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 | $190,083 – $403,725 · median $247,745 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $125,866 – $263,467 · median $150,752 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $48,975 – $103,742 · median $54,750 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $37,897 – $80,193 · median $42,858 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $25,930 – $54,815 · median $35,319 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $404,322 – $821,380 · median $492,687 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $10,312 – $135,707 · median $74,826 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $70,579 – $149,672 · median $101,150 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $47,540 – $105,155 · median $77,464 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,604 – $78,435 · median $47,180 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $51,446 – $108,996 · median $62,080 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $35,176 – $74,408 · median $50,697 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,856 – $86,483 · median $55,911 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $27,994 – $59,140 · median $40,668 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,645 – $47,988 · median $30,698 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $52,551 – $114,284 · median $57,817 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $30,700 – $64,892 · median $37,426 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,646 – $41,755 · median $23,252 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $39,999 – $85,224 · median $43,595 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,059 – $40,534 · median $25,529 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,775 – $31,630 · median $18,849 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,574 – $73,625 · median $36,057 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,434 – $45,470 · median $25,072 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,336 – $36,954 · median $22,407 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,088 – $62,619 · median $31,323 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,406 – $30,863 · median $19,383 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,314 – $22,359 · median $14,398 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $34,722 – $73,444 · median $42,961 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,678 – $41,821 · median $29,541 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,368 – $32,863 · median $23,318 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,133 – $34,453 · median $18,912 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,518 – $18,625 · median $13,189 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,530 – $29,043 · median $18,779 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,887 – $19,394 · median $13,868 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,912 – $44,188 · median $21,713 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,110 – $24,644 · median $12,414 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,201 – $32,516 · median $16,951 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,913 – $23,603 · median $12,351 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,974 – $17,496 · median $10,770 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,789 – $52,443 · median $33,710 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,638 – $33,424 · median $24,869 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,403 – $26,702 · median $20,845 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,960 – $38,251 · median $20,418 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,802 – $19,217 · median $14,232 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,820 – $14,409 · median $10,162 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,997 – $27,936 · median $16,094 | 16 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,467 – $16,442 · median $11,524 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,867 – $15,194 · median $9,686 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,792 – $31,666 · median $21,342 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,946 – $19,516 · median $14,723 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,477 – $14,384 · median $10,927 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,975 – $30,515 · median $15,051 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,990 – $19,607 · median $11,818 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,105 – $36,473 · median $20,285 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,108 – $15,997 · median $12,253 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,188 – $34,428 · median $16,957 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,752 – $17,035 · median $9,451 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,474 – $43,474 · median $22,483 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,330 – $26,550 · median $17,591 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,303 – $18,180 · median $13,369 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,348 – $43,214 · median $22,574 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,478 – $24,779 · median $16,283 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,927 – $17,399 · median $10,456 | 16 plans |
| 088 | CONCUSSION WITH MCC | $11,928 – $25,713 · median $17,116 | 16 plans |
| 089 | CONCUSSION WITH CC | $9,610 – $20,896 · median $11,202 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,090 – $16,006 · median $9,773 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,629 – $33,405 · median $17,570 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,918 – $19,458 · median $12,577 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,844 – $15,146 · median $10,176 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $31,664 – $66,943 · median $41,574 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,161 – $49,059 · median $33,413 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,161 – $49,059 · median $27,363 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,491 – $68,700 · median $35,641 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,668 – $43,651 · median $23,597 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,025 – $25,914 · median $20,230 | 16 plans |
| 100 | SEIZURES WITH MCC | $15,515 – $36,840 · median $18,133 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $7,817 – $17,168 · median $10,899 | 16 plans |
| 102 | HEADACHES WITH MCC | $9,814 – $21,321 · median $11,496 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $7,210 – $15,907 · median $8,813 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,552 – $44,720 · median $21,973 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,939 – $25,735 · median $13,621 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,603 – $29,195 · median $15,096 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,036 – $34,392 · median $16,940 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,805 – $20,636 · median $10,237 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,202 – $22,127 · median $11,632 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,748 – $14,947 · median $8,722 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,865 – $15,190 · median $9,535 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,553 – $25,167 · median $12,793 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,583 – $14,604 · median $8,964 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,013 – $45,410 · median $20,959 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,848 – $19,312 · median $13,765 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,222 – $28,402 · median $16,732 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,666 – $16,856 · median $11,184 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,513 – $23,504 · median $11,798 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $38,338 – $81,130 · median $52,538 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,517 – $41,487 · median $28,479 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,166 – $30,365 · median $20,801 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $33,697 – $71,264 · median $39,118 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,415 – $32,961 · median $22,606 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,559 – $22,869 · median $15,678 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,934 – $40,275 · median $21,007 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,193 – $24,185 · median $16,078 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,851 – $15,234 · median $11,651 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,435 – $14,296 · median $8,122 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $11,742 – $25,326 · median $13,257 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,273 – $13,961 · median $8,219 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,128 – $22,487 · median $11,330 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,312 – $14,041 · median $8,192 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,865 – $29,739 · median $15,306 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,096 – $17,433 · median $9,737 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,881 – $13,145 · median $9,283 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,781 – $32,655 · median $16,454 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,882 – $17,305 · median $10,059 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,040 – $13,476 · median $9,369 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $40,275 – $85,248 · median $53,391 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,655 – $48,009 · median $34,530 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,075 – $36,410 · median $26,955 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $33,617 – $71,095 · median $43,129 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,061 – $34,302 · median $26,778 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,061 – $25,990 · median $20,289 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $10,359 – $56,614 · median $33,105 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,127 – $26,127 · median $18,090 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,923 – $16,195 · median $11,953 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,858 – $29,724 · median $22,035 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,488 – $21,867 · median $14,492 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,466 – $17,836 · median $11,211 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,718 – $33,591 · median $20,524 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,358 – $20,371 · median $15,403 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,455 – $16,020 · median $11,193 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,558 – $29,100 · median $16,715 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,037 – $20,240 · median $11,036 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,754 – $14,960 · median $8,960 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,547 – $29,644 · median $16,410 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,608 – $18,814 · median $13,745 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,120 – $13,642 · median $10,649 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,862 – $23,499 · median $16,848 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,694 – $21,070 · median $14,418 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,271 – $16,035 · median $11,549 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,432 – $12,211 · median $8,125 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,585 – $25,001 · median $14,439 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,932 – $15,329 · median $11,813 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,308 – $11,955 · median $9,332 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,827 – $35,896 · median $18,560 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,242 – $18,053 · median $13,542 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,111 – $13,623 · median $10,635 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,701 – $33,555 · median $19,400 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,617 – $20,910 · median $14,122 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,101 – $13,602 · median $10,175 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,444 – $18,473 · median $10,349 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,688 – $12,744 · median $8,252 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,945 – $15,358 · median $8,788 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,201 – $34,827 · median $17,152 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,169 – $17,901 · median $10,358 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,013 – $122,394 · median $67,617 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,712 – $52,283 · median $29,648 | 16 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $97,469 – $206,836 · median $140,526 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $89,263 – $189,392 · median $141,951 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $87,705 – $186,079 · median $122,799 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $59,006 – $125,069 · median $91,604 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,476 – $125,069 · median $73,435 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $68,875 – $146,049 · median $95,124 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $47,889 – $101,435 · median $71,682 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,271 – $95,870 · median $66,711 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $44,441 – $94,259 · median $73,462 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $28,355 – $74,388 · median $46,766 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $75,600 – $160,345 · median $96,340 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $54,419 – $115,317 · median $79,524 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $68,579 – $145,419 · median $85,125 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $49,051 – $103,906 · median $64,958 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,683 – $111,627 · median $67,815 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $37,654 – $79,675 · median $49,240 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $44,211 – $93,616 · median $52,073 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $25,644 – $54,219 · median $37,922 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,226 – $34,556 · median $20,557 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,742 – $60,730 · median $41,857 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,058 – $40,532 · median $30,254 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,098 – $34,380 · median $25,508 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,568 – $86,781 · median $43,172 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $19,530 – $41,513 · median $30,223 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $13,234 – $28,427 · median $20,975 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,386 – $66,351 · median $36,380 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,311 – $49,371 · median $29,744 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,862 – $33,890 · median $22,155 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,242 – $51,307 · median $28,358 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,095 – $32,296 · median $21,960 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,552 – $20,775 · median $15,885 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,288 – $59,766 · median $30,828 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,062 – $38,462 · median $21,847 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,841 – $61,872 · median $30,436 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,399 – $35,959 · median $18,178 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,957 – $31,002 · median $15,583 