Jamaica Hospital Medical Center (Acute Care) — Pricing
783 procedures published in this hospital's Machine-Readable File (MRF) — 37 with a comparable price, 746 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 783
Lowest published price $2,231
Average published price $28,776
Highest published price $144,260
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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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 783 procedures
Published charges
Showing all 37 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.
| DRG | Description | Published price | vs. NY median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $144,260 | $22,681 | +536% | $26,436 | +446% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY | $82,292 | $140,167 | −41% | $148,686 | −45% | — |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI | $59,655 | $59,655 | — | $74,377 | −20% | — |
| 199 | PNEUMOTHORAX WITH COMORBITY | $52,185 | $33,787 | +54% | $33,787 | +54% | — |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $43,858 | $38,166 | +15% | $44,546 | −2% | — |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $41,541 | $18,854 | +120% | $19,842 | +109% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $40,495 | $49,015 | −17% | $66,848 | −39% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $39,501 | $46,485 | −15% | $38,343 | +3% | — |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $38,959 | $15,890 | +145% | $17,404 | +124% | — |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS | $37,403 | $50,070 | −25% | $45,066 | −17% | — |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $33,158 | $16,173 | +105% | $18,204 | +82% | — |
| 263 | VEIN LIGATION & STRIPPING | $30,481 | $38,005 | −20% | $51,253 | −41% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $30,396 | $22,889 | +33% | $24,914 | +22% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $29,463 | $22,460 | +31% | $27,152 | +9% | — |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $29,153 | $23,673 | +23% | $33,103 | −12% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $27,153 | $16,076 | +69% | $14,368 | +89% | — |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $24,953 | $19,990 | +25% | $26,676 | −6% | — |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $22,794 | $15,153 | +50% | $20,455 | +11% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,631 | $28,172 | −27% | $42,186 | −51% | — |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $19,466 | $30,260 | −36% | $23,573 | −17% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,831 | $38,759 | −51% | $40,362 | −53% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $18,680 | $49,003 | −62% | $50,919 | −63% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $18,655 | $24,435 | −24% | $20,463 | −9% | ≈152% of Medicare |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $18,541 | $26,059 | −29% | $23,940 | −23% | ≈146% of Medicare |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,146 | $46,130 | −63% | $48,349 | −65% | — |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $16,841 | $14,644 | +15% | $16,699 | +1% | — |
| 753 | BIPOLAR DISORDERS | $16,005 | $16,005 | — | $14,949 | +7% | — |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $14,844 | $23,785 | −38% | $25,279 | −41% | — |
| 638 | DIABETES WITH COMPLICATION | $13,168 | $18,494 | −29% | $19,661 | −33% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,122 | $19,930 | −34% | $27,989 | −53% | — |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $11,425 | $15,601 | −27% | $13,910 | −18% | — |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $10,020 | $15,792 | −37% | $14,716 | −32% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $9,952 | $14,912 | −33% | $16,767 | −41% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,981 | $23,257 | −61% | $26,598 | −66% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,969 | $13,752 | −57% | $19,119 | −69% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,505 | $25,547 | −90% | $33,454 | −93% | — |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $2,231 | $23,010 | −90% | $25,463 | −91% | ≈129% of Medicare |
Procedures with negotiated rates only
These 746 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 |
|---|---|---|---|
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $1,912 – $47,712 · median $28,959 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $1,912 – $35,541 · median $24,039 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $1,620 – $25,865 · median $17,242 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $1,912 – $31,636 · median $21,052 | 29 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $1,912 – $43,763 · median $27,147 | 29 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $1,912 – $36,643 · median $25,078 | 29 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $1,912 – $55,007 · median $35,163 | 29 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $1,912 – $84,984 · median $53,614 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,912 – $51,430 · median $34,480 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,912 – $53,499 · median $35,553 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,755 – $28,025 · median $20,961 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,912 – $36,297 · median $24,241 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,912 – $32,551 · median $20,555 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,912 – $100,266 · median $62,707 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,912 – $50,937 · median $33,537 | 29 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,912 – $78,281 · median $53,877 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,912 – $41,648 · median $27,377 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $1,912 – $33,407 · median $22,175 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $1,668 – $26,624 · median $18,276 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $1,276 – $20,368 · median $14,499 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $1,470 – $23,471 · median $16,120 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY | $1,040 – $16,605 · median $12,620 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $1,005 – $16,053 · median $12,324 | 29 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $1,034 – $16,515 · median $12,187 | 29 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $1,204 – $19,227 · median $13,943 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $1,345 – $21,475 · median $15,646 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,912 – $153,324 · median $93,621 | 29 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $1,912 – $35,797 · median $22,624 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $1,912 – $53,409 · median $33,010 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $1,912 – $42,786 · median $28,267 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $1,912 – $37,046 · median $24,156 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | — | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $1,912 – $60,527 · median $39,476 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $41,475 · median $27,654 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $1,912 – $38,914 · median $25,586 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $1,077 – $17,191 · median $12,832 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $1,912 – $46,359 · median $30,642 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $1,100 – $17,568 · median $12,693 | 29 plans |
