Bellevue Hospital Center (Acute Care) — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,861 – $60,697 · median $43,706 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $263,388 · median $150,330 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $17,861 – $176,243 · median $113,063 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $211,164 · median $124,154 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $17,861 – $144,552 · median $97,192 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,861 – $135,999 · median $92,017 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,861 – $84,774 · median $59,091 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,861 – $231,261 · median $134,227 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $17,861 – $213,317 · median $125,233 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $17,861 – $145,194 · median $91,088 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $160,586 · median $98,803 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $112,223 · median $74,478 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,861 – $92,571 · median $64,226 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,861 – $65,505 · median $47,392 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,861 – $57,332 · median $39,971 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $17,861 – $133,366 · median $85,159 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,861 – $66,596 · median $47,954 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $52,917 · median $36,678 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,861 – $93,619 · median $63,613 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,861 – $70,980 · median $50,980 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,861 – $76,565 · median $53,839 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,137 – $92,959 · median $63,228 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,137 – $59,027 · median $41,152 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,380 – $48,215 · median $33,614 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $15,139 – $46,411 · median $32,548 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,281 – $37,901 · median $25,490 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,053 – $44,412 · median $23,415 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,053 – $42,619 · median $21,315 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,861 – $768,741 · median $420,682 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,861 – $300,739 · median $178,242 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $17,861 – $584,890 · median $324,637 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $17,861 – $385,622 · median $220,035 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $17,861 – $290,633 · median $170,915 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $17,861 – $132,340 · median $88,212 | 21 plans |
| 007 | Lung transplant | $17,861 – $356,661 · median $205,408 | 21 plans |
| 008 | Simultaneous pancreas/kidney transplant | $17,861 – $148,493 · median $96,660 | 21 plans |
| 010 | Pancreas transplant | $17,861 – $217,591 · median $132,758 | 21 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $17,861 – $147,260 · median $96,016 | 21 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $17,861 – $111,994 · median $76,091 | 21 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,861 – $72,749 · median $52,870 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $17,861 – $357,561 · median $205,879 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $17,861 – $164,726 · median $105,140 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,861 – $164,726 · median $105,140 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $17,861 – $1,029,220 · median $556,758 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $17,861 – $216,344 · median $132,106 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $17,861 – $219,995 · median $134,014 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,861 – $150,846 · median $98,753 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,861 – $96,348 · median $65,777 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $17,861 – $155,698 · median $100,424 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,861 – $103,752 · median $70,831 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $17,861 – $122,054 · median $82,084 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,861 – $83,472 · median $58,332 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,861 – $69,426 · median $50,024 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $17,861 – $165,916 · median $105,762 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,861 – $91,608 · median $62,823 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,861 – $65,005 · median $46,924 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,861 – $114,366 · median $77,504 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,861 – $63,367 · median $45,453 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $53,517 · median $37,650 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,861 – $106,127 · median $72,452 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,861 – $65,906 · median $47,769 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,861 – $57,850 · median $41,045 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,861 – $90,631 · median $62,248 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,861 – $53,805 · median $37,938 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,289 – $45,176 · median $30,828 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,861 – $102,944 · median $70,280 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,861 – $65,603 · median $47,223 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,861 – $56,473 · median $40,068 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,861 – $61,122 · median $43,195 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,567 – $41,222 · median $26,072 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $17,861 – $51,758 · median $36,085 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $13,696 – $44,315 · median $29,549 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,861 – $58,084 · median $40,718 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,361 – $46,734 · median $32,570 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,203 – $40,693 · median $25,503 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,861 – $73,778 · median $53,735 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,861 – $56,898 · median $40,370 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,636 – $50,038 · median $34,886 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,766 – $42,964 · median $27,945 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,641 – $36,970 · median $21,499 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,861 – $50,952 · median $35,523 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,066 – $40,494 · median $25,289 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,044 – $39,010 · median $23,692 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,861 – $56,130 · median $39,825 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $13,231 – $43,639 · median $28,671 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,418 – $38,099 · median $22,713 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,861 – $52,607 · median $36,741 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,086 – $43,429 · median $28,445 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,861 – $55,831 · median $39,613 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,511 – $41,140 · median $25,983 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,861 – $52,619 · median $36,754 | 21 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $12,528 – $42,617 · median $27,572 | 21 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,370 – $36,577 · median $21,075 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,861 – $66,734 · median $48,053 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,455 – $49,776 · median $34,703 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,003 – $41,855 · median $26,752 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,861 – $65,746 · median $47,578 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,466 – $48,339 · median $33,701 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,098 – $40,540 · median $25,338 | 21 plans |
