Memorial Hospital (Fremont) — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766 procedures
Procedures with negotiated rates only
These 766 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,852 – $16,337 · median $7,886 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,826 – $37,429 · median $17,076 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,826 – $16,162 · median $7,809 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,826 – $14,602 · median $7,130 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,826 – $25,148 · median $11,725 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,826 – $17,026 · median $8,186 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,826 – $14,617 · median $7,136 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,852 – $17,792 · median $8,519 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,852 – $15,252 · median $7,413 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,852 – $14,592 · median $7,125 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,852 – $16,453 · median $7,936 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,852 – $11,495 · median $5,776 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,852 – $10,279 · median $5,246 | 16 plans |
| 795 | NORMAL NEWBORN | $942 – $3,966 · median $2,095 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $116,739 – $323,591 · median $141,758 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $76,183 – $349,769 · median $181,733 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,998 – $83,151 · median $36,997 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,188 – $64,275 · median $28,773 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,850 – $43,935 · median $19,910 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $237,505 – $1,169,113 · median $607,366 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $108,771 · median $48,160 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $43,278 – $119,965 · median $60,018 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $29,116 – $102,038 · median $53,041 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,476 – $92,068 · median $47,862 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $31,517 – $87,362 · median $38,832 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,515 – $59,639 · median $26,753 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $25,007 – $69,317 · median $30,970 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,101 – $47,402 · median $21,421 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,876 – $38,463 · median $17,526 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,046 – $91,600 · median $40,678 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,764 – $52,012 · median $23,429 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,074 – $33,467 · median $15,349 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $24,643 – $68,308 · median $30,530 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,721 – $32,488 · median $14,923 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,146 – $25,352 · median $11,814 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,289 – $59,011 · median $26,479 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,148 – $36,445 · median $16,647 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,685 – $29,619 · median $13,673 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,107 – $50,190 · median $22,636 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,924 – $24,738 · median $11,546 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,465 – $17,921 · median $8,576 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $21,237 – $58,866 · median $26,416 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,093 – $33,521 · median $15,373 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,502 – $26,340 · median $12,244 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,962 – $27,614 · median $12,799 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,386 – $14,928 · median $7,272 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,398 – $23,279 · median $10,910 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,608 – $15,544 · median $7,540 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,777 – $35,417 · median $16,199 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,126 – $19,752 · median $9,374 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,402 – $26,062 · median $12,123 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,825 – $18,918 · median $9,010 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,059 – $14,023 · median $6,877 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,164 – $42,034 · median $19,082 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,665 – $26,790 · median $12,440 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,721 – $21,402 · median $10,092 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,061 – $30,659 · median $14,126 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,557 – $15,403 · median $7,479 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,764 – $10,434 · median $5,314 | 14 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,078 – $22,391 · median $10,524 | 14 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,754 – $13,178 · median $6,509 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,393 – $12,178 · median $6,074 | 14 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,156 – $25,381 · median $11,826 | 14 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,643 – $15,642 · median $7,583 | 14 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,159 – $11,529 · median $5,791 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,824 – $24,459 · median $11,424 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,669 – $15,715 · median $7,615 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,546 – $29,233 · median $13,505 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,539 – $12,581 · median $6,249 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,955 – $27,595 · median $12,791 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,926 – $13,654 · median $6,717 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,571 – $34,845 · median $15,950 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,677 – $21,280 · median $10,039 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,257 – $14,572 · median $7,117 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,495 – $34,636 · median $15,859 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,165 – $19,860 · median $9,421 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,031 – $13,945 · median $6,844 | 14 plans |
| 088 | CONCUSSION WITH MCC | $7,435 – $20,609 · median $9,747 | 14 plans |
| 089 | CONCUSSION WITH CC | $6,042 – $16,749 · median $8,065 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,528 – $12,550 · median $6,236 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,659 – $26,774 · median $12,433 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,627 – $15,596 · median $7,563 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,380 – $12,140 · median $6,057 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,357 – $53,655 · median $24,146 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,186 – $39,321 · median $17,900 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,186 – $39,321 · median $17,900 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,865 – $55,064 · median $24,759 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,622 – $34,987 · median $16,012 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,493 – $20,771 · median $9,817 | 14 plans |
| 100 | SEIZURES WITH MCC | $10,652 – $29,528 · median $13,633 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $4,964 – $13,761 · median $6,763 | 14 plans |