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,589 – $58,155 · median $28,519 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $30,064 – $63,542 · median $33,095 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $27,424 – $68,822 · median $33,717 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $55,008 – $120,251 · median $90,999 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $42,771 – $91,707 · median $70,692 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $61,714 – $130,825 · median $82,896 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $37,961 – $80,329 · median $51,528 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $47,384 – $100,361 · median $62,494 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,994 – $67,644 · median $41,478 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,921 – $48,561 · median $29,707 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $37,087 – $78,471 · median $46,853 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $29,627 – $62,611 · median $32,417 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $63,973 – $135,627 · median $91,980 | 16 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $53,918 – $114,252 · median $73,699 | 16 plans |
| 277 | CELLULITIS AGE >17 W CC | $41,498 – $87,848 · median $60,975 | 16 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $9,091 – $105,875 · median $53,823 | 16 plans |
| 279 | CELLULITIS AGE 0-17 | $13,314 – $68,597 · median $36,833 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,237 – $30,512 · median $21,662 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,968 – $18,357 · median $13,647 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,174 – $14,848 · median $10,737 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,684 – $37,677 · median $20,836 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,891 – $16,885 · median $10,278 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,037 – $14,574 · median $6,953 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $19,807 – $42,090 · median $22,102 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,349 – $20,354 · median $14,333 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,323 – $51,475 · median $36,423 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,177 – $32,467 · median $24,217 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,065 – $27,597 · median $13,805 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,305 – $24,419 · median $16,509 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,326 – $16,149 · median $12,042 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,736 – $12,258 · median $8,404 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,832 – $29,709 · median $15,194 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,358 – $12,475 · median $9,414 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,721 – $10,079 · median $6,758 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,498 – $31,056 · median $16,278 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,326 – $20,305 · median $12,474 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,143 – $13,689 · median $8,232 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,223 – $22,761 · median $11,451 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,717 – $12,805 · median $7,992 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $10,317 – $22,635 · median $11,473 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,467 – $14,363 · median $7,843 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,978 – $29,973 · median $15,862 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,914 – $17,370 · median $10,854 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,243 – $22,901 · median $12,454 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,289 – $13,994 · median $10,095 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,737 – $10,768 · median $6,577 | 16 plans |
| 311 | ANGINA PECTORIS | $5,980 – $13,351 · median $6,955 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,533 – $16,579 · median $9,499 | 16 plans |
| 313 | CHEST PAIN | $6,145 – $13,695 · median $7,300 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,640 – $39,663 · median $20,763 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,372 – $18,323 · median $11,127 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,799 – $12,974 · median $10,128 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $40,106 – $84,889 · median $54,123 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,569 – $45,751 · median $30,868 | 16 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $24,457 – $51,752 · median $36,277 | 16 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $15,691 – $33,534 · median $20,108 | 16 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $38,894 – $82,311 · median $52,274 | 16 plans |
| 324 | URINARY STONES W/O CC | $13,268 – $59,935 · median $33,262 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $28,900 – $61,065 · median $34,901 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $44,799 – $94,865 · median $65,855 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,925 – $46,491 · median $36,293 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,220 – $30,477 · median $22,039 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $41,301 – $87,430 · median $59,110 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,495 – $45,597 · median $34,200 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,958 – $32,010 · median $22,832 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $32,571 – $68,869 · median $47,582 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $20,992 – $44,551 · median $31,874 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,546 – $31,155 · median $22,180 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,125 – $67,922 · median $45,784 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,855 – $40,110 · median $29,665 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,604 – $29,197 · median $20,941 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,194 – $49,127 · median $33,113 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,327 – $28,621 · median $20,763 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,412 – $22,563 · median $15,868 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,565 – $43,665 · median $23,306 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,771 – $24,895 · median $14,149 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,524 – $16,708 · median $11,254 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,594 – $47,398 · median $23,278 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,508 – $28,998 · median $16,431 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,244 – $22,213 · median $11,835 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,123 – $55,199 · median $27,827 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,953 – $32,001 · median $18,599 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,865 – $25,583 · median $13,482 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $39,479 – $83,555 · median $44,598 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,839 – $44,233 · median $31,239 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,349 – $26,589 · median $20,229 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,125 – $30,280 · median $18,198 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,710 – $19,025 · median $13,504 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,970 – $13,367 · median $10,406 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,783 – $33,726 · median $21,465 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,900 – $19,420 · median $15,023 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,213 – $15,536 · median $9,556 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,396 – $40,680 · median $20,793 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,626 – $23,008 · median $16,473 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,015 – $17,581 · median $12,635 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,286 – $34,770 · median $17,994 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,531 – $18,654 · median $12,972 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,325 – $11,991 · median $9,361 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,514 – $37,323 · median $19,298 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,472 – $20,609 · median $14,356 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,883 – $15,228 · median $11,421 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,192 – $26,262 · median $14,550 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,379 – $16,259 · median $11,005 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,037 – $30,097 · median $19,713 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,491 – $18,570 · median $13,297 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,791 – $13,269 · median $10,116 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,072 – $28,090 · median $16,973 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,784 – $15,023 · median $11,268 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,535 – $10,347 · median $8,078 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,832 – $24,124 · median $11,963 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,691 – $14,829 · median $9,399 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,193 – $30,420 · median $17,471 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,119 – $17,798 · median $12,706 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,496 – $12,345 · median $9,284 | 16 plans |
| 397 | COAGULATION DISORDERS | $21,474 – $45,553 · median $29,652 | 16 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $13,408 – $28,790 · median $19,648 | 16 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $10,032 – $21,773 · median $14,664 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $49,121 – $104,054 · median $63,713 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,098 – $55,165 · median $40,224 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,870 – $42,219 · median $28,968 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $32,078 – $67,821 · median $48,078 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,482 – $41,414 · median $31,510 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,086 – $30,200 · median $23,575 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $29,731 – $62,832 · median $43,563 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,798 – $39,992 · median $30,619 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,753 – $31,584 · median $23,299 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $32,051 – $67,764 · median $40,839 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,470 – $39,311 · median $28,122 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,033 – $25,931 · median $18,794 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,396 – $45,392 · median $28,193 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,037 – $32,176 · median $22,077 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,056 – $25,979 · median $16,366 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,755 – $64,806 · median $37,666 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,457 – $33,049 · median $25,772 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,364 – $27,176 · median $20,781 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $37,333 – $78,994 · median $52,257 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,579 – $42,100 · median $32,487 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,287 – $36,098 · median $22,278 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,569 – $37,437 · median $19,841 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,222 – $20,090 · median $14,251 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,077 – $14,160 · median $10,560 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,365 – $34,936 · median $20,521 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,908 – $21,515 · median $15,674 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,365 – $16,375 · median $12,670 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,475 – $31,008 · median $18,743 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,255 – $16,000 · median $12,284 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,243 – $12,463 · median $9,227 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,981 – $34,137 · median $18,442 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,390 – $18,361 · median $12,737 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,960 – $13,309 · median $10,376 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,848 – $31,782 · median $18,140 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,572 – $20,817 · median $14,261 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,127 – $15,736 · median $10,894 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $75,363 – $159,841 · median $89,313 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $53,529 – $113,424 · median $70,820 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $37,509 – $79,367 · median $58,954 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,594 – $116,749 · median $52,753 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,900 – $50,596 · median $37,258 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,170 – $108,410 · median $54,467 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,043 – $59,245 · median $38,039 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,246 – $34,689 · median $26,170 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $43,948 – $99,012 · median $49,213 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $31,729 – $67,079 · median $36,326 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,705 – $52,270 · median $32,396 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,314 – $57,695 · median $35,192 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,209 – $36,690 · median $25,402 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $43,098 – $91,847 · median $46,971 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $26,518 – $56,038 · median $32,757 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,899 – $46,436 · median $25,666 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,290 – $81,655 · median $40,064 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,383 – $43,286 · median $28,123 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,357 – $23,493 · median $17,524 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,084 – $65,710 · median $35,049 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,062 – $46,776 · median $26,181 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,568 – $35,358 · median $22,152 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,209 – $55,395 · median $31,712 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,725 – $39,839 · median $24,397 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,483 – $31,023 · median $20,648 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $24,706 – $52,724 · median $26,983 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,049 – $61,383 · median $38,753 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,694 – $39,775 · median $28,680 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,890 – $29,791 · median $21,641 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,745 – $36,070 · median $21,888 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,777 – $21,243 · median $16,574 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,819 – $69,838 · median $34,212 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,331 – $48,239 · median $23,978 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,828 – $38,166 · median $18,779 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,980 – $68,964 · median $35,077 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,065 – $34,312 · median $23,265 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,614 – $22,983 · median $15,821 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,799 – $57,383 · median $27,905 