ProMedica Bay Park Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $10,354 – $380,950 · median $152,339 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $16,252 – $248,605 · median $100,429 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $9,651 – $97,890 · median $39,525 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,716 – $75,669 · median $30,670 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $8,077 – $51,723 · median $21,127 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $219,573 – $775,045 · median $363,652 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,138 – $128,052 · median $51,537 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $9,650 – $141,229 · median $56,796 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $8,094 – $97,499 · median $38,379 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,556 – $67,263 · median $23,368 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $8,809 – $102,847 · median $41,501 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $14,922 – $70,211 · median $28,495 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $11,209 – $81,604 · median $33,035 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,368 – $45,281 · median $18,665 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $8,360 – $107,837 · median $43,489 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $9,438 – $61,231 · median $24,916 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,956 – $39,399 · median $16,216 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $6,342 – $80,416 · median $32,562 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,013 – $38,247 · median $15,757 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,290 – $29,846 · median $12,485 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,385 – $69,471 · median $28,188 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $10,626 – $42,905 · median $17,613 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,673 – $34,869 · median $14,496 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $12,945 – $59,087 · median $24,062 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,381 – $29,122 · median $12,195 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,628 – $21,098 · median $8,983 | 18 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $7,581 – $69,301 · median $28,132 | 18 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,923 – $39,462 · median $16,241 | 18 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,233 – $31,009 · median $12,951 | 18 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,671 – $32,509 · median $13,470 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,493 – $17,575 · median $7,519 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,572 – $27,405 · median $11,436 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,572 – $18,300 · median $7,808 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,972 – $41,695 · median $14,117 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,482 – $23,253 · median $8,652 | 18 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $7,434 – $49,484 · median $20,235 | 18 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,369 – $31,538 · median $13,083 | 18 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,179 – $25,195 · median $10,623 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,853 – $36,093 · median $14,899 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,888 – $18,133 · median $7,741 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,008 – $12,356 · median $5,454 | 18 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,182 – $26,360 · median $11,020 | 18 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,133 – $15,514 · median $6,747 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,659 – $14,337 · median $6,276 | 18 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,775 – $29,880 · median $12,423 | 18 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,278 – $18,415 · median $7,854 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,368 – $13,572 · median $5,970 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,980 – $28,794 · median $11,990 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,138 – $18,501 · median $7,888 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,127 – $34,415 · median $14,230 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,710 – $14,811 · median $6,417 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,482 – $32,486 · median $10,206 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,298 – $16,074 · median $6,086 | 18 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,561 – $41,022 · median $16,863 | 18 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,647 – $25,052 · median $10,499 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,566 – $17,155 · median $7,351 | 18 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $4,089 – $40,776 · median $16,765 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,147 – $16,417 · median $7,108 | 18 plans |
| 088 | CONCUSSION WITH MCC | $5,945 – $24,262 · median $10,184 | 18 plans |
| 089 | CONCUSSION WITH CC | $3,701 – $19,718 · median $8,373 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,214 – $14,841 · median $6,403 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $4,672 – $31,520 · median $13,076 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,596 – $14,292 · median $6,211 | 18 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $5,231 – $63,166 · median $25,687 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,125 – $46,291 · median $18,963 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,770 – $46,291 · median $18,963 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $6,240 – $64,825 · median $26,348 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,395 – $41,189 · median $16,915 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,157 – $24,452 · median $10,260 | 18 plans |
| 100 | SEIZURES WITH MCC | $6,360 – $34,762 · median $14,353 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $4,975 – $16,200 · median $6,971 | 18 plans |
| 102 | HEADACHES WITH MCC | $6,751 – $20,118 · median $8,532 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $4,951 – $15,010 · median $6,497 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,278 – $42,198 · median $17,317 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,883 – $24,284 · median $10,192 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,722 – $27,548 · median $11,493 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $5,911 – $32,452 · median $13,432 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,280 – $19,472 · median $8,275 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,090 – $20,879 · median $8,836 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,411 – $14,104 · median $6,136 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,677 – $14,333 · median $6,227 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $5,691 – $23,747 · median $9,963 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,808 – $13,780 · median $6,044 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,652 – $42,104 · median $16,036 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,696 – $18,223 · median $7,831 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,843 – $26,800 · median $11,195 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,737 – $15,906 · median $6,854 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,994 – $22,178 · median $9,338 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $8,166 – $76,554 · median $31,022 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,247 – $39,146 · median $16,115 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,155 – $28,652 · median $12,007 | 18 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $8,044 – $67,244 · median $27,312 | 18 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,228 – $31,102 · median $12,910 | 18 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,898 – $21,579 · median $9,175 | 18 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $5,203 – $38,003 · median $15,660 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,239 – $22,821 · median $9,610 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,662 – $14,306 · median $6,263 | 18 plans |
