Bellevue Hospital — 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $184,883 – $258,836 · median $184,883 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,640 – $101,696 · median $72,640 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $140,789 – $197,105 · median $140,789 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $92,998 – $130,197 · median $92,998 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $70,216 – $98,303 · median $70,216 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,252 – $45,153 · median $32,252 | 10 plans |
| 007 | LUNG TRANSPLANT | $86,052 – $120,473 · median $86,052 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $36,126 – $50,577 · median $36,126 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $52,698 – $73,778 · median $52,698 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $35,831 – $50,163 · median $35,831 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $27,373 – $38,322 · median $27,373 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,858 – $25,001 · median $17,858 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,268 – $120,775 · median $86,268 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $40,020 – $56,027 · median $40,020 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,020 – $56,027 · median $40,020 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $247,355 – $346,296 · median $247,355 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,399 – $73,359 · median $52,399 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $53,275 – $74,585 · median $53,275 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $36,691 – $51,367 · median $36,691 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,620 – $33,068 · median $23,620 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $37,854 – $52,996 · median $37,854 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,396 – $35,554 · median $25,396 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,785 – $41,699 · median $29,785 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,532 – $28,745 · median $20,532 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,665 – $23,331 · median $16,665 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,305 – $56,427 · median $40,305 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,483 – $31,477 · median $22,483 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,079 – $21,110 · median $15,079 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,941 – $39,118 · median $27,941 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,491 – $20,287 · median $14,491 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,956 – $15,338 · median $10,956 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,965 – $36,352 · median $25,965 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,402 – $21,563 · median $15,402 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,511 – $17,515 · median $12,511 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,249 – $31,149 · median $22,249 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,059 – $15,483 · median $11,059 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,963 – $11,148 · median $7,963 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,202 – $35,283 · median $25,202 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,293 – $21,411 · median $15,293 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,017 – $16,823 · median $12,017 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,685 – $19,159 · median $13,685 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,544 – $9,161 · median $6,544 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,325 – $14,455 · median $10,325 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,654 – $10,715 · median $7,654 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,903 – $23,664 · median $16,903 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,247 – $12,946 · median $9,247 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,595 – $17,633 · median $12,595 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,522 – $11,930 · median $8,522 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,354 – $8,895 · median $6,354 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,207 – $25,490 · median $18,207 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,169 – $17,037 · median $12,169 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,708 – $13,591 · median $9,708 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $13,533 – $18,946 · median $13,533 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $7,169 – $10,036 · median $7,169 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $5,018 – $7,025 · median $5,018 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,036 – $14,050 · median $10,036 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,282 – $8,795 · median $6,282 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,750 – $8,049 · median $5,750 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $11,894 – $16,651 · median $11,894 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $7,411 – $10,375 · median $7,411 | 10 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,423 – $7,592 · median $5,423 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,629 – $14,881 · median $10,629 | 10 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $7,336 – $10,270 · median $7,336 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,786 – $16,501 · median $11,786 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,514 – $9,120 · median $6,514 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,634 – $14,887 · median $10,634 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,044 – $9,862 · median $7,044 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,876 – $6,827 · median $4,876 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,523 – $18,933 · median $13,523 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,435 – $9,009 · median $6,435 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,699 – $21,979 · median $15,699 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,613 – $13,459 · median $9,613 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,771 – $9,479 · median $6,771 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,344 – $21,482 · median $15,344 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,098 – $12,737 · median $9,098 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,299 – $8,818 · median $6,299 | 10 plans |
| 088 | CONCUSSION WITH MCC | $9,746 – $13,645 · median $9,746 | 10 plans |
| 089 | CONCUSSION WITH CC | $7,530 – $10,542 · median $7,530 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,124 – $8,574 · median $6,124 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,444 – $17,422 · median $12,444 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $7,442 – $10,419 · median $7,442 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,679 – $7,951 · median $5,679 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,395 – $34,152 · median $24,395 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,203 – $22,684 · median $16,203 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,203 – $22,684 · median $16,203 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,975 – $33,565 · median $23,975 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,711 – $20,596 · median $14,711 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,632 – $13,485 · median $9,632 | 10 plans |
| 100 | SEIZURES WITH MCC | $13,507 – $18,910 · median $13,507 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $6,546 – $9,164 · median $6,546 | 10 plans |
