Mercy Health - Tiffin Hospital — Pricing
615 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 615 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 615 procedures
Procedures with negotiated rates only
These 615 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 |
|---|---|---|---|
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,627 – $49,426 · median $19,378 | 49 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,320 – $43,075 · median $16,966 | 49 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,822 – $33,847 · median $22,942 | 49 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,501 – $19,184 · median $7,895 | 49 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,703 – $29,914 · median $11,969 | 49 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,608 – $19,975 · median $12,333 | 49 plans |
| 082 | EYE INFECTIONS AND OTHER EYE DISORDERS,MAJOR | $6,812 – $44,777 · median $17,612 | 49 plans |
| 121 | OTHER RESPIRATORY AND CHEST PROCEDURES,MAJOR | $8,823 – $22,790 · median $11,809 | 49 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,642 – $73,400 · median $28,480 | 49 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,313 – $26,910 · median $11,650 | 49 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,802 – $34,598 · median $13,748 | 49 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,170 – $21,070 · median $13,926 | 49 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,705 – $21,701 · median $8,851 | 49 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,419 – $16,515 · median $10,653 | 49 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,553 – $18,594 · median $7,671 | 49 plans |
| 199 | HYPERTENSION,MODERATE | $2,937 – $34,560 · median $13,733 | 49 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,602 – $13,126 · median $5,595 | 49 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $8,158 – $55,844 · median $21,814 | 49 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,354 – $64,143 · median $24,360 | 49 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,344 – $42,810 · median $16,462 | 49 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $4,794 – $68,339 · median $26,558 | 49 plans |
| 253 | OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MAJOR | $3,538 – $50,850 · median $19,918 | 49 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,109 – $34,905 · median $13,864 | 49 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $4,263 – $31,426 · median $12,543 | 49 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,279 – $14,166 · median $5,990 | 49 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,856 – $38,806 · median $15,345 | 49 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,145 – $25,769 · median $15,795 | 49 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,352 – $60,740 · median $9,961 | 49 plans |
| 304 | HYPERTENSION WITH MCC | $9,013 – $24,387 · median $17,575 | 49 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,932 – $22,949 · median $9,400 | 49 plans |
| 308 | HIP AND FEMUR FRACTURE REPAIR,MODERATE | $9,112 – $23,588 · median $10,834 | 49 plans |
| 310 | VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,MINOR | $4,593 – $15,115 · median $7,226 | 49 plans |
| 313 | KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR | $5,683 – $14,106 · median $8,662 | 49 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,614 – $40,851 · median $16,122 | 49 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,857 – $54,661 · median $21,751 | 49 plans |
| 324 | ELECTIVE HIP JOINT REPLACEMENT,MINOR | $9,337 – $61,731 · median $24,049 | 49 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,843 – $50,600 · median $19,823 | 49 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $6,104 – $44,973 · median $17,687 | 49 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,410 – $27,049 · median $10,882 | 49 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,995 – $16,746 · median $6,970 | 49 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,049 – $21,440 · median $8,752 | 49 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,146 – $111,659 · median $43,006 | 49 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,330 – $35,728 · median $14,177 | 49 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $4,039 – $70,355 · median $23,173 | 49 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $6,821 – $62,002 · median $24,152 | 49 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,261 – $40,738 · median $16,079 | 49 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,558 – $30,842 · median $12,322 | 49 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,946 – $45,275 · median $16,988 | 49 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $5,080 – $59,978 · median $23,384 | 49 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,646 – $29,782 · median $11,919 | 49 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,317 – $66,787 · median $11,977 | 49 plans |
| 694 | LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,MODERATE | $4,852 – $15,314 · median $6,426 | 49 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,464 – $15,410 · median $10,194 | 49 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,221 – $12,826 · median $6,174 | 49 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,502 – $17,988 · median $7,943 | 49 plans |
| 813 | COAGULATION DISORDERS | $4,078 – $29,882 · median $12,693 | 49 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,800 – $61,140 · median $22,194 | 49 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,521 – $32,939 · median $6,887 | 49 plans |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MAJOR | $5,555 – $14,010 · median $5,931 | 48 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,532 – $30,999 · median $12,381 | 48 plans |
| 443 | KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR | $5,539 – $13,708 · median $7,538 | 48 plans |
| 519 | GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,MINOR | $5,463 – $39,186 · median $15,490 | 48 plans |
| 263 | VEIN LIGATION AND STRIPPING | $7,505 – $59,898 · median $23,353 | 47 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,197 – $34,039 · median $13,536 | 47 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $5,618 – $81,361 · median $31,502 | 47 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $10,708 – $112,262 · median $41,999 | 46 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $13,911 – $84,881 · median $25,245 | 46 plans |