| 149 | DYSEQUILIBRIUM | $4,353 – $13,490 · median $5,936 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $5,856 – $23,898 · median $10,039 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,413 – $13,174 · median $5,765 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,521 – $21,218 · median $8,955 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,887 – $13,249 · median $5,795 | 18 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,940 – $28,062 · median $11,698 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,433 – $16,449 · median $7,054 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,915 – $12,404 · median $5,458 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,121 – $30,813 · median $12,779 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,888 – $16,329 · median $7,022 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,841 – $12,716 · median $5,583 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $26,836 – $80,439 · median $32,742 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $10,169 – $45,301 · median $18,568 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,853 – $34,356 · median $14,206 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $12,520 – $67,084 · median $27,249 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,367 – $32,367 · median $13,414 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,883 – $24,524 · median $10,354 | 18 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $6,115 – $53,420 · median $21,790 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,292 – $24,653 · median $10,340 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,743 – $14,448 · median $6,273 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,421 – $28,047 · median $11,692 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,062 – $18,752 · median $7,496 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,421 – $15,296 · median $5,915 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,910 – $31,696 · median $13,146 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,999 – $19,222 · median $8,175 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,876 – $13,738 · median $5,907 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,131 – $27,459 · median $11,458 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,792 – $19,098 · median $8,126 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,528 – $14,116 · median $6,187 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,314 – $27,972 · median $11,647 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,209 – $17,752 · median $7,590 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,274 – $12,872 · median $5,645 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,497 – $22,173 · median $9,351 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,440 – $19,881 · median $8,438 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,794 – $15,130 · median $6,545 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,768 – $11,523 · median $5,107 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,660 – $23,591 · median $9,916 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,654 – $14,464 · median $6,279 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,626 – $11,280 · median $5,010 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,212 – $33,871 · median $14,013 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,764 – $22,809 · median $8,187 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,078 – $12,854 · median $5,638 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $4,868 – $31,662 · median $13,133 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,578 – $19,730 · median $8,378 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,557 – $12,835 · median $5,630 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,770 – $17,431 · median $7,462 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,054 – $12,025 · median $5,307 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,658 – $14,491 · median $6,290 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,020 – $32,863 · median $13,596 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,274 – $16,891 · median $7,246 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $31,627 – $115,490 · median $46,539 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,222 – $49,334 · median $20,175 | 18 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $12,026 – $195,168 · median $78,291 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $27,488 – $178,708 · median $71,732 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $11,662 – $175,582 · median $70,486 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $12,905 – $118,013 · median $47,544 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $14,529 – $118,013 · median $47,544 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $14,096 – $137,810 · median $55,434 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $16,076 – $95,713 · median $38,658 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $21,005 – $90,462 · median $36,565 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $12,340 – $88,796 · median $35,901 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,732 – $63,792 · median $23,042 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $13,842 – $108,812 · median $43,877 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $14,318 – $137,216 · median $55,197 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $14,264 – $98,045 · median $39,587 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $15,072 – $105,330 · median $42,490 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $13,890 – $75,181 · median $30,475 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $6,081 – $88,335 · median $35,717 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $6,933 – $51,161 · median $20,903 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,705 – $29,634 · median $10,417 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $11,270 – $57,304 · median $23,351 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,117 – $38,245 · median $15,848 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,508 – $32,441 · median $13,524 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $14,516 – $81,886 · median $33,136 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,466 – $39,172 · median $16,125 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,098 – $26,823 · median $11,275 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $8,223 – $62,608 · median $25,465 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $9,851 – $46,586 · median $19,080 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,185 – $31,978 · median $13,339 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $6,158 – $48,413 · median $19,808 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,492 – $30,474 · median $12,659 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,193 – $19,603 · median $8,327 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,403 – $56,394 · median $22,989 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,234 – $36,293 · median $14,978 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $8,403 – $58,381 · median $23,768 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,837 – $29,253 · median $12,173 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,851 – $54,874 · median $22,370 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $5,825 – $59,957 · median $24,409 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $11,327 – $64,939 · median $26,382 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $32,044 – $109,993 · median $44,348 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $27,392 – $85,447 · median $34,747 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $13,964 – $63,828 · median $25,951 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,568 – $45,821 · median $18,775 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $14,266 – $74,044 · median $30,022 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $16,009 – $127,976 · median $51,515 | 18 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $22,639 – $107,806 · median $43,477 | 18 plans |
