Parma Community General Hospital Therapy Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $13,520 – $443,562 · median $216,523 | 29 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $13,520 – $179,360 · median $87,754 | 29 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $13,520 – $335,952 · median $164,076 | 29 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $13,520 – $219,240 · median $107,191 | 29 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $13,520 – $163,195 · median $79,876 | 29 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $13,520 – $73,394 · median $36,108 | 29 plans |
| 007 | LUNG TRANSPLANT | $13,520 – $204,976 · median $100,239 | 29 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $13,520 – $88,710 · median $43,572 | 29 plans |
| 010 | PANCREAS TRANSPLANT | $13,520 – $113,577 · median $55,693 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $13,520 – $86,327 · median $42,411 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $13,520 – $66,731 · median $32,860 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,520 – $45,613 · median $22,568 | 29 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $13,520 – $190,219 · median $93,047 | 29 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $13,520 – $93,855 · median $46,080 | 29 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $13,520 – $85,982 · median $42,243 | 29 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $13,520 – $683,497 · median $333,465 | 29 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $13,520 – $112,926 · median $55,375 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $13,520 – $124,547 · median $61,039 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $13,520 – $83,790 · median $41,175 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $13,520 – $50,292 · median $24,848 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $13,520 – $90,699 · median $44,542 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $13,520 – $61,918 · median $30,514 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $13,520 – $73,515 · median $35,411 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $13,520 – $49,212 · median $24,322 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,520 – $39,932 · median $19,799 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $13,520 – $95,099 · median $46,687 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $13,520 – $53,999 · median $26,655 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,520 – $34,746 · median $17,271 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $13,520 – $70,917 · median $34,901 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,520 – $33,729 · median $16,776 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,538 – $26,320 · median $13,165 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $13,520 – $61,265 · median $30,197 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,520 – $37,837 · median $18,778 | 29 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,520 – $30,751 · median $15,324 | 29 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $13,520 – $52,107 · median $25,733 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,242 – $25,683 · median $12,854 | 29 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,957 – $18,606 · median $9,405 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $13,520 – $61,115 · median $30,123 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,520 – $34,801 · median $17,298 | 29 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,014 – $27,346 · median $13,665 | 29 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,520 – $28,669 · median $14,310 | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,515 – $15,499 · median $7,890 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,539 – $24,168 · median $12,116 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,812 – $16,138 · median $8,202 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,520 – $36,770 · median $18,258 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,839 – $20,507 · median $10,331 | 29 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,880 – $27,058 · median $13,524 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,437 – $19,641 · median $9,909 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,078 – $14,559 · median $7,432 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $13,520 – $43,639 · median $21,606 | 29 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,231 – $27,813 · median $13,892 | 29 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,634 – $22,219 · median $11,166 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,520 – $31,830 · median $15,850 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,743 – $15,991 · median $8,130 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,349 – $13,520 · median $5,616 | 29 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,111 – $23,247 · median $11,667 | 29 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,671 – $13,682 · median $7,005 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,189 – $13,520 · median $6,499 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,552 – $26,350 · median $13,179 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,859 – $16,240 · median $8,251 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,876 – $13,520 · median $6,170 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,107 – $25,393 · median $12,713 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,894 – $16,316 · median $8,288 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,520 – $30,350 · median $15,129 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,383 – $13,520 · median $6,702 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,520 – $28,649 · median $14,300 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,900 – $14,176 · median $7,246 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,520 – $36,176 · median $17,968 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,575 – $22,093 · median $11,104 | 29 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,343 – $15,128 · median $7,710 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,520 – $35,960 · median $17,863 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,891 – $20,619 · median $10,386 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,041 – $14,478 · median $7,393 | 29 plans |
| 088 | CONCUSSION WITH MCC | $10,252 – $21,396 · median $10,765 | 29 plans |
| 089 | CONCUSSION WITH CC | $8,392 – $17,389 · median $8,812 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,369 – $13,520 · median $6,687 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,223 – $27,797 · median $13,885 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,837 – $16,192 · median $8,228 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,171 – $13,520 · median $6,479 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $13,520 – $55,705 · median $27,486 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,520 – $40,824 · median $20,233 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,520 – $40,824 · median $20,233 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $13,520 – $57,168 · median $28,199 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,520 – $36,324 · median $18,040 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,330 – $21,564 · median $10,847 | 29 plans |
| 100 | SEIZURES WITH MCC | $13,520 – $30,656 · median $15,278 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $6,952 – $14,286 · median $7,300 | 29 plans |
