Procedures published 513
Lowest published price —
Average published price —
Highest published price —

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.

Showing all 513 procedures

Procedures with negotiated rates only

These 513 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
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,057 – $46,185 · median $16,112 50 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,985 – $31,016 · median $11,118 50 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,341 – $44,073 · median $15,625 50 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,766 – $21,642 · median $16,056 50 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,822 – $22,383 · median $8,138 50 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,792 – $16,285 · median $6,063 50 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,713 – $38,135 · median $13,374 50 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,603 – $19,178 · median $7,032 50 plans
199 PNEUMOTHORAX WITH MCC $2,406 – $35,647 · median $12,716 50 plans
200 PNEUMOTHORAX WITH CC $7,960 – $22,214 · median $8,598 50 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,446 – $14,450 · median $5,400 50 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,162 – $13,539 · median $5,085 50 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,346 – $16,315 · median $6,044 50 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,117 – $36,999 · median $13,183 50 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,455 – $130,026 · median $45,292 50 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,877 – $57,600 · median $20,294 50 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $4,659 – $70,488 · median $24,742 50 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,940 – $52,449 · median $18,516 50 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,632 – $32,414 · median $11,600 50 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,686 – $14,612 · median $5,456 50 plans
305 HYPERTENSION WITHOUT MCC $5,595 – $15,258 · median $10,944 50 plans
308 HIP AND FEMUR FRACTURE REPAIR,MODERATE $7,000 – $24,329 · median $8,875 50 plans
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MODERATE $5,354 – $14,549 · median $7,150 50 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $6,313 – $42,136 · median $14,956 50 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $8,966 – $35,625 · median $12,709 50 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,445 – $30,806 · median $11,045 50 plans
380 SKIN ULCERS,MODERATE $3,739 – $39,650 · median $14,098 50 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,666 – $27,900 · median $9,894 50 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,380 – $17,273 · median $6,374 50 plans
423 INBORN ERRORS OF METABOLISM,MINOR $4,669 – $83,920 · median $29,378 50 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,659 – $115,170 · median $40,164 50 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,768 – $36,852 · median $13,132 50 plans
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MODERATE $2,664 – $105,186 · median $36,718 50 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,971 – $55,529 · median $19,579 50 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,441 – $55,483 · median $21,568 50 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $4,292 – $56,012 · median $19,745 50 plans
539 CESAREAN SECTION WITH STERILIZATION,MINOR $4,208 – $39,802 · median $14,150 50 plans
540 OSTEOMYELITIS WITH CC $4,022 – $26,194 · median $9,640 50 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,441 – $35,696 · median $12,733 50 plans
548 SEPTIC ARTHRITIS WITH MCC $2,414 – $39,018 · median $13,880 50 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,103 – $22,755 · median $8,266 50 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,615 – $16,244 · median $6,019 50 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,836 – $31,192 · median $11,178 50 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,866 – $15,141 · median $5,638 50 plans
580 NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE,MODERATE $2,263 – $34,918 · median $12,464 50 plans
625 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MINOR $7,459 – $61,027 · median $21,476 50 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,525 – $30,298 · median $10,870 50 plans
639 DIABETES WITHOUT CC/MCC $4,434 – $12,553 · median $7,416 50 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,179 – $26,988 · median $9,728 50 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,521 – $20,922 · median $11,118 50 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,236 – $28,377 · median $10,207 50 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,688 – $18,554 · median $6,816 50 plans
813 COAGULATION DISORDERS $3,389 – $30,822 · median $11,051 50 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,019 – $12,771 · median $4,820 50 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,473 – $17,938 · median $6,604 50 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,227 – $12,773 · median $6,872 50 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,300 – $33,764 · median $12,126 49 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,206 – $20,773 · median $7,620 49 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,999 – $30,854 · median $10,953 48 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,147 – $24,295 · median $8,841 48 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,810 – $21,149 · median $7,636 48 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,396 – $40,026 · median $14,017 47 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,860 – $13,250 · median $7,150 45 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $37,884 – $110,211 · median $55,538 43 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $29,377 – $85,193 · median $43,023 43 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,209 – $58,233 · median $29,536 43 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,370 – $46,943 · median $23,889 43 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,309 – $26,180 · median $13,502 43 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,933 – $25,075 · median $12,950 43 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,727 – $18,586 · median $9,704 43 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $7,150 – $55,713 · median $19,739 43 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,481 – $35,508 · median $18,168 43 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,150 – $40,636 · median $14,509 43 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,349 – $20,415 · median $10,619 43 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,109 – $13,830 · median $7,324 43 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,346 – $17,467 · median $9,144 43 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,846 – $33,641 · median $17,234 43 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,430 – $32,418 · median $16,623 43 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $7,150 – $36,575 · median $13,101 43 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,150 – $28,205 · median $10,197 43 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,018 – $45,908 · median $23,371 43 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,358 – $26,324 · median $13,574 43 plans
088 CONCUSSION WITH MCC $9,695 – $27,316 · median $14,071 43 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,474 – $35,488 · median $18,158 43 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,436 – $20,672 · median $10,747 43 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,590 – $71,117 · median $35,981 43 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,129 – $52,118 · median $26,477 43 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,129 – $52,118 · median $26,477 43 plans
100 SEIZURES WITH MCC $7,150 – $39,137 · median $13,989 43 plans
102 HEADACHES WITH MCC $8,109 – $22,650 · median $11,737 43 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,831 – $36,536 · median $18,683 43 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,150 – $23,507 · median $8,568 43 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,682 – $15,515 · median $8,167 43 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,314 – $35,017 · median $17,923 43 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,143 – $25,693 · median $13,259 43 plans
149 DYSEQUILIBRIUM $5,571 – $15,188 · median $8,004 43 plans
150 EPISTAXIS WITH MCC $9,556 – $26,906 · median $13,865 43 plans
151 EPISTAXIS WITHOUT MCC $5,450 – $14,832 · median $7,826 43 plans
152 OTITIS MEDIA AND URI WITH MCC $8,530 – $23,889 · median $12,356 43 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,479 – $14,917 · median $7,868 43 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,704 – $18,520 · median $9,670 43 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,155 – $13,965 · median $7,392 43 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,150 – $34,691 · median $12,447 43 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,275 – $14,317 · median $7,568 43 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,090 – $75,528 · median $38,188 43 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,798 – $36,441 · median $18,635 43 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,845 – $27,756 · median $14,291 43 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,938 – $16,267 · median $8,543 43 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,144 – $31,577 · median $16,202 43 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,113 – $19,722 · median $10,272 43 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,594 – $15,256 · median $8,038 43 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,541 – $35,686 · median $18,257 43 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,919 – $30,915 · median $15,871 43 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,811 – $15,893 · median $8,356 43 plans
186 PLEURAL EFFUSION WITH MCC $11,116 – $31,493 · median $16,160 43 plans
187 PLEURAL EFFUSION WITH CC $7,203 – $19,987 · median $10,404 43 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,895 – $24,964 · median $12,894 43 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,199 – $17,035 · median $7,150 43 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,818 – $12,973 · median $6,896 43 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,438 – $26,560 · median $13,692 43 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,725 – $12,700 · median $6,759 43 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,080 – $19,625 · median $10,223 43 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,873 – $19,017 · median $7,150 43 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,294 – $55,543 · median $28,191 43 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,226 – $99,453 · median $50,156 43 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,942 – $54,506 · median $27,672 43 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,361 – $67,504 · median $34,174 43 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,612 – $44,714 · median $22,774 43 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,002 – $54,684 · median $27,761 43 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,228 – $25,942 · median $13,383 43 plans
292 HEART FAILURE AND SHOCK WITH CC $6,240 – $17,156 · median $8,988 43 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,625 – $32,992 · median $16,910 43 plans
302 ATHEROSCLEROSIS WITH MCC $8,629 – $24,180 · median $12,502 43 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,032 – $13,603 · median $7,150 43 plans
304 HYPERTENSION WITH MCC $8,583 – $24,046 · median $12,435 43 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,234 – $31,842 · median $16,335 43 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,681 – $18,453 · median $9,637 43 plans