| 277 | CELLULITIS AGE >17 W CC | $9,091 – $82,893 · median $33,549 | 18 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $3,662 – $99,902 · median $40,317 | 18 plans |
| 279 | CELLULITIS AGE 0-17 | $3,185 – $64,728 · median $26,297 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $6,426 – $28,790 · median $11,988 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,368 – $16,496 · median $7,140 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,222 – $12,978 · median $5,732 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,426 – $35,551 · median $14,683 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,314 – $14,480 · median $5,510 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,268 – $12,498 · median $4,839 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $6,009 – $39,715 · median $16,342 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,345 – $19,206 · median $8,225 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,466 – $48,571 · median $19,871 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,259 – $30,635 · median $12,724 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,466 – $23,666 · median $7,165 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,116 – $23,042 · median $9,697 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,172 – $15,238 · median $6,588 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,197 – $10,512 · median $4,563 | 18 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,778 – $28,033 · median $11,687 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,572 – $8,643 · median $3,770 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,352 – $29,304 · median $12,193 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,954 – $19,159 · median $8,150 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,153 – $12,917 · median $5,663 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,321 – $21,477 · median $9,058 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,915 – $12,083 · median $5,330 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $6,597 – $21,358 · median $9,011 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,371 – $13,553 · median $5,916 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,719 – $28,282 · median $11,786 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,393 – $16,390 · median $7,098 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,707 – $21,609 · median $9,127 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,305 – $13,204 · median $5,777 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,258 – $10,160 · median $4,564 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,073 – $15,643 · median $6,749 | 18 plans |
| 313 | CHEST PAIN | $4,153 – $12,923 · median $5,709 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,017 – $37,425 · median $15,429 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,978 – $17,289 · median $7,405 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,975 – $12,242 · median $5,432 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $8,564 – $80,100 · median $32,436 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,477 – $43,170 · median $17,719 | 18 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $4,094 – $48,833 · median $19,975 | 18 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $2,987 – $31,642 · median $13,125 | 18 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $5,283 – $77,668 · median $31,467 | 18 plans |
| 324 | URINARY STONES W/O CC | $10,425 – $56,554 · median $23,039 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $16,665 – $57,620 · median $23,477 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $16,784 – $89,514 · median $36,187 | 18 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,929 – $43,869 · median $17,997 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,278 – $28,758 · median $12,050 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $6,391 – $82,498 · median $33,391 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,499 – $43,025 · median $17,661 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,613 – $30,205 · median $12,552 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $7,983 – $64,984 · median $26,412 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $10,964 – $42,038 · median $17,268 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,656 – $29,397 · median $12,305 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $5,886 – $64,091 · median $26,056 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $6,637 – $37,847 · median $15,598 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,346 – $27,550 · median $11,494 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $5,506 – $46,356 · median $18,988 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,066 – $27,006 · median $11,277 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,250 – $21,290 · median $9,060 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,240 – $41,201 · median $16,934 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,177 – $23,490 · median $9,861 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,129 – $15,626 · median $6,792 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,677 – $44,725 · median $18,324 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,761 – $27,362 · median $11,491 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,419 – $20,960 · median $8,927 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,176 – $52,085 · median $21,272 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,905 – $30,196 · median $12,548 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,762 – $24,140 · median $10,201 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,497 – $41,738 · median $17,148 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,890 – $25,090 · median $10,514 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,715 – $28,571 · median $11,901 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,624 – $17,952 · median $7,669 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,064 – $12,578 · median $5,528 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,168 – $31,824 · median $13,197 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,244 – $13,323 · median $5,718 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,240 – $38,385 · median $15,798 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,534 – $21,710 · median $9,167 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,141 – $16,589 · median $7,126 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,020 – $32,809 · median $13,590 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,741 – $17,602 · median $7,530 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,706 – $11,314 · median $5,024 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,770 – $35,218 · median $14,550 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,782 – $19,447 · median $8,265 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,363 – $14,369 · median $6,241 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,352 – $24,781 · median $10,391 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,064 – $15,342 · median $6,629 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,818 – $28,399 · median $11,832 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,018 – $17,523 · median $7,498 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,903 – $12,228 · median $5,388 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,453 – $26,506 · median $11,078 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,747 – $14,175 · median $6,164 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,185 – $9,764 · median $4,406 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,247 – $22,763 · median $9,587 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,543 – $13,992 · median $6,091 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,388 – $28,704 · median $11,954 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,623 – $16,794 · median $7,208 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,705 – $11,648 · median $5,199 | 18 plans |