| 102 | HEADACHES WITH MCC | $8,556 – $17,742 · median $8,984 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $6,465 – $13,520 · median $6,788 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,520 – $37,213 · median $18,474 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,261 – $21,415 · median $10,774 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,597 – $24,294 · median $12,177 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,520 – $28,619 · median $14,285 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,291 – $17,172 · median $8,706 | 29 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,867 – $18,413 · median $9,311 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,094 – $13,520 · median $6,398 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,188 – $13,520 · median $6,497 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,041 – $20,942 · median $10,543 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,962 – $13,520 · median $6,260 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,520 – $34,347 · median $17,077 | 29 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,780 – $16,070 · median $8,169 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,291 – $23,634 · median $11,856 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,831 – $14,027 · median $7,173 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,399 – $19,559 · median $9,869 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,520 – $67,511 · median $33,241 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,520 – $34,522 · median $17,162 | 29 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,049 – $25,268 · median $12,652 | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,520 – $59,301 · median $29,239 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,052 – $27,428 · median $13,705 | 29 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,154 – $19,030 · median $9,612 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,520 – $33,514 · median $16,671 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,662 – $20,125 · median $10,145 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,177 – $13,520 · median $6,486 | 29 plans |
| 149 | DYSEQUILIBRIUM | $5,843 – $13,520 · median $6,135 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $10,103 – $21,075 · median $10,608 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,713 – $13,520 · median $5,999 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,006 – $18,712 · median $9,456 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,744 – $13,520 · median $6,031 | 29 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,808 – $24,747 · median $12,398 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,054 – $14,506 · median $7,407 | 29 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,398 – $13,520 · median $5,668 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,934 – $27,174 · median $13,581 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,005 – $14,400 · median $7,355 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,526 – $13,520 · median $5,802 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $13,520 – $70,938 · median $34,911 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,520 – $39,950 · median $19,808 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,520 – $30,298 · median $15,103 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,520 – $59,160 · median $29,171 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,520 – $28,544 · median $14,249 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,359 – $21,627 · median $10,877 | 29 plans |
| 173 | DRG | $13,520 – $47,110 · median $23,298 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,412 – $21,741 · median $10,933 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,235 – $13,520 · median $6,547 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,802 – $24,734 · median $12,392 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,491 – $15,448 · median $7,866 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,867 – $13,520 · median $6,161 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,295 – $27,952 · median $13,960 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,189 – $16,952 · median $8,599 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,859 – $13,520 · median $6,152 | 29 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,561 – $24,215 · median $12,139 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,138 – $16,843 · median $8,545 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,099 – $13,520 · median $6,404 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,771 – $24,668 · median $12,359 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,587 – $15,655 · median $7,967 | 29 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,590 – $13,520 · median $5,869 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,397 – $19,554 · median $9,867 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,459 – $17,533 · median $8,882 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,514 – $13,520 · median $6,840 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,037 – $13,520 · median $5,289 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,977 – $20,804 · median $10,476 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,241 – $13,520 · median $6,554 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,938 – $13,520 · median $5,185 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,520 – $29,871 · median $14,895 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,294 – $15,022 · median $7,658 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,582 – $13,520 · median $5,862 | 29 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,281 – $27,922 · median $13,945 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,397 – $17,400 · median $8,817 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,574 – $13,520 · median $5,853 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,456 – $15,372 · median $7,829 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,243 – $13,520 · median $5,505 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,252 – $13,520 · median $6,565 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,520 – $28,981 · median $14,462 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,235 – $14,896 · median $7,597 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $13,520 – $101,848 · median $49,976 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,520 – $43,506 · median $21,541 | 29 plans |
| 209 | DRG | $13,520 – $179,154 · median $87,654 | 29 plans |
| 212 | DRG | $13,520 – $172,115 · median $84,223 | 29 plans |
| 213 | DRG | $13,520 – $90,329 · median $44,362 | 29 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $13,520 – $157,599 · median $77,148 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $13,520 – $154,842 · median $75,805 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $13,520 – $104,074 · median $51,061 | 29 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $13,520 – $104,074 · median $51,061 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $13,520 – $121,532 · median $59,570 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $13,520 – $84,408 · median $41,476 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $13,520 – $79,776 · median $39,218 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $13,520 – $78,307 · median $38,503 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $13,520 – $49,850 · median $24,633 | 29 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $13,520 – $133,428 · median $65,368 | 29 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $13,520 – $95,959 · median $47,106 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $13,520 – $121,008 · median $59,314 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $13,520 – $86,464 · median $42,478 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $13,520 – $92,888 · median $45,609 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $13,520 – $66,300 · median $32,650 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $13,520 – $77,901 · median $38,304 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,520 – $45,118 · median $22,326 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,492 – $21,912 · median $11,016 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $13,520 – $81,264 · median $24,967 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,520 – $57,406 · median $16,775 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,520 – $60,251 · median $14,280 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $13,520 – $72,214 · median $35,533 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,520 – $34,545 · median $17,173 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,301 – $23,655 · median $11,866 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $13,520 – $55,213 · median $27,247 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $13,520 – $41,083 · median $20,360 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,411 – $28,201 · median $14,081 | 29 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,520 – $42,694 · median $21,145 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,795 – $26,874 · median $13,435 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,345 – $17,287 · median $8,762 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,520 – $49,733 · median $24,576 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,520 – $32,006 · median $15,936 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,520 – $51,485 · median $25,430 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,520 – $29,923 · median $14,921 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,295 – $25,798 · median $12,910 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,520 – $48,393 · median $23,922 | 29 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,520 – $52,875 · median $26,107 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $13,520 – $57,269 · median $28,249 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $13,520 – $97,000 · median $47,613 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $13,520 – $75,354 · median $37,063 | 29 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $13,520 – $108,863 · median $53,395 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $13,520 – $66,845 · median $32,916 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $13,520 – $83,513 · median $41,040 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $13,520 – $56,289 · median $27,771 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $13,520 – $40,409 · median $20,031 | 29 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $13,520 – $65,298 · median $32,162 | 29 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,520 – $52,101 · median $25,730 | 29 plans |
| 275 | DRG | $13,520 – $129,286 · median $55,343 | 29 plans |
| 276 | DRG | $13,520 – $95,072 · median $46,674 | 29 plans |
| 277 | DRG | $13,520 – $94,841 · median $35,965 | 29 plans |
| 278 | DRG | $13,520 – $88,102 · median $43,276 | 29 plans |
| 279 | DRG | $13,520 – $57,082 · median $28,158 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,106 – $25,390 · median $12,711 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,073 – $14,548 · median $7,427 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,633 – $13,520 · median $5,915 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,520 – $31,352 · median $15,617 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,406 – $13,520 · median $5,676 | 29 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,721 – $13,520 · median $4,957 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,520 – $35,024 · median $17,407 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,183 – $16,938 · median $8,592 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,520 – $42,834 · median $21,213 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,861 – $27,017 · median $13,504 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,151 – $14,715 · median $7,509 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,753 – $20,320 · median $10,240 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,558 – $13,520 · median $6,886 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,479 – $13,520 · median $4,703 | 29 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,796 – $24,722 · median $12,386 | 29 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,979 – $13,520 · median $5,227 | 29 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,664 – $13,520 · median $3,847 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,316 – $25,842 · median $12,932 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,163 – $16,896 · median $8,572 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,608 – $13,520 · median $5,889 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,112 – $18,940 · median $9,568 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,267 – $13,520 · median $5,530 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $9,063 – $18,835 · median $9,517 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,868 – $13,520 · median $6,162 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,898 – $24,942 · median $12,493 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,030 – $14,454 · median $7,381 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,166 – $19,057 · median $9,625 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,726 – $13,520 · median $6,012 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,480 – $13,520 · median $4,704 | 29 plans |
| 311 | ANGINA PECTORIS | $5,477 – $13,520 · median $5,751 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,724 – $13,796 · median $7,060 | 29 plans |
| 313 | CHEST PAIN | $5,610 – $13,520 · median $5,891 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,520 – $33,005 · median $16,423 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,398 – $15,247 · median $7,768 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,332 – $13,520 · median $5,599 | 29 plans |
| 317 | DRG | $13,520 – $105,834 · median $51,919 | 29 plans |
| 318 | DRG | $13,520 – $38,339 · median $19,022 | 29 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $13,520 – $70,639 · median $34,765 | 29 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,520 – $38,071 · median $18,892 | 29 plans |
| 321 | DRG | $13,520 – $43,065 · median $21,326 | 29 plans |
| 322 | DRG | $13,273 – $27,905 · median $13,937 | 29 plans |
| 323 | DRG | $13,520 – $68,494 · median $33,720 | 29 plans |
| 324 | DRG | $13,520 – $49,874 · median $24,644 | 29 plans |
| 325 | DRG | $13,520 – $50,814 · median $25,103 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $13,520 – $78,941 · median $38,811 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,520 – $38,687 · median $19,192 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,093 – $25,361 · median $12,697 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,520 – $72,753 · median $35,796 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,520 – $37,943 · median $18,829 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,685 – $26,637 · median $13,319 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $13,520 – $57,308 · median $28,268 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $13,520 – $37,072 · median $18,405 | 29 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,354 – $25,925 · median $12,972 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $13,520 – $56,520 · median $27,884 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,520 – $33,377 · median $16,604 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,598 – $24,296 · median $12,178 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,520 – $40,881 · median $20,261 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,376 – $23,816 · median $11,944 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,036 – $18,775 · median $9,487 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,520 – $36,335 · median $18,046 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,936 – $20,716 · median $10,433 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,717 – $13,780 · median $7,053 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,520 – $39,442 · median $19,560 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,521 – $24,130 · median $12,097 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,900 – $18,484 · median $9,345 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,520 – $45,933 · median $22,724 | 29 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,681 – $26,629 · median $13,315 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,202 – $21,289 · median $10,712 | 29 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,520 – $69,529 · median $34,224 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,520 – $36,808 · median $18,276 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,591 – $22,126 · median $11,120 | 29 plans |
