMORBITY | $8,509 – $29,130 · median $14,565 | 18 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $8,509 – $23,372 · median $11,686 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $54,024 · median $27,012 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,509 – $33,827 · median $16,913 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,509 – $37,508 · median $18,754 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $43,036 · median $21,518 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,509 – $28,402 · median $14,201 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY | $8,509 – $29,988 · median $14,994 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,350 · median $11,175 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,509 – $22,609 · median $11,304 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,509 – $33,222 · median $16,611 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $8,509 – $21,985 · median $10,993 | 18 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $50,359 · median $25,179 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,509 – $26,994 · median $13,497 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,509 – $36,664 · median $18,332 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $24,381 · median $12,191 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,509 – $31,453 · median $15,727 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $8,509 – $92,757 · median $46,379 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,509 – $50,584 · median $25,292 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,509 – $38,752 · median $19,376 | 18 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $8,509 – $82,262 · median $41,131 | 18 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,509 – $41,514 · median $20,757 | 18 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,509 – $30,778 · median $15,389 | 18 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | $8,509 – $49,295 · median $24,647 | 18 plans |
| 147 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION | $8,509 – $32,178 · median $16,089 | 18 plans |
| 148 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,578 · median $11,289 | 18 plans |
| 149 | DYSEQUILIBRIUM | $8,509 – $21,658 · median $10,829 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $8,509 – $33,392 · median $16,696 | 18 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $8,509 – $21,301 · median $10,651 | 18 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $8,509 – $30,371 · median $15,185 | 18 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $8,509 – $21,386 · median $10,693 | 18 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $8,509 – $38,086 · median $19,043 | 18 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $8,509 – $24,994 · median $12,497 | 18 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,433 · median $10,217 | 18 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $8,509 – $41,188 · median $20,594 | 18 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $8,509 – $24,859 · median $12,429 | 18 plans |
| 159 | DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,785 · median $10,393 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $8,509 – $97,138 · median $48,569 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $8,509 – $57,522 · median $28,761 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $45,183 · median $22,591 | 18 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $8,509 – $82,081 · median $41,041 | 18 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $8,509 – $42,941 · median $21,470 | 18 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,098 · median $17,049 | 18 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $8,509 – $66,676 · median $33,338 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $8,509 – $34,244 · median $17,122 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $8,509 – $22,738 · median $11,369 | 18 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $8,509 – $38,070 · median $19,035 | 18 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $8,509 – $26,198 · median $13,099 | 18 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,726 · median $10,863 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $8,509 – $42,184 · median $21,092 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $8,509 – $28,121 · median $14,060 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,509 – $21,702 · median $10,851 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $8,509 – $37,407 · median $18,703 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $8,509 – $27,981 · median $13,991 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,364 · median $11,182 | 18 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $8,509 – $37,985 · median $18,993 | 18 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $8,509 – $26,463 · median $13,232 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,509 – $20,962 · median $10,481 | 18 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $8,509 – $31,447 · median $15,724 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $8,509 – $28,863 · median $14,432 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $8,509 – $23,507 · median $11,754 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,440 · median $9,720 | 18 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $8,509 – $33,046 · median $16,523 | 18 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $8,509 – $22,756 · median $11,378 | 18 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,167 · median $9,583 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $8,509 – $44,636 · median $22,318 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,509 – $25,654 · median $12,827 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,509 – $20,941 · median $10,471 | 18 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $8,509 – $42,146 · median $21,073 | 18 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $8,509 – $28,693 · median $14,347 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,919 · median $10,460 | 18 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $8,509 – $26,101 · median $13,051 | 18 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,006 · median $10,003 | 18 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $8,509 – $22,787 · median $11,393 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $8,509 – $43,499 · median $21,750 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $8,509 – $25,492 · median $12,746 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $8,509 – $136,655 · median $68,328 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,509 – $62,069 · median $31,034 | 18 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $8,509 – $235,485 · median $117,743 | 18 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $8,509 – $226,487 · median $113,243 | 18 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $8,509 – $121,928 · median $60,964 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $8,509 – $207,929 · median $103,965 | 18 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $8,509 – $204,404 · median $102,202 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $8,509 – $139,500 · median $69,750 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $8,509 – $139,500 · median $69,750 | 18 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $8,509 – $161,820 · median $80,910 | 18 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $8,509 – $114,358 · median $57,179 | 18 plans |