| 088 | CONCUSSION WITH MCC | $17,710 – $50,146 · median $34,961 | 21 plans |
| 089 | CONCUSSION WITH CC | $13,459 – $43,970 · median $29,037 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,763 – $40,053 · median $24,814 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,861 – $57,664 · median $40,913 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $13,291 – $43,726 · median $28,765 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,909 – $38,813 · median $23,480 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,861 – $99,577 · median $67,981 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,861 – $68,139 · median $49,240 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,861 – $68,139 · median $49,065 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,861 – $97,827 · median $66,786 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,861 – $63,982 · median $45,903 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,491 – $49,829 · median $34,740 | 21 plans |
| 100 | SEIZURES WITH MCC | $17,861 – $60,626 · median $43,015 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $11,571 – $41,227 · median $26,078 | 21 plans |
| 102 | HEADACHES WITH MCC | $14,556 – $45,565 · median $31,306 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $10,673 – $39,923 · median $24,675 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,861 – $65,574 · median $47,457 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,840 – $45,977 · median $31,751 | 21 plans |
| 115 | Extraocular procedures except orbit | $17,861 – $52,340 · median $36,491 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,861 – $54,850 · median $38,916 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,541 – $44,089 · median $29,213 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,603 – $45,632 · median $31,379 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,515 – $36,788 · median $21,303 | 21 plans |
| 123 | Neurological eye disorders | $10,083 – $39,066 · median $23,753 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,369 – $48,198 · median $33,603 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $10,366 – $39,476 · median $24,194 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,861 – $68,392 · median $49,849 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,280 – $42,258 · median $27,186 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,558 – $49,925 · median $34,807 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,213 – $39,254 · median $23,955 | 21 plans |
| 139 | Salivary gland procedures | $17,237 – $49,459 · median $33,825 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,861 – $115,419 · median $78,132 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,861 – $63,603 · median $45,272 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,861 – $53,095 · median $37,229 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,861 – $90,112 · median $61,943 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,861 – $56,457 · median $40,056 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,874 – $46,026 · median $31,805 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,861 – $66,258 · median $47,711 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,627 – $47,120 · median $32,851 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,052 – $39,020 · median $23,704 | 21 plans |
| 149 | Dysequilibrium | $9,384 – $38,050 · median $22,660 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $17,352 – $49,626 · median $34,599 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,516 – $38,242 · median $22,866 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,246 – $45,114 · median $30,735 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,935 – $37,397 · median $21,958 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,861 – $54,078 · median $38,076 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,720 – $41,444 · median $26,311 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,441 – $36,680 · median $21,187 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,861 – $54,283 · median $38,415 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,808 – $41,572 · median $26,448 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,281 – $36,447 · median $20,936 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,861 – $125,790 · median $84,310 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,861 – $70,324 · median $51,112 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,861 – $58,414 · median $41,445 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $105,079 · median $71,737 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $57,743 · median $40,969 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,997 – $49,110 · median $34,239 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $17,861 – $83,745 · median $58,494 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,690 – $50,117 · median $34,941 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,225 – $39,272 · median $23,975 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,861 – $53,900 · median $38,032 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,455 – $42,511 · median $27,459 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,663 – $38,455 · median $23,096 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,861 – $56,294 · median $39,941 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,939 – $44,667 · median $30,072 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $10,514 – $39,692 · median $24,426 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,861 – $53,367 · median $37,501 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,409 – $43,898 · median $28,950 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,763 – $38,601 · median $23,253 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,861 – $53,234 · median $37,368 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,604 – $42,728 · median $27,692 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,217 – $37,808 · median $22,399 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,534 – $46,985 · median $32,757 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,098 – $44,899 · median $30,416 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,785 – $40,086 · median $24,849 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,125 – $36,221 · median $20,792 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,542 – $48,450 · median $33,778 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,294 – $39,373 · median $24,082 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,817 – $35,774 · median $20,645 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,861 – $58,780 · median $41,705 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $12,428 – $42,473 · median $27,417 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,793 – $37,191 · median $21,736 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,861 – $56,614 · median $40,168 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,904 – $44,616 · median $29,996 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,500 – $36,766 · median $21,279 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,136 – $42,048 · median $26,960 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,745 – $37,122 · median $21,662 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,181 – $39,208 · median $23,906 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $58,848 · median $41,522 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,371 – $40,937 · median $25,766 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $17,861 – $176,496 · median $111,289 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,861 – $73,366 · median $53,212 | 21 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $17,861 – $297,305 · median $174,401 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $17,861 – $289,143 · median $170,137 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $162,362 · median $103,906 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $125,337 · median $84,040 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,861 – $166,713 · median $106,178 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,861 – $137,462 · median $90,897 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,861 – $79,477 · median $55,964 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,861 – $51,955 · median $35,999 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $56,324 · median $39,962 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,861 – $72,138 · median $52,580 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,861 – $55,308 · median $39,168 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,197 – $40,684 · median $25,493 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,861 – $56,475 · median $40,069 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,861 – $52,099 · median $36,323 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,861 – $73,335 · median $53,452 | 21 plans |