| 359 | DRG | $13,520 – $54,426 · median $26,863 | 29 plans |
| 360 | DRG | $13,520 – $38,214 · median $18,961 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,016 – $25,197 · median $12,617 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,669 – $15,831 · median $8,052 | 29 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,469 – $13,520 · median $5,743 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,347 – $28,065 · median $14,015 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,822 – $16,160 · median $8,213 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,665 – $13,520 · median $5,948 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,520 – $33,851 · median $16,835 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,207 – $19,146 · median $9,668 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,111 – $14,630 · median $7,467 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,520 – $28,934 · median $14,438 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,526 – $15,523 · median $7,902 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,952 – $13,520 · median $5,200 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,520 – $31,058 · median $15,474 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,281 – $17,150 · median $8,695 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,203 – $13,520 · median $6,513 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,465 – $21,854 · median $10,988 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,601 – $13,530 · median $6,931 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,946 – $25,045 · median $12,543 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,493 – $15,453 · median $7,868 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,326 – $13,520 · median $5,592 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,171 – $23,375 · median $11,729 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,123 – $13,520 · median $6,429 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,317 – $13,520 · median $4,533 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,639 – $20,075 · median $10,121 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,048 – $13,520 · median $6,351 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,071 – $25,314 · median $12,674 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,195 – $14,810 · median $7,555 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,089 – $13,520 · median $5,343 | 29 plans |
| 397 | DRG | $13,520 – $37,906 · median $18,812 | 29 plans |
| 398 | DRG | $11,441 – $23,957 · median $12,013 | 29 plans |
| 399 | DRG | $8,731 – $18,118 · median $9,167 | 29 plans |
| 402 | DRG | $13,520 – $63,636 · median $31,352 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $13,520 – $86,587 · median $42,538 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,520 – $45,904 · median $22,710 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,520 – $35,132 · median $17,459 | 29 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $13,520 – $56,436 · median $27,843 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,520 – $34,462 · median $17,133 | 29 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,985 – $25,130 · median $12,585 | 29 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,520 – $52,285 · median $25,819 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,520 – $33,278 · median $16,556 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,520 – $26,282 · median $13,146 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,520 – $56,389 · median $27,820 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,520 – $32,712 · median $16,280 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,337 – $21,578 · median $10,854 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,520 – $37,772 · median $18,746 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,749 – $26,775 · median $13,386 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,355 – $21,618 · median $10,873 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,520 – $53,928 · median $26,620 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,086 – $27,501 · median $13,740 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,603 – $22,151 · median $11,133 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,520 – $65,734 · median $32,374 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,520 – $34,630 · median $17,215 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,343 – $23,747 · median $11,910 | 29 plans |
| 426 | DRG | $13,520 – $174,444 · median $85,358 | 29 plans |
| 427 | DRG | $13,520 – $114,256 · median $56,023 | 29 plans |
| 428 | DRG | $13,520 – $88,985 · median $43,707 | 29 plans |
| 429 | DRG | $13,520 – $142,604 · median $69,840 | 29 plans |
| 430 | DRG | $13,520 – $91,282 · median $44,826 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,520 – $31,153 · median $15,520 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,080 – $16,718 · median $8,484 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,555 – $13,520 · median $5,833 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,520 – $29,071 · median $14,506 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,631 – $17,903 · median $9,062 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,590 – $13,520 · median $6,919 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,298 – $25,803 · median $12,912 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,501 – $13,520 · median $6,826 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,886 – $13,520 · median $5,130 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,506 – $28,407 · median $14,182 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,413 – $15,279 · median $7,783 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,461 – $13,520 · median $5,734 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,597 – $26,447 · median $13,226 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,361 – $17,322 · median $8,779 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,399 – $13,520 · median $6,719 | 29 plans |
| 447 | DRG | $13,520 – $105,756 · median $51,881 | 29 plans |
| 448 | DRG | $13,520 – $67,123 · median $33,052 | 29 plans |
| 450 | DRG | $13,520 – $84,357 · median $41,451 | 29 plans |
| 451 | DRG | $13,520 – $51,131 · median $25,257 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $13,520 – $133,009 · median $65,163 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $13,520 – $94,384 · median $46,338 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $13,520 – $66,044 · median $32,525 | 29 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $13,520 – $87,418 · median $42,943 | 29 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $13,520 – $47,563 · median $20,857 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,520 – $90,212 · median $44,305 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,520 – $49,299 · median $24,364 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,520 – $28,866 · median $14,405 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $13,520 – $82,391 · median $40,493 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $13,520 – $55,819 · median $27,542 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,520 – $43,495 · median $21,536 | 29 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $13,520 – $48,009 · median $23,736 | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,520 – $30,531 · median $15,217 | 29 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $13,520 – $76,429 · median $37,587 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $13,520 – $46,631 · median $23,064 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,520 – $38,641 · median $19,170 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,520 – $67,948 · median $33,454 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,520 – $36,020 · median $17,892 | 29 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,991 – $18,680 · median $9,441 