| 313 | CHEST PAIN | $1,059 – $16,913 · median $12,707 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $1,429 – $22,814 · median $16,107 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,849 – $29,524 · median $19,600 | 29 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $1,912 – $56,112 · median $35,302 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,912 – $35,669 · median $24,006 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $1,912 – $45,621 · median $30,269 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $1,877 – $29,972 · median $21,649 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $1,291 – $20,616 · median $14,657 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,912 – $38,521 · median $25,306 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,912 – $34,837 · median $22,828 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $1,912 – $54,132 · median $33,803 | 29 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $1,912 – $128,047 · median $82,661 | 29 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $1,912 – $41,159 · median $28,073 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | — | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $1,912 – $62,193 · median $41,164 | 29 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | — | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $1,912 – $44,701 · median $29,502 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,912 – $42,312 · median $27,684 | 29 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $1,912 – $35,695 · median $24,549 | 29 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $1,912 – $46,750 · median $30,905 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,912 – $73,959 · median $45,958 | 29 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $1,912 – $40,989 · median $27,882 | 29 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $1,668 – $26,622 · median $18,512 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $1,912 – $33,355 · median $22,372 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $1,371 – $21,880 · median $15,504 | 29 plans |
| 813 | COAGULATION DISORDERS | $1,912 – $36,700 · median $24,310 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $979 – $15,633 · median $11,645 | 29 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $927 – $14,796 · median $11,298 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $842 – $13,699 · median $10,320 | 29 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 28 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $1,912 – $508,100 · median $308,356 | 28 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $1,912 – $334,994 · median $205,589 | 28 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 28 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 28 plans |
| 007 | LUNG TRANSPLANT | — | 28 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 28 plans |
| 010 | PANCREAS TRANSPLANT | $1,912 – $189,024 · median $112,051 | 28 plans |
| 011 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY | — | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION | $1,912 – $97,291 · median $64,469 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $1,912 – $62,826 · median $43,721 | 28 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 28 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 28 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | — | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION | — | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | — | 28 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | — | 28 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | — | 28 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | — | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,912 – $58,507 · median $39,441 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 28 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | — | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,912 – $52,760 · median $35,102 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION | $1,912 – $50,631 · median $33,931 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,912 – $37,826 · median $26,499 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | — | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $1,912 – $53,931 · median $37,184 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $1,912 – $43,459 · median $30,412 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | — | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $1,912 – $38,201 · median $26,338 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,690 – $26,984 · median $19,522 | 28 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | — | 28 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | $1,912 – $53,537 · median $35,386 | 28 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $1,912 – $41,669 · median $28,097 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $1,912 – $59,367 · median $37,415 | 28 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $1,817 – $29,009 · median $20,628 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,325 – $21,157 · median $15,770 | 28 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $1,912 – $64,092 · median $42,918 | 28 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $1,912 – $42,222 · median $28,518 | 28 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $1,912 – $33,305 · median $23,104 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $1,912 – $47,160 · median $31,622 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $1,022 – $16,318 · median $12,379 | 28 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $1,912 – $34,493 · median $23,972 | 28 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $1,309 – $20,899 · median $15,178 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,188 – $18,969 · median $14,134 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $1,912 – $41,223 · median $27,444 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $1,565 – $24,986 · median $17,638 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,114 – $17,786 · median $13,402 | 28 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $1,548 – $24,713 · median $17,705 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,912 – $40,835 · median $29,642 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,362 – $21,738 · median $15,030 | 28 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | $1,912 – $47,127 · median $29,930 | 28 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $1,344 – $21,451 · median $15,592 | 28 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $1,912 – $32,964 · median $22,930 | 28 plans |
| 084 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY | $1,420 – $22,667 · median $16,447 | 28 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $1,912 – $53,722 · median $35,974 | 28 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $1,912 – $31,095 · median $21,629 | 28 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $1,313 – $20,958 · median $15,661 | 28 plans |
| 088 | CONCUSSION WITH MCC | $1,912 – $33,445 · median $22,734 | 28 plans |
| 089 | CONCUSSION WITH CC | $1,592 – $25,417 · median $18,425 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,273 – $20,325 · median $14,687 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $1,912 – $43,217 · median $28,765 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $1,172 – $18,713 · median $14,021 | 28 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $1,912 – $86,503 · median $54,867 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,912 – $56,833 · median $39,518 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,912 – $56,833 · median $39,518 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,912 – $33,032 · median $22,718 | 28 plans |
| 100 | SEIZURES WITH COMORBITY | $1,912 – $47,067 · median $31,347 | 28 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $1,369 – $21,852 · median $15,786 | 28 plans |
| 102 | HEADACHES WITH MCC | $1,722 – $27,489 · median $19,101 | 28 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $1,263 – $20,157 · median $14,715 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY | $1,912 – $39,559 · median $28,429 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,602 – $25,571 · median $18,388 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,727 – $27,577 · median $19,548 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY | $1,007 – $16,081 · median $12,846 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,193 – $19,042 · median $14,140 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,912 – $30,913 · median $21,771 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $1,226 – $19,576 · median $14,035 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,912 – $33,158 · median $23,944 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,912 – $37,278 · median $25,835 | 28 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,759 – $28,089 · median $20,091 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,912 – $54,389 · median $34,414 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,849 – $29,512 · median $21,053 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,189 – $18,983 · median $14,119 | 28 plans |
