University Medical Center — Pricing
777 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 777 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 777 procedures
Procedures with negotiated rates only
These 777 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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,335 – $60,354 · median $43,747 | 79 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $3,335 – $53,281 · median $27,927 | 79 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,335 – $53,281 · median $25,563 | 79 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,335 – $117,767 · median $67,585 | 77 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,335 – $130,252 · median $65,126 | 77 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $3,335 – $93,804 · median $55,261 | 77 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,335 – $213,636 · median $92,477 | 75 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,335 – $142,951 · median $82,683 | 75 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,335 – $171,277 · median $82,769 | 75 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,335 – $117,247 · median $73,530 | 75 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $3,335 – $187,577 · median $82,683 | 75 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $3,335 – $135,222 · median $80,143 | 75 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,335 – $173,023 · median $80,524 | 75 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,335 – $156,434 · median $80,068 | 75 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,335 – $48,993 · median $23,926 | 74 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,335 – $24,122 · median $13,422 | 74 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $3,335 – $107,521 · median $46,192 | 73 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,335 – $64,132 · median $34,977 | 73 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,335 – $52,405 · median $28,067 | 73 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,335 – $126,288 · median $49,184 | 71 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,335 – $84,154 · median $40,023 | 71 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,335 – $131,693 · median $74,265 | 71 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $3,335 – $51,191 · median $27,801 | 70 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $3,335 – $37,665 · median $22,335 | 70 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $3,335 – $63,016 · median $31,530 | 70 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,335 – $40,048 · median $27,613 | 70 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 69 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,335 – $90,392 · median $45,196 | 69 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 69 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,335 – $68,311 · median $34,156 | 69 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $60,222 – $291,351 · median $149,007 | 68 plans |
| 652 | KIDNEY TRANSPLANT | $33,994 – $223,417 · median $159,833 | 68 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,335 – $40,777 · median $10,187 | 67 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,335 – $23,973 · median $10,187 | 67 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,335 – $19,336 · median $9,668 | 67 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,335 – $35,769 · median $10,187 | 67 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,335 – $23,504 · median $10,187 | 67 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,335 – $20,026 · median $10,013 | 67 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,335 – $28,259 · median $6,870 | 67 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,335 – $21,432 · median $6,870 | 67 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,335 – $21,432 · median $6,870 | 67 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,335 – $22,092 · median $6,870 | 67 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,335 – $16,018 · median $6,870 | 67 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,335 – $14,107 · median $6,870 | 67 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,335 – $312,780 · median $171,959 | 66 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,335 – $24,268 · median $6,679 | 65 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $87,739 – $291,351 · median $171,056 | 64 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $3,335 – $178,440 · median $89,220 | 64 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $3,335 – $122,352 · median $62,203 | 64 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,335 – $78,149 · median $40,579 | 64 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $50,993 – $223,417 · median $131,476 | 64 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $38,433 – $223,417 · median $118,916 | 64 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $3,335 – $474,408 · median $216,495 | 62 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,335 – $234,525 · median $128,694 | 62 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,335 – $110,310 · median $73,659 | 62 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,335 – $92,747 · median $55,352 | 62 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,335 – $95,583 · median $53,881 | 62 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $3,335 – $73,511 · median $45,577 | 60 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,335 – $35,668 · median $22,167 | 60 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,335 – $25,195 · median $16,056 | 60 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $3,335 – $86,558 · median $45,880 | 60 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $3,335 – $82,683 · median $34,543 | 60 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,335 – $187,473 · median $93,737 | 60 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,335 – $127,047 · median $63,523 | 60 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $3,335 – $98,998 · median $45,387 | 58 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $3,335 – $67,705 · median $38,284 | 58 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,335 – $54,627 · median $38,284 | 58 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,335 – $101,661 · median $75,229 | 58 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,335 – $147,593 · median $82,683 | 58 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,335 – $92,747 · median $69,766 | 58 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,335 – $113,624 · median $82,683 | 58 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,335 – $92,747 · median $56,421 | 58 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,335 – $92,747 · median $41,957 | 58 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $3,335 – $137,119 · median $84,634 | 58 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $3,335 – $102,974 · median $76,201 | 58 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,335 – $92,477 · median $45,956 | 53 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,335 – $92,477 · median $30,154 | 53 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,335 – $52,606 · median $31,284 | 52 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,335 – $36,710 · median $23,646 | 52 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,335 – $29,166 · median $21,583 | 52 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,335 – $231,882 · median $111,085 | 42 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $3,335 – $157,225 · median $75,319 | 42 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | — | 42 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | — | 42 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | — | 42 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $3,335 – $86,600 · median $53,692 | 37 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,335 – $78,609 · median $48,738 | 37 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,335 – $53,148 · median $32,952 | 37 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,335 – $41,735 · median $26,609 | 37 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $3,335 – $92,763 · median $44,425 | 32 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,335 – $47,273 · median $35,664 | 32 