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,520 – $54,679 · median $26,987 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,520 – $38,924 · median $19,308 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,520 – $29,423 · median $14,677 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $13,520 – $46,096 · median $22,803 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,520 – $33,152 · median $16,494 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,303 – $25,815 · median $12,919 | 29 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,520 – $43,874 · median $21,720 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $13,520 – $51,079 · median $25,232 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,520 – $33,098 · median $16,468 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,827 – $24,790 · median $12,419 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,317 – $27,998 · median $13,982 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,526 – $17,677 · median $8,952 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $13,520 – $58,114 · median $28,661 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,520 – $40,141 · median $19,901 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,520 – $31,759 · median $15,815 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $13,520 – $57,388 · median $28,307 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,520 – $28,552 · median $14,252 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,198 – $19,125 · median $9,658 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,520 – $47,750 · median $23,609 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,520 – $31,890 · median $15,879 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,520 – $50,092 · median $24,751 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,164 – $27,669 · median $13,822 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,209 – $21,303 · median $10,719 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,520 – $44,178 · median $21,868 | 29 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,520 – $29,586 · median $14,756 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,492 – $28,376 · median $14,167 | 29 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,233 – $21,355 · median $10,745 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,520 – $28,592 · median $14,272 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,447 – $23,970 · median $12,019 | 29 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $13,520 – $47,808 · median $23,638 | 29 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,520 – $32,913 · median $16,378 | 29 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,483 – $26,202 · median $13,107 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,887 – $24,918 · median $12,481 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,831 – $16,181 · median $8,223 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,520 – $50,442 · median $24,921 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,520 – $32,892 · median $16,368 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,611 – $24,323 · median $12,191 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $13,520 – $59,154 · median $29,167 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,520 – $31,659 · median $15,767 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,296 – $23,645 · median $11,861 | 29 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $13,520 – $45,430 · median $22,478 | 29 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,520 – $33,519 · median $16,673 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,838 – $24,814 · median $12,430 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,243 – $13,520 · median $6,555 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,739 – $20,292 · median $10,226 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,254 – $13,520 · median $6,567 | 29 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,332 – $15,105 · median $7,698 | 29 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,613 – $13,520 · median $5,893 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,520 – $31,176 · median $15,532 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,844 – $20,518 · median $10,337 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,106 – $13,520 · median $6,411 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,299 – $27,960 · median $13,964 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,873 – $16,271 · median $8,267 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,865 – $13,520 · median $6,158 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,520 – $39,280 · median $19,481 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,795 – $18,256 · median $9,234 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,464 – $13,520 · median $6,787 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,520 – $30,562 · median $15,232 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,190 – $19,108 · median $9,649 | 29 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,743 – $13,835 · median $7,080 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,635 – $26,529 · median $13,267 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,383 – $15,215 · median $7,752 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,844 – $20,518 · median $10,337 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,419 – $13,520 · median $6,740 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,032 – $20,921 · median $10,533 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,423 – $13,520 · median $6,744 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,245 – $23,535 · median $11,807 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,883 – $14,138 · median $7,227 | 29 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,520 – $29,518 · median $14,723 | 29 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,594 – $17,824 · median $9,024 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,227 – $13,520 · median $6,538 | 29 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,789 – $22,552 · median $11,328 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,900 – $14,174 · median $7,245 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,661 – $24,432 · median $12,244 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,479 – $15,423 · median $7,853 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,826 – $13,520 · median $6,117 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,520 – $46,552 · median $23,025 | 29 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,733 – $26,741 · median $13,370 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,742 – $18,144 · median $9,180 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,520 – $103,696 · median $50,876 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,520 – $54,945 · median $27,116 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,520 – $28,443 · median $14,199 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,520 – $77,576 · median $38,146 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,520 – $41,955 · median $20,785 | 29 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,123 – $25,426 · median $12,729 | 29 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,520 – $51,259 · median $25,319 | 29 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,016 – $27,351 · median $13,667 | 29 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,923 – $22,841 · median $11,469 | 29 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,520 – $30,494 · median $15,199 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,990 – $27,294 · median $13,639 | 29 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,520 – $33,883 · median $16,851 | 29 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,520 – $30,534 · median $15,218 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $13,520 – $30,632 · median $15,266 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $9,036 – $18,777 · median $9,488 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,689 – $13,720 · median $7,023 | 29 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,520 – $33,566 · median $16,696 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,274 – $17,134 · median $8,687 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,569 – $26,387 · median $13,197 | 29 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,632 – $17,906 · median $9,064 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,973 – $13,520 · median $6,272 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,973 – $16,486 · median $8,372 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,765 – $13,520 · median $5,004 | 29 plans |