| 420 | DIABETES,MAJOR | $3,435 – $66,749 · median $25,213 | 46 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,039 – $255,637 · median $78,656 | 46 plans |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MODERATE | $4,357 – $120,739 · median $38,207 | 46 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $15,619 – $169,648 · median $63,165 | 46 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $9,177 – $97,708 · median $37,709 | 45 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $4,052 – $167,435 · median $52,753 | 45 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,796 – $19,644 · median $11,106 | 44 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,086 – $29,279 · median $11,170 | 43 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,363 – $34,247 · median $12,966 | 43 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,588 – $116,169 · median $59,163 | 42 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,091 – $63,834 · median $32,053 | 42 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,294 – $76,638 · median $39,287 | 42 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,791 – $89,074 · median $45,540 | 42 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,608 – $60,912 · median $31,381 | 42 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,145 – $149,487 · median $59,937 | 42 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,322 – $87,777 · median $44,888 | 42 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,679 – $41,748 · median $21,745 | 42 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,363 – $32,578 · median $17,134 | 42 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,517 – $46,832 · median $24,301 | 42 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,345 – $38,061 · median $19,892 | 42 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,910 – $23,029 · median $12,333 | 42 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,935 – $75,645 · median $38,788 | 42 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,039 – $45,512 · median $23,638 | 42 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,800 – $42,311 · median $23,747 | 42 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,031 – $34,425 · median $18,063 | 42 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,527 – $27,502 · median $14,582 | 42 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,829 – $39,398 · median $20,563 | 42 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,740 – $19,793 · median $10,706 | 42 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,800 – $31,517 · median $17,548 | 42 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,987 – $28,773 · median $15,222 | 42 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,706 – $16,934 · median $9,269 | 42 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,376 – $32,615 · median $17,153 | 42 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,851 – $20,100 · median $10,861 | 42 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,800 – $37,428 · median $21,322 | 42 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,947 – $31,430 · median $16,557 | 42 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,428 – $16,166 · median $8,883 | 42 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,470 – $27,345 · median $14,503 | 42 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,354 – $18,725 · median $10,169 | 42 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,677 – $44,509 · median $23,133 | 42 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,811 – $25,521 · median $13,586 | 42 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,024 – $34,406 · median $18,053 | 42 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,800 – $28,965 · median $16,561 | 42 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,800 – $90,044 · median $48,712 | 42 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,800 – $39,656 · median $22,396 | 42 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,169 – $70,759 · median $36,331 | 42 plans |
| 100 | SEIZURES WITH MCC | $14,303 – $37,944 · median $19,832 | 42 plans |
| 101 | SEIZURES WITHOUT MCC | $6,977 – $17,683 · median $9,645 | 42 plans |
| 103 | HEADACHES WITHOUT MCC | $6,507 – $16,384 · median $8,992 | 42 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,167 – $26,507 · median $14,082 | 42 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,240 – $15,645 · median $8,621 | 42 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,955 – $25,921 · median $13,787 | 42 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,955 – $42,512 · median $22,129 | 42 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,858 – $33,949 · median $17,824 | 42 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,100 – $23,554 · median $12,597 | 42 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,582 – $41,482 · median $21,611 | 42 plans |
| 150 | EPISTAXIS WITH MCC | $10,015 – $26,085 · median $13,870 | 42 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,782 – $14,380 · median $7,985 | 42 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,957 – $23,160 · median $12,399 | 42 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,658 – $30,631 · median $16,155 | 42 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,075 – $17,955 · median $9,782 | 42 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,028 – $17,824 · median $9,716 | 42 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,332 – $87,803 · median $44,901 | 42 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,463 – $49,448 · median $25,616 | 42 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,143 – $37,501 · median $19,610 | 42 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,060 – $73,225 · median $37,572 | 42 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,358 – $35,330 · median $18,518 | 42 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,262 – $26,769 · median $14,214 | 42 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,667 – $58,311 · median $30,073 | 42 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,420 – $29,972 · median $15,824 | 42 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,121 – $20,847 · median $11,236 | 42 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,154 – $15,408 · median $8,502 | 42 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,623 – $30,533 · median $16,106 | 42 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,589 – $19,377 · median $10,497 | 42 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,334 – $24,203 · median $12,923 | 42 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,894 – $25,750 · median $13,702 | 42 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,035 – $12,313 · median $6,945 | 42 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,952 – $36,972 · median $19,344 | 42 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,370 – $21,536 · median $11,583 | 42 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,463 – $19,027 · median $10,321 | 42 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,553 – $35,871 · median $18,790 | 42 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,166 – $126,062 · median $64,137 | 42 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,054 – $53,850 · median $27,830 | 42 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,894 – $63,273 · median $31,778 | 42 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,043 – $42,757 · median $22,253 | 42 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,691 – $52,845 · median $27,324 | 42 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,975 – $37,037 · median $19,376 | 42 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,247 – $65,446 · median $33,660 | 42 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,775 – $69,671 · median $35,785 | 42 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,901 – $64,488 · median $33,178 | 42 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,163 – $20,964 · median $11,295 | 42 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,677 – $25,151 · median $13,400 | 42 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,597 – $16,633 · median $9,117 | 42 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,592 – $11,089 · median $6,330 | 42 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,052 – $17,891 · median $9,750 | 42 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,794 – $14,413 · median $8,001 | 42 plans |