| 149 | DYSEQUILIBRIUM | $1,110 – $17,722 · median $13,347 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $1,912 – $32,769 · median $22,409 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,126 – $17,971 · median $13,262 | 28 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $1,685 – $26,904 · median $19,539 | 28 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $1,057 – $16,873 · median $12,952 | 28 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $1,912 – $38,556 · median $25,827 | 28 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $1,386 – $22,134 · median $15,984 | 28 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $999 – $15,941 · median $12,244 | 28 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $1,912 – $38,822 · median $27,249 | 28 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $1,397 – $22,300 · median $15,998 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $980 – $15,638 · median $12,279 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | — | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $1,912 – $59,673 · median $39,769 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $44,192 · median $30,463 | 28 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $1,912 – $91,283 · median $58,051 | 28 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $1,912 – $43,319 · median $29,177 | 28 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $32,098 · median $22,424 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $1,912 – $72,750 · median $46,945 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $1,210 – $19,310 · median $14,227 | 28 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $1,912 – $38,324 · median $25,512 | 28 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $1,473 – $23,521 · median $16,896 | 28 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $1,143 – $18,248 · median $13,547 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $1,912 – $41,437 · median $28,466 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $1,244 – $19,855 · median $13,877 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $1,912 – $37,632 · median $25,277 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $1,586 – $25,323 · median $18,155 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $1,155 – $18,438 · median $13,851 | 28 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $1,912 – $37,459 · median $25,629 | 28 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $1,491 – $23,803 · median $17,088 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $1,090 – $17,406 · median $12,997 | 28 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $1,838 – $29,336 · median $20,551 | 28 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $1,912 – $31,240 · median $21,761 | 28 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $925 – $14,763 · median $11,381 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $1,912 – $44,668 · median $30,372 | 28 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $1,645 – $26,257 · median $18,658 | 28 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $1,436 – $22,919 · median $16,644 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,912 – $44,756 · median $29,816 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,912 – $63,628 · median $42,703 | 28 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $1,912 – $258,273 · median $162,157 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $1,912 – $251,182 · median $151,427 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,912 – $228,808 · median $146,237 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,912 – $153,104 · median $99,446 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,912 – $141,046 · median $96,775 | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,912 – $183,441 · median $115,536 | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $1,912 – $125,574 · median $81,320 | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | — | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,912 – $200,899 · median $126,501 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,912 – $144,825 · median $91,967 | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $1,912 – $185,311 · median $115,054 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $1,912 – $126,131 · median $83,042 | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | — | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | — | 28 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | — | 28 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $1,912 – $69,042 · median $45,109 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | — | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $1,912 – $54,827 · median $35,364 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $1,912 – $62,032 · median $41,931 | 28 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $1,912 – $40,154 · median $27,543 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,324 – $21,145 · median $16,892 | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,912 – $66,513 · median $47,079 | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY | $1,912 – $41,672 · median $30,769 | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $1,912 – $80,754 · median $50,978 | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $1,912 – $44,988 · median $30,419 | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,912 – $35,984 · median $25,908 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $1,912 – $82,862 · median $52,258 | 28 plans |
| 265 | AICD LEAD PROCEDURES | — | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $1,912 – $111,539 · median $72,976 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,912 – $158,075 · median $103,860 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $1,912 – $98,642 · median $64,971 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $1,912 – $121,693 · median $80,223 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $1,912 – $81,660 · median $54,518 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $59,322 · median $39,871 | 28 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | — | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | — | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | — | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $1,912 – $146,857 · median $91,150 | 28 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | — | 28 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | — | 28 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | — | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITHOUT COMPLICATION/COMORBITY | $834 – $13,310 · median $10,632 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $1,912 – $52,473 · median $35,133 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $1,618 – $25,835 · median $18,251 | 28 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $1,912 – $64,758 · median $42,773 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,912 – $37,380 · median $26,943 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,454 – $23,210 · median $16,298 | 28 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $1,912 – $30,934 · median $21,096 | 28 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $1,279 – $20,417 · median $14,897 | 28 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $815 – $13,009 · median $10,326 | 28 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $1,912 – $38,843 · median $25,911 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,046 – $16,700 · median $12,072 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $656 – $10,472 · median $8,365 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $1,912 – $38,350 · median $26,460 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $1,590 – $25,382 · median $18,200 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,059 – $16,913 · median $12,845 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $1,728 – $27,580 · median $19,883 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $999 – $15,941 · median $12,164 | 28 plans |