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $3,335 – $40,771 · median $26,753 | 32 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $3,335 – $104,143 · median $72,692 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,335 – $79,335 · median $49,188 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,335 – $43,650 · median $27,063 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,335 – $31,725 · median $20,278 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $3,335 – $83,499 · median $41,749 | 27 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,335 – $49,987 · median $36,991 | 27 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,335 – $40,771 · median $30,152 | 27 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $28,483 – $151,151 · median $114,497 | 27 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,483 – $84,612 · median $64,094 | 27 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,483 – $165,227 · median $125,159 | 27 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,483 – $90,974 · median $68,913 | 27 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,483 – $58,525 · median $44,333 | 27 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,600 – $60,137 · median $44,501 | 27 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,600 – $33,206 · median $26,731 | 27 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,101 – $29,935 · median $16,969 | 27 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,335 – $93,804 · median $55,563 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,335 – $93,804 · median $29,562 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,335 – $93,804 · median $55,795 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,335 – $93,804 · median $31,084 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,335 – $93,804 · median $24,862 | 26 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $117,867 – $235,734 · median $182,694 | 25 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $53,671 – $138,113 · median $86,410 | 25 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $11,292 – $134,575 · median $104,296 | 25 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $11,292 – $74,304 · median $57,585 | 25 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,292 – $49,261 · median $38,177 | 25 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $25,680 – $51,360 · median $39,804 | 25 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,389 – $30,778 · median $24,776 | 25 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,582 – $28,483 · median $17,037 | 25 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $25,080 – $50,160 · median $38,874 | 25 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,517 – $29,033 · median $23,372 | 25 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,784 – $28,483 · median $15,752 | 25 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,568 – $35,136 · median $28,285 | 25 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,822 – $28,483 · median $19,033 | 25 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,608 – $28,483 · median $13,858 | 25 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $9,561 – $94,286 · median $73,071 | 25 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,561 – $70,726 · median $54,813 | 25 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,561 – $63,355 · median $49,100 | 25 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,444 – $32,887 · median $26,474 | 25 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,223 – $28,483 · median $16,460 | 25 plans |
| 693 | URINARY STONES WITH MCC | $5,836 – $32,549 · median $25,225 | 25 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,836 – $17,297 · median $13,405 | 25 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,335 – $43,254 · median $26,817 | 25 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,335 – $22,685 · median $17,184 | 25 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,483 – $99,868 · median $77,398 | 25 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $24,116 – $48,232 · median $37,380 | 25 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,260 – $28,520 · median $22,959 | 25 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $20,351 – $40,701 · median $31,543 | 25 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,067 – $28,483 · median $17,818 | 25 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,911 – $35,823 · median $28,483 | 25 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,143 – $28,483 · median $16,330 | 25 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $3,335 – $623,531 · median $461,413 | 24 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,335 – $49,868 · median $36,902 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,335 – $75,935 · median $56,192 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,335 – $56,513 · median $41,820 | 24 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $3,335 – $110,753 · median $81,957 | 24 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $3,335 – $70,932 · median $52,490 | 24 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | — | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,335 – $97,239 · median $71,957 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,335 – $51,240 · median $37,918 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,335 – $135,841 · median $100,523 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $3,335 – $63,393 · median $46,911 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,335 – $112,774 · median $83,452 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,335 – $75,820 · median $56,107 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $3,335 – $58,069 · median $42,971 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,335 – $72,356 · median $53,543 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,335 – $41,737 · median $30,886 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $3,335 – $525,126 · median $388,593 | 24 plans |
| 010 | PANCREAS TRANSPLANT | $88,245 – $176,490 · median $142,074 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,455 – $108,174 · median $85,457 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $4,455 – $93,804 · median $62,381 | 22 plans |
| 007 | LUNG TRANSPLANT | $144,645 – $289,290 · median $228,539 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $59,722 – $119,443 · median $94,360 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $45,420 – $90,839 · median $71,763 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $29,330 – $58,660 · median $46,342 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $145,010 – $290,020 · median $229,116 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $66,805 – $133,610 · median $105,552 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $66,805 – $133,610 · median $105,552 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $417,403 – $834,807 · median $659,497 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $43,040 – $86,080 · median $68,003 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $25,177 – $50,355 · median $39,780 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,289 – $40,577 · median $32,056 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,274 – $44,549 · median $35,193 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,198 – $20,396 · median $16,113 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,592 – $33,184 · median $26,215 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,075 – $24,150 · median $19,079 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $27,715 – $55,431 · median $43,790 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,769 – $29,538 · median $23,335 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,430 – $40,861 · median $32,280 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,543 – $27,085 · median $21,398 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,877 – $19,754 · median $15,606 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $29,921 – $59,842 · median $47,275 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,711 – $39,422 · median $31,143 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,548 – $31,097 · median $24,566 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $22,016 – $44,033 · median $34,786 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,255 – $22,510 · median $17,783 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,618 – $15,236 · median $12,037 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $16,103 – $32,206 · median $25,442 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,756 – $19,513 · median $15,415 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,855 – $17,711 · median $13,992 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $19,245 – $38,490 · median $30,407 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,665 – $23,329 · median $18,430 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,303 – $16,606 · median $13,119 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,107 – $34,213 · median $27,028 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,537 – $23,074 · median $18,229 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $19,063 – $38,127 · median $30,120 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,148 – $20,296 · median $16,034 | 20 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,114 – $34,229 · median $27,041 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,045 – $22,089 · median $17,451 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,379 – $14,758 · median $11,659 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,001 – $44,002 · median $34,761 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,014 – $20,029 · median $15,823 | 20 plans |
| 088 | CONCUSSION WITH MCC | $15,614 – $31,227 · median $24,669 | 20 plans |
| 089 | CONCUSSION WITH CC | $11,866 – $23,732 · median $18,748 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,489 – $18,977 · median $14,992 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,176 – $40,352 · median $31,878 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,718 – $23,435 · median $18,514 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,736 – $17,472 · median $13,803 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $40,384 – $80,767 · median $63,806 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $26,532 – $53,064 · median $41,921 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,532 – $53,064 · median $41,921 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $39,674 – $79,348 · median $62,685 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $24,010 – $48,019 · median $37,935 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,421 – $30,842 · median $24,365 | 20 plans |
| 100 | SEIZURES WITH MCC | $21,973 – $43,946 · median $34,718 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $10,201 – $20,403 · median $16,118 | 20 plans |
| 102 | HEADACHES WITH MCC | $12,833 – $25,667 · median $20,277 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $9,410 – $18,820 · median $14,868 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,976 – $49,952 · median $39,462 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,083 – $26,167 · median $20,672 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,945 – $33,890 · median $26,773 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,468 – $36,936 · median $29,179 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,938 – $23,876 · median $18,862 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,874 – $25,748 · median $20,341 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,507 – $15,015 · median $11,862 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,890 – $17,780 · median $14,046 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,432 – $28,863 · median $22,802 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,139 – $18,278 · median $14,439 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,686 – $53,372 · median $42,164 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,827 – $21,653 · median $17,106 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,480 – $30,959 · median $24,458 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,004 – $18,008 · median $14,226 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,196 – $30,393 · median $24,010 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $46,809 – $93,617 · median $73,958 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,779 – $47,559 · median $37,572 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,403 – $34,806 · median $27,497 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,545 – $73,091 · median $57,742 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $19,443 – $38,886 · median $30,720 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,113 – $26,227 · median $20,719 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,391 – $50,782 · median $40,118 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,777 – $27,555 · median $21,768 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,862 – $17,724 · median $14,002 | 20 plans |
| 149 | DYSEQUILIBRIUM | $8,273 – $16,547 · median $13,072 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $15,298 – $30,596 · median $24,171 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,390 – $16,779 · median $13,255 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,560 – $25,120 · median $19,845 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,877 – $15,754 · median $12,446 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,000 – $36,000 · median $28,440 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,333 – $20,666 · median $16,326 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,442 – $14,884 · median $11,759 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $18,124 – $36,248 · median $28,636 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,411 – $20,821 · median $16,449 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,300 – $14,601 · median $11,535 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $3,335 – $102,029 · median $77,287 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $3,335 – $55,716 · median $42,205 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $3,335 – $41,261 · median $31,255 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $42,615 – $85,230 · median $67,332 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $20,223 – $40,447 · median $31,953 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,985 – $29,970 · median $23,676 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $33,963 – $67,926 · median $53,662 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,596 – $31,192 · median $24,641 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,015 – $18,030 · median $14,243 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,891 – $35,783 · median $28,268 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,981 – $21,961 · median $17,349 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,519 – $17,038 · median $13,460 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $19,345 – $38,689 · median $30,564 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,289 – $24,577 · median $19,416 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,269 – $18,539 · median $14,646 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,487 – $34,975 · median $27,630 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,112 – $22,224 · median $17,557 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,126 – $16,252 · median $12,839 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,695 – $27,391 · median $21,639 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,429 – $24,859 · median $19,638 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,508 – $19,017 · median $15,023 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,163 – $14,326 · median $11,318 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,584 – $29,168 · median $23,043 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,076 – $18,151 · median $14,340 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,892 – $13,784 · median $10,889 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,853 – $41,706 · median $32,948 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,957 – $21,915 · median $17,312 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,752 – $15,504 · median $12,248 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,538 – $39,077 · median $30,870 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,258 – $24,516 · median $19,367 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,494 – $14,988 · median $11,841 