| 311 | ANGINA PECTORIS | $5,555 – $13,751 · median $7,668 | 42 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,757 – $17,076 · median $9,340 | 42 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,407 – $18,872 · median $10,243 | 42 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,238 – $84,778 · median $43,380 | 42 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,325 – $62,895 · median $32,378 | 42 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,897 – $47,884 · median $24,830 | 42 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,144 – $90,050 · median $46,031 | 42 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,564 – $46,964 · median $24,367 | 42 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,504 – $32,970 · median $17,331 | 42 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,232 – $70,933 · median $36,419 | 42 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,186 – $32,088 · median $16,888 | 42 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,879 – $69,958 · median $35,929 | 42 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,521 – $41,312 · median $21,526 | 42 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,457 – $30,072 · median $15,875 | 42 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,242 – $29,479 · median $15,576 | 42 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,854 – $25,641 · median $13,647 | 42 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,382 – $29,866 · median $15,771 | 42 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,855 – $22,878 · median $12,258 | 42 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,140 – $56,853 · median $29,340 | 42 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,501 – $32,960 · median $17,327 | 42 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,111 – $26,350 · median $14,003 | 42 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,701 – $86,059 · median $44,024 | 42 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,056 – $45,559 · median $23,661 | 42 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,668 – $19,595 · median $10,607 | 42 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,143 – $34,737 · median $18,220 | 42 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,815 – $20,002 · median $10,812 | 42 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,736 – $14,250 · median $7,920 | 42 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,733 – $41,899 · median $21,821 | 42 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,151 – $23,697 · median $12,669 | 42 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,532 – $35,812 · median $18,761 | 42 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,530 – $19,213 · median $10,415 | 42 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,048 – $12,350 · median $6,964 | 42 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,483 – $38,441 · median $20,083 | 42 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,258 – $21,227 · median $11,427 | 42 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,499 – $19,127 · median $10,371 | 42 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,044 – $28,932 · median $15,301 | 42 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,178 – $15,473 · median $8,534 | 42 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,436 – $10,658 · median $6,113 | 42 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,567 – $24,847 · median $13,248 | 42 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,912 – $31,332 · median $16,508 | 42 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,211 – $18,331 · median $9,971 | 42 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,548 – $46,918 · median $24,345 | 42 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,064 – $93,256 · median $39,897 | 42 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,830 – $31,105 · median $16,394 | 42 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,488 – $46,752 · median $24,261 | 42 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,566 – $33,140 · median $17,417 | 42 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,525 – $38,559 · median $20,142 | 42 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,594 – $35,983 · median $18,846 | 42 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,595 – $22,159 · median $11,896 | 42 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,131 – $31,937 · median $16,812 | 42 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,542 – $16,480 · median $9,041 | 42 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,985 – $12,174 · median $6,875 | 42 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,421 – $18,911 · median $10,263 | 42 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,419 – $32,735 · median $17,213 | 42 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,647 – $61,020 · median $31,435 | 42 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,565 – $81,799 · median $35,492 | 42 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,049 – $63,740 · median $27,823 | 42 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,247 – $44,741 · median $19,755 | 42 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,609 – $120,138 · median $39,099 | 42 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,453 – $73,299 · median $27,631 | 42 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,877 – $60,740 · median $24,802 | 42 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,993 – $84,102 · median $43,040 | 42 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,704 – $44,583 · median $23,171 | 42 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,055 – $67,679 · median $34,783 | 42 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,004 – $48,178 · median $24,978 | 42 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,213 – $57,055 · median $29,441 | 42 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,420 – $41,033 · median $21,386 | 42 