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,754 – $38,324 · median $18,856 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $28,492 – $60,198 · median $31,803 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,554 – $33,251 · median $20,587 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,874 – $25,600 · median $13,650 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,768 – $53,090 · median $26,051 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,663 – $35,554 · median $18,670 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,378 – $34,101 · median $16,798 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,904 – $25,663 · median $14,356 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,088 – $36,500 · median $18,869 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,416 – $28,805 · median $15,102 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,624 – $57,453 · median $28,177 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,530 – $39,552 · median $19,454 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,918 – $31,487 · median $15,525 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,964 – $29,945 · median $15,674 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,912 – $19,445 · median $10,972 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,689 – $60,618 · median $32,809 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,575 – $39,528 · median $24,163 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,620 – $29,230 · median $18,731 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $33,614 – $71,087 · median $40,424 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,862 – $38,046 · median $21,735 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,228 – $28,415 · median $15,052 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,824 – $54,594 · median $38,460 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,937 – $40,281 · median $27,935 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,903 – $29,819 · median $15,326 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,933 – $15,333 · median $9,978 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,289 – $24,385 · median $14,302 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,947 – $15,361 · median $9,688 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,290 – $18,152 · median $9,936 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,148 – $13,701 · median $7,901 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,104 – $37,466 · median $20,262 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,420 – $24,657 · median $17,488 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,762 – $16,923 · median $11,692 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,723 – $33,601 · median $19,635 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,964 – $19,554 · median $13,886 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,462 – $14,353 · median $10,944 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,898 – $47,204 · median $23,183 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,112 – $21,939 · median $15,320 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,209 – $15,905 · median $11,285 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,227 – $36,728 · median $20,289 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,604 – $22,962 · median $14,169 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,953 – $16,626 · median $10,105 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,365 – $31,881 · median $15,716 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,354 – $18,285 · median $10,346 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,418 – $24,657 · median $12,591 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,153 – $15,789 · median $8,546 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,788 – $25,142 · median $12,433 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,158 – $15,799 · median $8,145 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,164 – $28,282 · median $16,064 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,730 – $16,990 · median $10,330 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,023 – $35,472 · median $17,466 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,862 – $21,420 · median $11,320 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,913 – $15,291 · median $8,913 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,612 – $27,101 · median $13,688 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,752 – $17,033 · median $9,214 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,683 – $29,361 · median $15,431 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,474 – $18,534 · median $11,883 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,558 – $14,252 · median $8,433 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,226 – $79,475 · median $42,354 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,018 – $32,136 · median $20,361 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,047 – $21,804 · median $13,030 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,112 – $124,614 · median $60,300 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,044 – $66,030 · median $32,356 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,002 – $35,032 · median $18,763 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,020 – $93,226 · median $45,157 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,184 – $50,419 · median $24,749 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,333 – $30,555 · median $15,121 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $28,663 – $61,600 · median $31,396 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,371 – $32,868 · median $17,854 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,325 – $27,449 · median $13,557 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,707 – $36,646 · median $18,038 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,338 – $32,800 · median $16,164 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,495 – $40,718 · median $20,023 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,253 – $36,693 · median $18,061 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $17,268 – $36,811 · median $19,327 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $10,413 – $22,565 · median $12,880 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,489 – $16,487 · median $11,667 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,373 – $40,338 · median $19,837 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,315 – $20,590 · median $10,598 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,813 – $31,710 · median $18,523 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,910 – $21,518 · median $14,116 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,597 – $14,635 · median $9,545 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,089 – $19,812 · median $11,180 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,093 – $11,508 · median $8,267 | 16 plans |
| 602 | CELLULITIS WITH MCC | $12,564 – $27,035 · median $15,207 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,526 – $16,565 · median $10,674 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,016 – $28,001 · median $13,826 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,939 – $17,423 · median $9,178 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,448 – $28,783 · median $14,207 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,669 – $17,241 · median $8,582 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,615 – $41,690 · median $28,491 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,362 – $26,616 · median $19,723 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,378 – $67,765 · median $41,508 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,673 – $35,575 · median $26,370 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,536 – $26,977 · median $19,554 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,981 – $54,921 · median $34,035 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,202 – $30,439 · median $22,817 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,361 – $28,691 · median $20,694 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,020 – $67,700 · median $35,975 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,974 – $34,122 · median $24,608 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,013 – $23,812 · median $18,024 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,770 – $57,445 · median $28,173 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,639 – $28,520 · median $14,230 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,139 – $25,266 · median $12,493 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,520 – $70,887 · median $40,390 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,496 – $41,443 · median $30,111 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,913 – $27,761 · median $20,916 | 16 plans |