| 304 | HYPERTENSION WITH COMORBITY | $1,745 – $27,852 · median $19,919 | 28 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $1,115 – $17,798 · median $13,399 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,912 – $35,500 · median $25,287 | 28 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $1,376 – $21,963 · median $15,899 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $1,791 – $28,589 · median $20,114 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $1,098 – $17,527 · median $13,167 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $831 – $13,265 · median $10,428 | 28 plans |
| 311 | ANGINA PECTORIS | $1,037 – $16,555 · median $12,590 | 28 plans |
| 312 | SYNCOPE & COLLAPSE | $1,294 – $20,657 · median $15,139 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $1,912 – $51,055 · median $33,742 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,014 – $16,185 · median $12,317 | 28 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | — | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | — | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $1,912 – $54,879 · median $37,616 | 28 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $1,912 – $67,492 · median $43,217 | 28 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $1,912 – $42,893 · median $28,706 | 28 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | — | 28 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $1,912 – $75,749 · median $49,493 | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $1,912 – $67,855 · median $48,030 | 28 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $1,912 – $120,413 · median $76,282 | 28 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $1,912 – $57,565 · median $38,493 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,912 – $37,779 · median $26,049 | 28 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $1,912 – $108,865 · median $70,579 | 28 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $1,912 – $56,039 · median $37,648 | 28 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $39,142 · median $27,088 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $1,912 – $50,387 · median $35,950 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY | $1,912 – $39,322 · median $26,816 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | — | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $1,912 – $50,078 · median $33,586 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $1,912 – $36,394 · median $25,096 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,912 – $35,294 · median $24,503 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,869 – $29,846 · median $21,476 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,308 – $20,884 · median $15,215 | 28 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY | $1,912 – $57,343 · median $38,999 | 28 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,637 – $26,140 · median $19,162 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $1,912 – $69,536 · median $45,773 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $1,912 – $40,330 · median $27,450 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $1,912 – $31,608 · median $22,104 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $1,912 – $101,131 · median $67,020 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $1,912 – $53,390 · median $36,539 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $32,127 · median $22,812 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $1,912 – $39,592 · median $26,376 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $1,511 – $24,125 · median $17,279 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,037 – $16,548 · median $12,580 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $1,912 – $41,442 · median $28,518 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $1,529 – $24,403 · median $17,525 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $1,912 – $50,057 · median $33,960 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $1,825 – $29,130 · median $20,293 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $1,311 – $20,934 · median $15,717 | 28 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $1,912 – $43,106 · median $29,479 | 28 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $1,464 – $23,374 · median $16,615 | 28 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $946 – $15,095 · median $11,557 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $1,617 – $25,820 · median $18,438 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,113 – $17,764 · median $13,663 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $1,474 – $23,530 · median $16,901 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $995 – $15,891 · median $12,199 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,912 – $34,848 · median $24,152 | 28 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $1,190 – $19,004 · median $14,020 | 28 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $813 – $12,973 · median $10,170 | 28 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $1,907 – $30,453 · median $21,164 | 28 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $1,159 – $18,499 · median $13,828 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $1,912 – $39,260 · median $26,319 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $1,398 – $22,316 · median $16,182 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $945 – $15,088 · median $11,640 | 28 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $1,912 – $58,744 · median $38,463 | 28 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $1,912 – $35,875 · median $24,766 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $1,669 – $26,643 · median $19,187 | 28 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | — | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,912 – $128,704 · median $83,329 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,912 – $66,582 · median $44,824 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,912 – $50,636 · median $34,841 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | — | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,912 – $49,704 · median $34,221 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,912 – $36,773 · median $25,599 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,912 – $64,875 · median $48,183 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,912 – $50,536 · median $33,694 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,912 – $39,415 · median $27,024 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $1,912 – $83,068 · median $55,032 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $1,912 – $46,897 · median $32,472 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,912 – $32,485 · median $22,536 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $1,912 – $56,342 · median $37,670 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $1,912 – $39,317 · median $27,210 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $1,912 – $31,238 · median $22,365 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,912 – $38,824 · median $27,537 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $1,912 – $96,430 · median $63,729 | 28 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | — | 28 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | — | 28 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | — | 28 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | — | 28 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $1,912 – $46,446 · median $31,528 | 28 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $1,589 – $25,363 · median $18,058 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,034 – $16,513 · median $12,643 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $1,912 – $43,258 · median $29,593 