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,137 – $31,953 · median $16,820 | 42 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,219 – $64,294 · median $28,058 | 42 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,396 – $40,967 · median $21,352 | 42 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,113 – $34,655 · median $18,179 | 42 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,494 – $21,879 · median $11,755 | 42 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $1,800 – $36,734 · median $21,032 | 42 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,797 – $39,309 · median $20,519 | 42 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,267 – $71,031 · median $36,468 | 42 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,361 – $35,340 · median $18,523 | 42 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,142 – $23,672 · median $12,657 | 42 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,954 – $59,102 · median $30,471 | 42 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,117 – $26,368 · median $14,012 | 42 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,824 – $36,620 · median $19,167 | 42 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,140 – $26,432 · median $14,044 | 42 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,980 – $59,175 · median $30,507 | 42 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,159 – $62,435 · median $32,146 | 42 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,304 – $40,712 · median $21,224 | 42 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,469 – $30,105 · median $15,891 | 42 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,058 – $73,217 · median $37,568 | 42 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,165 – $29,267 · median $15,470 | 42 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,584 – $41,488 · median $21,614 | 42 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,664 – $25,116 · median $13,383 | 42 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,304 – $15,822 · median $8,710 | 42 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,536 – $38,588 · median $20,156 | 42 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,766 – $25,396 · median $13,523 | 42 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,096 – $34,608 · median $18,155 | 42 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,865 – $20,140 · median $10,881 | 42 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,928 – $14,783 · median $8,188 | 42 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,163 – $48,619 · median $25,200 | 42 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,753 – $22,596 · median $12,116 | 42 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,261 – $37,828 · median $19,774 | 42 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,456 – $32,836 · median $17,264 | 42 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,393 – $18,833 · median $10,224 | 42 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,766 – $25,396 · median $13,523 | 42 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,463 – $16,262 · median $8,931 | 42 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,946 – $25,895 · median $13,775 | 42 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,116 – $29,130 · median $15,401 | 42 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,910 – $17,499 · median $9,553 | 42 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,800 – $34,623 · median $20,004 | 42 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,800 – $39,186 · median $22,770 | 42 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,800 – $34,798 · median $20,787 | 42 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,926 – $17,544 · median $9,575 | 42 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,517 – $30,241 · median $15,959 | 42 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,485 – $19,089 · median $10,353 | 42 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,891 – $14,680 · median $8,135 | 42 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,417 – $57,619 · median $29,725 | 42 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,174 – $68,008 · median $34,948 | 42 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,303 – $96,019 · median $49,032 | 42 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,360 – $51,930 · median $26,864 | 42 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,524 – $63,445 · median $32,654 | 42 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,824 – $33,853 · median $17,776 | 42 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,747 – $41,938 · median $21,841 | 42 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,248 – $37,793 · median $19,757 | 42 plans |
| 593 | SKIN ULCERS WITH CC | $8,986 – $23,241 · median $12,440 | 42 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,606 – $41,547 · median $21,644 | 42 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,961 – $20,406 · median $11,015 | 42 plans |
| 602 | CELLULITIS WITH MCC | $10,651 – $27,845 · median $14,755 | 42 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,752 – $17,062 · median $9,333 | 42 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,072 – $17,945 · median $9,777 | 42 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,302 – $29,645 · median $15,660 | 42 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,004 – $17,757 · median $9,683 | 42 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,109 – $42,940 · median $22,344 | 42 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,495 – $27,414 · median $14,538 | 42 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,287 – $68,322 · median $35,106 | 42 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,832 – $36,641 · median $19,177 | 42 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,726 – $54,754 · median $22,089 | 42 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,919 – $30,346 · median $16,518 | 42 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,796 – $69,728 · median $35,813 | 42 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,291 – $35,144 · median $18,425 | 42 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,983 – $73,012 · median $37,464 | 42 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,017 – $42,685 · median $22,216 | 42 plans |
| 637 | DIABETES WITH MCC | $10,760 – $28,146 · median $14,906 | 42 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,044 – $26,166 · median $13,910 | 42 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,095 – $15,246 · median $8,420 | 42 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,244 – $32,249 · median $16,969 | 42 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,844 – $20,081 · median $10,851 | 42 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,025 – $15,052 · median $8,322 | 42 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,576 – $30,401 · median $16,040 | 42 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,693 – $61,147 · median $31,499 | 42 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,268 – $57,206 · median $29,517 | 42 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,577 – $30,405 · median $16,042 | 42 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,298 – $35,166 · median $18,436 | 42 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,347 – $82,314 · median $42,141 | 42 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,149 – $45,816 · median $23,790 | 42 plans |