| 221 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY | $8,509 – $108,438 · median $54,219 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $8,509 – $106,560 · median $53,280 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $8,509 – $70,179 · median $35,090 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $8,509 – $177,028 · median $88,514 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $8,509 – $129,126 · median $64,563 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $8,509 – $161,150 · median $80,575 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $8,509 – $116,987 · median $58,493 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $8,509 – $125,200 · median $62,600 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $8,509 – $91,209 · median $45,605 | 18 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $8,509 – $106,040 · median $53,020 | 18 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $8,509 – $64,129 · median $32,064 | 18 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,462 · median $17,231 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $8,509 – $71,055 · median $35,528 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $8,509 – $49,568 · median $24,784 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $8,509 – $43,024 · median $21,512 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $8,509 – $98,769 · median $49,385 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $8,509 – $50,612 · median $25,306 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $8,509 – $36,690 · median $18,345 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $8,509 – $77,035 · median $38,517 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $8,509 – $58,971 · median $29,485 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $42,502 · median $21,251 | 18 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $8,509 – $61,031 · median $30,515 | 18 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $8,509 – $40,806 · median $20,403 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,509 – $28,550 · median $14,275 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,509 – $70,029 · median $35,015 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,509 – $47,366 · median $23,683 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $8,509 – $72,269 · median $36,135 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,509 – $44,703 · median $22,352 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $8,509 – $39,430 · median $19,715 | 18 plans |
| 263 | VEIN LIGATION & STRIPPING | $8,509 – $68,316 · median $34,158 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $8,509 – $74,046 · median $37,023 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $8,509 – $79,663 · median $39,832 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $8,509 – $130,457 · median $65,229 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $8,509 – $102,784 · median $51,392 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $8,509 – $145,623 · median $72,812 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $8,509 – $91,906 · median $45,953 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $8,509 – $113,215 · median $56,608 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $8,509 – $78,411 · median $39,205 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $58,109 · median $29,054 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $8,509 – $89,929 · median $44,964 | 18 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $8,509 – $73,057 · median $36,528 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $8,509 – $150,733 · median $75,366 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $8,509 – $127,993 · median $63,996 | 18 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $8,509 – $99,904 · median $49,952 | 18 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $8,509 – $119,081 · median $59,541 | 18 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $8,509 – $79,425 · median $39,712 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $8,509 – $38,908 · median $19,454 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $8,509 – $25,047 · median $12,523 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,081 · median $10,540 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $8,509 – $46,531 · median $23,265 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,509 – $20,456 · median $10,228 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $8,509 – $18,568 · median $9,284 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $8,509 – $51,225 · median $25,613 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $8,509 – $28,102 · median $14,051 | 18 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $8,509 – $61,209 · median $30,604 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,509 – $40,988 · median $20,494 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,509 – $25,261 · median $12,631 | 18 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $8,509 – $32,427 · median $16,213 | 18 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $8,509 – $23,629 · median $11,814 | 18 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $8,503 – $17,902 · median $8,951 | 18 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $8,509 – $38,054 · median $19,027 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,509 – $19,278 · median $9,639 | 18 plans |
| 298 | CARDIAC ARREST; UNEXPLAINED WITHOUT COMPLICATION/COMORBITY | $7,438 – $15,658 · median $7,829 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $8,509 – $39,487 · median $19,743 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $8,509 – $28,050 · median $14,025 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,012 · median $10,506 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,509 – $30,662 · median $15,331 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $8,509 – $20,071 · median $10,036 | 18 plans |
| 304 | HYPERTENSION WITH COMORBITY | $8,509 – $30,529 · median $15,264 | 18 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $8,509 – $21,728 · median $10,864 | 18 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $8,509 – $38,335 · median $19,168 | 18 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $8,509 – $24,928 · median $12,464 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $8,509 – $30,812 · median $15,406 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $8,509 – $21,336 · median $10,668 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,504 – $17,904 · median $8,952 | 18 plans |
| 311 | ANGINA PECTORIS | $8,509 – $20,652 · median $10,326 | 18 plans |
| 312 | SYNCOPE & COLLAPSE | $8,509 – $24,086 · median $12,043 | 18 plans |
| 313 | CHEST PAIN | $8,509 – $21,018 · median $10,509 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $8,509 – $48,643 · median $24,322 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $8,509 – $25,941 · median $12,971 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,251 · median $10,126 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $8,509 – $141,750 · median $70,875 | 18 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $8,509 – $55,462 · median $27,731 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $8,509 – $96,756 · median $48,378 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,509 – $55,120 · median $27,560 | 18 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $8,509 – $61,504 · median $30,752 | 18 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $8,509 – $42,123 · median $21,062 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $8,509 – $94,014 · median $47,007 | 18 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $8,509 – $70,210 · median $35,105 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $8,509 – $71,411 · median $35,706 | 18 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $8,509 – $107,369 · median $53,685 | 18 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $8,509 – $55,907 · median $27,954 | 18 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $38,872 · median $19,436 | 18 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $8,509 – $99,459 · median $49,730 | 18 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $8,509 – $54,956 · median $27,478 | 18 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $40,502 · median $20,251 | 18 plans |