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $1,675 – $26,736 · median $19,100 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY | $1,166 – $18,616 · median $14,336 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $1,912 – $39,443 · median $26,706 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $1,277 – $20,394 · median $14,835 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $913 – $14,583 · median $11,265 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $1,912 – $44,818 · median $29,575 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $1,435 – $22,907 · median $16,599 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $1,044 – $16,660 · median $12,599 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $1,912 – $39,934 · median $27,276 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $1,610 – $25,711 · median $18,504 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $1,184 – $18,902 · median $14,301 | 28 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | — | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | — | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $1,912 – $67,895 · median $42,330 | 28 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $1,912 – $69,905 · median $47,806 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | — | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | — | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $1,912 – $68,687 · median $45,808 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $1,912 – $56,126 · median $38,277 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,912 – $106,323 · median $66,150 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $1,912 – $51,145 · median $35,413 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,727 – $27,575 · median $19,769 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $1,912 – $81,532 · median $53,743 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,912 – $55,444 · median $38,191 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,912 – $42,101 · median $29,351 | 28 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $1,912 – $69,725 · median $45,910 | 28 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $1,912 – $49,192 · median $33,330 | 28 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $1,912 – $37,610 · median $26,194 | 28 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $1,912 – $60,413 · median $42,113 | 28 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | — | 28 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $1,912 – $50,282 · median $33,528 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,912 – $37,463 · median $25,685 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,912 – $46,596 · median $29,331 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $1,839 – $29,360 · median $19,551 | 28 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | — | 28 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $1,912 – $56,923 · median $39,244 | 28 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $1,912 – $44,699 · median $31,290 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | — | 28 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $1,912 – $46,776 · median $29,841 | 28 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $1,912 – $31,830 · median $21,032 | 28 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $1,912 – $59,860 · median $44,289 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,724 – $33,353 · median $21,984 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,912 – $75,124 · median $49,524 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $33,125 · median $22,633 | 28 plans |
| 503 | FOOT PROCEDURES WITH COMORBITY | $1,912 – $62,746 · median $43,052 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,912 – $41,608 · median $29,369 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,912 – $41,608 · median $28,714 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $1,912 – $35,541 · median $23,208 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,912 – $45,951 · median $29,878 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,912 – $30,598 · median $23,348 | 28 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $1,912 – $67,760 · median $46,401 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $1,912 – $46,496 · median $32,424 | 28 plans |
| 512 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $1,912 – $38,118 · median $26,541 | 28 plans |
| 514 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $1,514 – $24,173 · median $17,450 | 28 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | — | 28 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $1,912 – $47,693 · median $32,827 | 28 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $1,912 – $35,389 · median $24,762 | 28 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $1,912 – $84,969 · median $56,922 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,912 – $33,978 · median $24,148 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,912 – $49,979 · median $33,661 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH COMORBITY | $1,912 – $36,152 · median $25,244 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,209 – $19,298 · median $14,242 | 28 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $1,912 – $31,529 · median $21,632 | 28 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $1,204 – $19,225 · median $14,262 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,365 – $21,788 · median $16,240 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $997 – $15,920 · median $12,467 | 28 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $1,912 – $47,947 · median $31,876 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,299 – $20,742 · median $14,420 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $1,912 – $44,218 · median $29,173 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $1,575 – $25,152 · median $17,666 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $1,122 – $17,916 · median $13,441 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,719 – $27,447 · median $19,410 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,108 – $17,691 · median $13,911 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,912 – $47,762 · median $31,536 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,790 – $28,571 · median $20,159 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,280 – $20,439 · median $15,166 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $1,912 – $40,455 · median $27,361 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $1,431 – $22,850 · median $16,551 | 28 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $1,912 – $30,963 · median $21,538 | 28 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $1,239 – $19,787 · median $14,568 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,912 – $31,925 · median $22,049 | 28 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $1,213 – $19,358 · median $14,494 | 28 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $1,912 – $36,740 · median $24,671 | 28 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $1,283 – $20,479 · median $15,337 | 28 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $1,912 – $44,009 · median $30,051 | 28 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $1,214 – $19,384 · median $14,212 | 28 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $1,912 – $34,697 · median $23,732 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $1,912 – $37,203 · median $25,435 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $1,514 – $24,175 · median $16,924 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $1,912 – $71,366 · median $46,431 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $1,912 – $39,694 · median $27,325 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,696 – $27,084 · median $19,311 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,912 – $145,999 · median $97,491 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,912 – $82,146 · median $54,069 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,912 – $47,338 · median $29,740 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,912 – $127,912 · median $76,738 