| 682 | RENAL FAILURE WITH MCC | $11,074 – $29,014 · median $15,343 | 42 plans |
| 683 | RENAL FAILURE WITH CC | $6,787 – $17,158 · median $9,381 | 42 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,005 – $20,527 · median $11,076 | 42 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,802 – $22,731 · median $12,184 | 42 plans |
| 693 | URINARY STONES WITH MCC | $10,107 – $26,340 · median $13,998 | 42 plans |
| 697 | URETHRAL STRICTURE | $8,218 – $21,115 · median $11,371 | 42 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,302 – $32,411 · median $17,051 | 42 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,773 – $19,885 · median $10,753 | 42 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,470 – $13,516 · median $7,550 | 42 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,753 – $39,188 · median $20,458 | 42 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,451 – $30,057 · median $15,867 | 42 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,233 – $29,453 · median $15,563 | 42 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,073 – $20,716 · median $11,170 | 42 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,975 – $37,037 · median $19,376 | 42 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,097 – $26,313 · median $13,984 | 42 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,678 – $22,387 · median $12,010 | 42 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,872 – $22,925 · median $12,281 | 42 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,697 – $14,145 · median $7,866 | 42 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,329 – $15,892 · median $8,745 | 42 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,114 – $26,360 · median $14,008 | 42 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,904 – $70,028 · median $35,964 | 42 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,180 – $40,369 · median $21,052 | 42 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,985 – $28,769 · median $15,220 | 42 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,685 – $27,939 · median $14,802 | 42 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,580 – $35,946 · median $18,828 | 42 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,888 – $34,032 · median $17,865 | 42 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,673 – $16,842 · median $9,223 | 42 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,629 – $36,081 · median $18,896 | 42 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,518 – $19,180 · median $10,398 | 42 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,720 – $19,738 · median $10,679 | 42 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,806 – $78,053 · median $39,999 | 42 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,189 – $26,565 · median $14,111 | 42 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,223 – $43,255 · median $22,503 | 42 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,550 – $24,800 · median $13,224 | 42 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,531 – $27,512 · median $14,587 | 42 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,648 – $41,664 · median $21,703 | 42 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,766 – $19,865 · median $10,743 | 42 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,112 – $23,588 · median $12,614 | 42 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,652 – $33,379 · median $17,537 | 42 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,968 – $61,908 · median $31,881 | 42 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,694 – $14,137 · median $7,862 | 42 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,358 – $40,863 · median $21,300 | 42 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,222 – $23,891 · median $12,767 | 42 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,616 – $94,121 · median $48,078 | 42 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,370 – $40,894 · median $21,316 | 42 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,811 – $28,287 · median $14,977 | 42 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,499 – $63,375 · median $32,619 | 42 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,740 – $19,795 · median $10,707 | 42 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,714 – $39,080 · median $20,404 | 42 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,207 – $23,850 · median $12,746 | 42 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,948 – $50,790 · median $26,291 | 42 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,850 – $25,629 · median $13,641 | 42 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,568 – $96,752 · median $49,401 | 42 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,737 – $39,145 · median $20,436 | 42 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,805 – $89,114 · median $45,560 | 42 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,753 – $41,954 · median $21,849 | 42 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,502 – $35,728 · median $18,718 | 42 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,652 – $19,550 · median $10,584 | 42 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,871 – $17,391 · median $9,499 | 42 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,743 – $17,036 · median $9,320 | 42 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,411 – $41,008 · median $21,373 | 42 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,887 – $20,200 · median $10,911 | 42 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,343 – $38,056 · median $19,889 | 42 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,832 – $20,047 · median $10,834 | 42 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,399 – $38,522 · median $14,512 | 42 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,399 – $31,520 · median $11,980 | 42 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,311 – $82,216 · median $42,092 | 42 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,145 – $37,507 · median $19,613 | 42 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,868 – $22,914 · median $12,275 | 42 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,603 – $71,960 · median $36,935 | 42 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,780 – $75,216 · median $38,572 | 42 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,717 – $39,088 · median $20,408 | 42 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,882 – $25,717 · median $13,685 | 42 