| 332 | RECTAL RESECTION WITH COMORBITY | $8,509 – $79,714 · median $39,857 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $8,509 – $53,843 · median $26,922 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,509 – $39,592 · median $19,796 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $8,509 – $78,706 · median $39,353 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $8,509 – $49,119 · median $24,559 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $37,510 · median $18,755 | 18 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $8,509 – $58,712 · median $29,356 | 18 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $8,509 – $36,897 · median $18,448 | 18 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,452 · median $15,226 | 18 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $8,509 – $52,901 · median $26,450 | 18 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $8,509 – $32,933 · median $16,466 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,509 – $24,066 · median $12,033 | 18 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY | $8,509 – $56,873 · median $28,436 | 18 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $8,509 – $37,297 · median $18,649 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,509 – $30,079 · median $15,040 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $8,509 – $65,171 · median $32,586 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $8,509 – $40,492 · median $20,246 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,665 · median $16,833 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $8,509 – $95,337 · median $47,669 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $8,509 – $53,506 · median $26,753 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,736 · median $17,368 | 18 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $8,509 – $76,029 · median $38,015 | 18 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,509 – $55,302 · median $27,651 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $8,509 – $38,661 · median $19,331 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $8,509 – $26,688 · median $13,344 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,509 – $20,630 · median $10,315 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $8,509 – $42,328 · median $21,164 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $8,509 – $27,109 · median $13,554 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,168 · median $10,584 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $8,509 – $49,726 · median $24,863 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $8,509 – $30,925 · median $15,463 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,152 · median $12,576 | 18 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $8,509 – $43,439 · median $21,719 | 18 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $8,509 – $26,293 · median $13,147 | 18 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,205 · median $9,603 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $8,509 – $46,154 · median $23,077 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $8,509 – $28,374 · median $14,187 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,509 – $22,649 · median $11,325 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,509 – $34,387 · median $17,194 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $8,509 – $23,746 · median $11,873 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $8,509 – $38,467 · median $19,233 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $8,509 – $26,204 · median $13,102 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,235 · median $10,118 | 18 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $8,509 – $36,332 · median $18,166 | 18 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $8,509 – $22,431 · median $11,215 | 18 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $8,292 – $17,457 · median $8,728 | 18 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $8,509 – $32,113 · median $16,057 | 18 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $8,509 – $22,224 · median $11,112 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $8,509 – $38,811 · median $19,405 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $8,509 – $25,383 · median $12,691 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,582 · median $9,791 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $8,509 – $54,910 · median $27,455 | 18 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,509 – $37,077 · median $18,538 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,509 – $29,612 · median $14,806 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $8,509 – $87,804 · median $43,902 | 18 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $8,509 – $117,145 · median $58,572 | 18 plans |
| 406 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION | $8,509 – $65,135 · median $32,567 | 18 plans |
| 407 | PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $51,363 · median $25,681 | 18 plans |
| 408 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY | $8,509 – $78,599 · median $39,299 | 18 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $8,509 – $50,507 · median $25,253 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,509 – $38,576 · median $19,288 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $8,509 – $73,291 · median $36,646 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION | $8,509 – $48,993 · median $24,497 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,509 – $40,049 · median $20,025 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $8,509 – $78,538 · median $39,269 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $8,509 – $48,269 · median $24,134 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,509 – $34,035 · median $17,018 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $8,509 – $54,738 · median $27,369 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $8,509 – $40,679 · median $20,339 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,086 · median $17,043 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $8,509 – $75,392 · median $37,696 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION | $8,509 – $41,607 · median $20,804 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,768 · median $17,384 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY | $8,509 – $90,485 · median $45,243 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $8,509 – $50,721 · median $25,361 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $36,808 · median $18,404 | 18 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $8,509 – $229,463 · median $114,732 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $8,509 – $152,518 · median $76,259 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $8,509 – $120,210 · median $60,105 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $8,509 – $188,758 · median $94,379 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $8,509 – $123,146 · median $61,573 | 18 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $8,509 – $46,276 · median $23,138 | 18 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $8,509 – $27,821 · median $13,911 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,509 – $20,866 · median $10,433 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $8,509 – $43,615 · median $21,807 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $8,509 – $29,337 · median $14,668 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,509 – $23,716 · median $11,858 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $8,509 – $39,436 · median $19,718 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $8,509 – $23,471 · median $11,735 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,023 · median $9,512 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $8,509 – $42,765 · median $21,382 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $8,509 – $25,982 · median $12,991 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,607 · median $10,304 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $8,509 – $40,260 · median $20,130 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $8,509 – $28,594 · median $14,297 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,189 · median $11,595 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $8,509 – $141,651 · median $70,826 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $8,509 – $92,262 · median $46,131 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $8,509 – $114,294 · median $57,147 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $8,509 – $71,816 · median $35,908 | 18 plans |
| 456 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY | $8,509 – $176,492 · median $88,246 | 18 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $8,509 – $127,112 · median $63,556 | 18 plans |
| 458 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY | $8,509 – $90,882 · median $45,441 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | $8,509 – $118,207 · median $59,104 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $8,509 – $60,274 · median $30,137 | 18 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $8,509 – $121,778 · median $60,889 | 18 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $8,509 – $69,475 · median $34,738 | 18 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $43,352 · median $21,676 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $8,509 – $111,780 · median $55,890 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $8,509 – $77,810 · median $38,905 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $8,509 – $62,055 · median $31,027 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $8,509 – $67,826 · median $33,913 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $8,509 – $45,480 · median $22,740 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $8,509 – $104,158 · median $52,079 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $8,509 – $66,063 · median $33,032 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $8,509 – $55,849 · median $27,924 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $8,509 – $93,316 · median $46,658 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $8,509 – $52,498 · median $26,249 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,330 · median $15,165 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $8,509 – $76,353 · median $38,176 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $8,509 – $56,211 · median $28,105 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $8,509 – $44,064 · median $22,032 | 18 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $8,509 – $65,379 · median $32,690 | 18 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $8,509 – $48,831 · median $24,416 | 18 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $8,509 – $39,452 · median $19,726 | 18 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $8,509 – $62,538 · median $31,269 | 18 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $8,509 – $71,749 · median $35,875 | 18 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $8,509 – $48,762 · median $24,381 | 18 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $8,509 – $38,141 · median $19,071 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $8,509 – $42,243 · median $21,121 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $8,509 – $29,047 · median $14,524 | 18 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $8,509 – $80,744 · median $40,372 | 18 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $8,509 – $57,767 · median $28,884 | 18 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $8,509 – $47,051 · median $23,525 | 18 plans |
| 495 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY | $8,509 – $79,815 · median $39,908 | 18 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $8,509 – $42,951 · median $21,475 | 18 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,899 · median $15,449 | 18 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $8,509 – $67,494 · median $33,747 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,509 – $47,218 · median $23,609 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $8,509 – $70,489 · median $35,244 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $8,509 – $41,822 · median $20,911 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,683 · median $16,842 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,509 – $62,927 · median $31,463 | 18 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $8,509 – $44,272 · median $22,136 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,509 – $42,726 · median $21,363 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,509 – $33,750 · median $16,875 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,509 – $43,002 · median $21,501 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,509 – $37,093 · median $18,546 | 18 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $8,509 – $67,569 · median $33,784 | 18 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $8,509 – $48,526 · median $24,263 | 18 plans |
| 512 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $39,946 · median $19,973 | 18 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $8,509 – $38,305 · median $19,152 | 18 plans |
| 514 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $27,135 · median $13,568 | 18 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $8,509 – $70,936 · median $35,468 | 18 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $8,509 – $48,499 · median $24,250 | 18 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $37,544 · median $18,772 | 18 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $8,509 – $82,073 · median $41,037 | 18 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $8,509 – $46,923 · median $23,462 | 18 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $8,509 – $36,678 · median $18,339 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $8,509 – $64,528 · median $32,264 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $8,509 – $49,301 · median $24,650 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH COMORBITY | $8,509 – $38,171 · median $19,086 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $8,509 – $22,760 · median $11,380 | 18 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $8,509 – $32,390 · median $16,195 | 18 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $8,509 – $22,791 · median $11,395 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,509 – $25,759 · median $12,880 | 18 plans |