| 397 | COAGULATION DISORDERS | $7,327 – $42,984 · median $17,645 | 18 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $4,674 – $27,166 · median $11,341 | 18 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $4,549 – $20,545 · median $8,703 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $7,962 – $98,185 · median $39,643 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,864 – $52,053 · median $21,259 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,157 – $39,837 · median $16,391 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $5,358 – $63,995 · median $26,018 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,064 – $39,078 · median $16,088 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,871 – $28,496 · median $11,871 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,411 – $37,736 · median $15,553 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,430 – $63,942 · median $25,996 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,918 – $37,093 · median $15,297 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,978 – $24,469 · median $10,332 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,382 – $42,831 · median $17,584 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,657 – $30,361 · median $12,614 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,672 – $24,513 · median $10,350 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,697 – $61,151 · median $24,871 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,577 – $31,185 · median $12,943 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,555 – $25,118 · median $10,525 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $10,193 – $74,538 · median $30,219 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $11,283 – $39,268 · median $16,164 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,648 – $30,956 · median $11,246 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,918 – $35,325 · median $14,593 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,215 – $18,957 · median $8,070 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,055 – $12,788 · median $5,611 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,360 – $32,965 · median $13,652 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,094 – $20,301 · median $8,605 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,571 – $15,315 · median $6,667 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,884 – $29,259 · median $12,175 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,876 – $15,098 · median $6,532 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,581 – $11,153 · median $4,960 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,612 – $32,211 · median $13,352 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,769 – $17,325 · median $7,419 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,057 – $12,558 · median $5,520 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,364 – $29,989 · median $12,466 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,314 – $19,642 · median $8,343 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,642 – $14,848 · median $6,480 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $10,170 – $150,824 · median $60,620 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $16,907 – $107,026 · median $43,166 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,069 – $74,890 · median $30,359 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,674 – $47,742 · median $19,650 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $6,821 – $102,295 · median $41,280 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,622 – $55,903 · median $22,793 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,108 – $32,732 · median $13,641 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $11,751 – $93,427 · median $37,736 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,942 – $63,295 · median $25,739 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,274 – $49,321 · median $20,283 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $10,180 – $54,440 · median $22,210 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,978 – $34,620 · median $14,397 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,585 – $86,666 · median $35,052 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,868 – $52,877 · median $21,706 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,783 – $43,816 · median $18,079 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,192 – $77,049 · median $31,208 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $5,663 – $40,844 · median $16,792 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,910 – $21,182 · median $8,956 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,712 – $44,138 · median $18,104 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,339 – $33,364 · median $13,811 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $7,156 – $52,270 · median $21,345 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,139 – $37,592 · median $15,496 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,237 – $29,273 · median $12,181 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,837 – $49,750 · median $20,454 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $6,588 – $57,920 · median $23,597 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,592 – $37,531 · median $15,472 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,200 – $28,110 · median $11,790 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,046 – $33,444 · median $13,167 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,212 – $20,044 · median $8,561 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $11,478 – $45,518 · median $18,640 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,978 – $36,013 · median $14,852 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,173 – $65,074 · median $26,448 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,053 – $32,376 · median $13,417 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,820 – $21,754 · median $9,218 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $11,303 – $54,146 · median $22,079 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,759 – $36,162 · median $14,911 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,220 – $56,802 · median $23,151 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,046 – $31,375 · median $13,018 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,135 – $24,156 · median $10,207 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,968 – $33,548 · median $13,884 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,222 – $32,177 · median $13,323 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $5,933 – $24,215 · median $10,165 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $5,565 – $33,842 · median $13,435 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,515 – $27,180 · median $11,347 | 18 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $9,220 – $54,212 · median $22,106 | 18 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,420 – $37,321 · median $15,373 | 18 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,361 – $29,711 · median $12,340 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,896 – $28,256 · median $11,775 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,937 – $18,348 · median $7,882 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $9,508 – $57,198 · median $23,309 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,058 – $37,298 · median $15,379 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,691 – $27,581 · median $11,578 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,867 – $67,077 · median $27,392 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,481 – $35,900 · median $14,821 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,344 – $26,813 · median $11,271 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,180 – $38,008 · median $15,662 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,739 – $14,468 · median $6,281 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,422 – $14,495 · median $6,291 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,610 – $17,128 · median $7,341 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,910 – $12,928 · median $5,667 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,426 – $23,266 · median $9,787 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,662 – $14,513 · median $6,147 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,991 – $31,705 · median $13,150 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,881 – $18,451 · median $7,868 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,400 – $13,544 · median $5,912 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $6,206 – $44,542 · median $18,251 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,064 – $20,701 · median $8,765 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,345 – $15,008 · median $6,496 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,932 – $34,656 · median $14,326 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,490 – $21,667 · median $9,150 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,106 – $15,688 · median $6,751 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,215 – $30,083 · median $12,488 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,187 – $17,253 · median $7,391 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,927 – $23,266 · median $9,784 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,722 – $14,899 · median $6,452 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,024 – $23,724 · median $9,954 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,754 – $14,908 · median $6,440 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $3,413 – $26,687 · median $11,150 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,896 – $16,031 · median $6,904 | 18 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,079 – $33,471 · median $13,839 | 18 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,142 – $20,211 · median $8,570 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,752 – $14,428 · median $6,265 | 18 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,204 – $16,072 · median $6,920 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,972 – $27,705 · median $11,556 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,635 – $17,489 · median $7,485 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,224 – $13,448 · median $5,858 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,529 – $56,830 · median $43,250 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,048 – $30,323 · median $12,599 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,652 – $20,574 · median $8,773 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,582 – $117,585 · median $47,365 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $6,405 – $62,305 · median $25,331 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,252 – $32,482 · median $13,368 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $5,245 – $87,967 · median $35,222 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,628 – $47,575 · median $19,460 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,842 – $28,832 · median $11,990 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $5,136 – $58,125 · median $23,678 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,323 – $31,014 · median $12,875 | 18 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,379 – $25,901 · median $10,837 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,046 – $34,579 · median $14,280 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,013 – $30,950 · median $12,834 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,921 – $38,421 · median $15,812 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,656 – $34,623 · median $14,298 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $4,696 – $34,735 · median $14,357 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $3,792 – $21,292 · median $9,000 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,187 – $15,557 · median $6,715 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $5,144 – $38,062 · median $15,669 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,698 – $19,429 · median $8,258 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,127 – $29,921 · median $12,439 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,548 – $20,305 · median $8,607 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,978 – $13,809 · median $6,018 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,105 – $18,695 · median $7,965 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,837 – $10,859 · median $4,842 | 18 plans |
| 602 | CELLULITIS WITH MCC | $3,876 – $25,509 · median $10,681 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,662 – $15,631 · median $6,744 | 18 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,706 – $26,421 · median $11,029 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,379 – $16,440 · median $7,067 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,088 – $27,159 · median $11,323 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,326 – $16,268 · median $6,982 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,339 – $39,338 · median $16,192 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,343 – $25,115 · median $10,591 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $6,186 – $62,831 · median $25,459 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,930 – $33,568 · median $13,892 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,497 – $25,456 · median $10,659 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,875 – $51,823 · median $21,167 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,298 – $28,722 · median $12,035 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,511 – $27,073 · median $11,375 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,514 – $63,881 · median $25,972 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,110 – $32,197 · median $13,346 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,841 – $22,469 · median $9,469 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,328 – $54,205 · median $22,103 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,787 – $26,911 · median $11,240 | 18 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,376 – $23,840 · median $10,000 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $5,279 – $66,889 · median $27,171 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $6,495 – $39,105 · median $16,099 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,159 – $26,195 · median $11,023 | 18 plans |
| 637 | DIABETES WITH MCC | $5,338 – $25,786 · median $10,791 | 18 plans |
| 638 | DIABETES WITH CC | $4,241 – $16,085 · median $6,925 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,649 – $11,149 · median $4,958 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $3,984 – $23,971 · median $10,052 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,108 – $13,967 · median $6,081 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,196 – $25,524 · median $10,671 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,265 – $18,397 · median $7,846 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,495 – $13,789 · median $6,010 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $26,593 – $93,265 · median $37,682 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $9,634 – $50,242 · median $20,537 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,384 – $37,989 · median $15,654 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $9,792 – $57,143 · median $23,287 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,644 – $32,845 · median $13,604 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,756 – $27,852 · median $11,687 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $6,730 – $45,604 · median $18,689 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,802 – $24,712 · median $9,969 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,977 – $18,583 · median $7,976 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,398 – $27,285 · median $11,388 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,287 – $18,790 · median $8,058 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $6,239 – $56,019 · median $22,826 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $6,917 – $31,396 · median $13,027 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,984 – $19,854 · median $8,427 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $6,090 – $52,408 · median $21,387 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,726 – $27,855 · median $11,616 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,564 – $17,541 · median $7,558 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,446 – $32,217 · median $13,354 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,371 – $19,375 · median $8,293 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $5,945 – $75,410 · median $30,555 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,034 – $41,973 · median $17,242 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,956 – $29,460 · median $12,255 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $4,884 – $26,581 · median $11,108 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $3,573 – $15,719 · median $6,779 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,537 – $11,795 · median $4,809 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,388 – $32,373 · median $13,416 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,011 – $18,806 · median $8,010 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,217 – $14,184 · median $6,215 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,049 – $20,825 · median $8,814 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,094 – $14,529 · median $6,305 | 18 plans |
| 693 | URINARY STONES WITH MCC | $5,426 – $24,131 · median $10,132 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,550 – $14,030 · median $6,106 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,919 – $20,529 · median $8,680 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,305 – $12,366 · median $5,427 | 18 plans |
| 697 | URETHRAL STRICTURE | $5,833 – $19,344 · median $8,208 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,252 – $29,693 · median $12,348 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,726 – $18,217 · median $7,775 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,041 – $12,382 · median $5,450 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,299 – $35,901 · median $14,910 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,631 – $27,536 · median $11,560 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,058 – $41,767 · median $17,160 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,741 – $25,149 · median $10,604 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,038 – $37,400 · median $15,419 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,228 – $19,737 · median $8,438 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,419 – $26,983 · median $11,268 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,471 – $18,978 · median $8,062 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $6,118 – $40,155 · median $16,503 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,264 – $26,402 · median $11,106 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,185 – $33,931 · median $14,037 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,564 – $24,106 · median $10,122 | 18 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,019 – $32,481 · median $13,459 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,810 – $20,509 · median $8,688 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,243 – $12,851 · median $5,247 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,722 – $21,003 · median $8,885 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,334 – $12,958 · median $5,718 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,877 – $26,615 · median $11,106 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,788 – $14,559 · median $6,317 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,114 – $19,002 · median $8,087 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,534 – $12,061 · median $5,364 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,965 – $38,229 · median $15,750 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,067 – $24,149 · median $10,204 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $9,360 – $64,155 · median $26,082 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,818 – $36,984 · median $15,253 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,832 – $26,357 · median $11,088 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $12,397 – $64,304 · median $26,128 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,587 – $32,479 · median $13,458 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,998 – $25,596 · median $10,783 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,636 – $32,931 · median $13,623 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,979 – $22,268 · median $9,389 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,503 – $36,777 · median $15,157 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,967 – $20,416 · median $8,710 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,447 – $31,177 · median $12,925 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,561 – $15,430 · median $6,713 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,931 – $24,899 · median $10,422 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $8,981 – $46,083 · median $18,880 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,508 – $26,488 · median $11,141 | 18 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,667 – $33,055 · median $13,688 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,928 – $19,524 · median $8,296 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,094 – $17,239 · median $7,385 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,257 – $17,571 · median $7,517 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,726 – $11,910 · median $5,262 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,691 – $10,239 · median $4,596 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,109 – $20,805 · median $8,180 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,556 – $30,329 · median $12,601 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,214 – $17,996 · median $7,741 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,282 – $11,751 · median $5,198 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $2,585 – $15,704 · median $6,516 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,865 – $42,780 · median $18,061 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,410 – $18,472 · median $8,097 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,460 – $16,690 · median $7,366 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,469 – $28,743 · median $12,298 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,713 – $19,460 · median $8,503 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,751 – $16,707 · median $7,373 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,128 – $20,335 · median $8,846 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,080 – $17,432 · median $7,670 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,080 – $16,677 · median $7,361 | 18 plans |
| 800 | SPLENECTOMY WITH CC | $11,339 – $50,423 · median $20,609 | 18 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $9,559 – $34,261 · median $14,168 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $6,158 – $71,507 · median $29,011 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $6,403 – $33,364 · median $13,811 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,437 – $24,337 · median $10,214 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,462 – $18,805 · median $8,218 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,573 – $13,138 · median $5,908 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,233 – $11,748 · median $5,337 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $5,452 – $39,627 · median $16,307 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,215 – $22,720 · median $9,569 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,889 – $18,784 · median $8,001 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,824 – $25,204 · median $10,559 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,014 – $16,480 · median $7,083 | 18 plans |