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,699 – $21,399 · median $16,905 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,710 – $15,420 · median $12,182 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,976 – $17,952 · median $14,182 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,894 – $41,788 · median $33,013 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,025 – $20,051 · median $15,840 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $71,579 – $143,157 · median $113,094 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $29,704 – $59,408 · median $46,933 | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $120,573 – $241,146 · median $190,506 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $55,748 – $111,496 · median $88,082 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $32,232 – $64,464 · median $50,927 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,712 – $33,423 · median $26,404 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,335 – $38,725 · median $29,334 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,959 – $57,919 · median $45,756 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,746 – $37,492 · median $29,618 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,872 – $19,743 · median $15,597 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $29,685 – $59,371 · median $46,903 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $38,684 – $77,367 · median $61,120 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,167 – $36,334 · median $28,704 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,202 – $20,405 · median $16,120 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,025 – $16,051 · median $12,680 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,642 – $43,285 · median $34,195 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,201 – $16,403 · median $12,958 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,214 – $12,427 · median $9,817 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $30,232 – $60,464 · median $47,767 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,451 – $34,902 · median $27,572 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,836 – $21,671 · median $17,120 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,441 – $28,883 · median $22,818 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,532 – $19,063 · median $15,060 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,073 – $12,146 · median $9,595 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,591 – $27,183 · median $21,474 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,741 – $17,483 · median $13,812 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,134 – $36,267 · median $28,651 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,796 – $15,593 · median $12,318 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,889 – $9,777 · median $7,724 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,904 – $35,807 · median $28,288 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,849 – $23,699 · median $18,722 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,896 – $15,792 · median $12,475 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,875 – $25,751 · median $20,343 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,442 – $14,884 · median $11,759 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $13,003 – $26,005 · median $20,544 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,309 – $16,617 · median $13,128 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,573 – $33,146 · median $26,186 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,253 – $20,507 · median $16,200 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,347 – $26,694 · median $21,088 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,183 – $16,365 · median $12,928 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,193 – $12,385 · median $9,784 | 20 plans |
| 311 | ANGINA PECTORIS | $7,729 – $15,458 · median $12,211 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,644 – $19,287 · median $15,237 | 20 plans |
| 313 | CHEST PAIN | $7,896 – $15,792 · median $12,475 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,835 – $47,670 · median $37,659 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,651 – $21,301 · median $16,828 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,556 – $15,112 · median $11,939 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $56,214 – $112,428 · median $88,818 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,874 – $53,748 · median $42,461 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,637 – $35,274 · median $27,866 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $50,823 – $101,646 · median $80,300 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $26,161 – $52,323 · median $41,335 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,273 – $36,546 · median $28,872 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $38,391 – $76,783 · median $60,658 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $23,523 – $47,045 · median $37,166 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $18,357 – $36,715 · median $29,005 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $40,104 – $80,207 · median $63,364 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $23,379 – $46,758 · median $36,939 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,990 – $33,981 · median $26,845 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,823 – $59,645 · median $47,120 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,477 – $32,954 · median $26,033 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,783 – $27,566 · median $21,777 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $26,196 – $52,391 · median $41,389 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,933 – $27,867 · median $22,015 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,750 – $19,500 · median $15,405 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,770 – $53,540 · median $42,297 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,652 – $33,303 · median $26,310 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,204 – $24,407 · median $19,282 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $32,462 – $64,925 · median $51,290 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,828 – $37,655 · median $29,748 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,756 – $29,512 · median $23,314 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $47,213 – $94,425 · median $74,596 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,925 – $49,850 · median $39,382 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,998 – $29,996 · median $23,697 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,483 – $36,967 · median $29,204 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,263 – $22,526 · median $17,795 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,725 – $15,451 · median $12,206 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,347 – $38,694 · median $30,568 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,392 – $22,784 · median $18,000 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,029 – $16,057 · median $12,685 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $23,369 – $46,738 · median $36,923 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,599 – $27,198 · median $21,487 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,773 – $19,546 · median $15,441 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $20,124 – $40,248 · median $31,796 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,912 – $21,824 · median $17,241 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,047 – $14,094 · median $11,134 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $21,298 – $42,596 · median $33,651 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,054 – $24,108 · median $19,045 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,293 – $16,586 · median $13,103 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,992 – $27,984 · median $22,108 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,625 – $19,249 · median $15,207 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,983 – $35,966 · median $28,413 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,985 – $21,970 · median $17,356 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,419 – $14,838 · median $11,722 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,269 – $32,538 · median $25,705 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,872 – $17,744 · median $14,018 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,056 – $12,113 · median $9,569 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,217 – $28,434 · median $22,463 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,636 – $17,273 · median $13,645 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,329 – $36,657 · median $28,959 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,418 – $20,837 · median $16,461 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,044 – $14,087 · median $11,129 | 20 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $27,424 – $54,848 · median $43,330 | 20 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,748 – $33,496 · median $26,462 | 20 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,438 – $24,876 · median $19,652 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $60,085 – $120,169 · median $94,934 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $31,083 – $62,166 · median $49,112 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,639 – $47,278 · median $37,350 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,752 – $77,504 · median $61,228 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $23,204 – $46,408 · median $36,662 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,168 – $34,335 · median $27,125 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,286 – $60,573 · median $47,852 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $23,592 – $47,185 · median $37,276 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $18,400 – $36,801 · median $29,073 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $38,780 – $77,560 · median $61,272 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,894 – $43,787 · median $34,592 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,165 – $30,331 · median $23,961 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $39,064 – $78,129 · median $61,722 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,125 – $36,250 · median $28,637 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,263 – $32,527 · median $25,696 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $45,018 – $90,036 · median $71,128 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,271 – $50,543 · median $39,929 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,109 – $34,218 · median $27,032 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,683 – $43,366 · median $34,259 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,840 – $23,681 · median $18,708 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,709 – $15,418 · median $12,180 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,195 – $40,389 · median $31,907 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,481 – $24,963 · median $19,721 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,691 – $17,381 · median $13,731 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $18,414 – $36,828 · median $29,094 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,521 – $19,041 · median $15,043 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,808 – $13,616 · median $10,756 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,923 – $41,846 · median $33,058 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,694 – $21,388 · median $16,896 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,777 – $15,555 · median $12,288 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,643 – $37,286 · median $29,456 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,003 – $24,006 · median $18,965 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,824 – $17,649 · median $13,943 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $59,778 – $119,556 · median $94,449 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,635 – $65,270 · median $51,563 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,215 – $38,430 · median $30,360 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,636 – $99,273 · median $78,426 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,877 – $47,754 · median $37,725 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,873 – $25,746 · median $20,340 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $38,063 – $76,125 · median $60,139 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,884 – $51,767 · median $40,896 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,654 – $39,309 · median $31,054 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,551 – $65,102 · median $51,430 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,965 – $45,930 · median $36,285 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,558 – $35,116 · median $27,742 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $28,203 – $56,407 · median $44,561 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $35,631 – $71,262 · median $56,297 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $23,474 – $46,948 · median $37,089 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,490 – $34,979 · median $27,634 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,753 – $43,506 · median $34,370 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,707 – $27,413 · median $21,656 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $38,966 – $77,932 · median $61,566 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,837 – $43,674 · median $34,503 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,860 – $29,720 · median $23,479 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,945 – $55,891 · median $44,154 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,848 – $25,695 · median $20,299 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $35,071 – $70,142 · median $55,412 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $19,753 – $39,506 · median $31,210 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,464 – $30,928 · median $24,433 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,292 – $58,585 · median $46,282 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,424 – $38,849 · median $30,690 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $19,424 – $38,849 · median $30,690 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,592 – $33,184 · median $26,215 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,452 – $42,904 · median $33,894 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,284 – $28,569 · median $22,569 | 20 plans |
| 509 | ARTHROSCOPY | $19,443 – $38,886 · median $30,720 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,633 – $63,267 · median $49,981 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,706 – $43,413 · median $34,296 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,795 – $35,590 · median $28,116 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,664 – $33,328 · median $26,329 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,285 – $22,570 · median $17,830 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $34,227 – $68,453 · median $54,078 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $22,265 – $44,531 · median $35,179 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,521 – $33,042 · median $26,103 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $32,260 – $64,520 · median $50,970 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $23,332 – $46,665 · median $36,865 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,878 – $33,755 · median $26,666 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,009 – $18,019 · median $14,235 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,719 – $29,439 · median $23,256 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,975 – $17,950 · median $14,181 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,171 – $20,343 · median $16,071 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,432 – $14,864 · median $11,743 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $22,384 – $44,768 · median $35,366 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,323 – $28,646 · median $22,630 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,683 – $19,367 · median $15,300 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,643 – $41,286 · median $32,616 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,742 – $23,484 · median $18,552 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,364 – $16,728 · median $13,215 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $27,968 – $55,935 · median $44,189 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,813 – $25,627 · median $20,245 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,259 – $16,518 · median $13,049 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $22,297 – $44,595 · median $35,230 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,338 – $26,676 · median $21,074 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,542 – $19,083 · median $15,076 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,886 – $37,773 · median $29,840 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,667 – $21,335 · median $16,854 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,455 – $28,909 · median $22,838 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,237 – $18,475 · median $14,595 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,904 – $29,808 · median $23,548 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,037 – $18,074 · median $14,278 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,152 – $34,304 · median $27,100 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,561 – $19,121 · median $15,106 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,545 – $41,091 · median $32,462 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,603 – $25,206 · median $19,913 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,049 – $18,098 · median $14,298 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,198 – $32,396 · median $25,593 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,893 – $19,785 · median $15,630 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,368 – $34,736 · median $27,441 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,286 – $22,572 · median $17,832 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,280 – $16,560 · median $13,082 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $33,317 – $66,633 · median $52,640 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,531 – $37,062 · median $29,279 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,644 – $25,288 · median $19,978 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $68,159 – $136,317 · median $107,691 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $38,349 – $76,699 · median $60,592 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $22,099 – $44,199 · median $34,917 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,715 – $119,430 · median $94,350 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,472 – $58,943 · median $46,565 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,709 – $37,419 · median $29,561 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $36,075 – $72,150 · median $56,998 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,623 – $39,247 · median $31,005 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,929 – $31,858 · median $25,168 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,382 – $38,764 · median $30,624 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,181 – $36,363 · median $28,726 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,661 – $45,321 · median $35,804 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $21,971 – $43,942 · median $34,714 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $22,759 – $45,518 · median $35,959 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $13,533 – $27,066 · median $21,382 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,393 – $18,787 · median $14,842 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $23,410 – $46,820 · median $36,988 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,966 – $23,931 · median $18,906 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,443 – $38,886 · median $30,720 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,941 – $23,882 · median $18,867 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,462 – $18,924 · median $14,950 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,588 – $21,175 · median $16,728 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,635 – $13,270 · median $10,484 | 20 plans |
| 602 | CELLULITIS WITH MCC | $16,261 – $32,522 · median $25,692 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,749 – $19,497 · median $15,403 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,823 – $35,645 · median $28,160 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,565 – $19,130 · median $15,113 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,224 – $50,448 · median $39,854 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,860 – $31,721 · median $25,059 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,778 – $85,555 · median $67,589 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,379 – $42,758 · median $33,779 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,781 – $27,561 · median $21,774 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,416 – $82,833 · median $65,438 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,171 – $42,342 · median $33,450 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,102 – $22,205 · median $17,542 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,733 – $63,466 · median $50,138 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,705 – $33,410 · median $26,394 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,022 – $28,044 · median $22,155 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,671 – $87,342 · median $69,000 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,893 – $49,786 · median $39,331 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,510 – $31,019 · median $24,505 | 20 plans |
| 637 | DIABETES WITH MCC | $16,118 – $32,237 · median $25,467 | 20 plans |
| 638 | DIABETES WITH CC | $10,152 – $20,303 · median $16,039 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,935 – $13,870 · median $10,958 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,698 – $29,396 · median $23,223 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,649 – $17,297 · median $13,665 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,736 – $27,473 · median $21,704 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $18,343 – $36,686 · median $28,982 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,438 – $22,875 · median $18,071 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,619 – $17,237 · median $13,617 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $61,699 – $123,399 · median $97,485 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $31,235 – $62,470 · median $49,351 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,991 – $45,983 · median $36,326 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $36,059 – $72,119 · median $56,974 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $20,233 – $40,467 · median $31,969 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,646 – $33,292 · median $26,301 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $28,603 – $57,206 · median $45,193 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,831 – $29,662 · median $23,433 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,362 – $22,725 · median $17,953 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $34,528 – $69,055 · median $54,554 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,905 – $33,810 · median $26,710 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,951 – $23,902 · median $18,883 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $38,003 – $76,006 · median $60,045 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $18,232 – $36,464 · median $28,807 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,376 – $22,751 · median $17,974 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $32,277 – $64,555 · median $50,998 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,128 – $34,255 · median $27,062 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,578 – $21,155 · median $16,713 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $19,078 – $38,156 · median $30,143 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,113 – $24,226 · median $19,138 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $46,370 – $92,741 · median $73,265 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $25,549 – $51,099 · median $40,368 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,325 – $34,649 · median $27,373 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $16,623 – $33,246 · median $26,264 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $9,838 – $19,677 · median $15,545 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,723 – $13,445 · median $10,622 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,871 – $41,742 · median $32,976 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,651 – $23,302 · median $18,409 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,015 – $16,031 · median $12,664 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,953 – $25,906 · median $20,465 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,883 – $17,766 · median $14,035 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,482 – $24,965 · median $19,722 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,657 – $15,314 · median $12,098 | 20 plans |