| 102 | HEADACHES WITH MCC | $8,102 – $11,343 · median $8,102 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $6,078 – $8,509 · median $6,078 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,283 – $21,396 · median $15,283 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,250 – $11,550 · median $8,250 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,534 – $14,747 · median $10,534 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,434 – $16,008 · median $11,434 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,573 – $10,602 · median $7,573 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,126 – $11,377 · median $8,126 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,952 – $6,933 · median $4,952 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,770 – $8,078 · median $5,770 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,047 – $12,666 · median $9,047 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,917 – $8,284 · median $5,917 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,294 – $22,812 · median $16,294 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,915 – $9,681 · median $6,915 | 10 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $9,667 – $13,534 · median $9,667 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,837 – $8,172 · median $5,837 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,499 – $13,299 · median $9,499 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,194 – $39,472 · median $28,194 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,575 – $20,405 · median $14,575 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,805 – $15,126 · median $10,805 | 10 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,125 – $30,975 · median $22,125 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,011 – $16,815 · median $12,011 | 10 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,268 – $11,575 · median $8,268 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,528 – $21,740 · median $15,528 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,660 – $12,124 · median $8,660 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,754 – $8,055 · median $5,754 | 10 plans |
| 149 | DYSEQUILIBRIUM | $5,405 – $7,567 · median $5,405 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $9,560 – $13,384 · median $9,560 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,474 – $7,664 · median $5,474 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,940 – $11,116 · median $7,940 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,171 – $7,239 · median $5,171 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,157 – $15,620 · median $11,157 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,623 – $9,273 · median $6,623 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,914 – $6,879 · median $4,914 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,231 – $15,723 · median $11,231 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,669 – $9,337 · median $6,669 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,830 – $6,762 · median $4,830 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $30,681 – $42,954 · median $30,681 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,987 – $23,782 · median $16,987 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,713 – $17,798 · median $12,713 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,714 – $36,000 · median $25,714 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,472 – $17,461 · median $12,472 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,374 – $13,124 · median $9,374 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,598 – $28,837 · median $20,598 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $9,736 – $13,630 · median $9,736 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $5,844 – $8,181 · median $5,844 | 10 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $11,093 – $15,530 · median $11,093 | 10 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $7,006 – $9,809 · median $7,006 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,551 – $7,771 · median $5,551 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $11,953 – $16,734 · median $11,953 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,780 – $10,892 · median $7,780 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $5,994 – $8,392 · median $5,994 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,902 – $15,263 · median $10,902 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,504 – $10,505 · median $7,504 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,603 – $7,844 · median $5,603 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,854 – $15,196 · median $10,854 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,084 – $9,918 · median $7,084 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,318 – $7,446 · median $5,318 | 10 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $8,612 – $12,057 · median $8,612 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $7,863 – $11,008 · median $7,863 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $6,136 – $8,590 · median $6,136 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $4,749 – $6,648 · median $4,749 | 10 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $9,137 – $12,792 · median $9,137 | 10 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $5,880 – $8,232 · median $5,880 | 10 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $4,589 – $6,424 · median $4,589 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,845 – $17,983 · median $12,845 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,993 – $9,790 · median $6,993 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,097 – $7,136 · median $5,097 | 10 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $12,067 – $16,894 · median $12,067 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,762 – $10,866 · median $7,762 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,945 – $6,922 · median $4,945 | 10 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $6,840 – $9,576 · median $6,840 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,072 – $7,101 · median $5,072 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,821 – $8,149 · median $5,821 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,869 – $18,017 · median $12,869 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,441 – $9,018 · median $6,441 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $42,843 – $59,980 · median $42,843 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,079 – $25,311 · median $18,079 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $71,817 – $100,543 · median $71,817 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,859 – $97,803 · median $69,859 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $63,682 – $89,155 · median $63,682 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,782 – $59,894 · median $42,782 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,453 – $55,234 · median $39,453 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,157 – $71,620 · median $51,157 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,181 – $49,254 · median $35,181 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,573 – $42,802 · median $30,573 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,130 – $46,382 · median $33,130 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,844 – $29,182 · median $20,844 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $55,977 – $78,368 · median $55,977 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,496 – $56,694 · median $40,496 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $51,673 – $72,343 · median $51,673 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,335 – $49,469 · median $35,335 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,027 – $54,637 · median $39,027 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,428 – $38,399 · median $27,428 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,481 – $46,873 · median $33,481 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,574 – $27,404 · median $19,574 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,395 – $14,554 · median $10,395 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,714 – $31,800 · median $22,714 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,258 – $21,361 · median $15,258 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $12,325 – $17,255 · median $12,325 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,498 – $45,498 · median $32,498 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,649 – $21,909 · median $15,649 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,740 – $15,037 · median $10,740 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,966 – $32,152 · median $22,966 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,223 – $24,112 · median $17,223 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,963 – $16,748 · median $11,963 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,639 – $24,694 · median $17,639 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,599 – $16,238 · median $11,599 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,350 – $8,891 · median $6,350 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,876 – $26,426 · median $18,876 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,017 – $16,824 · median $12,017 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,807 – $31,930 · median $22,807 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,933 – $18,106 · median $12,933 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,447 – $14,626 · median $10,447 | 10 plans |