312 SYNCOPE AND COLLAPSE $6,395 – $17,612 · median $9,217 43 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,026 – $19,465 · median $10,143 43 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,102 – $54,979 · median $27,909 43 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,678 – $100,780 · median $50,820 43 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,417 – $32,378 · median $16,603 43 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,879 – $48,440 · median $24,638 43 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,970 – $34,006 · median $17,417 43 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,896 – $42,611 · median $21,721 43 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,954 – $31,018 · median $15,922 43 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,746 – $30,405 · median $15,616 43 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,557 – $23,970 · median $12,397 43 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,400 – $26,447 · median $13,636 43 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,529 – $50,354 · median $25,595 43 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,348 – $58,641 · median $29,740 43 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,967 – $33,996 · median $17,412 43 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,592 – $88,765 · median $44,810 43 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,386 – $46,991 · median $23,913 43 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,345 – $32,168 · median $16,498 43 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,150 – $20,211 · median $7,425 43 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,222 – $14,161 · median $7,490 43 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,590 – $35,829 · median $18,329 43 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,422 – $20,631 · median $10,727 43 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,102 – $43,217 · median $22,025 43 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,718 – $24,442 · median $12,633 43 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,967 – $36,938 · median $18,884 43 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,145 – $19,817 · median $10,319 43 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,908 – $16,178 · median $8,499 43 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,279 – $31,974 · median $16,401 43 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,115 – $19,728 · median $10,275 43 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,088 – $13,767 · median $7,293 43 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,554 – $29,842 · median $15,334 43 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,833 – $15,959 · median $8,390 43 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,144 – $10,993 · median $5,905 43 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,121 – $25,629 · median $13,227 43 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,396 – $32,317 · median $16,572 43 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,836 – $18,908 · median $7,150 43 plans
398 APPENDIX PROCEDURES WITH CC $10,807 – $30,585 · median $15,706 43 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,907 – $72,050 · median $36,448 43 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,805 – $48,222 · median $24,529 43 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,030 – $34,182 · median $17,505 43 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,791 – $27,599 · median $14,212 43 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,931 – $39,771 · median $20,301 43 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,664 – $21,343 · median $11,083 43 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,302 – $14,397 · median $7,608 43 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,027 – $37,114 · median $18,972 43 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,179 – $22,856 · median $11,840 43 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,270 – $17,243 · median $9,032 43 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,608 – $32,941 · median $16,885 43 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,187 – $16,998 · median $7,150 43 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,676 – $12,557 · median $6,687 43 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,739 – $36,266 · median $18,547 43 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,039 – $19,506 · median $10,164 43 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,926 – $22,115 · median $11,469 43 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,685 – $53,751 · median $27,294 43 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,809 – $62,939 · median $31,890 43 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,639 – $71,262 · median $36,054 43 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,661 – $35,283 · median $19,904 43 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,905 – $86,747 · median $43,800 43 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,044 – $45,985 · median $23,410 43 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,145 – $69,807 · median $35,326 43 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,305 – $49,693 · median $25,264 43 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,418 – $58,849 · median $29,845 43 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,799 – $42,324 · median $21,578 43 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,614 – $32,958 · median $16,893 43 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,775 – $42,255 · median $21,544 43 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,561 – $35,744 · median $18,287 43 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,080 – $22,567 · median $11,695 43 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,636 – $74,192 · median $37,520 43 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,833 – $51,247 · median $26,042 43 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,194 – $40,545 · median $20,688 43 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $25,320 – $73,265 · median $37,056 43 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,802 – $36,451 · median $18,640 43 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $21,136 – $60,960 · median $30,901 43 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,418 – $35,324 · median $18,076 43 plans
504 FOOT PROCEDURES WITH CC $13,251 – $37,771 · median $19,301 43 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,726 – $36,227 · median $18,528 43 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $21,162 – $61,035 · median $30,938 43 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,695 – $42,018 · median $21,425 43 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,781 – $33,451 · median $17,139 43 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,431 – $20,658 · median $10,740 43 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,966 – $31,052 · median $15,940 43 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,129 – $57,998 · median $29,419 43 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,958 – $42,792 · median $21,812 43 plans