| 697 | URETHRAL STRICTURE | $11,088 – $22,176 · median $17,519 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,604 – $37,208 · median $29,395 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,288 – $22,576 · median $17,835 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,683 – $15,367 · median $12,140 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,478 – $42,957 · median $33,936 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,408 – $32,816 · median $25,925 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,871 – $49,742 · median $39,296 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,617 – $33,235 · median $26,256 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $21,146 – $42,293 · median $33,411 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,838 – $23,677 · median $18,704 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $16,004 – $32,009 · median $25,287 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,401 – $20,801 · median $16,433 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $24,995 – $49,990 · median $39,492 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,709 – $31,417 · median $24,820 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,537 – $41,073 · median $32,448 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,635 – $27,269 · median $21,543 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $19,135 – $38,271 · median $30,234 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,428 – $24,856 · median $19,637 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,064 – $16,128 · median $12,741 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,974 – $27,949 · median $22,080 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,239 – $16,478 · median $13,018 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,263 – $32,527 · median $25,696 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,044 – $18,087 · median $14,289 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,185 – $24,369 · median $19,252 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,717 – $13,434 · median $10,613 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $23,274 – $46,547 · median $36,772 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,435 – $26,871 · median $21,228 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,581 – $87,162 · median $68,858 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $22,118 – $44,236 · median $34,947 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,789 – $33,578 · median $26,527 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $44,060 – $88,121 · median $69,615 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,125 – $40,250 · median $31,797 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,203 – $30,406 · median $24,021 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $20,218 – $40,436 · median $31,944 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,267 – $26,534 · median $20,962 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,534 – $37,069 · median $29,284 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,572 – $21,144 · median $16,704 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,078 – $30,156 · median $23,823 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $28,651 – $57,301 · median $45,268 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,272 – $28,544 · median $22,550 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $20,025 – $40,050 · median $31,640 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,287 – $24,573 · median $19,413 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,570 – $21,140 · median $16,700 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,664 – $31,329 · median $24,750 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,282 – $22,563 · median $17,825 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,083 – $14,167 · median $11,192 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,909 – $21,817 · median $17,236 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,016 – $14,032 · median $11,085 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,379 – $30,758 · median $24,299 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,909 – $23,818 · median $18,816 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,897 – $15,794 · median $12,477 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $10,346 – $20,693 · median $16,347 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $52,626 – $105,252 · median $83,149 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $32,250 – $64,500 · median $50,955 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,170 – $36,341 · median $28,709 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $39,676 – $79,353 · median $62,689 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,701 – $39,402 · median $31,128 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,237 – $24,473 · median $19,334 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,349 – $50,698 · median $40,051 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,708 – $27,415 · median $21,658 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,534 – $21,069 · median $16,644 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,572 – $31,143 · median $24,603 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,215 – $20,429 · median $16,139 | 20 plans |
| 813 | COAGULATION DISORDERS | $17,133 – $34,266 · median $27,070 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $23,138 – $46,275 · median $36,557 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,246 – $22,492 · median $17,769 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,298 – $14,596 · median $11,531 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $28,058 – $56,117 · median $44,332 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,256 – $28,511 · median $22,524 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,037 – $18,074 · median $14,278 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $64,441 – $128,882 · median $101,817 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $24,708 – $49,416 · median $39,039 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,658 – $25,317 · median $20,000 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $51,792 – $103,585 · median $81,832 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $24,343 – $48,686 · median $38,462 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,622 – $27,245 · median $21,523 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $52,855 – $105,710 · median $83,511 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $26,119 – $52,239 · median $41,268 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,741 – $35,482 · median $28,031 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $34,131 – $68,263 · median $53,928 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,187 – $32,374 · median $25,575 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,739 – $25,478 · median $20,128 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,272 – $16,544 · median $13,070 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,753 – $11,506 · median $9,090 | 20 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $61,176 – $122,352 · median $96,658 | 20 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,640 – $47,280 · median $37,351 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,064 – $28,128 · median $22,221 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $55,419 – $110,839 · median $87,563 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,448 – $44,896 · median $35,468 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,168 – $30,335 · median $23,965 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $35,296 – $70,591 · median $55,767 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,355 – $34,709 · median $27,420 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,642 – $23,285 · median $18,395 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,955 – $41,910 · median $33,109 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,228 – $26,457 · median $20,901 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,262 – $18,523 · median $14,633 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $28,265 – $56,531 · median $44,659 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,064 – $28,128 · median $22,221 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,064 – $18,127 · median $14,320 | 20 plans |