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,912 – $63,130 · median $41,832 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,912 – $40,076 · median $26,642 | 28 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $1,912 – $77,274 · median $50,769 | 28 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $1,912 – $42,034 · median $28,169 | 28 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $1,912 – $34,121 · median $23,663 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,912 – $41,517 · median $29,953 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $1,912 – $38,945 · median $27,355 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,912 – $48,540 · median $33,561 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,912 – $47,063 · median $31,290 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $1,912 – $48,751 · median $31,758 | 28 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $1,816 – $28,988 · median $20,080 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,260 – $20,121 · median $15,024 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,912 – $50,145 · median $33,703 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $1,605 – $25,631 · median $18,393 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $1,912 – $41,648 · median $27,602 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH COMPLICATION | $1,602 – $25,579 · median $18,708 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,270 – $20,268 · median $14,129 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | $1,421 – $22,679 · median $17,163 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $890 – $14,213 · median $11,015 | 28 plans |
| 602 | CELLULITIS WITH COMORBITY | $1,912 – $34,832 · median $23,725 | 28 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $1,308 – $20,882 · median $15,216 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,912 – $35,223 · median $24,248 | 28 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $1,372 – $21,899 · median $15,895 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $1,912 – $38,177 · median $25,339 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $1,283 – $20,488 · median $15,429 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,912 – $33,974 · median $23,303 | 28 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $1,912 – $91,631 · median $55,304 | 28 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $1,912 – $45,794 · median $30,445 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,849 – $29,519 · median $22,270 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,912 – $64,640 · median $44,386 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,912 – $37,862 · median $26,063 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,912 – $34,656 · median $24,349 | 28 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $1,912 – $88,715 · median $55,447 | 28 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $1,912 – $45,349 · median $29,695 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,490 – $23,781 · median $18,986 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,912 – $67,973 · median $46,472 | 28 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,881 – $30,036 · median $21,679 | 28 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $1,912 – $93,545 · median $57,892 | 28 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $1,912 – $53,322 · median $35,171 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,912 – $33,222 · median $23,669 | 28 plans |
| 637 | DIABETES WITH COMORBITY | $1,912 – $34,526 · median $23,758 | 28 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $1,160 – $18,525 · median $13,828 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,843 – $29,424 · median $22,260 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $1,912 – $39,291 · median $26,879 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $1,535 – $24,500 · median $17,588 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,156 – $18,461 · median $13,728 | 28 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 28 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | — | 28 plans |
| 652 | KIDNEY TRANSPLANT | — | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH COMORBITY | — | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $1,912 – $66,906 · median $44,158 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,912 – $49,249 · median $33,635 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,912 – $77,241 · median $49,971 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,912 – $43,341 · median $29,556 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,912 – $35,657 · median $24,961 | 28 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $1,912 – $61,269 · median $40,422 | 28 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $1,912 – $31,769 · median $21,995 | 28 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $1,525 – $24,339 · median $17,600 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,604 – $25,600 · median $17,929 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $1,912 – $39,054 · median $27,701 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,526 – $24,367 · median $18,232 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $1,912 – $69,140 · median $45,771 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $1,912 – $36,688 · median $25,317 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,419 – $22,658 · median $16,591 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,912 – $40,865 · median $28,474 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,625 – $25,946 · median $18,382 | 28 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | — | 28 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $1,912 – $54,728 · median $36,812 | 28 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $37,110 · median $26,200 | 28 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $1,912 – $35,607 · median $24,443 | 28 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $1,320 – $21,074 · median $15,320 | 28 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $902 – $14,400 · median $11,057 | 28 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $1,912 – $44,706 · median $29,603 | 28 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $1,563 – $24,957 · median $17,910 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,075 – $17,169 · median $13,397 | 28 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $1,738 – $27,745 · median $19,506 | 28 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $1,192 – $19,028 · median $14,228 | 28 plans |
| 693 | URINARY STONES WITH COMORBITY | $1,912 – $34,860 · median $23,020 | 28 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $1,160 – $18,525 · median $13,852 | 28 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY | $1,675 – $26,738 · median $19,215 | 28 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $1,027 – $16,401 · median $12,441 | 28 plans |