533 FRACTURES OF FEMUR WITH MCC $11,179 – $31,679 · median $16,253 43 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,956 – $16,319 · median $7,150 43 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,591 – $15,248 · median $8,034 43 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,332 – $23,307 · median $12,065 43 plans
549 SEPTIC ARTHRITIS WITH CC $8,702 – $24,394 · median $12,609 43 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,924 – $33,869 · median $17,349 43 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,012 – $19,425 · median $10,123 43 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,314 – $26,194 · median $13,510 43 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,110 – $16,774 · median $8,797 43 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,489 – $26,710 · median $13,767 43 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,114 – $16,784 · median $8,802 43 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,624 – $30,046 · median $15,436 43 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,544 – $18,049 · median $7,150 43 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,221 – $37,684 · median $19,257 43 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,197 – $28,791 · median $14,808 43 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,560 – $18,095 · median $7,150 43 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,102 – $19,690 · median $10,256 43 plans
570 SKIN DEBRIDEMENT WITH MCC $20,616 – $59,431 · median $30,136 43 plans
571 SKIN DEBRIDEMENT WITH CC $12,016 – $34,140 · median $17,484 43 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,283 – $23,163 · median $11,993 43 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $45,425 – $132,384 · median $66,630 43 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $24,260 – $70,147 · median $35,496 43 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $22,660 – $65,440 · median $33,142 43 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,662 – $38,981 · median $19,906 43 plans
593 SKIN ULCERS WITH CC $7,150 – $23,972 · median $8,729 43 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,862 – $33,687 · median $17,258 43 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,180 – $22,860 · median $11,842 43 plans
602 CELLULITIS WITH MCC $10,173 – $28,720 · median $14,773 43 plans
603 CELLULITIS WITHOUT MCC $6,391 – $17,598 · median $7,150 43 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,150 – $29,747 · median $10,732 43 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,701 – $18,510 · median $9,665 43 plans
606 MINOR SKIN DISORDERS WITH MCC $10,804 – $30,577 · median $15,702 43 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,635 – $18,316 · median $9,568 43 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,370 – $70,470 · median $35,658 43 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,258 – $37,793 · median $19,312 43 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,863 – $71,921 · median $36,384 43 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,733 – $36,249 · median $18,539 43 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $26,015 – $75,307 · median $38,078 43 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,378 – $44,027 · median $22,430 43 plans
637 DIABETES WITH MCC $10,279 – $29,031 · median $14,929 43 plans
638 DIABETES WITH CC $6,564 – $18,110 · median $9,465 43 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,754 – $15,725 · median $7,150 43 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,178 – $28,736 · median $14,781 43 plans
643 ENDOCRINE DISORDERS WITH MCC $11,717 – $33,263 · median $17,045 43 plans
644 ENDOCRINE DISORDERS WITH CC $7,450 – $20,712 · median $10,767 43 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,686 – $15,525 · median $7,150 43 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,981 – $36,979 · median $18,904 43 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,070 – $31,357 · median $16,092 43 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,866 – $51,344 · median $26,090 43 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,600 – $21,155 · median $10,989 43 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,471 – $59,004 · median $29,922 43 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,071 – $31,361 · median $16,094 43 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,741 – $36,272 · median $18,551 43 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,278 – $84,902 · median $42,877 43 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,476 – $47,256 · median $24,045 43 plans
683 RENAL FAILURE WITH CC $6,424 – $17,697 · median $9,259 43 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,531 – $12,130 · median $6,474 43 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,606 – $21,173 · median $10,998 43 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,379 – $23,446 · median $12,135 43 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,969 – $16,358 · median $8,589 43 plans
693 URINARY STONES WITH MCC $7,150 – $27,168 · median $9,838 43 plans
694 URINARY STONES WITHOUT MCC $4,032 – $15,796 · median $5,893 43 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,266 – $23,113 · median $11,968 43 plans