| 538 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,024 · median $10,512 | 18 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $8,509 – $46,306 · median $23,153 | 18 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $8,509 – $32,680 · median $16,340 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,382 · median $11,191 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $8,509 – $42,194 · median $21,097 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $8,509 – $27,251 · median $13,625 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,718 · median $10,859 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $8,509 – $56,666 · median $28,333 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $8,509 – $29,788 · median $14,894 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,370 · median $11,685 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $8,509 – $45,521 · median $22,760 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $8,509 – $30,877 · median $15,438 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,509 – $24,136 · median $12,068 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $8,509 – $40,365 · median $20,182 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $8,509 – $25,901 · median $12,950 | 18 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $8,509 – $32,680 · median $16,340 | 18 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $8,509 – $23,246 · median $11,623 | 18 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $8,509 – $33,196 · median $16,598 | 18 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $8,509 – $23,256 · median $11,628 | 18 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $8,509 – $36,536 · median $18,268 | 18 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $8,509 – $24,523 · median $12,261 | 18 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $8,509 – $44,185 · median $22,093 | 18 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $8,509 – $29,236 · median $14,618 | 18 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $8,509 – $22,716 · median $11,358 | 18 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $8,509 – $35,280 · median $17,640 | 18 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $8,509 – $24,569 · median $12,285 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $8,509 – $37,684 · median $18,842 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $8,509 – $26,166 · median $13,083 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,509 – $21,611 · median $10,806 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $8,509 – $65,962 · median $32,981 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $8,509 – $40,636 · median $20,318 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $8,509 – $29,644 · median $14,822 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $8,509 – $139,017 · median $69,508 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $8,509 – $76,693 · median $38,346 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $42,811 · median $21,406 | 18 plans |
| 576 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $8,509 – $105,625 · median $52,812 | 18 plans |
| 577 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $8,509 – $60,086 · median $30,043 | 18 plans |
| 578 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $38,955 · median $19,477 | 18 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $8,509 – $71,980 · median $35,990 | 18 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $8,509 – $41,415 · median $20,708 | 18 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $35,650 · median $17,825 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,509 – $45,434 · median $22,717 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,509 – $41,342 · median $20,671 | 18 plans |
| 584 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $49,766 · median $24,883 | 18 plans |
| 585 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $45,484 · median $22,742 | 18 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $8,509 – $45,610 · median $22,805 | 18 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $8,509 – $30,454 · median $15,227 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,509 – $23,989 · median $11,994 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH COMORBITY | $8,509 – $49,361 · median $24,681 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $8,509 – $28,353 · median $14,177 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $8,509 – $40,183 · median $20,091 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,509 – $29,341 · median $14,670 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,509 – $22,018 · median $11,009 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | $8,509 – $27,526 · median $13,763 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $18,691 · median $9,346 | 18 plans |
| 602 | CELLULITIS WITH COMORBITY | $8,509 – $35,209 · median $17,605 | 18 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $8,509 – $24,072 · median $12,036 | 18 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $8,509 – $36,237 · median $18,118 | 18 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $8,509 – $24,984 · median $12,492 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $8,509 – $37,069 · median $18,534 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $8,509 – $24,790 · median $12,395 | 18 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $50,800 · median $25,400 | 18 plans |
| 615 | ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,764 · median $17,382 | 18 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $8,509 – $77,017 · median $38,508 | 18 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $8,509 – $44,295 · median $22,147 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,509 – $35,148 · median $17,574 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $8,509 – $64,876 · median $32,438 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $8,509 – $38,831 · median $19,416 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $8,509 – $36,972 · median $18,486 | 18 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $8,509 – $78,469 · median $39,235 | 18 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $8,509 – $42,749 · median $21,374 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,509 – $31,781 · median $15,891 | 18 plans |
| 625 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY | $8,509 – $67,561 · median $33,780 | 18 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $8,509 – $36,789 · median $18,395 | 18 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,327 · median $16,664 | 18 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $8,509 – $81,861 · median $40,930 | 18 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $8,509 – $50,537 · median $25,269 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,509 – $35,982 · median $17,991 | 18 plans |
| 637 | DIABETES WITH COMORBITY | $8,509 – $35,521 · median $17,760 | 18 plans |