| 813 | COAGULATION DISORDERS | $7,327 – $27,376 · median $11,425 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,674 – $18,199 · median $7,768 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,840 – $11,343 · median $5,036 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $9,705 – $40,950 · median $16,834 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,207 – $20,805 · median $8,806 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,216 – $15,433 · median $6,715 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $7,464 – $105,261 · median $42,463 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,497 – $40,178 · median $16,527 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,659 – $21,609 · median $9,187 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,915 – $82,288 · median $33,308 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $5,074 – $40,663 · median $16,720 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,166 – $24,219 · median $10,167 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $9,161 – $83,957 · median $33,973 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,239 – $41,481 · median $17,046 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,332 – $30,580 · median $12,701 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $7,816 – $56,716 · median $23,117 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,515 – $27,012 · median $11,350 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,304 – $21,582 · median $9,116 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,755 – $12,951 · median $5,676 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,841 – $9,385 · median $4,255 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $5,864 – $98,533 · median $39,771 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $6,560 – $37,436 · median $15,434 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,399 – $26,127 · median $9,260 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $4,917 – $37,465 · median $15,445 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,072 – $28,759 · median $10,843 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $5,776 – $58,060 · median $23,640 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,124 – $18,135 · median $7,742 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $4,269 – $35,803 · median $14,783 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,069 – $21,850 · median $9,207 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,872 – $15,285 · median $6,606 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $5,709 – $46,530 · median $19,044 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,067 – $23,480 · median $9,872 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,503 – $15,245 · median $6,574 | 18 plans |
| 849 | RADIOTHERAPY | $5,416 – $48,630 · median $19,881 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $6,917 – $88,638 · median $35,838 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $6,620 – $47,122 · median $14,806 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,188 – $40,371 · median $11,224 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $6,911 – $81,640 · median $33,049 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $5,908 – $38,436 · median $15,832 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,887 – $25,181 · median $10,478 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,104 – $32,732 · median $13,559 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,887 – $17,910 · median $7,653 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,755 – $15,932 · median $6,864 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,497 – $26,891 · median $11,232 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,244 – $15,608 · median $6,735 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $5,329 – $37,569 · median $15,487 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,175 – $18,506 · median $7,890 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,033 – $16,324 · median $5,734 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $7,674 – $124,053 · median $49,951 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,245 – $34,864 · median $14,409 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,188 – $18,366 · median $7,834 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $6,542 – $75,321 · median $30,519 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $6,248 – $34,361 · median $14,209 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,174 – $20,992 · median $8,881 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,346 – $65,925 · median $26,787 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,409 – $35,255 · median $14,550 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $8,578 – $68,908 · median $27,975 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,260 – $35,810 · median $14,786 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,384 – $23,560 · median $9,969 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,870 – $29,338 · median $12,191 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,335 – $15,893 · median $6,899 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,375 – $30,181 · median $12,528 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,866 – $11,959 · median $5,281 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,589 – $28,150 · median $10,632 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,523 – $15,383 · median $4,997 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,398 – $32,859 · median $13,610 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,824 – $17,989 · median $7,668 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,549 – $12,355 · median $5,422 | 18 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,945 – $31,398 · median $13,013 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,563 – $18,266 · median $7,778 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $5,292 – $128,736 · median $51,810 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $6,221 – $57,807 · median $23,552 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,938 – $39,676 · median $16,312 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $7,831 – $36,973 · median $15,235 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $6,760 – $65,124 · median $26,455 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,449 – $41,943 · median $17,230 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,379 – $36,393 · median $15,018 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,645 – $22,783 · median $8,413 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,482 – $14,367 · median $5,425 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,288 – $21,353 · median $9,009 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,621 – $11,266 · median $5,005 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,185 – $9,979 · median $4,492 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,590 – $120,810 · median $48,659 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,870 – $49,066 · median $20,068 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,313 – $16,920 · median $7,242 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,259 – $23,243 · median $9,778 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,707 – $16,202 · median $6,972 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,030 – $23,291 · median $9,797 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $6,762 – $84,208 · median $34,073 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,334 – $44,125 · median $18,099 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,713 – $35,664 · median $12,774 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,462 – $61,533 · median $25,024 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,753 – $29,499 · median $12,271 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,866 – $21,523 · median $9,092 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,808 – $55,804 · median $22,767 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,747 – $30,682 · median $12,757 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,124 – $22,272 · median $9,406 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,196 – $16,509 · median $7,110 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,637 – $23,381 · median $9,848 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,165 – $18,361 · median $7,848 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $49,338 – $151,300 · median $60,815 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,048 – $33,931 · median $14,052 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $38,821 – $123,445 · median $49,717 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $24,225 – $75,798 · median $30,733 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,886 – $94,699 · median $38,264 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,171 – $59,079 · median $24,072 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,102 – $11,567 · median $5,067 | 17 plans |
| 311 | ANGINA PECTORIS | $4,067 – $12,598 · median $5,519 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,836 – $78,842 · median $31,946 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,993 – $18,325 · median $7,834 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,933 – $59,288 · median $24,155 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,680 – $29,803 · median $12,407 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $35,732 – $108,248 · median $40,028 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,023 – $62,003 · median $25,237 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,676 – $65,898 · median $26,764 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,410 – $50,095 · median $20,465 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,971 – $51,514 · median $21,058 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,878 – $28,137 · median $11,743 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,744 – $23,009 · median $9,700 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,439 – $35,352 · median $14,589 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,523 – $25,572 · median $10,722 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,650 – $29,544 · median $12,304 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,163 – $54,948 · median $22,399 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,240 – $25,700 · median $10,772 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,738 – $18,083 · median $7,705 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,165 – $31,403 · median $13,390 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,537 – $103,565 · median $43,016 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,654 – $70,728 · median $29,535 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,216 – $42,677 · median $18,019 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,654 – $72,655 · median $30,326 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,218 – $25,718 · median $11,056 | 17 plans |
| 795 | NORMAL NEWBORN | $830 – $3,482 · median $1,927 | 17 plans |
| 799 | SPLENECTOMY WITH MCC | $27,684 – $81,285 · median $32,919 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,171 – $38,170 · median $15,712 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $29,153 – $86,228 · median $34,888 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,130 – $29,280 · median $12,199 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,596 – $26,624 · median $11,141 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $131,052 – $418,462 · median $153,236 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,193 – $69,893 · median $28,359 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,008 – $26,984 · median $11,576 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,836 – $19,983 · median $8,702 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,255 – $67,538 · median $27,442 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $43,458 – $136,762 · median $55,023 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,928 – $75,631 · median $30,666 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,393 – $52,841 · median $21,586 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,735 – $27,507 · median $11,492 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $36,822 – $109,865 · median $68,115 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,448 – $47,336 · median $19,393 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,387 – $51,798 · median $21,171 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $32,088 – $197,457 · median $81,565 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $8,461 – $179,660 · median $74,260 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,233 – $87,024 · median $51,128 | 16 plans |
| 007 | LUNG TRANSPLANT | $76,090 – $270,157 · median $245,630 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $31,680 – $97,660 · median $48,801 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $23,600 – $125,037 · median $51,330 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $5,888 – $209,412 · median $86,472 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $5,329 – $103,325 · median $42,927 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $6,068 – $94,658 · median $39,359 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $8,604 – $84,381 · median $34,131 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $10,031 – $66,512 · median $27,008 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $14,140 – $56,274 · median $23,614 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,612 – $69,367 · median $5,200 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,323 – $17,234 · median $4,615 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $1,298 – $16,887 · median $3,483 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,274 – $19,273 · median $2,177 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,490 – $35,291 · median $3,412 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,323 – $28,877 · median $4,613 | 16 plans |
| 885 | PSYCHOSES | $1,298 – $25,070 · median $4,332 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,311 – $37,247 · median $4,379 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,286 – $19,221 · median $4,773 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,106 – $11,072 · median $2,714 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,772 – $25,541 · median $10,401 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,335 – $31,321 · median $6,069 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,292 – $15,844 · median $3,465 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $164,003 – $488,316 · median $200,976 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $4,775 – $23,987 · median $11,363 | 13 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,779 – $13,864 · median $7,518 | 13 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,882 – $11,761 · median $5,196 | 13 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,241 – $17,363 · median $9,132 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,401 – $9,868 · median $6,059 | 13 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $17,086 – $177,876 · median $63,891 | 13 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $30,884 – $89,597 · median $44,253 | 13 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,991 – $95,003 · median $33,445 | 13 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $14,550 – $115,033 · median $47,944 | 13 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,518 – $58,072 · median $26,666 | 13 plans |
| 509 | ARTHROSCOPY | $10,228 – $46,966 · median $13,065 | 13 plans |
| 999 | UNGROUPABLE | $1,794 – $14,147 · median $6,472 | 4 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,844 – $7,396 · median $3,922 | 3 plans |
No procedures match that keyword.