| 264 | Other circulatory system O.R. procedures | $17,861 – $95,385 · median $65,119 | 21 plans |
| 265 | AICD lead procedures | $17,861 – $97,352 · median $66,462 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $17,861 – $163,495 · median $104,497 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $17,861 – $128,396 · median $85,863 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $17,861 – $181,965 · median $114,146 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,861 – $113,550 · median $77,018 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,861 – $140,085 · median $92,268 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,861 – $94,001 · median $64,231 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $70,054 · median $50,444 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $17,861 – $106,716 · median $72,855 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,861 – $85,175 · median $59,628 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $17,861 – $192,866 · median $119,841 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $17,861 – $169,051 · median $107,400 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $17,861 – $126,955 · median $85,004 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $17,861 – $136,545 · median $90,418 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,861 – $87,451 · median $60,395 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,861 – $54,354 · median $38,486 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,572 – $41,229 · median $26,080 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,103 – $37,642 · median $22,221 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,861 – $60,081 · median $42,628 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,303 – $37,932 · median $22,533 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,048 – $34,656 · median $20,279 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $64,784 · median $46,374 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,680 – $44,291 · median $29,514 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,861 – $74,545 · median $53,455 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,861 – $53,174 · median $37,226 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,290 – $42,272 · median $27,202 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,812 – $40,124 · median $24,891 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,888 – $34,424 · median $20,203 | 21 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,416 – $46,814 · median $32,302 | 21 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,915 – $38,822 · median $23,490 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,861 – $54,299 · median $38,431 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,843 – $37,264 · median $21,815 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,545 – $32,473 · median $19,564 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,861 – $53,920 · median $38,052 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,440 – $43,943 · median $28,999 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,956 – $37,428 · median $21,991 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,604 – $45,634 · median $31,380 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,441 – $36,680 · median $21,187 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $14,748 – $45,844 · median $31,607 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,424 – $38,109 · median $22,723 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $17,861 – $51,727 · median $36,063 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,630 – $41,313 · median $26,170 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,024 – $34,621 · median $20,268 | 21 plans |
| 311 | ANGINA PECTORIS | $8,766 – $37,153 · median $21,695 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,938 – $40,308 · median $25,089 | 21 plans |
| 313 | Chest pain | $8,956 – $37,428 · median $21,991 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $63,694 · median $45,404 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,081 – $41,968 · median $26,874 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,571 – $36,868 · median $21,389 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,861 – $119,884 · median $80,792 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,861 – $66,636 · median $47,982 | 21 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $17,861 – $77,692 · median $55,400 | 21 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $17,861 – $57,414 · median $40,736 | 21 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $17,861 – $116,243 · median $78,623 | 21 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $17,861 – $87,197 · median $60,271 | 21 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $17,861 – $78,110 · median $55,170 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,861 – $138,611 · median $91,498 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,861 – $68,702 · median $50,075 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,861 – $53,480 · median $37,614 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $125,318 · median $84,029 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $67,528 · median $48,940 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,861 – $54,529 · median $38,661 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,861 – $94,664 · median $65,115 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $17,861 – $63,179 · median $45,129 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,861 – $54,667 · median $38,718 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $17,861 – $98,886 · median $67,509 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,861 – $62,942 · median $45,052 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $17,861 – $52,415 · median $36,550 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $73,561 · median $53,520 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $51,569 · median $35,953 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,634 – $47,129 · median $32,858 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,861 – $67,584 · median $49,260 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,804 – $47,377 · median $33,031 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,059 – $40,483 · median $25,277 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,861 – $68,531 · median $49,485 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $17,861 – $51,857 · median $36,154 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,842 – $44,527 · median $29,863 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,861 – $80,045 · median $56,300 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,861 – $55,443 · median $39,337 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,737 – $48,733 · median $33,976 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $116,415 · median $78,725 