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,162 – $32,023 · median $16,856 | 42 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,856 – $17,348 · median $9,477 | 42 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,495 – $32,944 · median $17,319 | 42 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,654 – $16,791 · median $9,197 | 42 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,552 – $35,867 · median $18,788 | 42 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,683 – $19,636 · median $10,627 | 42 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,459 – $13,486 · median $7,535 | 42 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,975 – $34,273 · median $17,986 | 42 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,792 – $19,938 · median $10,779 | 42 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,242 – $43,308 · median $22,529 | 42 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,800 – $26,443 · median $15,160 | 42 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,800 – $38,485 · median $22,103 | 42 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,800 – $35,742 · median $20,559 | 42 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,800 – $38,485 · median $22,103 | 42 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,027 – $56,540 · median $29,182 | 42 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,756 – $25,370 · median $13,511 | 42 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,776 – $25,423 · median $13,537 | 42 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,819 – $91,917 · median $46,970 | 42 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,725 – $33,579 · median $17,638 | 42 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,869 – $67,166 · median $34,525 | 42 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,226 – $32,200 · median $16,944 | 42 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,078 – $23,494 · median $12,567 | 42 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,346 – $106,352 · median $38,845 | 41 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,657 – $27,860 · median $16,838 | 41 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,528 – $75,717 · median $29,360 | 41 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,399 – $11,835 · median $4,695 | 41 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,528 – $33,092 · median $13,204 | 41 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,528 – $16,741 · median $6,973 | 41 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,467 – $61,258 · median $26,356 | 40 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,592 – $71,930 · median $29,874 | 40 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,003 – $75,831 · median $29,403 | 39 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,077 – $31,788 · median $12,681 | 39 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,840 – $44,959 · median $17,682 | 39 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,630 – $99,393 · median $37,411 | 39 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,448 – $96,421 · median $37,220 | 39 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,903 – $91,659 · median $34,548 | 39 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,960 – $106,001 · median $39,858 | 39 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,668 – $50,016 · median $19,601 | 39 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,133 – $194,872 · median $45,290 | 39 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,300 – $149,838 · median $34,965 | 39 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,128 – $56,818 · median $22,184 | 39 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,841 – $69,854 · median $27,133 | 39 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,409 – $130,402 · median $42,429 | 39 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,437 – $133,768 · median $43,508 | 39 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,457 – $126,703 · median $48,873 | 39 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,624 – $80,418 · median $32,156 | 39 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,112 – $209,077 · median $63,118 | 39 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,825 – $148,362 · median $44,966 | 39 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,915 – $56,230 · median $21,961 | 39 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,231 – $37,744 · median $14,942 | 39 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,441 – $43,856 · median $17,263 | 39 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,473 – $107,553 · median $41,447 | 39 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,546 – $135,409 · median $52,023 | 39 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,977 – $17,685 · median $7,326 | 39 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,022 – $15,042 · median $8,318 | 38 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,234 – $36,256 · median $13,402 | 38 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,094 – $231,332 · median $53,649 | 38 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,130 – $18,108 · median $7,487 | 38 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,983 – $12,170 · median $6,874 | 38 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,061 – $89,821 · median $37,154 | 38 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,142 – $26,436 · median $11,359 | 38 plans |
| 881 | DEPRESSIVE NEUROSES | $1,399 – $17,908 · median $6,680 | 38 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,548 – $36,632 · median $14,944 | 37 plans |
| 346 | CONNECTIVE TISSUE DISORDERS,MODERATE | $7,501 – $24,397 · median $14,144 | 37 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,295 – $19,117 · median $7,515 | 37 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,562 – $20,422 · median $12,425 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,224 – $15,600 · median $8,598 | 36 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,094 – $18,006 · median $7,448 | 36 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,258 – $43,351 · median $17,071 | 36 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,685 – $47,299 · median $18,570 | 36 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,676 – $27,913 · median $11,210 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,360 – $35,336 · median $14,028 | 36 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,289 – $21,311 · median $8,703 | 36 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,624 – $11,177 · median $7,560 | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,949 – $53,558 · median $20,946 | 36 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,010 – $13,132 · median $7,916 | 35 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,003 – $28,818 · median $20,109 | 35 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,816 – $12,907 · median $8,723 | 35 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $306,488 – $845,994 · median $317,215 | 34 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,325 – $158,084 · median $58,296 | 34 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,060 – $15,888 · median $6,184 | 34 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,180 – $12,715 · median $8,478 | 34 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,114 – $22,016 · median $11,243 | 34 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,251 – $21,207 · median $13,552 | 34 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,473 – $17,318 · median $7,695 | 33 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,118 – $195,068 · median $72,540 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,059 – $23,443 · median $15,460 | 33 plans |