| 849 | RADIOTHERAPY | $29,564 – $59,127 · median $46,710 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | — | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $55,354 – $110,708 · median $87,460 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $22,115 – $44,230 · median $34,942 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,992 – $35,984 · median $28,427 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,939 – $19,878 · median $15,704 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,335 – $32,670 · median $25,810 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,793 – $19,586 · median $15,473 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,733 – $47,466 · median $37,498 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,622 – $23,245 · median $18,363 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,965 – $15,929 · median $12,584 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $76,994 – $153,988 · median $121,651 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,716 – $43,433 · median $34,312 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,411 – $22,822 · median $18,029 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $43,493 – $86,985 · median $68,718 | 20 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,610 – $21,219 · median $16,763 | 20 plans |
| 881 | DEPRESSIVE NEUROSES | $10,117 – $20,234 · median $15,985 | 20 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,647 – $21,295 · median $16,823 | 20 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,519 – $41,038 · median $32,420 | 20 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,486 – $36,971 · median $29,207 | 20 plans |
| 885 | PSYCHOSES | $15,601 – $31,203 · median $24,650 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,884 – $39,767 · median $31,416 | 20 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,164 – $26,328 · median $20,799 | 20 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,908 – $13,815 · median $10,914 | 20 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,025 – $32,051 · median $25,320 | 20 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,710 – $39,420 · median $31,142 | 20 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,764 – $19,528 · median $15,427 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $49,037 – $98,073 · median $77,478 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $21,003 – $42,005 · median $33,184 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,493 – $26,986 · median $21,319 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $42,734 – $85,469 · median $67,520 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,242 – $36,484 · median $28,823 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $24,156 – $48,312 · median $38,166 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $44,091 – $88,183 · median $69,664 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $22,325 – $44,650 · median $35,274 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,037 – $28,075 · median $22,179 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,235 – $38,470 · median $30,391 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,350 – $14,700 · median $11,613 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,148 – $36,296 · median $28,674 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,791 – $19,581 · median $15,469 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $20,184 – $40,367 · median $31,890 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,244 – $22,488 · median $17,765 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,611 – $15,223 · median $12,026 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,698 – $37,396 · median $29,543 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,288 – $22,576 · median $17,835 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $73,922 – $147,843 · median $116,796 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $35,201 – $70,401 · median $55,617 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $47,890 – $95,780 · median $75,666 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,750 – $47,499 · median $37,524 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $24,310 – $48,619 · median $38,409 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $35,130 – $70,259 · median $55,505 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,369 – $46,738 · median $36,923 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,630 – $43,260 · median $34,176 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,895 – $33,790 · median $26,694 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,357 – $24,715 · median $19,525 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,236 – $28,471 · median $22,492 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,793 – $17,587 · median $13,894 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,942 – $23,885 · median $18,869 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,487 – $12,974 · median $10,249 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,276 – $12,551 · median $9,915 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $69,997 – $139,994 · median $110,595 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $29,367 – $58,733 · median $46,399 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $33,051 – $66,102 · median $52,221 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,732 – $31,464 · median $24,857 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,600 – $22,202 · median $17,207 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,600 – $31,918 · median $24,736 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $52,616 – $105,232 · median $83,133 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $27,098 – $54,195 · median $42,814 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,464 – $36,927 · median $29,172 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,768 – $77,535 · median $61,253 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,993 – $37,985 · median $30,008 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,600 – $25,578 · median $19,823 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $19,951 – $39,902 · median $34,914 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $65,797 – $131,594 · median $115,144 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $44,935 – $89,870 · median $78,636 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $27,113 – $54,226 · median $47,448 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $46,159 – $92,318 · median $80,778 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $16,339 – $32,677 · median $28,592 | 18 plans |
| 795 | NORMAL NEWBORN | $2,211 – $4,423 · median $3,870 | 18 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $4,224 – $32,535 · median $18,380 | 5 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $4,224 – $32,535 · median $18,380 | 5 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $4,224 – $58,562 · median $31,393 | 5 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $4,224 – $26,028 · median $15,126 | 5 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $4,224 – $26,028 · median $15,126 | 5 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $3,600 – $3,600 · median $3,600 | 1 plans |
No procedures match that keyword.