| 637 | DIABETES WITH MCC | $12,705 – $27,327 · median $14,431 | 16 plans |
| 638 | DIABETES WITH CC | $7,758 – $17,047 · median $10,587 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,241 – $11,816 · median $8,393 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,070 – $25,404 · median $12,561 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,678 – $14,802 · median $9,566 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,795 – $27,050 · median $13,362 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,621 – $31,310 · median $18,380 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,937 – $19,497 · median $13,547 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,587 – $14,614 · median $10,363 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $46,669 – $98,841 · median $60,330 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,175 – $53,245 · median $38,740 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,927 – $40,260 · median $31,145 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $28,662 – $60,559 · median $35,112 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,304 – $34,808 · median $24,190 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,758 – $29,517 · median $20,790 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,810 – $48,330 · median $34,668 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,652 – $28,816 · median $19,626 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,032 – $19,694 · median $15,374 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,289 – $58,233 · median $28,667 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,469 – $28,916 · median $18,813 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,137 – $19,913 · median $13,541 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,553 – $59,368 · median $29,658 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $15,565 – $33,273 · median $19,390 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,680 – $21,041 · median $12,321 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,359 – $55,541 · median $27,245 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,760 – $29,521 · median $15,942 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,500 – $18,589 · median $11,665 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,897 – $34,143 · median $17,448 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,435 – $20,533 · median $11,116 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,322 – $79,919 · median $39,124 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,959 – $44,483 · median $27,749 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,578 – $31,221 · median $21,794 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $13,110 – $28,170 · median $19,136 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $7,571 – $16,701 · median $13,004 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,050 – $13,754 · median $8,914 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,590 – $34,308 · median $17,540 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,145 – $19,930 · median $14,018 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,789 – $15,032 · median $10,678 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,175 – $22,070 · median $13,973 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,964 – $15,398 · median $10,450 | 16 plans |
| 693 | URINARY STONES WITH MCC | $11,861 – $25,574 · median $13,804 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,710 – $14,869 · median $9,384 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,714 – $21,756 · median $11,292 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,934 – $13,105 · median $7,211 | 16 plans |
| 697 | URETHRAL STRICTURE | $8,965 – $20,501 · median $10,187 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,697 – $31,468 · median $17,180 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,845 – $19,306 · median $13,302 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,870 – $13,123 · median $8,032 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,863 – $38,048 · median $20,485 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,597 – $29,182 · median $15,651 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,026 – $44,264 · median $22,264 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,380 – $26,652 · median $17,140 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,627 – $39,636 · median $21,185 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,620 – $20,917 · median $14,180 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,226 – $28,596 · median $14,116 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,328 – $20,113 · median $9,982 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,990 – $42,556 · median $20,918 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,018 – $27,980 · median $14,928 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,858 – $35,959 · median $20,660 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,848 – $25,547 · median $13,633 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,921 – $34,422 · median $17,531 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,014 – $21,735 · median $13,994 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,557 – $13,861 · median $9,207 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,266 – $22,258 · median $11,972 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,164 – $13,733 · median $9,088 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,515 – $28,206 · median $14,082 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,980 – $15,430 · median $9,557 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,245 – $20,138 · median $12,086 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,706 – $12,782 · median $8,934 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,050 – $40,515 · median $26,641 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,870 – $25,593 · median $17,680 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,157 – $67,991 · median $42,378 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,414 – $39,195 · median $27,009 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,996 – $27,932 · median $20,348 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,407 – $68,148 · median $33,389 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,117 – $34,420 · median $19,239 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,608 – $27,126 · median $13,974 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,418 – $34,900 · median $17,365 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,764 – $23,599 · median $11,962 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,765 – $38,976 · median $19,174 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,966 – $21,636 · median $11,471 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,018 – $33,041 · median $16,282 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,424 – $16,352 · median $11,100 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,825 – $26,388 · median $13,040 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,054 – $48,838 · median $30,110 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,062 – $28,071 · median $19,305 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,411 – $35,031 · median $20,584 