| 602 | CELLULITIS WITH MCC | $10,763 – $22,496 · median $11,301 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,719 – $13,785 · median $7,055 | 29 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,136 – $23,300 · median $11,693 | 29 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,050 – $14,498 · median $7,403 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,438 – $23,951 · median $12,010 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,980 – $14,347 · median $7,329 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,520 – $34,692 · median $17,245 | 29 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,601 – $22,148 · median $11,131 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,520 – $55,199 · median $27,240 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,520 – $29,603 · median $14,765 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,741 – $22,449 · median $11,278 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,385 – $45,702 · median $22,180 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,078 – $27,383 · median $12,682 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,403 – $27,383 · median $11,973 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,520 – $56,335 · median $27,793 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,500 – $28,394 · median $14,175 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,518 – $19,815 · median $9,994 | 29 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,520 – $47,802 · median $23,635 | 29 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,337 – $23,733 · median $11,903 | 29 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,080 – $21,024 · median $10,584 | 29 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,520 – $58,988 · median $29,086 | 29 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,520 – $34,486 · median $17,145 | 29 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,043 – $23,101 · median $11,596 | 29 plans |
| 637 | DIABETES WITH MCC | $10,876 – $22,740 · median $11,420 | 29 plans |
| 638 | DIABETES WITH CC | $6,905 – $14,185 · median $7,250 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,884 – $13,520 · median $5,129 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,133 – $21,140 · median $10,640 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,038 – $13,520 · median $6,340 | 29 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,769 – $22,509 · median $11,307 | 29 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,414 – $26,054 · median $13,035 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,851 – $16,224 · median $8,244 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,965 – $13,520 · median $6,263 | 29 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $13,520 – $74,414 · median $36,605 | 29 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $13,520 – $58,655 · median $28,924 | 29 plans |
| 652 | KIDNEY TRANSPLANT | $13,520 – $51,117 · median $25,250 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $13,520 – $82,249 · median $40,423 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,520 – $44,307 · median $21,931 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,520 – $33,502 · median $16,665 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,520 – $50,393 · median $24,898 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,520 – $28,965 · median $14,454 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,722 – $24,562 · median $12,308 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,520 – $40,217 · median $19,938 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,031 – $20,920 · median $10,533 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,928 – $16,388 · median $8,324 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,520 – $48,457 · median $23,954 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,489 – $24,062 · median $12,064 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,012 – $16,570 · median $8,413 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $13,520 – $49,402 · median $24,415 | 29 plans |
| 666 | PROSTATECTOMY WITH CC | $13,173 – $27,688 · median $13,831 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,448 – $17,509 · median $8,870 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,520 – $46,218 · median $22,862 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,723 – $24,565 · median $12,309 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,501 – $15,469 · median $7,876 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,508 – $28,411 · median $14,184 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,252 – $17,086 · median $8,664 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $13,520 – $66,503 · median $32,749 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,520 – $37,015 · median $18,377 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,380 – $25,980 · median $12,999 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $11,201 – $23,441 · median $11,761 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $6,755 – $13,862 · median $7,093 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,731 – $13,520 · median $4,967 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,520 – $28,549 · median $14,251 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,019 – $16,585 · median $8,420 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,127 – $13,520 · median $6,433 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,845 – $18,365 · median $9,288 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,268 – $13,520 · median $6,581 | 29 plans |
| 693 | URINARY STONES WITH MCC | $10,199 – $21,281 · median $10,708 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,064 – $13,520 · median $6,367 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,724 – $18,104 · median $9,160 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,383 – $13,520 · median $5,652 | 29 plans |
| 697 | URETHRAL STRICTURE | $8,239 – $17,059 · median $8,651 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,475 – $26,186 · median $13,099 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,778 – $16,065 · median $8,167 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,389 – $13,520 · median $5,659 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,520 – $31,661 · median $15,768 | 29 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,592 – $24,283 · median $12,172 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,520 – $36,833 · median $18,289 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,615 – $22,178 · median $11,146 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,520 – $32,982 · median $16,412 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,400 – $17,406 · median $8,820 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,366 – $23,796 · median $11,934 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,089 – $16,737 · median $8,494 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,520 – $35,412 · median $17,596 | 29 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,128 – $23,283 · median $11,684 | 29 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,520 – $29,923 · median $14,921 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,188 – $21,259 · median $10,698 | 29 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,520 – $28,644 · median $14,297 | 29 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,716 – $18,087 · median $9,152 | 29 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,138 – $13,520 · median $5,395 | 29 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,918 – $18,522 · median $9,364 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,625 – $13,520 · median $5,906 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,215 – $23,471 · median $11,776 | 29 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,280 – $13,520 · median $6,594 | 29 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,099 – $16,757 · median $8,504 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,258 – $13,520 · median $5,521 | 29 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,520 – $33,714 · median $16,768 | 29 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,206 – $21,297 · median $10,716 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $13,520 – $56,577 · median $27,912 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,520 – $32,615 · median $16,233 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,110 – $23,243 · median $11,665 | 29 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $13,520 – $56,709 · median $27,976 | 29 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,520 – $28,642 · median $14,296 | 29 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,798 – $22,572 · median $11,338 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,520 – $29,041 · median $14,491 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,436 – $19,638 · median $9,908 | 29 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,520 – $32,433 · median $16,144 | 29 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,678 – $18,004 · median $9,112 | 29 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,083 – $27,495 · median $13,737 | 29 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,637 – $13,607 · median $6,969 | 29 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,513 – $21,958 · median $11,039 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,520 – $40,640 · median $20,144 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,163 – $23,359 · median $11,721 | 29 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,520 – $29,150 · median $14,544 | 29 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,313 – $17,218 · median $8,728 | 29 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,377 – $15,203 · median $7,746 | 29 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,841 – $22,664 · median $11,383 | 29 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,513 – $15,496 · median $7,889 | 29 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,196 – $13,520 · median $5,456 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,723 – $15,947 · median $8,109 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,512 – $13,520 · median $4,738 | 29 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,735 – $26,746 · median $13,372 | 29 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,687 – $15,871 · median $8,072 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,131 – $13,520 · median $5,387 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $6,502 – $13,520 · median $6,827 | 29 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,520 – $28,525 · median $14,239 | 29 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $13,520 – $94,074 · median $46,187 | 29 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $13,520 – $64,246 · median $31,649 | 29 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,520 – $38,766 · median $19,231 | 29 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $13,520 – $65,996 · median $32,502 | 29 plans |
| 799 | SPLENECTOMY WITH MCC | $13,520 – $71,683 · median $35,274 | 29 plans |
| 800 | SPLENECTOMY WITH CC | $13,520 – $44,467 · median $22,009 | 29 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,520 – $30,214 · median $15,062 | 29 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,520 – $63,060 · median $31,071 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,520 – $29,423 · median $14,677 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,283 – $21,463 · median $10,797 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,520 – $34,947 · median $17,369 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,621 – $20,037 · median $10,102 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,010 – $16,566 · median $8,410 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,638 – $22,227 · median $11,170 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,067 – $14,533 · median $7,420 | 29 plans |
| 813 | COAGULATION DISORDERS | $11,527 – $24,142 · median $12,103 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,520 – $33,661 · median $16,743 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,770 – $16,050 · median $8,159 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,964 – $13,520 · median $5,212 | 29 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,520 – $36,113 · median $17,938 | 29 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,837 – $18,348 · median $9,279 | 29 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,638 – $13,611 · median $6,970 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $13,520 – $92,828 · median $45,580 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,520 – $35,433 · median $17,606 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,166 – $19,057 · median $9,625 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $13,520 – $72,568 · median $35,705 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,520 – $35,860 · median $17,814 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,235 – $21,358 · median $10,746 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $13,520 – $74,040 · median $36,423 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,520 – $36,582 · median $18,166 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,838 – $26,968 · median $13,480 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,520 – $50,016 · median $24,714 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,378 – $23,821 · median $11,947 | 29 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,155 – $19,033 · median $9,613 | 29 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,622 – $13,520 · median $5,903 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,162 – $13,520 · median $4,370 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $13,520 – $86,894 · median $42,688 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,520 – $33,014 · median $16,427 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,280 – $19,302 · median $9,744 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $13,520 – $76,042 · median $37,399 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,520 – $33,039 · median $16,439 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,929 – $22,854 · median $11,475 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $13,520 – $51,202 · median $25,292 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,306 – $25,822 · median $12,922 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,744 – $15,993 · median $8,131 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,520 – $31,574 · median $15,725 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,265 – $19,269 · median $9,728 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,577 – $13,520 · median $6,906 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,520 – $41,034 · median $20,336 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,932 – $20,706 · median $10,428 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,561 – $13,520 · median $6,889 | 29 plans |
| 849 | RADIOTHERAPY | $13,520 – $42,886 · median $21,239 | 29 plans |