| 263 | VEIN LIGATION & STRIPPING | $18,068 – $25,295 · median $18,068 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,389 – $32,745 · median $23,389 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $23,861 – $33,406 · median $23,861 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,724 – $55,614 · median $39,724 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $31,306 – $43,829 · median $31,306 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,154 – $61,816 · median $44,154 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,746 – $38,844 · median $27,746 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,110 – $47,754 · median $34,110 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,057 – $32,280 · median $23,057 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,890 – $23,647 · median $16,890 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $26,107 – $36,550 · median $26,107 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,941 – $29,317 · median $20,941 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $46,768 – $65,476 · median $46,768 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $41,057 – $57,480 · median $41,057 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $30,961 – $43,345 · median $30,961 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $33,261 – $46,565 · median $33,261 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $21,487 – $30,081 · median $21,487 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $11,256 – $15,759 · median $11,256 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $6,546 – $9,165 · median $6,546 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $5,259 – $7,362 · median $5,259 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $13,311 – $18,636 · median $13,311 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $5,363 – $7,508 · median $5,363 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,187 – $5,862 · median $4,187 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,999 – $20,999 · median $14,999 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,645 – $10,703 · median $7,645 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,391 – $25,748 · median $18,391 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,833 – $15,166 · median $10,833 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,921 – $9,689 · median $6,921 | 10 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $9,053 – $12,674 · median $9,053 | 10 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $6,150 – $8,609 · median $6,150 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,104 – $5,746 · median $4,104 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,550 – $11,971 · median $8,550 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,682 – $7,955 · median $5,682 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,237 – $15,731 · median $11,237 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,123 – $7,173 · median $5,123 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,404 – $4,765 · median $3,404 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $11,100 – $15,541 · median $11,100 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,520 – $10,528 · median $7,520 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,182 – $7,255 · median $5,182 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,127 – $11,378 · median $8,127 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $4,914 – $6,879 · median $4,914 | 10 plans |
| 304 | HYPERTENSION WITH COMORBITY | $8,202 – $11,483 · median $8,202 | 10 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $5,426 – $7,597 · median $5,426 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,314 – $14,439 · median $10,314 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,576 – $9,207 · median $6,576 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $8,406 – $11,768 · median $8,406 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $5,352 – $7,492 · median $5,352 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,175 – $5,845 · median $4,175 | 10 plans |
| 311 | ANGINA PECTORIS | $5,083 – $7,117 · median $5,083 | 10 plans |
| 312 | SYNCOPE & COLLAPSE | $6,216 – $8,702 · median $6,216 | 10 plans |
| 313 | CHEST PAIN | $5,182 – $7,255 · median $5,182 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $14,608 – $20,451 · median $14,608 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,811 – $9,536 · median $6,811 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,981 – $6,974 · median $4,981 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $41,005 – $57,406 · median $41,005 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,265 – $40,971 · median $29,265 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,664 – $21,929 · median $15,664 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,146 – $26,804 · median $19,146 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,354 – $17,296 · median $12,354 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,392 – $39,749 · median $28,392 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,426 – $29,996 · median $21,426 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,246 – $26,944 · median $19,246 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,756 – $47,259 · median $33,756 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,405 – $22,968 · median $16,405 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,943 – $15,320 · median $10,943 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,568 – $42,795 · median $30,568 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,984 – $22,377 · median $15,984 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,319 – $15,847 · median $11,319 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,216 – $32,503 · median $23,216 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $14,423 – $20,193 · median $14,423 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,369 – $15,916 · median $11,369 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,229 – $33,921 · median $24,229 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $14,338 – $20,074 · median $14,338 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,560 – $14,785 · median $10,560 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,149 – $25,409 · median $18,149 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,257 – $14,359 · median $10,257 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,664 – $12,129 · median $8,664 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,004 – $22,406 · median $16,004 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,753 – $12,254 · median $8,753 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,278 – $8,790 · median $6,278 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,344 – $22,881 · median $16,344 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,360 – $14,504 · median $10,360 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,730 – $10,821 · median $7,730 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,710 – $27,594 · median $19,710 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,647 – $16,306 · median $11,647 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,239 – $12,935 · median $9,239 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,433 – $39,806 · median $28,433 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,253 – $21,354 · median $15,253 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,382 – $13,135 · median $9,382 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,443 – $16,021 · median $11,443 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,173 – $10,043 · median $7,173 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,081 – $7,114 · median $5,081 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,954 – $16,735 · median $11,954 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,250 – $10,150 · median $7,250 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,261 – $7,365 · median $5,261 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,333 – $20,066 · median $14,333 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,555 – $11,977 · median $8,555 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,292 – $8,809 · median $6,292 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,413 – $17,379 · median $12,413 | 10 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $6,966 – $9,752 · median $6,966 | 10 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $4,680 – $6,552 · median $4,680 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,108 – $18,351 · median $13,108 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,641 – $10,698 · median $7,641 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,417 – $7,584 · median $5,417 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $8,787 – $12,302 · median $8,787 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,205 – $8,686 · median $6,205 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $11,148 – $15,607 · median $11,148 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $7,009 – $9,813 · median $7,009 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $4,900 – $6,860 · median $4,900 | 10 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $10,134 – $14,187 · median $10,134 | 10 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $5,759 – $8,063 · median $5,759 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,094 – $5,732 · median $4,094 | 10 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $8,920 – $12,488 · median $8,920 | 10 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $5,620 – $7,868 · median $5,620 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $11,352 – $15,892 · median $11,352 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $6,674 – $9,343 · median $6,674 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $4,678 – $6,549 · median $4,678 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,731 – $23,423 · median $16,731 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,417 – $14,584 · median $10,417 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,868 – $11,016 · median $7,868 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,119 – $36,567 · median $26,119 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,045 – $50,463 · median $36,045 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,895 – $26,452 · median $18,895 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,492 – $20,289 · median $14,492 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,430 – $32,802 · median $23,430 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,235 – $19,929 · median $14,235 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,665 – $14,931 · median $10,665 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,423 – $25,793 · median $18,423 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,465 – $20,251 · median $14,465 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,394 – $15,952 · median $11,394 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,446 – $32,825 · median $23,446 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,460 – $18,844 · median $13,460 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,481 – $13,274 · median $9,481 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $16,068 – $22,495 · median $16,068 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $11,367 – $15,914 · median $11,367 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $9,137 – $12,792 · median $9,137 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $23,614 – $33,060 · median $23,614 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,231 – $15,724 · median $11,231 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,130 – $14,183 · median $10,130 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,135 – $37,989 · median $27,135 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,458 – $21,641 · median $15,458 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,630 – $14,883 · median $10,630 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,077 – $96,708 · median $69,077 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $47,002 – $65,803 · median $47,002 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,539 – $51,154 · median $36,539 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $55,105 – $77,146 · median $55,105 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,319 – $50,846 · median $36,319 | 10 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $13,336 – $18,670 · median $13,336 | 10 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $7,515 – $10,521 · median $7,515 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,072 – $7,100 · median $5,072 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,455 – $17,437 · median $12,455 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,894 – $11,051 · median $7,894 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,652 – $7,913 · median $5,652 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $11,402 – $15,963 · median $11,402 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,143 – $8,600 · median $6,143 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $4,539 – $6,354 · median $4,539 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $12,886 – $18,040 · median $12,886 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,837 – $9,572 · median $6,837 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,112 – $7,157 · median $5,112 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $11,538 – $16,153 · median $11,538 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $7,611 – $10,656 · median $7,611 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,731 – $8,024 · median $5,731 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,397 – $62,156 · median $44,397 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,240 – $38,137 · median $27,240 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,222 – $47,910 · median $34,222 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,712 – $28,996 · median $20,712 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $55,946 – $78,325 · median $55,946 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,079 – $53,310 · median $38,079 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,775 – $40,286 · median $28,775 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $40,679 – $56,951 · median $40,679 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,257 – $26,960 · median $19,257 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,864 – $50,209 · median $35,864 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,812 – $27,737 · median $19,812 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,876 – $16,626 · median $11,876 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,858 – $47,402 · median $33,858 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,932 – $32,104 · median $22,932 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,683 – $24,756 · median $17,683 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $21,907 – $30,670 · median $21,907 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,854 – $17,995 · median $12,854 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,305 – $45,227 · median $32,305 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,476 – $27,266 · median $19,476 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $16,008 – $22,411 · median $16,008 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,866 – $41,813 · median $29,866 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,633 – $20,486 · median $14,633 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,126 – $11,376 · median $8,126 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,022 – $32,231 · median $23,022 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,820 – $22,147 · median $15,820 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,136 – $16,990 · median $12,136 | 10 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $19,762 – $27,667 · median $19,762 | 10 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,094 – $19,731 · median $14,094 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,896 – $15,255 · median $10,896 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,191 – $24,068 · median $17,191 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,584 – $30,218 · median $21,584 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,395 – $20,153 · median $14,395 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,856 – $15,198 · median $10,856 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,377 – $18,728 · median $13,377 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,618 – $12,066 · median $8,618 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,756 – $33,259 · median $23,756 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,228 – $22,719 · median $16,228 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,853 – $17,995 · median $12,853 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,556 – $32,979 · median $23,556 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,427 – $18,797 · median $13,427 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,300 – $13,021 · median $9,300 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,039 – $23,855 · median $17,039 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,111 – $11,355 · median $8,111 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,253 – $29,754 · median $21,253 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,194 – $17,072 · median $12,194 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,658 – $13,521 · median $9,658 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,836 – $24,970 · median $17,836 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,000 – $16,800 · median $12,000 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,000 – $16,800 · median $12,000 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,325 – $14,455 · median $10,325 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,199 – $18,478 · median $13,199 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,960 – $12,544 · median $8,960 | 10 plans |
| 509 | ARTHROSCOPY | $12,011 – $16,815 · median $12,011 | 10 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $19,220 – $26,908 · median $19,220 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,349 – $18,689 · median $13,349 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,036 – $15,451 · median $11,036 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,367 – $14,514 · median $10,367 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,186 – $10,061 · median $7,186 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,753 – $29,055 · median $20,753 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,680 – $19,152 · median $13,680 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,283 – $14,396 · median $10,283 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,971 – $33,560 · median $23,971 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,419 – $18,787 · median $13,419 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,893 – $13,851 · median $9,893 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,590 – $27,426 · median $19,590 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,311 – $20,035 · median $14,311 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,494 – $14,691 · median $10,494 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,841 – $8,177 · median $5,841 | 10 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $9,217 – $12,904 · median $9,217 | 10 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $5,820 – $8,148 · median $5,820 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,528 – $9,139 · median $6,528 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,908 – $6,871 · median $4,908 | 10 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $13,750 – $19,250 · median $13,750 | 10 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $8,983 – $12,576 · median $8,983 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,239 – $8,735 · median $6,239 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $12,720 – $17,809 · median $12,720 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $7,457 – $10,439 · median $7,457 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,459 – $7,643 · median $5,459 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,052 – $23,873 · median $17,052 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,090 – $11,326 · median $8,090 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,397 – $7,556 · median $5,397 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,699 – $19,178 · median $13,699 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,400 – $11,761 · median $8,400 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,155 – $8,618 · median $6,155 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $11,682 – $16,354 · median $11,682 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $6,821 – $9,550 · median $6,821 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,061 – $12,685 · median $9,061 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,975 – $8,366 · median $5,975 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,327 – $13,057 · median $9,327 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,857 – $8,200 · median $5,857 | 10 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $10,656 – $14,918 · median $10,656 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,167 – $8,633 · median $6,167 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,663 – $17,728 · median $12,663 | 10 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $7,966 – $11,152 · median $7,966 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,864 – $8,210 · median $5,864 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,092 – $14,129 · median $10,092 | 10 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $6,363 – $8,908 · median $6,363 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $10,784 – $15,097 · median $10,784 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $7,187 – $10,062 · median $7,187 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,409 – $7,573 · median $5,409 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,215 – $28,302 · median $20,215 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $11,472 – $16,060 · median $11,472 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,990 – $11,186 · median $7,990 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,820 – $57,148 · median $40,820 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,192 – $32,468 · median $23,192 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,582 – $19,014 · median $13,582 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,827 – $50,157 · median $35,827 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,942 – $25,118 · median $17,942 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,577 – $16,208 · median $11,577 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,847 – $30,585 · median $21,847 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,118 – $16,965 · median $12,118 | 10 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $9,933 – $13,906 · median $9,933 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,975 – $16,765 · median $11,975 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,265 – $15,771 · median $11,265 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,914 – $19,479 · median $13,914 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,506 – $18,908 · median $13,506 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $13,972 – $19,561 · median $13,972 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $8,516 – $11,922 · median $8,516 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,068 – $8,495 · median $6,068 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,357 – $20,099 · median $14,357 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,589 – $10,624 · median $7,589 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,011 – $16,815 · median $12,011 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,574 – $10,604 · median $7,574 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,108 – $8,552 · median $6,108 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,774 – $9,484 · median $6,774 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,437 – $6,211 · median $4,437 | 10 plans |