| 102 | HEADACHES WITH MCC | $6,165 – $17,089 · median $8,213 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $4,600 – $12,750 · median $6,323 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,931 – $35,844 · median $16,385 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,442 – $20,627 · median $9,755 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,442 – $23,400 · median $10,963 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,945 – $27,566 · median $12,778 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,967 – $16,540 · median $7,974 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,398 – $17,735 · median $8,495 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,322 – $11,980 · median $5,987 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,392 – $12,175 · median $6,072 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,277 – $20,171 · median $9,556 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,223 – $11,706 · median $5,868 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,935 – $33,083 · median $15,182 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,584 – $15,479 · median $7,512 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,213 – $22,765 · median $10,686 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,874 – $13,511 · median $6,654 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,796 – $18,839 · median $8,976 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,459 – $65,027 · median $29,100 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,996 – $33,252 · median $15,256 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,780 – $24,338 · median $11,372 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,606 – $57,119 · median $25,655 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,531 – $26,419 · median $12,279 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,613 – $18,330 · median $8,754 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,646 – $32,281 · median $14,833 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,993 – $19,385 · median $9,214 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,384 – $12,152 · median $6,062 | 14 plans |
| 149 | DYSEQUILIBRIUM | $4,134 – $11,459 · median $5,760 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $7,323 – $20,300 · median $9,612 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,037 – $11,190 · median $5,643 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,502 – $18,023 · median $8,620 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,060 – $11,254 · median $5,671 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,599 – $23,837 · median $11,153 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $13,973 · median $6,855 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,801 – $10,536 · median $5,358 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,442 – $26,174 · median $12,172 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,004 – $13,870 · median $6,811 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,897 – $10,802 · median $5,474 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,650 – $135,299 · median $70,320 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,882 – $38,480 · median $17,534 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,528 – $29,183 · median $13,483 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,557 – $56,983 · median $25,596 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,919 – $27,494 · median $12,747 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,515 – $20,832 · median $9,844 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,370 – $45,377 · median $20,539 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,555 – $20,941 · median $9,892 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,428 – $12,273 · median $6,115 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,595 – $23,824 · median $11,148 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,368 – $14,880 · median $7,251 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,153 – $11,510 · median $5,783 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,713 – $26,924 · median $12,498 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,891 – $16,328 · median $7,882 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,146 – $11,492 · median $5,775 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,414 – $23,324 · median $10,930 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,853 – $16,223 · median $7,836 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,326 – $11,991 · median $5,992 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,572 – $23,760 · median $11,120 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,440 – $15,079 · median $7,338 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,945 – $10,934 · median $5,532 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,795 – $18,834 · median $8,974 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,092 – $16,888 · median $8,126 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,637 – $12,852 · median $6,367 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,531 – $9,788 · median $5,032 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,229 – $20,039 · median $9,499 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,432 – $12,286 · median $6,121 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,457 – $9,582 · median $4,942 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,380 – $28,772 · median $13,303 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,220 – $62,474 · median $32,489 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,939 – $10,919 · median $5,525 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,703 – $26,895 · median $12,486 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,046 – $16,759 · median $8,070 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,933 – $10,902 · median $5,518 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,342 – $14,807 · median $7,219 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,685 – $10,215 · median $5,218 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,441 – $12,309 · median $6,131 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,071 – $27,915 · median $12,930 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,176 – $14,348 · median $7,019 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,391 – $178,445 · median $92,734 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,118 – $41,906 · median $19,026 | 14 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $59,808 – $165,782 · median $73,000 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $54,764 – $151,800 · median $66,908 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $53,805 – $149,145 · median $65,751 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $36,164 – $100,244 · median $44,445 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,164 – $100,244 · median $44,445 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,231 – $117,060 · median $51,772 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,330 – $81,302 · median $36,191 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,721 – $76,841 · median $34,248 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,211 – $75,426 · median $33,631 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,322 – $48,016 · median $21,688 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $46,364 – $128,519 · median $56,764 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,344 – $92,428 · median $41,039 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $42,049 – $116,556 · median $51,552 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $30,045 – $83,282 · median $37,054 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,277 – $89,470 · median $39,750 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,038 – $63,861 · median $28,592 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,069 – $75,034 · median $33,460 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $15,678 – $43,458 · median $19,702 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,614 – $21,106 · median $9,964 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,560 – $48,676 · median $21,976 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,720 – $32,487 · median $14,922 