| 697 | URETHRAL STRICTURE | $1,488 – $23,751 · median $17,809 | 28 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $1,912 – $39,851 · median $27,051 | 28 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $1,515 – $24,180 · median $17,403 | 28 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $1,031 – $16,458 · median $12,457 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,912 – $46,008 · median $31,697 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,912 – $35,147 · median $24,708 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,912 – $53,274 · median $36,510 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,588 – $25,358 · median $18,411 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $1,912 – $34,282 · median $24,280 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,395 – $22,278 · median $17,103 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,912 – $53,540 · median $35,664 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,912 – $33,649 · median $23,829 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $1,912 – $43,990 · median $30,226 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,829 – $29,206 · median $21,540 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,082 – $17,274 · median $12,430 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,875 – $29,934 · median $20,143 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $1,105 – $17,648 · median $13,098 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,912 – $34,837 · median $24,191 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $1,213 – $19,372 · median $14,311 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,635 – $26,100 · median $18,183 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $901 – $14,388 · median $11,494 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,912 – $49,853 · median $33,836 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,803 – $28,779 · median $21,501 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | — | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,912 – $47,378 · median $32,595 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,912 – $35,963 · median $24,399 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | — | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $1,912 – $43,108 · median $29,265 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,912 – $32,565 · median $23,204 | 28 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $1,912 – $43,307 · median $29,597 | 28 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $1,780 – $28,419 · median $20,491 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,912 – $46,325 · median $32,151 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,522 – $24,296 · median $18,436 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,912 – $39,701 · median $27,664 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,418 – $22,646 · median $15,586 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $1,912 – $32,297 · median $22,665 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $1,912 – $61,371 · median $40,648 | 28 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $1,912 – $42,895 · median $29,503 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,649 – $26,318 · median $18,498 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,418 – $22,641 · median $16,470 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,912 – $33,554 · median $23,389 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,514 – $24,166 · median $16,984 | 28 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $950 – $15,173 · median $11,769 | 28 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $1,464 – $23,367 · median $17,055 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $941 – $15,029 · median $11,039 | 28 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $1,912 – $32,942 · median $25,328 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,598 – $25,510 · median $17,584 | 28 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $1,060 – $16,916 · median $12,293 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $1,388 – $22,162 · median $15,290 | 28 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,912 – $42,736 · median $29,160 | 28 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $1,912 – $140,939 · median $90,229 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,912 – $96,252 · median $62,738 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,912 – $58,077 · median $38,354 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,912 – $98,874 · median $64,352 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,912 – $34,998 · median $24,197 | 28 plans |
| 795 | NORMAL NEWBORN | $297 – $6,526 · median $4,421 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | — | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $1,912 – $69,080 · median $44,509 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $1,912 – $84,988 · median $59,148 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,912 – $42,200 · median $29,386 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,642 – $26,212 · median $20,615 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,912 – $54,298 · median $35,705 | 28 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $1,839 – $29,362 · median $20,975 | 28 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $1,413 – $22,565 · median $17,174 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,912 – $49,562 · median $33,789 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,509 – $24,090 · median $17,363 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,912 – $60,102 · median $36,846 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,912 – $30,536 · median $20,247 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,213 – $19,358 · median $14,709 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | — | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,912 – $52,926 · median $35,469 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,698 – $27,115 · median $19,765 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | — | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,912 – $52,143 · median $35,686 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,828 – $29,180 · median $21,626 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | — | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,912 – $55,949 · median $36,998 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,912 – $38,002 · median $27,068 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $1,912 – $73,111 · median $48,820 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,912 – $34,673 · median $24,302 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $1,709 – $27,288 · median $19,817 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $1,110 – $17,719 · median $13,093 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $772 – $12,323 · median $9,778 | 28 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $1,912 – $131,041 · median $83,612 | 28 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $1,912 – $50,638 · median $33,608 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $1,887 – $30,126 · median $20,706 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,912 – $118,711 · median $73,611 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,912 – $48,085 · median $33,028 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,912 – $32,489 · median $23,363 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,912 – $75,605 · median $50,189 | 28 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $1,912 – $37,174 · median $26,061 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,562 – $24,938 · median $17,441 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,912 – $44,886 · median $31,272 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,775 – $28,336 · median $20,301 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,243 – $19,839 · median $14,816 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,912 – $60,545 · median $40,553 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,887 – $30,126 · median $21,564 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,216 – $19,414 · median $14,642 | 28 plans |