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $65,490 · median $47,033 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,012 – $49,132 · median $34,254 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,861 – $54,875 · median $38,934 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,775 – $42,976 · median $27,959 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,763 – $37,147 · median $21,689 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,861 – $56,298 · median $39,944 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,922 – $43,190 · median $28,188 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,107 – $37,647 · median $22,227 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,861 – $62,926 · median $45,037 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,425 – $46,827 · median $32,647 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,085 – $40,522 · median $25,318 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,861 – $57,578 · median $40,852 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,377 – $42,398 · median $27,337 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,993 – $36,029 · median $20,729 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,861 – $59,513 · median $42,225 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,673 – $44,281 · median $29,498 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,407 – $38,083 · median $22,695 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,871 – $47,474 · median $33,098 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,917 – $40,277 · median $25,055 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,861 – $54,051 · median $38,184 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,460 – $42,519 · median $27,467 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,415 – $36,642 · median $21,146 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,861 – $51,226 · median $35,714 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,063 – $39,037 · median $23,721 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,870 – $34,397 · median $20,194 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $16,126 – $47,844 · median $33,356 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,796 – $38,648 · median $23,304 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,861 – $54,620 · median $38,752 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,817 – $41,585 · median $26,462 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,989 – $36,024 · median $20,727 | 21 plans |
| 397 | Appendix Procedures with MCC | $17,861 – $69,609 · median $50,123 | 21 plans |
| 398 | Appendix Procedures without MCC/CC | $17,861 – $52,016 · median $36,264 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,108 – $44,913 · median $30,438 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,861 – $148,155 · median $96,483 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,861 – $76,644 · median $55,131 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $63,371 · median $45,457 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,861 – $95,554 · median $66,035 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,861 – $62,654 · median $44,450 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,861 – $52,707 · median $36,842 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,861 – $74,679 · median $54,174 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,861 – $63,294 · median $44,985 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,861 – $54,739 · median $38,163 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,861 – $95,622 · median $65,281 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,861 – $60,495 · median $42,921 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $17,201 – $49,407 · median $34,446 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,861 – $67,761 · median $48,793 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,861 – $54,664 · median $38,784 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,541 – $48,448 · median $33,777 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,861 – $96,324 · median $65,760 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,861 – $54,284 · median $38,417 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,861 – $51,217 · median $35,707 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,861 – $111,003 · median $75,501 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,861 – $66,061 · median $47,565 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $52,610 · median $36,745 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $60,148 · median $42,667 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $13,430 – $43,929 · median $28,983 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,744 – $37,120 · median $21,660 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,861 – $57,695 · median $40,789 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $14,157 – $44,985 · median $30,543 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,857 – $38,738 · median $23,400 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,861 – $54,760 · median $38,853 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,799 – $40,106 · median $24,871 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,722 – $35,635 · median $20,600 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $58,895 · median $41,655 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,130 – $42,039 · median $26,951 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,822 – $37,233 · median $21,781 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,861 – $55,138 · median $39,066 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,615 – $44,197 · median $29,373 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,009 – $38,958 · median $23,637 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,861 – $231,133 · median $139,832 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,861 – $156,634 · median $100,913 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,861 – $117,843 · median $79,576 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $17,861 – $167,477 · median $107,573 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,861 – $78,156 · median $55,328 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $147,399 · median $96,088 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $80,470 · median $56,896 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,861 – $56,081 · median $39,790 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $17,861 – $139,037 · median $91,720 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,861 – $93,477 · median $63,923 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,861 – $72,262 · median $52,589 | 21 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $17,861 – $89,206 · median $61,442 | 21 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $17,861 – $58,806 · median $41,723 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,861 – $132,561 · median $88,337 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,861 – $79,067 · median $56,257 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,861 – $67,595 · median $49,268 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $122,392 · median $82,286 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $63,763 · median $45,761 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,602 – $45,630 · median $31,377 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $93,854 · median $64,144 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,861 – $67,070 · median $48,849 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,861 – $56,805 · median $40,304 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,861 – $80,263 · median $56,504 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,861 – $62,260 · median $44,409 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,861 – $53,351 · median $37,484 | 21 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,861 – $70,893 · median $51,048 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,861 – $87,858 · median $60,879 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,861 – $63,099 · median $44,803 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,861 – $53,238 · median $37,371 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,861 – $60,263 · median $42,757 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,547 – $47,004 · median $32,770 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,861 – $96,916 · median $66,164 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,861 – $68,208 · median $49,379 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,861 – $58,804 · median $41,722 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,861 – $96,081 · median $65,594 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,861 – $60,402 · median $42,855 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $16,855 – $48,904 · median $34,095 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,861 – $70,468 · median $51,362 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,573 – $45,588 · median $31,331 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,861 – $86,477 · median $60,209 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,861 – $56,967 · median $40,376 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $17,540 – $49,900 · median $34,789 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,861 – $72,687 · median $52,823 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,861 – $56,426 · median $40,034 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,861 – $56,426 · median $39,990 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $17,861 – $51,758 · median $36,085 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,861 – $59,767 · median $42,405 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,202 – $47,956 · median $33,434 | 21 plans |
| 509 | Arthroscopy | $17,861 – $56,457 · median $39,361 | 21 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $17,861 – $78,000 · median $55,118 | 21 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $17,861 – $60,187 · median $42,703 | 21 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $17,861 – $53,741 · median $37,874 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,861 – $51,877 · median $36,168 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,800 – $43,013 · median $27,998 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,861 – $84,395 · median $59,144 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,861 – $61,108 · median $43,356 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $51,642 · median $36,004 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,861 – $97,811 · median $66,775 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,861 – $60,382 · median $42,841 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,861 – $50,556 · median $35,247 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,861 – $79,545 · median $56,544 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,861 – $62,866 · median $44,980 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $17,861 – $52,229 · median $36,413 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,219 – $39,263 · median $23,965 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $16,696 – $48,672 · median $33,934 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,180 – $39,207 · median $23,904 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,537 – $41,178 · median $26,025 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,430 – $36,664 · median $21,169 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,861 – $61,303 · median $43,506 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,246 – $48,019 · median $33,478 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,983 – $40,374 · median $25,159 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,861 – $58,434 · median $41,459 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $13,319 – $43,766 · median $28,808 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,487 – $38,200 · median $22,821 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $70,504 · median $50,806 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,534 – $45,532 · median $31,270 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,368 – $38,026 · median $22,635 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,861 – $61,160 · median $43,242 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $15,129 – $46,396 · median $32,205 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,823 – $40,140 · median $24,908 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,861 – $55,539 · median $39,406 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,100 – $41,995 · median $26,903 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,396 – $48,237 · median $33,630 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,478 – $39,639 · median $24,369 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,905 – $48,977 · median $34,146 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,250 – $39,309 · median $24,014 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,861 – $52,681 · median $36,816 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,844 – $40,171 · median $24,942 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $58,273 · median $41,345 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,295 – $45,185 · median $30,841 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,264 – $39,329 · median $24,035 | 21 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $17,861 – $51,109 · median $35,632 | 21 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $11,221 – $40,719 · median $25,530 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,861 – $53,037 · median $37,171 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,801 – $43,015 · median $28,000 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,392 – $38,061 · median $22,672 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,861 – $82,151 · median $57,549 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,861 – $54,954 · median $38,990 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,342 – $45,253 · median $30,941 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $168,063 · median $106,884 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $94,561 · median $64,560 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $60,834 · median $43,162 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $147,243 · median $96,007 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $72,983 · median $52,717 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $55,247 · median $38,957 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,861 – $88,952 · median $61,460 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,861 – $56,754 · median $40,267 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $50,666 · median $35,274 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,861 – $56,356 · median $39,715 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,861 – $54,377 · median $38,075 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,861 – $61,759 · median $43,628 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $60,622 · median $42,545 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $17,861 – $61,921 · median $44,089 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $15,350 – $46,717 · median $32,553 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,655 – $39,896 · median $24,645 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,861 – $62,993 · median $45,101 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,572 – $44,135 · median $29,281 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,861 – $56,457 · median $39,361 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,545 – $44,094 · median $29,221 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,732 – $40,009 · median $24,746 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,009 – $41,864 · median $26,762 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,526 – $35,351 · median $20,507 | 21 plans |