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,511 – $20,691 · median $14,575 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,938 – $18,270 · median $9,367 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,661 – $27,236 · median $18,595 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,516 – $18,622 · median $13,552 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,629 – $13,438 · median $9,854 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,577 – $19,164 · median $9,639 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,777 – $10,851 · median $7,322 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,205 – $24,261 · median $12,368 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,021 – $32,142 · median $23,312 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,733 – $19,072 · median $9,914 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,548 – $12,453 · median $8,445 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $7,255 – $16,384 · median $8,234 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $21,665 – $46,698 · median $23,787 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,258 – $20,164 · median $13,955 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,322 – $18,218 · median $11,159 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,652 – $31,375 · median $20,521 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,777 – $21,243 · median $14,013 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,331 – $18,237 · median $11,531 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,236 – $22,198 · median $17,019 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,712 – $19,029 · median $11,178 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,315 – $18,205 · median $11,058 | 16 plans |
| 799 | SPLENECTOMY WITH MCC | $40,697 – $86,144 · median $52,151 | 16 plans |
| 800 | SPLENECTOMY WITH CC | $25,267 – $53,438 · median $36,176 | 16 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $17,026 – $36,309 · median $27,365 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $34,679 – $75,782 · median $38,275 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,568 – $35,358 · median $23,927 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,966 – $25,792 · median $18,345 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,433 – $20,527 · median $13,355 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,457 – $14,342 · median $9,337 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,726 – $12,824 · median $8,104 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,998 – $41,996 · median $20,645 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,141 – $24,079 · median $15,879 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,134 – $19,907 · median $13,758 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,408 – $26,711 · median $13,661 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,959 – $17,465 · median $10,268 | 16 plans |
| 813 | COAGULATION DISORDERS | $13,515 – $29,013 · median $17,720 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,416 – $40,452 · median $19,893 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,836 – $19,287 · median $13,221 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,340 – $12,021 · median $9,055 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,437 – $48,230 · median $31,172 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,165 – $24,504 · median $16,286 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,426 – $16,356 · median $11,034 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $52,649 – $111,554 · median $59,354 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,043 – $42,580 · median $31,830 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,575 – $22,901 · median $17,878 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $41,197 – $87,207 · median $46,443 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,291 – $43,094 · median $30,968 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,906 – $25,667 · median $19,198 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $42,029 – $88,976 · median $52,504 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,708 – $43,961 · median $30,698 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,149 – $32,408 · median $19,942 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $28,449 – $60,106 · median $32,856 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,330 – $28,627 · median $20,373 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,561 – $22,873 · median $13,569 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,160 – $13,726 · median $9,350 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,753 – $9,946 · median $5,520 | 16 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $25,084 – $104,423 · median $50,705 | 16 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $18,645 – $39,674 · median $30,037 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,717 – $30,466 · median $14,433 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $43,161 – $91,383 · median $62,211 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,660 – $41,842 · median $30,995 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,770 – $33,536 · median $20,940 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,629 – $61,531 · median $30,233 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,486 – $31,031 · median $21,260 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,803 – $19,219 · median $12,757 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,812 – $37,943 · median $21,568 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,360 – $23,156 · median $13,487 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,350 – $16,198 · median $11,768 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,267 – $49,312 · median $23,970 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,204 – $24,883 · median $12,604 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,186 – $16,156 · median $9,724 | 16 plans |
| 849 | RADIOTHERAPY | $15,717 – $51,537 · median $25,294 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $44,362 – $93,937 · median $65,636 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,842 – $54,948 · median $29,669 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,258 – $47,076 · median $21,690 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $40,874 – $86,521 · median $51,813 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,137 – $40,733 · median $24,625 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,304 – $29,363 · median $20,426 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,246 – $34,689 · median $20,397 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,689 – $18,981 · median $13,315 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,680 – $16,885 · median $10,876 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,268 – $28,499 · median $15,936 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,515 – $16,541 · median $9,560 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,713 – $39,815 · median $27,819 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,993 – $21,338 · median $15,311 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,234 – $19,035 · median $10,835 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $62,017 – $131,469 · median $75,996 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,334 – $36,948 · median $23,076 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,921 – $19,464 · median $15,195 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,416 – $79,824 · median $39,685 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,077 – $36,416 · median $24,523 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,260 – $22,247 · median $17,213 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,335 – $69,866 · median $34,935 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,132 – $28,216 · median $19,935 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,167 – $37,363 · median $18,388 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $34,526 – $73,027 · median $40,955 