| 638 | DIABETES WITH COMPLICATION | $8,509 – $24,584 · median $12,292 | 18 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,019 · median $9,509 | 18 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $8,509 – $33,475 · median $16,737 | 18 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $8,509 – $22,196 · median $11,098 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,509 – $35,225 · median $17,613 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $8,509 – $39,758 · median $19,879 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $8,509 – $27,190 · median $13,595 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,996 · median $10,998 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $8,509 – $101,582 · median $50,791 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $8,509 – $81,436 · median $40,718 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH COMORBITY | $8,509 – $111,598 · median $55,799 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $8,509 – $63,093 · median $31,546 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $49,278 · median $24,639 | 18 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $8,509 – $70,873 · median $35,437 | 18 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $8,509 – $43,479 · median $21,740 | 18 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $8,509 – $37,850 · median $18,925 | 18 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $8,509 – $57,864 · median $28,932 | 18 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $8,509 – $33,194 · median $16,597 | 18 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $8,509 – $27,400 · median $13,700 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $8,509 – $68,398 · median $34,199 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $8,509 – $37,210 · median $18,605 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,509 – $27,633 · median $13,817 | 18 plans |
| 665 | PROSTATECTOMY WITH COMORBITY | $8,509 – $69,607 · median $34,803 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $8,509 – $41,846 · median $20,923 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,509 – $28,833 · median $14,416 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $8,509 – $65,535 · median $32,768 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $8,509 – $37,854 · median $18,927 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,509 – $26,225 · median $13,112 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,509 – $42,771 · median $21,385 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,509 – $28,293 · median $14,146 | 18 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $8,509 – $91,468 · median $45,734 | 18 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $8,509 – $53,771 · median $26,885 | 18 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $39,663 · median $19,831 | 18 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $8,509 – $36,417 · median $18,209 | 18 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $8,509 – $24,171 · median $12,085 | 18 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $8,509 – $18,596 · median $9,298 | 18 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $8,509 – $42,947 · median $21,473 | 18 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $8,509 – $27,651 · median $13,826 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,509 – $22,441 · median $11,220 | 18 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,509 – $29,928 · median $14,964 | 18 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $8,509 – $22,829 · median $11,415 | 18 plans |
| 693 | URINARY STONES WITH COMORBITY | $8,509 – $33,655 · median $16,827 | 18 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $8,509 – $22,267 · median $11,133 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,509 – $29,594 · median $14,797 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,509 – $20,391 · median $10,195 | 18 plans |
| 697 | URETHRAL STRICTURE | $8,509 – $28,258 · median $14,129 | 18 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $8,509 – $39,926 · median $19,963 | 18 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $8,509 – $26,988 · median $13,494 | 18 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,409 · median $10,205 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $46,925 · median $23,463 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $37,494 · median $18,747 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,509 – $53,538 · median $26,769 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $34,802 · median $17,401 | 18 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $48,615 · median $24,307 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $28,701 · median $14,351 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $8,509 – $36,870 · median $18,435 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,509 – $27,846 · median $13,923 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $8,509 – $51,721 · median $25,860 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,509 – $36,215 · median $18,107 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $8,509 – $44,703 · median $22,352 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,509 – $33,627 · median $16,813 | 18 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $8,509 – $43,068 · median $21,534 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,509 – $29,572 · median $14,786 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,509 – $19,717 · median $9,859 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY | $8,509 – $30,128 · median $15,064 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $8,509 – $21,059 · median $10,529 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $8,509 – $36,456 · median $18,228 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $8,509 – $22,864 · median $11,432 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY | $8,509 – $27,872 · median $13,936 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,509 – $20,047 · median $10,023 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,509 – $49,550 · median $24,775 | 18 plans |
| 735 | PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,675 · median $16,838 | 18 plans |
| 736 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY | $8,509 – $78,779 · median $39,390 | 18 plans |
| 737 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION | $8,509 – $48,145 · median $24,073 | 18 plans |
| 738 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,509 – $36,164 · median $18,082 | 18 plans |
| 739 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY | $8,509 – $78,947 · median $39,474 | 18 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $8,509 – $43,066 · median $21,533 | 18 plans |
| 741 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITHOUT COMPLICATION/COMORBITY | $8,509 – $35,306 · median $17,653 | 18 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $8,509 – $43,576 · median $21,788 | 18 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,509 – $31,555 · median $15,777 | 18 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $8,509 – $47,913 · median $23,956 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,509 – $29,466 · median $14,733 | 18 plans |
| 746 | VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $41,599 · median $20,800 | 18 plans |
| 747 | VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,845 · median $11,923 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,509 – $34,521 · median $17,261 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $8,509 – $58,404 · median $29,202 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,509 – $36,312 · median $18,156 | 18 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $8,509 – $43,716 · median $21,858 | 18 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $8,509 – $28,461 · median $14,230 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,509 – $25,885 · median $12,942 | 18 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $8,509 – $35,424 · median $17,712 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,509 – $26,259 · median $13,130 | 18 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,877 · median $9,938 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,509 – $26,836 · median $13,418 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $8,509 – $17,993 · median $8,997 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $8,509 – $28,133 · median $14,066 | 18 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $8,509 – $40,642 · median $20,321 | 18 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,509 – $26,739 · median $13,369 | 18 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $8,509 – $19,697 · median $9,848 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $8,509 – $23,473 · median $11,736 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $8,509 – $56,128 · median $28,064 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $8,509 – $27,900 · median $13,950 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,830 · median $12,915 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $8,509 – $39,827 · median $19,913 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $8,509 – $29,047 · median $14,524 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,850 · median $12,925 | 18 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,509 – $42,917 · median $21,458 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $8,509 – $126,716 · median $63,358 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,509 – $88,583 · median $44,291 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,509 – $56,009 · median $28,004 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,509 – $90,821 · median $45,410 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,509 – $36,314 · median $18,157 | 18 plans |
| 795 | NORMAL NEWBORN | $4,984 – $10,492 · median $5,246 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $8,509 – $30,063 · median $15,032 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $8,509 – $26,692 · median $13,346 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,816 · median $12,908 | 18 plans |
| 799 | SPLENECTOMY WITH COMORBITY | $8,509 – $98,091 · median $49,046 | 18 plans |
| 800 | SPLENECTOMY WITH COMPLICATION | $8,509 – $63,297 · median $31,649 | 18 plans |
| 801 | SPLENECTOMY WITHOUT COMPLICATION/COMORBITY | $8,509 – $45,076 · median $22,538 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,509 – $87,067 · median $43,534 | 18 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION | $8,509 – $44,064 · median $22,032 | 18 plans |
| 804 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,888 · median $16,944 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $8,509 – $28,287 · median $14,143 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $8,509 – $21,706 · median $10,853 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,091 · median $10,046 | 18 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $8,509 – $51,126 · median $25,563 | 18 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $8,509 – $32,065 · median $16,032 | 18 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $8,509 – $27,627 · median $13,813 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $8,509 – $34,865 · median $17,433 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $8,509 – $25,029 · median $12,514 | 18 plans |
| 813 | COAGULATION DISORDERS | $8,509 – $37,313 · median $18,657 | 18 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | $8,509 – $49,483 · median $24,741 | 18 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $8,509 – $26,967 · median $13,484 | 18 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,509 – $19,238 · median $9,619 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $8,509 – $52,617 · median $26,309 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION | $8,509 – $29,905 · median $14,953 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,849 · median $11,925 | 18 plans |
| 820 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY | $8,509 – $125,123 · median $62,562 | 18 plans |
| 821 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION | $8,509 – $51,747 · median $25,874 | 18 plans |
| 822 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,812 · median $15,406 | 18 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | $8,509 – $99,223 · median $49,611 | 18 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION | $8,509 – $52,293 · median $26,147 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,509 – $33,754 · median $16,877 | 18 plans |
| 826 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY | $8,509 – $101,104 · median $50,552 | 18 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION | $8,509 – $53,216 · median $26,608 | 18 plans |
| 828 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY | $8,509 – $40,925 · median $20,463 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY | $8,509 – $70,392 · median $35,196 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITHOUT COMPLICATION/COMORBITY | $8,509 – $36,903 · median $18,451 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $8,509 – $30,782 · median $15,391 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $8,509 – $21,051 · median $10,525 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $8,089 – $17,030 · median $8,515 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY | $8,509 – $117,537 · median $58,769 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION | $8,509 – $48,655 · median $24,328 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,509 – $31,126 · median $15,563 | 18 plans |
| 837 | CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY | $8,509 – $103,664 · median $51,832 | 18 plans |
| 838 | CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT | $8,509 – $48,688 · median $24,344 | 18 plans |
| 839 | CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY | $8,509 – $35,666 · median $17,833 | 18 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $8,509 – $71,907 · median $35,954 | 18 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $8,509 – $39,460 · median $19,730 | 18 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY | $8,509 – $26,894 · median $13,447 | 18 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $8,509 – $46,814 · median $23,407 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,509 – $31,083 · median $15,542 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,509 – $23,681 · median $11,841 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY | $8,509 – $58,908 · median $29,454 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION | $8,509 – $32,920 · median $16,460 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $23,637 · median $11,818 | 18 plans |
| 849 | RADIOTHERAPY | $8,509 – $61,276 · median $30,638 | 18 plans |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $8,509 – $181,674 · median $90,837 | 18 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $8,509 – $106,382 · median $53,191 | 18 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $8,509 – $46,881 · median $23,440 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,509 – $36,745 · median $18,372 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $8,509 – $98,492 · median $49,246 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $8,509 – $49,782 · median $24,891 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,509 – $34,634 · median $17,317 | 18 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $8,509 – $43,352 · median $21,676 | 18 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $8,509 – $26,642 · median $13,321 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,509 – $24,412 · median $12,206 | 18 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $8,509 – $36,767 · median $18,384 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $8,509 – $24,045 · median $12,023 | 18 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $8,509 – $48,805 · median $24,402 | 18 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION | $8,509 – $27,313 · median $13,657 | 18 plans |