| 602 | CELLULITIS WITH MCC | $17,861 – $51,213 · median $35,705 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $11,058 – $40,481 · median $25,275 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,861 – $51,514 · median $35,915 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,596 – $41,264 · median $26,117 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,861 – $53,787 · median $37,920 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,849 – $40,179 · median $24,950 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,861 – $65,983 · median $47,582 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,861 – $50,553 · median $35,245 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $105,480 · median $72,011 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $59,647 · median $42,320 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,631 – $47,126 · median $32,850 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,861 – $74,409 · median $53,389 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,861 – $53,544 · median $37,677 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,861 – $51,078 · median $35,611 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $102,123 · median $69,719 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $59,304 · median $42,015 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,593 – $42,712 · median $27,674 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,861 – $78,246 · median $55,836 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,861 – $51,944 · median $36,215 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,905 – $47,523 · median $33,132 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,861 – $107,682 · median $73,514 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,861 – $65,437 · median $47,329 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,592 – $49,975 · median $34,841 | 21 plans |
| 637 | DIABETES WITH MCC | $17,861 – $50,978 · median $35,541 | 21 plans |
| 638 | DIABETES WITH CC | $11,515 – $41,145 · median $25,989 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,866 – $35,845 · median $20,669 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,672 – $48,638 · median $33,909 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,810 – $38,668 · median $23,325 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,581 – $47,053 · median $32,804 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,861 – $54,644 · median $38,770 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,973 – $43,265 · median $28,269 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,776 – $38,619 · median $23,272 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $17,861 – $125,738 · median $84,279 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,861 – $94,768 · median $64,698 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $17,861 – $83,822 · median $58,539 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $17,861 – $152,136 · median $98,563 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,861 – $77,018 · median $54,645 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,861 – $62,304 · median $44,451 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,861 – $88,914 · median $61,239 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,861 – $57,759 · median $40,980 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,861 – $51,848 · median $36,147 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,861 – $71,551 · median $51,807 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,822 – $48,857 · median $34,062 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,888 – $43,141 · median $28,136 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,861 – $85,137 · median $59,268 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,861 – $52,275 · median $36,445 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,556 – $44,111 · median $29,246 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,861 – $93,706 · median $64,057 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $17,861 – $54,461 · median $38,593 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,903 – $43,162 · median $28,159 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,861 – $79,589 · median $56,030 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,861 – $52,641 · median $36,776 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,998 – $41,847 · median $26,745 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,861 – $55,855 · median $39,629 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,739 – $44,377 · median $29,641 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,861 – $114,338 · median $77,488 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,861 – $66,519 · median $48,343 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,861 – $52,966 · median $37,100 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $17,861 – $51,809 · median $36,121 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $11,159 – $40,629 · median $25,434 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,625 – $35,495 · median $20,554 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,861 – $58,809 · median $41,698 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,216 – $43,617 · median $28,648 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,092 – $37,625 · median $22,203 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,692 – $45,762 · median $31,519 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,076 – $39,055 · median $23,741 | 21 plans |
| 693 | URINARY STONES WITH MCC | $17,861 – $51,235 · median $35,720 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,810 – $38,668 · median $23,325 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,158 – $44,986 · median $30,546 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,685 – $37,034 · median $21,567 | 21 plans |
| 697 | URETHRAL STRICTURE | $12,577 – $42,688 · median $27,649 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,861 – $55,074 · median $39,076 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,804 – $43,018 · median $28,004 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,715 – $37,078 · median $21,614 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,861 – $59,811 · median $42,436 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $17,861 – $51,456 · median $35,874 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,861 – $65,401 · median $46,949 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,861 – $51,800 · median $35,572 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,861 – $59,264 · median $42,048 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,428 – $43,925 · median $28,979 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,861 – $50,790 · median $35,410 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,797 – $41,556 · median $26,431 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,861 – $65,605 · median $47,140 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,818 – $50,303 · median $35,070 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,861 – $58,259 · median $41,335 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,465 – $46,885 · median $32,687 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $55,950 · median $39,697 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,097 – $44,897 · median $30,413 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,147 – $37,705 · median $22,289 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $15,851 – $47,445 · median $33,078 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,345 – $37,994 · median $22,599 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $51,217 · median $35,707 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,258 – $39,320 · median $24,026 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,821 – $44,496 · median $29,817 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,619 – $35,486 · median $20,551 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,861 – $62,769 · median $44,889 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,239 – $46,557 · median $32,379 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $17,861 – $107,461 · median $73,363 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,861 – $60,865 · median $43,184 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,861 – $52,083 · median $35,879 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $17,861 – $108,643 · median $74,095 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,861 – $57,580 · median $40,854 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,244 – $49,469 · median $34,489 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,861 – $57,733 · median $40,945 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,048 – $46,279 · median $32,079 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,861 – $60,055 · median $42,416 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,865 – $43,108 · median $28,100 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,861 – $54,959 · median $38,994 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,992 – $41,838 · median $26,735 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $17,102 – $49,263 · median $34,346 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,861 – $71,629 · median $51,578 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,188 – $47,936 · median $33,420 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $57,416 · median $40,737 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,936 – $44,664 · median $30,067 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,989 – $41,835 · median $26,731 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,768 – $50,230 · median $35,020 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,796 – $43,007 · median $27,992 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,035 – $36,090 · median $20,749 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,373 – $42,393 · median $27,331 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,958 – $35,978 · median $20,712 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,444 – $49,759 · median $34,691 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $13,508 – $44,042 · median $28,882 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,957 – $37,430 · median $21,993 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $11,735 – $41,466 · median $26,335 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,997 – $58,014 · median $39,344 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $13,596 – $44,169 · median $28,928 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,966 – $40,348 · median $26,425 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,997 – $53,889 · median $35,293 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,330 – $43,783 · median $28,675 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,358 – $40,917 · median $26,798 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,136 – $47,700 · median $31,240 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,136 – $42,075 · median $27,556 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,136 – $42,075 · median $27,556 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $17,861 – $129,763 · median $86,677 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,861 – $79,521 · median $55,990 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,861 – $54,359 · median $38,491 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,861 – $97,833 · median $66,790 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,861 – $56,882 · median $40,358 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,880 – $44,581 · median $29,945 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,084 – $37,614 · median $24,635 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,001 – $36,040 · median $23,604 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,861 – $66,189 · median $47,661 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,548 – $47,005 · median $32,771 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,949 – $41,776 · median $26,668 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,662 – $50,077 · median $34,913 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,586 – $41,249 · median $26,101 | 21 plans |
| 813 | Coagulation disorders | $17,861 – $52,650 · median $36,785 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,861 – $62,545 · median $44,678 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,756 – $42,949 · median $27,930 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,278 – $36,443 · median $20,932 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,861 – $70,654 · median $50,876 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $16,170 – $47,908 · median $33,195 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,250 – $39,309 · median $24,014 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $158,896 · median $102,095 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $65,133 · median $46,962 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,358 – $45,276 · median $30,977 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $17,861 – $127,708 · median $85,453 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,861 – $64,531 · median $46,479 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,451 – $46,865 · median $32,673 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $130,328 · median $87,014 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $67,458 · median $48,575 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $53,652 · median $37,785 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,861 – $84,160 · median $59,012 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $17,861 – $51,091 · median $35,620 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,450 – $45,410 · median $31,071 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,383 – $38,048 · median $22,658 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,526 – $33,897 · median $20,031 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $150,846 · median $97,889 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,861 – $63,373 · median $45,458 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,952 – $47,593 · median $33,181 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,861 – $136,652 · median $90,474 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,861 – $61,409 · median $43,383 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,204 – $49,411 · median $34,449 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,861 – $87,031 · median $60,190 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,861 – $53,015 · median $37,149 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $13,206 – $43,602 · median $28,632 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,861 – $58,948 · median $41,824 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,005 – $46,216 · median $32,010 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,505 – $39,679 · median $24,412 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,861 – $70,995 · median $51,121 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,952 – $47,593 · median $33,181 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,280 – $39,352 · median $24,061 | 21 plans |
| 849 | RADIOTHERAPY | $17,861 – $73,134 · median $53,047 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,861 – $136,490 · median $90,390 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,861 – $60,860 · median $43,180 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $54,066 · median $38,198 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,861 – $123,126 · median $82,723 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,861 – $64,157 · median $45,844 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,175 – $47,916 · median $33,406 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,861 – $57,952 · median $41,118 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,553 – $42,654 · median $27,612 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,273 – $40,795 · median $25,613 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,861 – $51,335 · median $35,790 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,108 – $40,554 · median $25,354 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,861 – $63,526 · median $45,336 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,183 – $43,569 · median $28,597 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,034 – $37,541 · median $22,113 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $17,861 – $189,850 · median $118,265 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,861 – $60,203 · median $42,714 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,943 – $43,221 · median $28,222 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,861 – $70,088 · median $50,839 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $16,752 – $48,754 · median $33,647 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,861 – $60,672 · median $42,727 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,359 – $40,919 · median $24,693 | 20 plans |