| 602 | CELLULITIS WITH COMORBITY | $10,129 – $14,181 · median $10,129 | 10 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,278 – $8,789 · median $6,278 | 10 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $10,237 – $14,332 · median $10,237 | 10 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $6,559 – $9,182 · median $6,559 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,053 – $15,474 · median $11,053 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $6,169 – $8,637 · median $6,169 | 10 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $15,429 – $21,601 · median $15,429 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,892 – $13,849 · median $9,892 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,810 – $36,134 · median $25,810 | 10 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $13,156 – $18,418 · median $13,156 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,662 – $12,127 · median $8,662 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,359 – $25,702 · median $18,359 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,966 – $15,352 · median $10,966 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,081 – $14,113 · median $10,081 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,005 – $35,007 · median $25,005 | 10 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $13,033 – $18,246 · median $13,033 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,078 – $9,910 · median $7,078 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,279 – $26,990 · median $19,279 | 10 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $10,392 – $14,548 · median $10,392 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,805 – $12,327 · median $8,805 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,339 – $36,874 · median $26,339 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,234 – $21,327 · median $15,234 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,685 – $13,559 · median $9,685 | 10 plans |
| 637 | DIABETES WITH COMORBITY | $10,045 – $14,063 · median $10,045 | 10 plans |
| 638 | DIABETES WITH COMPLICATION | $6,516 – $9,123 · median $6,516 | 10 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $4,614 – $6,460 · median $4,614 | 10 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,205 – $12,887 · median $9,205 | 10 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $5,627 – $7,878 · median $5,627 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,636 – $12,091 · median $8,636 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $11,360 – $15,904 · median $11,360 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $7,277 – $10,187 · median $7,277 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,610 – $7,853 · median $5,610 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,669 – $42,936 · median $30,669 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,241 – $32,538 · median $23,241 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $20,616 – $28,862 · median $20,616 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,000 – $51,800 · median $37,000 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,984 – $26,578 · median $18,984 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,109 – $19,753 · median $14,109 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,837 – $30,572 · median $21,837 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,478 – $17,469 · median $12,478 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,357 – $14,500 · median $10,357 | 10 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $17,428 – $24,399 · median $17,428 | 10 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $9,283 – $12,997 · median $9,283 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,232 – $10,125 · median $7,232 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,931 – $29,304 · median $20,931 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $10,510 – $14,714 · median $10,510 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,580 – $10,612 · median $7,580 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,987 – $32,181 · median $22,987 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $11,295 – $15,813 · median $11,295 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,240 – $10,136 · median $7,240 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,601 – $27,441 · median $19,601 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $10,642 – $14,898 · median $10,642 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,768 – $9,475 · median $6,768 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,795 – $16,513 · median $11,795 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,676 – $10,746 · median $7,676 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,935 – $39,109 · median $27,935 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,622 – $21,871 · median $15,622 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,758 – $15,061 · median $10,758 | 10 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $10,343 – $14,480 · median $10,343 | 10 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $6,331 – $8,863 · median $6,331 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,488 – $6,284 · median $4,488 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,855 – $17,997 · median $12,855 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,403 – $10,364 · median $7,403 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,253 – $7,354 · median $5,253 | 10 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,173 – $11,442 · median $8,173 | 10 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $5,766 – $8,072 · median $5,766 | 10 plans |
| 693 | URINARY STONES WITH MCC | $10,137 – $14,192 · median $10,137 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,627 – $7,878 · median $5,627 | 10 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY | $7,895 – $11,052 · median $7,895 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,041 – $7,057 · median $5,041 | 10 plans |
| 697 | URETHRAL STRICTURE | $7,070 – $9,898 · median $7,070 | 10 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $11,515 – $16,121 · median $11,515 | 10 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $7,188 – $10,064 · median $7,188 | 10 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,056 – $7,079 · median $5,056 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,215 – $18,500 · median $13,215 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,216 – $14,303 · median $10,216 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,221 – $21,309 · median $15,221 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,340 – $14,476 · median $10,340 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,018 – $18,225 · median $13,018 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,514 – $10,519 · median $7,514 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,977 – $13,968 · median $9,977 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,663 – $9,329 · median $6,663 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,294 – $21,412 · median $15,294 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,802 – $13,723 · median $9,802 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,658 – $17,721 · median $12,658 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,576 – $12,006 · median $8,576 