| 316 | HAND AND WRIST PROCEDURES,MINOR | $5,061 – $13,375 · median $5,197 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,485 – $27,386 · median $12,481 | 33 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,337 – $101,065 · median $39,104 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,000 – $33,117 · median $25,011 | 33 plans |
| 149 | DYSEQUILIBRIUM | $5,907 – $14,725 · median $8,158 | 32 plans |
| 192 | CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,MODERATE | $4,698 – $12,574 · median $5,455 | 32 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,201 – $13,675 · median $8,538 | 32 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,296 – $35,160 · median $17,485 | 32 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,392 – $16,208 · median $10,538 | 32 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,399 – $20,539 · median $10,235 | 32 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,284 – $13,001 · median $8,958 | 32 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,139 – $31,961 · median $13,607 | 32 plans |
| 102 | HEADACHES WITH MCC | $8,523 – $21,960 · median $13,466 | 31 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,786 – $29,645 · median $12,852 | 31 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,467 – $16,272 · median $7,655 | 31 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,806 – $28,272 · median $11,346 | 31 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,402 – $35,452 · median $15,984 | 31 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,399 – $18,780 · median $6,985 | 31 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,182 – $47,965 · median $18,041 | 31 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,899 – $15,675 · median $10,403 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,285 – $15,771 · median $11,662 | 30 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,125 – $17,746 · median $6,622 | 30 plans |
| 260 | MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES,EXTREME | $11,377 – $66,731 · median $24,938 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,149 – $50,472 · median $24,041 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,681 – $14,100 · median $7,844 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,764 – $15,287 · median $7,977 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,372 – $24,307 · median $17,137 | 30 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,197 – $29,353 · median $15,513 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,693 – $30,727 · median $16,204 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,322 – $23,258 · median $10,739 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,497 – $19,121 · median $11,845 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,933 – $31,391 · median $23,708 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,809 – $32,570 · median $21,604 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,835 – $11,760 · median $8,177 | 29 plans |
| 885 | PSYCHOSES | $1,399 – $27,615 · median $10,069 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,440 – $30,025 · median $13,627 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,266 – $51,669 · median $37,569 | 29 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,808 – $80,823 · median $41,391 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,552 – $14,680 · median $7,218 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,751 – $36,418 · median $18,083 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,433 – $34,382 · median $16,350 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,992 – $26,023 · median $17,657 | 28 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,705 – $271,363 · median $100,680 | 27 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,099 – $18,020 · median $8,414 | 27 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,690 – $15,079 · median $11,388 | 27 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,281 – $20,198 · median $12,400 | 27 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,293 – $15,286 · median $6,293 | 27 plans |
| 139 | SALIVARY GLAND PROCEDURES | $3,879 – $26,898 · median $9,819 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,494 – $31,669 · median $21,719 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,241 – $22,381 · median $9,236 | 26 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,434 – $27,720 · median $20,537 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,760 – $29,569 · median $19,039 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,943 – $35,814 · median $14,514 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,133 – $54,617 · median $25,491 | 25 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,843 – $32,717 · median $12,435 | 25 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,258 – $26,757 · median $16,208 | 25 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,108 – $50,629 · median $31,114 | 25 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,947 – $39,725 · median $25,611 | 25 plans |
| 194 | HEART FAILURE,MAJOR | $4,452 – $15,550 · median $6,926 | 24 plans |
| 638 | DIABETES WITH CC | $6,931 – $17,557 · median $7,278 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,335 – $107,173 · median $62,150 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,881 – $32,801 · median $21,779 | 23 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,306 – $43,484 · median $30,840 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,295 – $13,943 · median $9,642 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,029 – $38,943 · median $23,130 | 18 plans |
| 005 | TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,MAJOR | $42,614 – $45,290 · median $43,232 | 7 plans |
| 011 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,MINOR | $51,697 – $54,944 · median $52,447 | 7 plans |
| 044 | INTRACRANIAL HEMORRHAGE,MAJOR | $4,137 – $16,998 · median $11,133 | 7 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME | $5,694 – $16,550 · median $15,798 | 7 plans |
| 046 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,MAJOR | $4,347 – $5,910 · median $5,642 | 7 plans |