697 URETHRAL STRICTURE $7,812 – $21,779 · median $11,301 43 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,775 – $33,430 · median $17,129 43 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,150 – $20,510 · median $7,528 43 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,963 – $22,222 · median $11,522 43 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,397 – $38,201 · median $19,516 43 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,842 – $36,569 · median $18,699 43 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,150 – $23,091 · median $8,423 43 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,447 – $23,646 · median $12,235 43 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,367 – $14,589 · median $7,704 43 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,596 – $29,965 · median $15,396 43 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,681 – $21,393 · median $11,108 43 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,932 – $25,071 · median $12,948 43 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,050 – $51,883 · median $26,360 43 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,881 – $21,981 · median $11,402 43 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,966 – $13,409 · median $7,114 43 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,329 – $20,359 · median $10,590 43 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,326 – $11,528 · median $6,173 43 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,018 – $34,146 · median $17,487 43 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,905 – $13,230 · median $5,150 43 plans
779 ABORTION WITHOUT D&C $6,187 – $17,000 · median $7,150 43 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,960 – $49,610 · median $17,277 43 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,691 – $21,421 · median $8,075 43 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $7,960 – $33,331 · median $11,741 43 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,012 – $32,591 · median $12,790 43 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,012 – $108,719 · median $41,247 43 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,012 – $72,512 · median $28,298 43 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,012 – $44,801 · median $17,236 43 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,012 – $76,270 · median $29,058 43 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,012 – $26,819 · median $10,548 43 plans
795 NORMAL NEWBORN $1,000 – $4,245 · median $1,797 43 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,960 – $23,582 · median $8,847 43 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,280 – $20,215 · median $7,960 43 plans
800 SPLENIC PROCEDURES WITH CC $19,711 – $56,770 · median $28,804 43 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,822 – $21,807 · median $8,213 43 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,039 – $13,624 · median $7,221 43 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,578 – $44,615 · median $22,724 43 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,150 – $25,580 · median $9,287 43 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,020 – $42,974 · median $21,903 43 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,374 – $20,490 · median $10,656 43 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,084 – $46,104 · median $23,469 43 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,372 – $23,424 · median $12,124 43 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,315 – $17,376 · median $9,098 43 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,550 – $94,524 · median $47,691 43 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,150 – $24,299 · median $8,843 43 plans
835 ACUTE LEUKEMIA WITH CC $14,739 – $42,148 · median $21,490 43 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,635 – $65,368 · median $33,105 43 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,616 – $32,966 · median $16,897 43 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,349 – $20,417 · median $10,620 43 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,114 – $40,309 · median $20,570 43 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,772 – $24,600 · median $12,712 43 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,342 – $99,794 · median $50,327 43 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,136 – $40,376 · median $20,604 43 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,663 – $91,916 · median $46,386 43 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,978 – $28,146 · median $14,486 43 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,938 – $36,852 · median $18,841 43 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,263 – $20,165 · median $10,493 43 plans
865 VIRAL ILLNESS WITH MCC $10,702 – $30,276 · median $15,551 43 plans
866 VIRAL ILLNESS WITHOUT MCC $6,382 – $17,572 · median $9,196 43 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,790 – $42,297 · median $21,565 43 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,491 – $20,835 · median $10,829 43 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,901 – $139,667 · median $70,273 43 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,754 – $39,252 · median $20,041 43 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,438 – $20,678 · median $10,750 43 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $29,243 – $84,801 · median $42,827 43 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,562 – $38,686 · median $19,758 43 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,788 – $77,581 · median $39,215 43 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,116 – $40,317 · median $20,574 43 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,491 – $17,893 · median $9,357 43 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $7,150 – $31,693 · median $11,407 43 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,296 – $17,319 · median $9,070 43 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,987 – $36,995 · median $18,912 43 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,294 – $20,253 · median $10,538 43 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,137 – $13,911 · median $7,150 43 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,427 – $35,350 · median $18,090 43 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,596 – $44,670 · median $22,752 43 plans