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,941 – $27,556 · median $12,774 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,093 – $69,557 · median $31,074 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,004 – $33,274 · median $15,265 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,220 – $22,785 · median $10,695 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,186 – $53,181 · median $23,939 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,276 – $39,571 · median $18,009 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,799 – $27,163 · median $12,603 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $14,836 – $41,123 · median $18,685 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,338 – $25,886 · median $12,046 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,007 – $16,651 · median $8,023 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,282 – $47,903 · median $21,639 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,122 – $30,828 · median $14,200 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,890 – $49,591 · median $22,375 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,398 – $28,822 · median $13,325 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,964 – $24,849 · median $11,594 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,816 – $46,612 · median $21,077 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,373 – $50,929 · median $22,958 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $19,900 – $55,162 · median $24,802 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $33,706 – $93,431 · median $41,476 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,184 – $72,581 · median $32,392 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $37,828 – $172,849 · median $89,826 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,228 – $64,385 · median $28,821 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,020 – $80,440 · median $35,816 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,560 – $54,218 · median $24,391 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,042 – $38,922 · median $17,726 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $22,690 – $62,896 · median $28,172 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,104 – $50,184 · median $22,633 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $39,217 – $108,707 · median $48,132 | 14 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $33,036 – $91,574 · median $40,667 | 14 plans |
| 277 | CELLULITIS AGE >17 W CC | $25,402 – $70,412 · median $31,446 | 14 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $84,860 · median $37,742 | 14 plans |
| 279 | CELLULITIS AGE 0-17 | $19,835 – $54,982 · median $24,723 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,823 – $24,455 · median $11,423 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,055 – $14,012 · median $6,873 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,977 – $11,024 · median $5,571 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,894 – $30,198 · median $13,925 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,807 – $10,553 · median $5,366 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,294 – $9,131 · median $4,746 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,170 – $33,735 · median $15,466 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,886 – $16,314 · median $7,876 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,884 – $41,258 · median $18,744 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,388 – $26,023 · median $12,106 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,113 – $14,174 · median $6,943 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,061 – $19,572 · median $9,295 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,670 – $12,944 · median $6,407 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,113 – $8,648 · median $4,527 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,590 – $23,812 · median $11,143 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,487 – $9,666 · median $4,979 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,503 – $7,230 · median $3,791 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,980 – $24,891 · median $11,613 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,871 – $16,275 · median $7,859 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,958 – $10,972 · median $5,548 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,581 – $18,243 · median $8,716 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,703 – $10,263 · median $5,239 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $6,545 – $18,142 · median $8,672 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,153 – $11,512 · median $5,783 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,667 – $24,024 · median $11,235 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,023 – $13,922 · median $6,834 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,622 – $18,356 · median $8,765 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,046 – $11,216 · median $5,655 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,114 – $8,649 · median $4,528 | 14 plans |
| 311 | ANGINA PECTORIS | $3,860 – $10,701 · median $5,430 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,794 – $13,288 · median $6,557 | 14 plans |
| 313 | CHEST PAIN | $3,960 – $10,977 · median $5,550 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,469 – $31,790 · median $14,619 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,298 – $14,686 · median $7,166 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,752 – $10,399 · median $5,298 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,546 – $68,040 · median $30,413 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,229 – $36,670 · median $16,745 | 14 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $14,964 – $41,480 · median $18,841 | 14 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $9,697 – $26,878 · median $12,478 | 14 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $23,801 – $65,974 · median $29,513 | 14 plans |
| 324 | URINARY STONES W/O CC | $17,331 – $48,039 · median $21,698 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,657 – $48,944 · median $22,093 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,431 – $105,801 · median $54,996 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,443 – $37,263 · median $18,092 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,813 – $24,428 · median $11,411 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,281 – $70,076 · median $31,300 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,185 – $36,547 · median $16,691 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,256 – $25,657 · median $11,946 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,914 – $55,200 · median $24,818 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $12,882 – $35,708 · median $18,208 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,008 – $24,971 · median $11,647 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $19,640 – $54,441 · median $24,488 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,598 – $32,148 · median $14,775 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,443 – $23,402 · median $10,964 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,205 – $39,376 · median $17,924 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,276 – $22,940 · median $10,763 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,524 – $18,084 · median $8,647 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,626 – $65,422 · median $34,020 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $19,953 · median $9,461 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,788 – $13,273 · median $6,551 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,705 – $37,991 · median $17,320 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,385 – $23,242 · median $10,894 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,423 – $17,804 · median $8,525 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,961 – $44,243 · median $20,044 