| 869 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,509 – $21,214 · median $10,607 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $8,509 – $146,309 · median $73,155 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $8,509 – $45,755 · median $22,878 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $8,509 – $27,155 · median $13,578 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $8,509 – $84,655 · median $42,328 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $8,509 – $25,879 · median $12,939 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $8,509 – $25,488 · median $12,744 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,509 – $28,177 · median $14,089 | 18 plans |
| 883 | DISORDERS OF PERSONALITY & IMPULSE CONTROL | $8,509 – $46,237 · median $23,119 | 18 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $8,509 – $39,005 · median $19,503 | 18 plans |
| 885 | PSYCHOSES | $8,509 – $34,713 · median $17,357 | 18 plans |
| 886 | BEHAVIORAL & DEVELOPMENTAL DISORDERS | $8,509 – $48,443 · median $24,221 | 18 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,509 – $28,119 · median $14,059 | 18 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $8,509 – $18,932 · median $9,466 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,509 – $35,094 · median $17,547 | 18 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $8,509 – $41,761 · median $20,881 | 18 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $8,509 – $24,312 · median $12,156 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY | $8,509 – $91,367 · median $45,684 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $8,509 – $45,189 · median $22,594 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,509 – $30,116 · median $15,058 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY | $8,509 – $80,774 · median $40,387 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,509 – $36,466 · median $18,233 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,509 – $46,197 · median $23,098 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $8,509 – $84,137 · median $42,069 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $8,509 – $46,822 · median $23,411 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $8,509 – $33,011 · median $16,506 | 18 plans |
| 913 | TRAUMATIC INJURY WITH COMORBITY | $8,509 – $39,525 · median $19,763 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $8,509 – $24,367 · median $12,184 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $8,509 – $40,476 · median $20,238 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $8,509 – $19,932 · median $9,966 | 18 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $8,509 – $38,186 · median $19,093 | 18 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $8,509 – $23,792 · median $11,896 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $8,509 – $43,495 · median $21,748 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $8,509 – $26,731 · median $13,365 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $8,509 – $20,379 · median $10,189 | 18 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $8,509 – $41,848 · median $20,924 | 18 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $8,509 – $27,042 · median $13,521 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $8,509 – $438,477 · median $219,238 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITH COMPLICATION/COMORBITY | $8,509 – $151,589 · median $75,794 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITHOUT COMPLICATION/COMORBITY | $8,509 – $71,622 · median $35,811 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $8,509 – $85,248 · median $42,624 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHAL INJ | $8,509 – $51,181 · median $25,590 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $8,509 – $48,133 · median $24,067 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $8,509 – $79,872 · median $39,936 | 18 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $8,509 – $53,736 · median $26,868 | 18 plans |
| 941 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY | $8,509 – $47,480 · median $23,740 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,509 – $37,785 · median $18,892 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,509 – $29,654 · median $14,827 | 18 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $8,509 – $32,135 · median $16,068 | 18 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $8,509 – $22,647 · median $11,324 | 18 plans |
| 949 | AFTERCARE WITH COMPLICATION/COMORBITY | $8,509 – $30,523 · median $15,261 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $8,509 – $19,150 · median $9,575 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $8,407 – $17,700 · median $8,850 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $8,509 – $142,653 · median $71,326 | 18 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $8,509 – $82,593 · median $41,297 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $8,509 – $160,638 · median $80,319 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $8,509 – $91,717 · median $45,859 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,509 – $66,023 · median $33,011 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $8,509 – $61,767 · median $30,884 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $8,509 – $37,461 · median $18,731 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $8,509 – $25,480 · median $12,740 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $8,509 – $130,314 · median $65,157 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $8,509 – $59,817 · median $29,908 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $8,509 – $64,847 · median $32,424 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION | $8,509 – $32,653 · median $16,327 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,509 – $24,715 · median $12,358 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,509 – $32,708 · median $16,354 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $8,509 – $101,388 · median $50,694 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $8,509 – $56,197 · median $28,098 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $41,132 · median $20,566 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $8,509 – $75,823 · median $37,911 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $8,509 – $39,707 · median $19,854 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $8,509 – $30,715 · median $15,357 | 18 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY | $8,509 – $573,513 · median $286,757 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $8,509 – $235,748 · median $117,874 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $8,509 – $215,082 · median $107,541 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $8,509 – $100,279 · median $50,139 | 17 plans |
| 007 | LUNG TRANSPLANT | $8,509 – $268,497 · median $134,248 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $8,509 – $119,858 · median $59,929 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $8,509 – $151,649 · median $75,825 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $8,509 – $71,798 · median $35,899 | 17 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY | $8,509 – $8,509 · median $8,509 | 1 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI | $8,509 – $8,509 · median $8,509 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION/COMORBITY | $8,509 – $8,509 · median $8,509 | 1 plans |
| 364 | OTHER SKIN; SUBCUTANEOUS TISSUE AND RELATED PROCEDURES | $8,509 – $8,509 · median $8,509 | 1 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE | $8,509 – $8,509 · median $8,509 | 1 plans |
No procedures match that keyword.