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,816 – $37,951 · median $27,089 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,570 – $24,969 · median $17,653 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,195 – $31,092 · median $15,332 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,660 – $16,843 · median $9,094 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,749 – $31,986 · median $15,767 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,654 – $12,674 · median $6,401 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,910 – $29,833 · median $15,625 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,268 – $16,303 · median $8,376 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,925 – $34,824 · median $17,631 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,867 – $19,065 · median $10,863 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,244 – $13,094 · median $7,720 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,073 – $33,275 · median $16,396 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,990 – $19,358 · median $9,614 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $152,720 – $451,323 · median $198,426 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $36,733 – $136,432 · median $66,001 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $28,993 – $61,263 · median $31,621 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,048 – $74,072 · median $36,935 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,060 – $42,048 · median $20,670 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $10,920 – $39,183 · median $19,084 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,899 – $69,018 · median $33,812 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,881 – $44,450 · median $22,792 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,795 – $38,569 · median $19,043 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,882 – $24,145 · median $12,163 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,882 – $15,226 · median $8,634 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,760 – $22,629 · median $11,097 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,301 – $11,939 · median $7,850 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,644 – $10,576 · median $7,235 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $60,400 – $128,032 · median $67,349 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $33,844 – $71,576 · median $46,002 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $68,353 – $144,938 · median $76,499 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $37,878 – $80,153 · median $56,348 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $26,500 – $56,000 · median $41,630 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,576 – $52,000 · median $30,337 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,582 – $29,152 · median $20,944 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,163 – $19,730 · median $13,965 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $63,791 – $129,188 · median $70,518 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,693 – $51,533 · median $39,162 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,968 – $54,895 · median $28,550 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,408 – $24,632 · median $15,915 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,817 – $18,680 · median $13,353 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,432 – $24,684 · median $13,709 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,154 – $89,243 · median $59,615 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,056 – $49,531 · median $36,506 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,242 – $41,587 · median $25,451 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $12,275 – $65,212 · median $33,824 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,598 – $31,263 · median $21,005 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,531 – $22,810 · median $16,831 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,483 – $32,115 · median $17,052 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,229 – $105,272 · median $55,816 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,291 – $71,982 · median $38,176 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,028 – $43,545 · median $23,108 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,379 – $73,936 · median $39,212 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,484 – $26,351 · median $13,998 | 15 plans |
| 795 | NORMAL NEWBORN | $1,385 – $3,809 · median $2,054 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,659 – $27,635 · median $14,679 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,051 – $20,538 · median $12,589 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $250,912 – $495,324 · median $305,040 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $101,564 – $227,585 · median $168,263 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $92,426 – $182,415 · median $135,722 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $48,554 – $101,478 · median $68,853 | 14 plans |
| 007 | LUNG TRANSPLANT | $104,263 – $474,621 · median $243,509 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,581 – $103,747 · median $68,271 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $48,285 – $127,039 · median $66,689 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $24,496 – $212,577 · median $120,129 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $53,230 – $105,765 · median $79,356 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $11,906 – $96,241 · median $52,340 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $42,240 – $89,425 · median $53,951 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $33,332 – $70,488 · median $42,546 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $29,070 – $57,329 · median $40,459 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,573 – $73,514 · median $35,647 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,553 – $18,264 · median $8,991 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $6,452 – $17,897 · median $8,814 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,971 – $20,425 · median $9,908 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,210 – $37,401 · median $17,996 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,465 – $30,603 · median $14,944 | 14 plans |
| 885 | PSYCHOSES | $9,660 – $26,569 · median $12,998 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,667 – $39,474 · median $19,224 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,357 – $20,370 · median $10,280 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,432 – $11,734 · median $5,841 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,380 – $27,546 · median $13,170 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,932 – $33,194 · median $16,194 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,627 – $16,792 · median $8,364 | 14 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,095 – $27,595 · median $14,370 | 11 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,925 – $17,907 · median $9,337 | 11 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,817 – $12,684 · median $6,298 | 11 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,386 – $21,972 · median $11,449 | 11 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,505 – $14,231 · median $7,428 | 11 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $79,461 – $156,817 · median $81,498 | 11 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $31,825 – $108,324 · median $56,307 | 11 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $41,383 – $81,638 · median $42,444 | 11 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $59,516 – $117,440 · median $61,042 | 11 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,320 – $64,896 · median $33,747 | 11 plans |
| 509 | ARTHROSCOPY | $15,633 – $48,397 · median $16,300 | 11 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $4,041 – $5,689 · median $4,865 | 2 plans |
| 999 | UNGROUPABLE | $7,731 – $10,883 · median $9,307 | 2 plans |
No procedures match that keyword.