| 047 | TRANSIENT ISCHEMIA,MINOR | $2,811 – $2,988 · median $2,852 | 7 plans |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE | $3,595 – $5,075 · median $4,845 | 7 plans |
| 049 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,MODERATE | $10,830 – $11,510 · median $10,987 | 7 plans |
| 050 | NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,MODERATE | $8,698 – $9,244 · median $8,824 | 7 plans |
| 052 | ALTERATION IN CONSCIOUSNESS,MODERATE | $4,342 – $4,615 · median $4,405 | 7 plans |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,MINOR | $5,822 – $12,900 · median $6,132 | 7 plans |
| 089 | MAJOR CRANIAL OR FACIAL BONE PROCEDURES,MAJOR | $25,465 – $27,064 · median $25,834 | 7 plans |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE | — | 7 plans |
| 115 | OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES,MINOR | $3,791 – $4,865 · median $3,971 | 7 plans |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,EXTREME | $37,470 – $39,823 · median $38,013 | 7 plans |
| 131 | CYSTIC FIBROSIS - PULMONARY DISEASE,MODERATE | $16,499 – $17,535 · median $16,738 | 7 plans |
| 133 | RESPIRATORY FAILURE,MODERATE | $5,099 – $8,121 · median $5,419 | 7 plans |
| 134 | PULMONARY EMBOLISM,MAJOR | $6,623 – $7,039 · median $6,719 | 7 plans |
| 136 | RESPIRATORY MALIGNANCY,MODERATE | $5,250 – $5,580 · median $5,327 | 7 plans |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MAJOR | $4,056 – $6,349 · median $6,061 | 7 plans |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MAJOR | — | 7 plans |
| 141 | ASTHMA,MINOR | $3,307 – $5,411 · median $4,020 | 7 plans |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES,MINOR | $14,663 – $24,895 · median $23,764 | 7 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MODERATE | $8,608 – $9,936 · median $9,435 | 7 plans |
| 182 | OTHER UPPER VASCULAR PROCEDURES,MAJOR | $16,193 – $17,210 · median $16,427 | 7 plans |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MODERATE | $2,709 – $5,244 · median $3,371 | 7 plans |
| 220 | MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MINOR | — | 7 plans |
| 223 | OTHER SMALL AND LARGE BOWEL PROCEDURES,MINOR | $6,458 – $15,895 · median $15,172 | 7 plans |
| 224 | PERITONEAL ADHESIOLYSIS,MODERATE | $9,528 – $10,127 · median $9,666 | 7 plans |
| 226 | ANAL AND PERINEAL PROCEDURES,MODERATE | $5,284 – $6,492 · median $5,284 | 7 plans |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR | $7,300 – $9,568 · median $9,085 | 7 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MODERATE | $8,359 – $12,196 · median $11,642 | 7 plans |
| 231 | MAJOR LARGE BOWEL PROCEDURES,MODERATE | $9,543 – $25,989 · median $11,731 | 7 plans |
| 233 | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR | — | 7 plans |
| 241 | PEPTIC ULCER AND GASTRITIS,MAJOR | $3,775 – $6,771 · median $3,976 | 7 plans |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY,MAJOR | $14,027 – $14,908 · median $14,230 | 7 plans |
| 247 | INTESTINAL OBSTRUCTION,MINOR | $3,156 – $3,354 · median $3,202 | 7 plans |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE | $3,537 – $4,361 · median $3,725 | 7 plans |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT,MODERATE | $3,615 – $4,965 · median $3,842 | 7 plans |
| 317 | TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MINOR | — | 7 plans |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MINOR | $7,237 – $10,022 · median $9,430 | 7 plans |
| 343 | MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MAJOR | $6,241 – $9,172 · median $6,633 | 7 plans |
| 361 | SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,MINOR | $9,434 – $10,027 · median $9,571 | 7 plans |
| 362 | MASTECTOMY PROCEDURES,MAJOR | $17,448 – $18,544 · median $17,701 | 7 plans |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE | $4,514 – $6,263 · median $5,978 | 7 plans |
| 401 | ADRENAL PROCEDURES,MINOR | $9,801 – $10,416 · median $9,943 | 7 plans |
| 403 | PROCEDURES FOR OBESITY,MINOR | $8,257 – $9,137 · median $8,571 | 7 plans |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MINOR | $3,176 – $11,086 · median $4,308 | 7 plans |
| 424 | OTHER ENDOCRINE DISORDERS,MINOR | — | 7 plans |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MINOR | $2,773 – $3,974 · median $3,794 | 7 plans |
| 462 | NEPHRITIS AND NEPHROSIS,MODERATE | $6,020 – $12,378 · median $6,107 | 7 plans |
| 530 | FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR | $7,139 – $7,588 · median $7,243 | 7 plans |
| 532 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE | $3,707 – $3,940 · median $3,761 | 7 plans |
| 651 | OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,MINOR | — | 7 plans |
| 681 | OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS,MAJOR | $11,866 – $21,787 · median $20,987 | 7 plans |
| 691 | LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,MAJOR | $14,911 – $15,848 · median $15,128 | 7 plans |
| 695 | CHEMOTHERAPY FOR ACUTE LEUKEMIA,MINOR | $6,942 – $7,378 · median $7,043 | 7 plans |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MAJOR | $5,196 – $14,353 · median $8,075 | 7 plans |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MAJOR | $16,042 – $17,049 · median $16,274 | 7 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE | $3,492 – $15,107 · median $4,508 | 7 plans |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR | $5,407 – $17,287 · median $9,040 | 7 plans |
| 722 | FEVER AND INFLAMMATORY CONDITIONS,EXTREME | $10,558 – $11,222 · median $10,711 | 7 plans |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR | $7,074 – $8,401 · median $8,019 | 7 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE,EXTREME | $4,641 – $17,141 · median $16,128 | 7 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE,MODERATE | $4,891 – $7,889 · median $5,077 | 7 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $4,427 – $9,539 · median $4,492 | 7 plans |
| 793 | MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,MINOR | $6,839 – $7,268 · median $6,938 | 7 plans |
| 816 | TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MINOR | $2,715 – $3,686 · median $2,844 | 7 plans |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR | — | 7 plans |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE | $4,039 – $5,204 · median $4,967 | 7 plans |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MODERATE | $5,089 – $16,898 · median $9,154 | 7 plans |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR | $13,108 – $13,931 · median $13,298 | 7 plans |
| 234 | APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,MINOR | — | 6 plans |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR | $3,855 – $4,098 · median $3,911 | 6 plans |
| 363 | BREAST PROCEDURES EXCEPT MASTECTOMY,MINOR | $4,853 – $5,157 · median $4,923 | 6 plans |
| 404 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES,MODERATE | $8,970 – $9,534 · median $9,100 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $326,868 – $326,868 · median $326,868 | 2 plans |
No procedures match that keyword.