935 NON-EXTENSIVE BURNS $14,562 – $41,626 · median $21,229 43 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,129 – $25,651 · median $13,238 43 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,907 – $16,176 · median $8,498 43 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $26,264 – $76,039 · median $38,444 43 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,238 – $58,317 · median $29,579 43 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,646 – $94,807 · median $47,832 43 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,300 – $49,679 · median $25,257 43 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,965 – $69,278 · median $35,061 43 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,700 – $33,212 · median $17,020 43 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,582 – $38,747 · median $17,025 42 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,723 – $22,709 · median $8,133 42 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $22,581 – $65,210 · median $28,369 42 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,323 – $29,161 · median $12,916 42 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,851 – $19,403 · median $7,004 42 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,851 – $32,511 · median $11,462 42 plans
885 PSYCHOSES $1,851 – $28,225 · median $10,004 42 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,255 – $12,466 · median $4,808 42 plans
397 APPENDIX PROCEDURES WITH MCC $16,863 – $48,394 · median $24,614 41 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,214 – $14,139 · median $6,175 40 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,650 – $16,717 · median $6,182 40 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $27,783 – $80,507 · median $34,925 40 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,150 – $21,874 · median $8,002 38 plans
770 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MINOR $2,286 – $21,743 · median $7,433 38 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,985 – $13,464 · median $7,150 37 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,352 – $14,543 · median $7,779 36 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,872 – $13,979 · median $7,150 36 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,770 – $19,667 · median $7,886 36 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,988 – $17,654 · median $7,093 36 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,960 – $20,466 · median $8,121 36 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,995 – $17,671 · median $7,100 36 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,983 – $17,641 · median $7,088 36 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,587 – $14,049 · median $5,671 36 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $5,039 – $12,637 · median $5,115 36 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,661 – $33,097 · median $11,894 34 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,507 – $12,860 · median $4,597 34 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,009 – $30,864 · median $10,423 34 plans
316 HAND AND WRIST PROCEDURES,MINOR $4,205 – $13,795 · median $4,812 33 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,610 – $38,038 · median $12,862 33 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,133 – $19,783 · median $10,302 33 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,150 – $20,565 · median $7,399 33 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,754 – $18,572 · median $6,722 32 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,648 – $27,178 · median $14,857 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,111 – $14,658 · median $5,290 32 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,737 – $30,379 · median $16,969 32 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,150 – $37,215 · median $16,369 32 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,563 – $12,225 · median $9,155 31 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,956 – $42,786 · median $15,106 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,834 – $16,923 · median $5,921 30 plans
592 SKIN ULCERS WITH MCC $7,150 – $41,552 · median $14,084 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,361 – $36,912 · median $22,103 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,013 – $11,306 · median $6,536 29 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,939 – $28,033 · median $16,918 29 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,170 – $14,836 · median $7,015 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,150 – $21,634 · median $7,656 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,456 – $15,768 · median $7,541 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,980 – $16,392 · median $11,084 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,759 – $44,029 · median $19,890 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,851 – $35,985 · median $12,058 28 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,851 – $17,839 · median $6,472 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,426 – $26,526 · median $14,505 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,587 – $16,168 · median $9,347 27 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,150 – $20,732 · median $9,191 26 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,025 – $35,884 · median $20,973 26 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,912 – $14,028 · median $6,080 26 plans
103 HEADACHES WITHOUT MCC $6,153 – $16,899 · median $6,276 25 plans
123 NEUROLOGICAL EYE DISORDERS $5,606 – $16,168 · median $9,168 25 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,150 – $21,894 · median $7,852 25 plans
834 ACUTE LEUKEMIA WITH MCC $38,130 – $110,934 · median $66,950 25 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,150 – $21,064 · median $9,883 24 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,295 – $11,437 · median $6,757 24 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,431 – $23,598 · median $17,590 24 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,488 – $26,708 · median $14,889 24 plans
682 RENAL FAILURE WITH MCC $10,269 – $30,349 · median $17,943 24 plans
101 SEIZURES WITHOUT MCC $6,608 – $18,239 · median $7,150 23 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,462 – $14,866 · median $5,735 23 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,738 – $12,738 · median $7,150 23 plans
949 AFTERCARE WITH CC/MCC $8,581 – $24,040 · median $8,753 23 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,878 – $16,091 · median $11,938 21 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,330 – $49,065 · median $30,217 21 plans