| 789 | Neonates, died or transferred to another acute care facility | $17,861 – $57,294 · median $40,348 | 20 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $17,861 – $132,842 · median $96,357 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,861 – $98,464 · median $71,421 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,861 – $69,096 · median $49,389 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,861 – $100,481 · median $72,884 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,236 – $51,341 · median $36,155 | 20 plans |
| 795 | Normal newborn | $2,007 – $28,061 · median $19,761 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,861 – $120,913 · median $82,040 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,861 – $59,027 · median $41,568 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $15,305 – $46,652 · median $32,196 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,861 – $105,373 · median $72,380 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,861 – $54,478 · median $38,365 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,861 – $64,223 · median $45,795 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $17,861 – $108,719 · median $74,515 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,861 – $61,206 · median $43,103 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,922 – $47,549 · median $32,815 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,861 – $53,932 · median $37,501 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,504 – $41,131 · median $25,009 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,861 – $56,114 · median $39,517 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,337 – $36,529 · median $18,124 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,861 – $54,323 · median $38,255 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,105 – $40,551 · median $24,142 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,861 – $57,677 · median $40,618 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,754 – $42,945 · median $27,725 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,633 – $36,960 · median $18,768 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,861 – $55,229 · median $38,894 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,804 – $43,018 · median $27,834 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $17,861 – $647,419 · median $363,741 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $17,861 – $182,274 · median $116,367 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,861 – $86,796 · median $60,366 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $17,861 – $118,085 · median $80,121 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,861 – $63,553 · median $45,268 | 20 plans |
| 935 | Non-extensive burns | $17,861 – $64,476 · median $46,087 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,861 – $86,622 · median $60,281 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,861 – $62,926 · median $45,095 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,861 – $60,061 · median $42,196 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $16,147 – $47,875 · median $33,041 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,974 – $38,907 · median $21,683 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,546 – $44,096 · median $29,001 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,358 – $35,106 · median $17,861 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,118 – $34,758 · median $17,861 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $17,861 – $186,351 · median $118,535 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,861 – $104,317 · median $71,655 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $203,705 · median $127,765 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $112,161 · median $76,280 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,861 – $72,638 · median $52,688 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $74,141 · median $53,651 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $51,777 · median $35,733 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,457 – $41,061 · median $24,906 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $17,861 – $172,596 · median $111,220 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,861 – $72,810 · median $52,813 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,861 – $81,496 · median $57,217 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $17,844 – $50,341 · median $34,743 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $12,592 – $42,710 · median $27,373 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $17,861 – $50,715 · median $35,001 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $129,739 · median $88,028 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $69,071 · median $50,378 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,861 – $54,843 · median $38,622 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $95,592 · median $65,662 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $55,714 · median $39,235 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,109 – $31,535 · median $14,682 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $17,861 – $52,258 · median $36,433 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,017 – $44,780 · median $31,074 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $89,888 – $168,833 · median $109,219 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $62,723 – $106,768 · median $73,514 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $141,121 – $285,884 · median $171,469 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $100,833 – $193,840 · median $122,518 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $81,738 – $150,212 · median $99,316 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $115,620 – $227,623 · median $140,485 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $81,337 – $149,295 · median $98,829 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $96,079 – $182,978 · median $116,742 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $64,769 – $111,443 · median $75,912 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $77,510 – $140,551 · median $94,178 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $52,854 – $84,220 · median $59,105 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $126,028 – $251,402 · median $153,131 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $11,556 – $35,800 · median $23,446 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,861 – $50,825 · median $35,076 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,861 – $56,896 · median $40,068 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $16,336 – $40,507 · median $26,529 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,861 – $107,243 · median $73,757 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $17,750 – $41,900 · median $26,161 | 12 plans |
| 881 | Depressive neuroses | $16,926 – $41,089 · median $24,947 | 12 plans |
| 882 | Neuroses except depressive | $17,813 – $41,962 · median $26,254 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,861 – $58,229 · median $40,187 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,861 – $54,879 · median $37,874 | 12 plans |
| 885 | Psychoses | $17,861 – $50,126 · median $33,230 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,861 – $57,183 · median $39,464 | 12 plans |
| 887 | Other mental disorder diagnoses | $17,861 – $46,110 · median $30,199 | 12 plans |
No procedures match that keyword.