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,253 – $25,649 · median $11,943 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,398 – $20,505 · median $9,702 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,160 – $84,510 · median $43,936 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $12,790 – $35,454 · median $16,215 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,688 – $21,312 · median $10,053 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,755 – $24,269 · median $11,342 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,501 – $15,249 · median $7,411 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,854 – $10,684 · median $5,423 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,752 – $27,032 · median $12,546 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,616 – $15,566 · median $7,550 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,001 – $11,090 · median $5,599 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $32,606 · median $14,974 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,653 – $18,441 · median $8,802 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,084 – $14,092 · median $6,907 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,054 – $27,869 · median $12,910 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,394 – $14,951 · median $7,282 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,467 – $9,611 · median $4,955 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,792 – $29,915 · median $13,802 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,959 – $16,519 · median $7,965 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,403 – $12,206 · median $6,086 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,594 – $21,050 · median $9,939 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,701 – $13,032 · median $6,446 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,703 – $24,123 · median $11,278 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,370 – $14,884 · median $7,253 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,747 – $10,387 · median $5,293 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,122 – $22,515 · median $10,577 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,344 – $12,041 · median $6,014 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,992 – $8,367 · median $4,381 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,976 – $19,336 · median $9,192 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,288 – $11,885 · median $5,946 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,796 – $24,382 · median $11,391 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,146 – $14,265 · median $6,983 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,570 – $9,894 · median $5,079 | 14 plans |
| 397 | COAGULATION DISORDERS | $13,172 – $36,512 · median $16,676 | 14 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,325 – $23,076 · median $10,822 | 14 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,296 – $17,817 · median $9,290 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $30,088 – $83,401 · median $37,106 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $15,951 – $44,215 · median $20,032 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,208 – $33,839 · median $15,511 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,611 – $54,360 · median $24,452 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,975 – $33,194 · median $15,230 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,732 – $24,205 · median $11,314 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,168 – $50,361 · median $22,710 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,564 – $32,054 · median $14,734 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,133 – $25,315 · median $11,798 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,594 – $54,314 · median $24,433 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,367 – $31,508 · median $14,496 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,498 – $20,784 · median $9,823 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,125 – $36,382 · median $16,619 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,304 – $25,789 · median $12,004 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,512 – $20,822 · median $9,840 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,739 – $51,943 · median $23,400 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,556 – $26,489 · median $12,309 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,697 – $21,336 · median $10,064 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,842 – $63,315 · median $28,354 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,033 – $33,356 · median $15,301 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,252 – $22,873 · median $10,733 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,825 – $43,047 · median $22,397 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,809 – $16,102 · median $7,783 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,919 – $10,862 · median $5,500 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,102 – $28,002 · median $12,968 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,221 – $17,244 · median $8,281 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,693 – $13,009 · median $6,436 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,966 – $24,853 · median $11,596 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,627 – $12,825 · median $6,355 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,418 – $9,474 · median $4,895 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,871 – $27,361 · median $12,689 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,309 – $14,717 · median $7,180 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,848 – $10,667 · median $5,415 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,190 – $25,474 · median $11,867 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,019 – $16,685 · median $8,037 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,550 – $12,613 · median $6,263 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $46,219 – $128,115 · median $56,588 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $32,797 – $90,911 · median $40,378 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,949 – $63,614 · median $28,484 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,377 – $104,387 · median $54,262 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,630 – $40,553 · median $18,437 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,347 – $86,892 · median $38,627 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,131 – $47,485 · median $21,457 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,030 – $27,803 · median $12,882 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,630 – $79,359 · median $35,345 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,396 – $53,765 · median $24,193 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,114 – $41,895 · median $19,021 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $16,683 – $46,243 · median $20,916 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,609 – $29,407 · median $13,580 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,558 – $108,619 · median $56,460 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,204 – $44,915 · median $20,337 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,427 – $37,219 · median $16,984 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,611 – $65,448 · median $29,284 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,516 – $34,694 · median $15,884 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,491 – $17,993 · median $8,607 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,000 – $52,667 · median $23,715 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,526 – $37,492 · median $17,103 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,224 – $28,340 · median $13,115 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,018 – $44,400 · median $20,113 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $11,520 – $31,932 · median $14,680 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,971 – $24,866 · median $11,602 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,245 – $42,259 · median $19,180 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,749 – $49,199 · median $22,866 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,501 – $31,880 · median $14,658 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,614 – $23,878 · median $11,171 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,729 – $26,968 · median $12,518 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,142 – $17,026 · median $8,186 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,194 – $55,976 · median $25,157 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,949 – $38,664 · median $17,614 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,036 – $30,590 · median $14,096 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,941 – $55,276 · median $24,852 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,921 – $27,502 · median $12,750 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,646 – $18,421 · median $8,794 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,592 – $45,993 · median $20,807 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,081 – $30,717 · median $14,151 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,406 – $48,249 · median $21,790 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,615 – $26,651 · median $12,379 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,402 – $20,519 · median $9,708 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,351 – $42,552 · median $19,308 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,281 – $28,497 · median $13,184 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,860 – $27,332 · median $12,676 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,421 – $20,569 · median $9,730 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,935 – $27,540 · median $12,767 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,329 – $23,088 · median $10,827 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,613 – $46,049 · median $20,832 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,437 – $31,702 · median $14,580 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,105 – $25,238 · median $11,764 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,659 – $24,001 · median $11,225 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,623 – $15,586 · median $7,558 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,528 – $48,586 · median $21,937 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,430 – $31,682 · median $14,572 | 14 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,452 – $23,428 · median $10,975 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,555 – $56,977 · median $25,593 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,001 – $30,494 · median $14,054 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,216 – $22,775 · median $10,691 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,786 – $43,758 · median $19,833 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,647 – $32,286 · median $14,835 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,622 – $23,901 · median $11,181 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,434 – $12,289 · median $6,122 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,051 – $19,545 · median $9,283 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,442 – $12,312 · median $6,132 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,249 – $14,549 · median $7,107 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,962 – $10,981 · median $5,552 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $30,029 · median $13,851 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,130 – $19,763 · median $9,378 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,331 – $12,004 · median $5,998 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,716 – $26,931 · median $12,502 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,654 – $15,672 · median $7,596 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,150 – $11,504 · median $5,780 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $37,835 · median $17,253 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,344 – $17,584 · median $8,429 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,599 – $12,748 · median $6,322 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,620 – $29,438 · median $13,594 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,640 – $18,404 · median $8,786 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,808 – $13,326 · median $6,574 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $25,553 · median $11,901 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,287 – $14,656 · median $7,153 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,130 – $19,763 · median $9,378 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,566 – $12,655 · median $6,282 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,270 – $20,152 · median $9,548 | 14 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,568 – $12,663 · median $6,285 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,178 – $22,669 · median $10,644 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,913 – $13,617 · median $6,701 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,257 – $28,432 · median $13,155 | 14 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,194 – $17,168 · median $8,248 | 14 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,421 – $12,256 · median $6,108 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,836 – $21,722 · median $10,232 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,925 – $13,652 · median $6,716 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,490 – $23,533 · median $11,021 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,359 – $14,855 · median $7,240 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $11,424 · median $5,745 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,176 – $171,087 · median $88,911 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,292 – $25,757 · median $11,990 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,305 – $17,476 · median $8,382 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,033 – $99,880 · median $44,286 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,093 – $52,924 · median $23,827 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,884 – $27,396 · median $12,704 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $74,722 · median $33,324 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,579 – $40,412 · median $18,375 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,835 – $24,491 · median $11,438 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,812 – $49,373 · median $22,280 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,504 – $26,344 · median $12,246 | 14 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,937 – $22,001 · median $10,353 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,596 – $29,372 · median $13,565 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,484 – $26,290 · median $12,222 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,774 – $32,636 · median $14,987 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,610 – $29,410 · median $13,582 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $10,644 – $29,505 · median $13,623 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $6,525 – $18,086 · median $8,648 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,767 – $13,215 · median $6,525 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,664 – $32,331 · median $14,855 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,954 – $16,503 · median $7,958 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,169 – $25,416 · median $11,841 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,222 – $18,062 · median $9,417 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,232 – $11,730 · median $5,878 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,729 – $15,880 · median $7,686 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,328 – $9,224 · median $4,786 | 14 plans |