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,829 – $16,560 · median $11,829 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,862 – $11,007 · median $7,862 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,282 – $7,394 · median $5,282 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,777 – $12,288 · median $8,777 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $5,385 – $7,539 · median $5,385 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,130 – $14,183 · median $10,130 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $5,861 – $8,205 · median $5,861 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,718 – $10,806 · median $7,718 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,485 – $6,279 · median $4,485 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,276 – $19,987 · median $14,276 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,458 – $11,841 · median $8,458 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,286 – $36,800 · median $26,286 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,593 – $19,030 · median $13,593 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,441 – $14,618 · median $10,441 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,569 – $37,197 · median $26,569 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,414 – $17,380 · median $12,414 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,503 – $13,305 · median $9,503 | 10 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $12,469 – $17,457 · median $12,469 | 10 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,359 – $11,702 · median $8,359 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,302 – $18,623 · median $13,302 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,220 – $10,109 · median $7,220 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,474 – $16,063 · median $11,474 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,765 – $9,471 · median $6,765 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,429 – $13,201 · median $9,429 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,456 – $24,438 · median $17,456 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,953 – $12,534 · median $8,953 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,355 – $17,297 · median $12,355 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,779 – $10,890 · median $7,779 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,763 – $9,469 · median $6,763 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,776 – $13,687 · median $9,776 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,184 – $10,058 · median $7,184 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,702 – $6,582 · median $4,702 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,964 – $9,749 · median $6,964 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,662 – $6,527 · median $4,662 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $5,380 – $10,764 · median $7,688 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,607 – $13,450 · median $9,607 | 10 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,555 – $10,578 · median $7,555 | 10 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,183 – $7,256 · median $5,183 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $6,631 – $9,284 · median $6,631 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $12,570 – $17,598 · median $12,570 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $7,601 – $10,642 · median $7,601 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,230 – $8,722 · median $6,230 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $11,089 – $15,525 · median $11,089 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $7,463 – $10,448 · median $7,463 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,434 – $9,008 · median $6,434 | 10 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,311 – $17,236 · median $12,311 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $39,423 – $55,193 · median $39,423 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,086 – $37,920 · median $27,086 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $16,547 – $23,165 · median $16,547 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $27,810 – $38,934 · median $27,810 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,175 – $14,245 · median $10,175 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,380 – $12,416 · median $8,868 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,380 – $9,590 · median $6,850 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,380 – $9,590 · median $6,850 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,634 – $44,288 · median $31,634 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,584 – $27,418 · median $19,584 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,258 – $15,761 · median $11,258 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,976 – $33,567 · median $23,976 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,163 – $17,029 · median $12,163 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,749 – $10,849 · median $7,749 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $5,380 – $9,863 · median $7,045 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $5,249 – $7,348 · median $5,249 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $4,684 – $6,558 · median $4,684 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,503 – $21,705 · median $15,503 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,619 – $12,067 · median $8,619 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,743 – $9,440 · median $6,743 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $9,721 – $13,610 · median $9,721 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $6,553 – $9,175 · median $6,553 | 10 plans |
| 813 | COAGULATION DISORDERS | $10,645 – $14,903 · median $10,645 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,196 – $19,874 · median $14,196 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,163 – $10,029 · median $7,163 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,829 – $6,760 · median $4,829 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,106 – $23,948 · median $17,106 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,943 – $12,520 · median $8,943 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,857 – $8,200 · median $5,857 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $38,621 – $54,070 · median $38,621 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,124 – $21,174 · median $15,124 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,999 – $11,198 · median $7,999 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,141 – $43,598 · median $31,141 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,908 – $20,872 · median $14,908 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,569 – $11,996 · median $8,569 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,770 – $44,478 · median $31,770 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,959 – $22,343 · median $15,959 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,004 – $15,406 · median $11,004 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,697 – $28,976 · median $20,697 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,085 – $14,119 · median $10,085 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,046 – $11,265 · median $8,046 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $5,405 – $7,567 · median $5,405 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,915 – $5,481 · median $3,915 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $36,691 – $51,367 · median $36,691 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,493 – $20,290 · median $14,493 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,830 – $12,362 · median $8,830 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,286 – $46,601 · median $33,286 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,788 – $19,303 · median $13,788 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,482 – $13,275 · median $9,482 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,386 – $29,940 · median $21,386 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,776 – $15,086 · median $10,776 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,398 – $10,357 · median $7,398 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,905 – $18,067 · median $12,905 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,336 – $11,670 · median $8,336 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,990 – $8,386 · median $5,990 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,228 – $24,119 · median $17,228 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,830 – $12,362 · median $8,830 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,873 – $8,222 · median $5,873 | 10 plans |