| 849 | RADIOTHERAPY | $1,912 – $63,326 · median $42,320 | 28 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | — | 28 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $1,912 – $118,571 · median $73,905 | 28 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $1,912 – $47,371 · median $31,954 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,912 – $38,540 · median $25,344 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | — | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $1,912 – $51,657 · median $34,348 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,912 – $30,545 · median $22,306 | 28 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $1,912 – $43,592 · median $29,466 | 28 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $1,485 – $23,706 · median $17,113 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,334 – $21,290 · median $15,479 | 28 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $1,912 – $34,991 · median $24,353 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $1,314 – $20,977 · median $15,242 | 28 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $1,912 – $50,837 · median $33,727 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,559 – $24,896 · median $17,709 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,069 – $17,060 · median $12,967 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,912 – $164,925 · median $104,355 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $1,912 – $46,517 · median $30,924 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $1,531 – $24,443 · median $17,194 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,912 – $34,327 · median $23,540 | 28 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $1,912 – $42,219 · median $28,353 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,912 – $44,988 · median $30,739 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $1,810 – $28,902 · median $19,932 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,912 – $91,539 · median $57,109 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,912 – $39,076 · median $25,166 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,912 – $51,743 · median $32,181 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | — | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $1,912 – $47,821 · median $32,018 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,883 – $30,069 · median $21,584 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,912 – $38,367 · median $26,479 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,361 – $21,726 · median $15,623 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $1,912 – $41,202 · median $27,558 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $986 – $15,744 · median $12,043 | 28 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $1,912 – $38,874 · median $25,735 | 28 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $1,314 – $20,972 · median $15,154 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $1,912 – $43,234 · median $29,543 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $1,509 – $24,085 · median $17,281 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $1,021 – $16,304 · median $12,404 | 28 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $1,912 – $40,052 · median $27,872 | 28 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $1,515 – $24,180 · median $17,421 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,912 – $562,420 · median $329,868 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,912 – $158,343 · median $106,072 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,912 – $75,401 · median $50,020 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,912 – $102,582 · median $61,626 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,912 – $50,873 · median $34,859 | 28 plans |
| 935 | NON-EXTENSIVE BURNS | $1,912 – $52,072 · median $33,577 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,912 – $75,249 · median $53,847 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,912 – $50,057 · median $35,870 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,912 – $46,333 · median $32,002 | 28 plans |
| 945 | REHABILITATION WITH COMPLICATION/COMORBITY | $1,912 – $36,190 · median $25,122 | 28 plans |
| 946 | REHABILITATION WITHOUT COMPLICATION/COMORBITY | $1,658 – $26,470 · median $19,138 | 28 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $1,910 – $30,493 · median $21,186 | 28 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $1,180 – $18,836 · median $14,095 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,602 – $25,581 · median $19,250 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $870 – $13,895 · median $11,072 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $1,912 – $161,885 · median $101,719 | 28 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | — | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | — | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,912 – $62,682 · median $44,325 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $1,912 – $64,408 · median $42,855 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $1,912 – $35,564 · median $24,793 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,355 – $21,636 · median $16,068 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,912 – $62,904 · median $41,661 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $1,912 – $70,797 · median $45,627 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION | $1,912 – $33,699 · median $22,277 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION/COMORBITY | $1,489 – $23,779 · median $16,281 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,912 – $34,185 · median $22,457 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $1,912 – $112,705 · median $71,970 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $1,912 – $58,044 · median $38,756 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,912 – $39,550 · median $27,448 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $1,912 – $83,042 · median $53,539 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $1,912 – $40,683 · median $27,111 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $1,716 – $27,395 · median $19,834 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $1,628 – $25,991 · median $17,977 | 27 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,912 – $43,673 · median $33,587 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $1,608 – $25,676 · median $17,689 | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,297 – $20,709 · median $15,725 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $1,577 – $25,173 · median $18,334 | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $1,343 – $21,449 · median $15,893 | 27 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,896 – $30,266 · median $20,149 | 27 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $1,438 – $22,954 · median $16,763 | 27 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,438 – $22,954 · median $16,409 | 27 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,482 – $23,661 · median $17,487 | 27 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $1,075 – $17,155 · median $13,181 | 27 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $946 – $15,109 · median $11,772 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,912 – $93,163 · median $59,115 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $1,424 – $22,726 · median $16,545 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $1,357 – $21,671 · median $16,188 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,429 – $22,807 · median $17,479 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,912 – $43,952 · median $31,217 | 26 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $1,912 – $39,597 · median $26,361 | 26 plans |
| 885 | PSYCHOSES | $1,912 – $33,419 · median $23,165 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,912 – $42,591 · median $31,716 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,766 – $28,198 · median $18,772 | 26 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | — | 21 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | — | 21 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $1,912 – $39,374 · median $35,608 | 21 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | — | 21 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $1,912 – $39,258 · median $35,503 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY | $1,912 – $36,660 · median $27,492 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION | $1,482 – $23,658 · median $17,742 | 12 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION | $1,912 – $13,699 · median $9,801 | 3 plans |
| 044 | INTRACRANIAL HEMORRHAGE | $1,912 – $1,912 · median $1,912 | 1 plans |
| 046 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION | $1,912 – $1,912 · median $1,912 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES WITHOUT COMPLICATION/COMORBITY | $1,912 – $1,912 · median $1,912 | 1 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY | $1,912 – $1,912 · median $1,912 | 1 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $1,912 – $1,912 · median $1,912 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,912 – $1,912 · median $1,912 | 1 plans |
| 999 | UNGROUPABLE | $1,912 – $1,912 · median $1,912 | 1 plans |
No procedures match that keyword.