311 ANGINA PECTORIS $5,229 – $14,183 · median $10,572 20 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,999 – $10,566 · median $6,377 19 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,083 – $26,873 · median $13,195 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,763 – $91,271 · median $30,358 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,148 – $13,494 · median $7,150 15 plans
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MODERATE $5,897 – $6,009 · median $5,897 7 plans
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MINOR $4,344 – $7,196 · median $7,061 7 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE $4,664 – $4,753 · median $4,664 7 plans
047 TRANSIENT ISCHEMIA,MODERATE $2,336 – $3,005 · median $2,381 7 plans
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR $2,987 – $5,953 · median $5,841 7 plans
053 SEIZURE,MINOR $2,867 – $3,659 · median $3,590 7 plans
058 OTHER DISORDERS OF NERVOUS SYSTEM,MINOR $4,838 – $7,141 · median $4,931 7 plans
098 OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES,MINOR $4,347 – $11,572 · median $11,355 7 plans
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE — 7 plans
133 RESPIRATORY FAILURE,MODERATE $4,107 – $6,530 · median $4,237 7 plans
134 PULMONARY EMBOLISM,MINOR $2,554 – $9,348 · median $5,609 7 plans
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MODERATE — 7 plans
136 RESPIRATORY MALIGNANCY,MAJOR $4,363 – $6,362 · median $4,363 7 plans
137 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,EXTREME $4,419 – $8,038 · median $4,965 7 plans
139 OTHER PNEUMONIA,MAJOR $2,607 – $7,292 · median $4,410 7 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR — 7 plans
198 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR $2,219 – $4,100 · median $2,262 7 plans
220 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MAJOR $7,558 – $16,898 · median $16,582 7 plans
223 OTHER SMALL AND LARGE BOWEL PROCEDURES,MINOR $5,290 – $5,391 · median $5,290 7 plans
224 PERITONEAL ADHESIOLYSIS,MINOR $6,360 – $8,069 · median $7,918 7 plans
226 ANAL AND PERINEAL PROCEDURES,MODERATE $4,329 – $5,173 · median $4,411 7 plans
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MODERATE $7,549 – $10,746 · median $7,693 7 plans
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $6,946 – $30,210 · median $9,536 7 plans
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $7,817 – $21,289 · median $9,609 7 plans
233 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR — 7 plans
234 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,MINOR — 7 plans
241 PEPTIC ULCER AND GASTRITIS,MINOR $3,137 – $5,652 · median $3,197 7 plans
243 OTHER ESOPHAGEAL DISORDERS,MODERATE $3,610 – $6,603 · median $4,245 7 plans
244 DIVERTICULITIS AND DIVERTICULOSIS,MINOR $2,688 – $5,018 · median $3,293 7 plans
245 INFLAMMATORY BOWEL DISEASE,MODERATE — 7 plans
247 INTESTINAL OBSTRUCTION,MINOR $2,623 – $3,753 · median $2,673 7 plans
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE $2,939 – $3,640 · median $3,572 7 plans
251 ABDOMINAL PAIN,MINOR $2,793 – $3,587 · median $2,847 7 plans
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $3,415 – $4,290 · median $4,210 7 plans
263 CHOLECYSTECTOMY,MINOR $4,820 – $6,237 · median $4,912 7 plans
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MINOR $3,004 – $4,145 · median $3,061 7 plans
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MAJOR — 7 plans
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MAJOR $4,977 – $5,072 · median $4,977 7 plans
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MINOR $5,168 – $5,267 · median $5,168 7 plans
344 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MODERATE $4,577 – $6,488 · median $6,367 7 plans
347 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MAJOR $5,073 – $5,169 · median $5,073 7 plans
349 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE,MAJOR $5,876 – $5,988 · median $5,876 7 plans
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MAJOR $4,897 – $8,177 · median $8,024 7 plans
405 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS,MINOR — 7 plans
420 DIABETES,MINOR — 7 plans
421 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS,MODERATE $5,981 – $6,095 · median $5,981 7 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $2,602 – $4,803 · median $3,369 7 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MINOR $2,272 – $4,772 · median $2,272 7 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS,MAJOR — 7 plans
461 KIDNEY AND URINARY TRACT MALIGNANCY,MODERATE — 7 plans
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MINOR $4,553 – $4,640 · median $4,553 7 plans
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $2,604 – $3,252 · median $2,654 7 plans
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE $2,626 – $3,139 · median $3,081 7 plans
614 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,MINOR $8,882 – $9,051 · median $8,882 7 plans
621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MINOR $4,242 – $4,322 · median $4,242 7 plans
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $1,758 – $7,190 · median $1,758 7 plans
636 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,MAJOR $15,403 – $15,696 · median $15,403 7 plans
662 SICKLE CELL ANEMIA CRISIS,MODERATE — 7 plans
691 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,EXTREME $21,236 – $21,640 · median $21,236 7 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $4,337 – $26,870 · median $6,614 7 plans
711 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MAJOR $7,731 – $13,584 · median $13,331 7 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR $2,860 – $11,920 · median $3,763 7 plans
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,EXTREME $4,493 – $14,430 · median $4,493 7 plans
773 OPIOID ABUSE AND DEPENDENCE,MODERATE $3,574 – $3,874 · median $3,802 7 plans
775 ALCOHOL ABUSE AND DEPENDENCE,MODERATE $3,679 – $7,670 · median $4,937 7 plans
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MINOR $3,308 – $3,371 · median $3,308 7 plans
891 HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITIONS,MAJOR $6,231 – $6,349 · median $6,231 7 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,944 – $65,319 · median $25,193 6 plans
424 OTHER ENDOCRINE DISORDERS,MODERATE — 6 plans
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MODERATE — 5 plans
547 ANTEPARTUM WITH O.R. PROCEDURE,MINOR $3,628 – $4,569 · median $4,569 5 plans