| 602 | CELLULITIS WITH MCC | $7,817 – $21,669 · median $10,209 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,790 – $13,277 · median $6,553 | 14 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,097 – $22,443 · median $10,546 | 14 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,038 – $13,965 · median $6,852 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,323 – $23,070 · median $10,819 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,985 – $13,819 · median $6,788 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,055 – $33,415 · median $15,327 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,696 – $21,333 · median $10,063 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,181 – $53,168 · median $23,933 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,287 – $28,514 · median $13,191 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,801 – $21,623 · median $10,189 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,881 – $44,020 · median $19,947 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,802 – $24,398 · median $11,398 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,296 – $22,996 · median $10,787 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,576 – $54,262 · median $24,410 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,866 – $27,349 · median $12,684 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,885 – $19,086 · median $9,083 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,611 – $46,043 · median $20,829 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,247 – $22,859 · median $10,727 | 14 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,306 – $20,251 · median $9,591 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,497 – $56,817 · median $25,523 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,983 – $33,217 · median $15,240 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,027 – $22,251 · median $10,462 | 14 plans |
| 637 | DIABETES WITH MCC | $7,902 – $21,903 · median $10,311 | 14 plans |
| 638 | DIABETES WITH CC | $4,929 – $13,663 · median $6,721 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,417 – $9,471 · median $4,894 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,346 – $20,362 · median $9,639 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,280 – $11,864 · median $5,937 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $21,681 · median $10,214 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,054 – $25,096 · median $11,702 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,638 – $15,627 · median $7,576 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,226 – $11,713 · median $5,871 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,858 – $71,676 · median $31,997 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $20,382 – $56,497 · median $25,384 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $28,580 – $126,431 · median $65,713 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,396 – $42,677 · median $19,362 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,641 – $32,269 · median $14,827 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,511 – $48,539 · median $21,916 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,065 – $27,899 · median $12,924 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,535 – $23,658 · median $11,076 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,975 – $38,738 · median $17,646 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,269 – $20,150 · median $9,547 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,695 – $15,785 · median $7,645 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,838 – $46,674 · median $21,104 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,361 – $23,176 · median $10,866 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,758 – $15,961 · median $7,722 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,167 – $47,585 · median $21,500 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $9,621 – $26,669 · median $12,387 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,084 – $16,865 · median $8,116 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,060 – $44,517 · median $20,164 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,536 – $23,661 · median $11,077 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,375 – $14,900 · median $7,259 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,873 – $27,366 · median $12,691 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,937 – $16,458 · median $7,938 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,109 – $64,056 · median $28,677 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,862 – $35,653 · median $16,302 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,028 – $25,024 · median $11,671 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $8,146 – $22,579 · median $10,605 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $4,817 – $13,352 · median $6,585 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,302 – $9,152 · median $4,755 | 14 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,920 – $27,498 · median $12,749 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,763 – $15,974 · median $7,728 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,347 – $12,049 · median $6,017 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,382 – $17,689 · median $8,475 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,452 – $12,341 · median $6,145 | 14 plans |
| 693 | URINARY STONES WITH MCC | $7,395 – $20,498 · median $9,699 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,299 – $11,917 · median $5,960 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $17,438 · median $8,365 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,790 – $10,504 · median $5,344 | 14 plans |
| 697 | URETHRAL STRICTURE | $5,928 – $16,432 · median $7,927 | 14 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,099 – $25,222 · median $11,757 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,583 – $15,474 · median $7,510 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,794 – $10,518 · median $5,350 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,002 – $30,496 · median $14,055 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,438 – $23,390 · median $10,959 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,799 – $35,478 · median $16,226 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,707 – $21,362 · median $10,075 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,461 – $31,769 · median $14,609 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,048 – $16,766 · median $8,072 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,269 – $22,920 · median $10,754 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,816 – $16,121 · median $7,791 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,305 – $34,109 · median $15,629 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,091 – $22,426 · median $10,539 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,398 – $28,822 · median $13,325 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,387 – $20,476 · median $9,689 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,953 – $27,590 · median $12,789 | 14 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,285 – $17,421 · median $8,358 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,606 – $9,997 · median $5,123 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,436 – $17,840 · median $8,541 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,971 – $11,007 · median $5,564 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,156 – $22,608 · median $10,618 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,462 – $12,367 · median $6,156 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,823 – $16,141 · median $7,800 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,696 – $10,245 · median $5,231 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,715 – $32,473 · median $14,916 