| 850 | DRG | $13,520 – $137,063 · median $67,139 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $13,520 – $78,168 · median $38,435 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,520 – $31,626 · median $15,751 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,320 – $23,698 · median $11,886 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $13,520 – $71,997 · median $35,427 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,520 – $33,896 · median $16,857 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,554 – $22,047 · median $11,082 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,520 – $28,866 · median $14,405 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,652 – $15,795 · median $8,035 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,842 – $14,051 · median $7,185 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,329 – $23,715 · median $11,895 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,709 – $13,764 · median $7,045 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,520 – $33,131 · median $16,484 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,896 – $16,320 · median $8,291 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,682 – $13,520 · median $5,966 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $13,520 – $109,400 · median $53,657 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,520 – $30,746 · median $15,322 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,839 – $16,197 · median $8,231 | 29 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $13,520 – $66,424 · median $32,711 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,520 – $30,303 · median $15,106 | 29 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,914 – $18,512 · median $9,359 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,520 – $58,138 · median $28,672 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,219 – $23,479 · median $11,780 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,520 – $31,091 · median $15,490 | 29 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,520 – $60,768 · median $29,954 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,520 – $31,580 · median $15,728 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,965 – $20,777 · median $10,463 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,330 – $25,872 · median $12,946 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,826 – $14,016 · median $7,168 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,675 – $26,616 · median $13,309 | 29 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,216 – $13,520 · median $5,477 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,844 – $24,825 · median $12,436 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,618 – $13,566 · median $6,949 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,520 – $28,978 · median $14,460 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,684 – $15,864 · median $8,069 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,378 – $13,520 · median $5,647 | 29 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,173 – $27,690 · median $13,832 | 29 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,798 – $16,108 · median $8,187 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $13,520 – $337,936 · median $165,042 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $13,520 – $113,530 · median $55,669 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,520 – $50,979 · median $25,183 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $13,520 – $61,637 · median $30,378 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,520 – $34,989 · median $17,390 | 29 plans |
| 935 | NON-EXTENSIVE BURNS | $13,520 – $32,606 · median $16,228 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,520 – $57,432 · median $28,328 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,520 – $36,988 · median $18,364 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,520 – $32,094 · median $15,979 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,647 – $20,092 · median $10,129 | 29 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,202 – $13,520 · median $6,512 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,061 – $18,831 · median $9,514 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,932 – $13,520 · median $5,179 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,405 – $13,520 · median $4,626 | 29 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $13,520 – $106,540 · median $52,263 | 29 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $13,520 – $59,561 · median $29,366 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,520 – $120,608 · median $59,119 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,520 – $66,698 · median $32,844 | 29 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,520 – $46,599 · median $23,048 | 29 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,520 – $43,271 · median $21,426 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,581 – $24,258 · median $12,160 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,230 – $14,886 · median $7,592 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $13,520 – $96,888 · median $47,558 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,520 – $41,745 · median $20,682 | 29 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $13,520 – $45,680 · median $22,600 | 29 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,835 – $20,497 · median $10,327 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,953 – $14,288 · median $7,300 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,855 – $20,540 · median $10,347 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,520 – $74,262 · median $36,531 | 29 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,520 – $38,913 · median $19,302 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,913 – $27,129 · median $13,559 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,520 – $54,265 · median $26,784 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,396 – $26,015 · median $13,016 | 29 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,131 – $18,981 · median $9,588 | 29 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,070 – $16,961 · median $8,329 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,783 – $38,859 · median $18,358 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,783 – $16,779 · median $8,433 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,783 – $15,160 · median $7,652 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,783 – $26,108 · median $12,661 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,783 – $17,677 · median $8,867 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,783 – $15,176 · median $7,659 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,164 – $23,361 · median $11,722 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,070 – $18,471 · median $9,028 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,070 – $15,834 · median $7,977 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,070 – $15,149 · median $7,646 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,070 – $17,082 · median $8,373 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,070 – $13,520 · median $6,095 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,070 – $13,520 · median $5,485 | 28 plans |
| 795 | NORMAL NEWBORN | $1,788 – $13,520 · median $1,858 | 27 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,853 – $13,520 · median $5,096 | 27 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,721 – $22,406 · median $11,257 | 27 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,142 – $27,621 · median $13,536 | 27 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,806 – $13,973 · median $7,147 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,520 – $61,174 · median $29,147 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,375 – $15,198 · median $7,670 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $7,233 – $14,893 · median $7,523 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,210 – $16,996 · median $8,538 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,520 – $31,123 · median $14,988 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,141 – $25,466 · median $12,627 | 26 plans |
| 885 | PSYCHOSES | $10,583 – $22,109 · median $11,006 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,520 – $32,848 · median $15,801 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,188 – $16,950 · median $8,516 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,698 – $24,511 · median $12,166 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,746 – $18,152 · median $9,096 | 26 plans |
No procedures match that keyword.