| 849 | RADIOTHERAPY | $17,996 – $25,194 · median $17,996 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $60,807 – $85,130 · median $60,807 | 10 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $33,248 – $46,547 · median $33,248 | 10 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $13,591 – $19,027 · median $13,591 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,153 – $15,614 · median $11,153 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,043 – $42,060 · median $30,043 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $14,774 – $20,684 · median $14,774 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,946 – $12,524 · median $8,946 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,548 – $17,567 · median $12,548 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,057 – $9,880 · median $7,057 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,390 – $8,947 · median $6,390 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,173 – $14,242 · median $10,173 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,304 – $8,826 · median $6,304 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,548 – $20,367 · median $14,548 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,386 – $10,340 · median $7,386 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,223 – $7,312 · median $5,223 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,045 – $64,463 · median $46,045 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $13,355 – $18,697 · median $13,355 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $7,261 – $10,165 · median $7,261 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,233 – $36,726 · median $26,233 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,787 – $9,502 · median $6,787 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $6,496 – $9,094 · median $6,496 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,809 – $9,533 · median $6,809 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,647 – $17,706 · median $12,647 | 10 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $11,445 – $16,023 · median $11,445 | 10 plans |
| 885 | PSYCHOSES | $9,739 – $13,635 · median $9,739 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,271 – $17,180 · median $12,271 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,298 – $11,617 · median $8,298 | 10 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $4,598 – $6,437 · median $4,598 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,990 – $13,986 · median $9,990 | 10 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $12,169 – $17,036 · median $12,169 | 10 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $6,287 – $8,802 · median $6,287 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,512 – $41,316 · median $29,512 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,933 – $18,106 · median $12,933 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,492 – $11,889 · median $8,492 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,785 – $36,099 · median $25,785 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,301 – $15,821 · median $11,301 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,798 – $20,717 · median $14,798 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,587 – $37,222 · median $26,587 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,715 – $19,201 · median $13,715 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,814 – $12,340 · median $8,814 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,105 – $15,547 · median $11,105 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $6,511 – $9,115 · median $6,511 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,888 – $16,643 · median $11,888 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,859 – $6,803 · median $4,859 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,245 – $15,743 · median $11,245 | 10 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $6,303 – $8,824 · median $6,303 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,449 – $17,428 · median $12,449 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,162 – $10,027 · median $7,162 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,014 – $7,019 · median $5,014 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,570 – $16,199 · median $11,570 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,188 – $10,064 · median $7,188 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $155,786 – $218,100 · median $155,786 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,228 – $61,919 · median $44,228 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,329 – $29,861 · median $21,329 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,834 – $40,367 · median $28,834 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,558 – $20,381 · median $14,558 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $14,889 – $20,844 · median $14,889 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,288 – $29,803 · median $21,288 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,333 – $20,066 · median $14,333 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,304 – $18,626 · median $13,304 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,504 – $14,706 · median $10,504 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,821 – $10,949 · median $7,821 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,931 – $12,504 · median $8,931 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,713 – $7,998 · median $5,713 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,575 – $10,605 · median $7,575 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,349 – $6,089 · median $4,349 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,224 – $5,913 · median $4,224 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $45,206 – $63,288 · median $45,206 | 10 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $25,532 – $35,744 · median $25,532 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $49,368 – $69,115 · median $49,368 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,413 – $38,378 · median $27,413 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,818 – $24,945 · median $17,818 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,294 – $25,612 · median $18,294 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,331 – $14,464 · median $10,331 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,486 – $9,080 · median $6,486 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $41,907 – $58,670 · median $41,907 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,879 – $25,031 · median $17,879 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,058 – $28,082 · median $20,058 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,816 – $13,743 · median $9,816 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,078 – $9,909 · median $7,078 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,950 – $13,931 · median $9,950 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,628 – $44,280 · median $31,628 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $16,538 – $23,153 · median $16,538 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,432 – $16,004 · median $11,432 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $23,439 – $32,815 · median $23,439 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,744 – $16,442 · median $11,744 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,076 – $11,306 · median $8,076 | 10 plans |
| 795 | NORMAL NEWBORN | $1,820 – $2,549 · median $1,820 | 9 plans |
No procedures match that keyword.