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,400 – $20,513 · median $9,705 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,660 – $54,495 · median $24,512 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,333 – $31,415 · median $14,455 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,077 – $22,388 · median $10,522 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $19,705 – $54,622 · median $24,567 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,953 – $27,588 · median $12,788 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,844 – $21,742 · median $10,241 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,091 – $27,973 · median $12,955 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,824 – $18,915 · median $9,009 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,270 – $31,240 · median $14,379 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,256 – $42,309 · median $22,013 | 14 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,554 – $26,483 · median $12,306 | 14 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,728 – $13,107 · median $6,478 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,630 – $21,150 · median $9,983 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,122 – $39,145 · median $17,823 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,117 – $22,499 · median $10,571 | 14 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,129 – $28,078 · median $13,001 | 14 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,983 – $16,584 · median $7,993 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,283 – $14,643 · median $7,148 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,875 – $21,830 · median $10,279 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,385 – $14,925 · median $7,271 | 14 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,650 – $10,117 · median $5,176 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,541 – $15,360 · median $7,460 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,138 – $8,706 · median $4,557 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,294 – $25,762 · median $11,992 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,515 – $15,287 · median $7,428 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,601 – $9,981 · median $5,116 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $4,627 – $12,826 · median $6,356 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $22,501 · median $10,571 | 14 plans |
| 799 | SPLENECTOMY WITH MCC | $24,909 – $69,046 · median $30,851 | 14 plans |
| 800 | SPLENECTOMY WITH CC | $15,452 – $42,831 · median $19,429 | 14 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,499 – $29,102 · median $13,448 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,913 – $60,740 · median $27,232 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,224 – $28,340 · median $13,115 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,458 – $20,673 · median $9,775 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,143 – $33,661 · median $15,434 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,962 – $19,299 · median $9,176 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,756 – $15,956 · median $7,720 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,724 – $21,409 · median $10,096 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,050 – $13,999 · median $6,867 | 14 plans |
| 813 | COAGULATION DISORDERS | $8,389 – $23,254 · median $10,900 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,697 – $32,423 · median $14,894 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,577 – $15,459 · median $7,503 | 14 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,476 – $9,635 · median $4,966 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,549 – $34,784 · median $15,923 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,376 – $17,673 · median $8,468 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,729 – $13,110 · median $6,480 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,256 – $89,412 · median $39,725 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,312 – $34,129 · median $15,638 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,622 – $18,356 · median $8,765 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,216 – $69,898 · median $31,223 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,461 – $34,540 · median $15,817 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,422 – $20,572 · median $9,731 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,728 – $71,316 · median $31,840 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,712 – $35,236 · median $16,120 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,371 – $25,975 · median $12,085 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,380 – $48,176 · median $21,758 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,278 – $22,945 · median $10,765 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,614 – $18,333 · median $8,755 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,969 – $11,001 · median $5,561 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,876 – $8,097 · median $4,241 | 14 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $30,194 – $83,697 · median $37,235 | 14 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $11,472 – $31,799 · median $14,623 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,707 – $18,592 · median $8,868 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,424 – $139,355 · median $72,427 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $11,481 – $31,824 · median $14,633 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,941 – $22,013 · median $10,359 | 14 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,792 – $49,318 · median $22,256 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,973 – $26,118 · median $13,603 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,557 – $15,404 · median $7,479 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,971 – $30,412 · median $14,018 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $18,560 · median $8,854 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,684 – $12,983 · median $6,424 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $39,524 · median $17,989 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,195 – $19,944 · median $9,457 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,672 – $12,950 · median $6,410 | 14 plans |
| 849 | RADIOTHERAPY | $14,902 – $55,204 · median $28,712 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,162 – $75,292 · median $33,573 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,990 – $30,462 · median $14,040 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,235 – $22,826 · median $10,713 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,018 – $69,348 · median $30,983 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,778 – $32,648 · median $14,993 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,661 – $21,236 · median $10,020 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,030 – $27,803 · median $12,882 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,488 – $15,214 · median $7,396 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,882 – $13,534 · median $6,664 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,241 – $22,842 · median $10,720 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,783 – $13,258 · median $6,544 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,513 – $31,912 · median $14,672 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,671 – $15,720 · median $7,617 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,013 – $11,125 · median $5,615 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $38,015 – $105,375 · median $46,680 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,684 – $29,615 · median $13,671 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,628 – $15,601 · median $7,565 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,081 – $63,980 · median $28,644 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,530 – $29,188 · median $13,485 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,433 – $17,831 · median $8,537 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,202 – $55,999 · median $25,167 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,159 – $22,615 · median $10,621 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,804 – $29,947 · median $13,816 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,116 – $58,532 · median $26,271 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,974 – $30,418 · median $14,183 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,220 – $20,013 · median $9,487 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,990 – $24,920 · median $11,626 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,870 – $13,500 · median $6,650 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,249 – $25,637 · median $11,938 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,665 – $10,158 · median $5,194 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,626 – $23,911 · median $11,186 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,714 – $13,067 · median $6,461 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,069 – $27,912 · median $12,929 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,513 – $15,281 · median $7,425 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,786 – $10,495 · median $5,340 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,622 – $26,671 · median $12,388 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $15,515 · median $7,528 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,957 – $55,319 · median $24,870 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,853 – $35,627 · median $16,291 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,152 – $30,914 · median $14,237 | 14 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,982 – $19,353 · median $9,200 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,403 – $12,204 · median $6,085 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,543 – $18,138 · median $8,670 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,452 – $9,570 · median $4,937 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,058 – $8,520 · median $4,461 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,021 – $102,620 · median $45,480 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,697 – $57,369 · median $25,764 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,909 – $116,170 · median $51,384 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,176 – $64,243 · median $28,759 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,193 – $44,885 · median $20,324 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,036 – $41,678 · median $18,927 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,429 – $23,365 · median $10,948 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,173 – $14,338 · median $7,015 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,667 – $248,979 · median $129,374 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,506 – $64,464 · median $33,523 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,873 – $43,999 · median $19,938 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,123 – $19,743 · median $9,370 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,965 – $13,762 · median $6,764 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,137 – $19,784 · median $9,388 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,805 – $71,529 · median $31,933 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,522 – $37,481 · median $17,098 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,427 – $26,131 · median $12,153 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,856 – $52,268 · median $23,541 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,040 – $25,058 · median $11,685 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,596 – $18,283 · median $8,733 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $154,131 – $359,753 · median $186,919 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $62,325 – $266,837 · median $138,652 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,708 – $155,328 · median $80,725 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,504 – $195,357 · median $101,519 | 13 plans |
| 007 | LUNG TRANSPLANT | $71,226 – $820,762 · median $426,404 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $30,825 – $189,589 · median $98,522 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $39,466 – $104,639 · median $54,393 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $155,084 · median $80,598 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,613 – $77,234 · median $40,156 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $70,874 · median $36,852 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $17,762 – $42,706 · median $22,220 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $24,455 · median $12,739 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $77,410 · median $40,248 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $53,313 · median $27,730 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $32,729 · median $17,037 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $54,727 · median $28,465 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,393 – $9,299 · median $4,865 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,786 – $44,023 · median $22,904 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,598 – $23,725 · median $12,360 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,855 – $12,699 · median $6,632 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $117,428 – $274,420 · median $142,591 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $39,450 – $93,128 · median $48,413 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,714 – $42,595 · median $22,162 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,418 – $51,206 · median $26,635 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,158 – $29,678 · median $15,452 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $11,330 – $27,752 · median $14,451 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,517 – $21,213 · median $11,054 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,307 – $16,075 · median $8,385 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $21,257 – $50,831 · median $26,441 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,281 – $13,689 · median $7,146 | 11 plans |
| 881 | DEPRESSIVE NEUROSES | $5,175 – $13,442 · median $7,018 | 11 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $15,141 · median $7,900 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $26,554 · median $13,829 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,849 – $21,984 · median $11,455 | 11 plans |
| 885 | PSYCHOSES | $7,682 – $19,272 · median $10,046 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,414 – $27,948 · median $14,553 | 11 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,890 – $15,104 · median $7,881 | 11 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,948 – $21,183 · median $11,039 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,324 – $14,171 · median $7,396 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,135 – $9,936 · median $5,196 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,845 – $17,113 · median $8,925 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,949 – $11,510 · median $6,014 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $59,292 – $114,722 · median $59,630 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $41,150 – $79,620 · median $41,396 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,166 – $60,303 · median $31,361 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,560 – $86,218 · median $44,823 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,903 – $48,184 · median $25,066 | 10 plans |
| 509 | ARTHROSCOPY | $12,339 – $23,874 · median $12,437 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $5,689 – $5,689 · median $5,689 | 1 plans |
| 999 | UNGROUPABLE | $10,883 – $10,883 · median $10,883 | 1 plans |
No procedures match that keyword.