University Hospitals Portage Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $218,278 – $476,883 · median $229,192 | 29 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,466 – $192,833 · median $92,889 | 29 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,405 – $361,189 · median $173,676 | 29 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $108,061 – $235,709 · median $113,464 | 29 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,524 – $175,454 · median $84,550 | 29 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,402 – $78,908 · median $38,222 | 29 plans |
| 007 | LUNG TRANSPLANT | $101,052 – $220,374 · median $106,105 | 29 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,927 – $95,373 · median $46,123 | 29 plans |
| 010 | PANCREAS TRANSPLANT | $56,145 – $122,109 · median $58,952 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,756 – $92,812 · median $44,894 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,128 – $71,744 · median $34,784 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,752 – $49,040 · median $23,889 | 29 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $93,802 – $204,509 · median $98,492 | 29 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,455 – $100,906 · median $48,778 | 29 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,587 – $92,441 · median $44,716 | 29 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $336,166 – $734,842 · median $352,975 | 29 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,825 – $121,409 · median $58,616 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,535 – $133,903 · median $64,612 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,510 – $90,085 · median $43,585 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,051 – $54,070 · median $26,303 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,904 – $97,513 · median $47,149 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,763 – $66,569 · median $32,301 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,699 – $77,371 · median $37,484 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,520 – $52,909 · median $25,746 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,961 – $42,932 · median $20,959 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,066 – $102,243 · median $49,419 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,872 – $58,055 · median $28,216 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,412 – $37,356 · median $18,283 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,185 – $76,245 · median $36,944 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,913 – $36,263 · median $17,759 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,273 – $28,298 · median $13,936 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,442 – $65,868 · median $31,964 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,931 – $40,679 · median $19,878 | 29 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,449 – $33,061 · median $16,222 | 29 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,943 – $56,022 · median $27,240 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,959 – $27,612 · median $13,607 | 29 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,482 – $20,003 · median $9,956 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,368 – $65,706 · median $31,887 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,439 – $37,415 · median $18,311 | 29 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,777 – $29,400 · median $14,465 | 29 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,427 – $30,823 · median $15,148 | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,956 – $16,663 · median $8,353 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,215 – $25,983 · median $12,826 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,270 – $17,351 · median $8,683 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,407 – $39,532 · median $19,327 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,416 – $22,047 · median $10,937 | 29 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,635 – $29,091 · median $14,317 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,991 – $21,116 · median $10,490 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,494 – $15,652 · median $7,868 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,782 – $46,918 · median $22,871 | 29 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,006 – $29,902 · median $14,706 | 29 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,258 – $23,888 · median $11,820 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,980 – $34,221 · median $16,779 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,197 – $17,192 · median $8,607 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,663 – $11,646 · median $5,946 | 29 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,762 – $24,993 · median $12,350 | 29 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,063 – $14,709 · median $7,416 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,553 – $13,593 · median $6,880 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,287 – $28,330 · median $13,952 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,320 – $17,459 · median $8,735 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,221 – $12,868 · median $6,532 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,817 – $27,300 · median $13,458 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,357 – $17,541 · median $8,775 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,253 – $32,630 · median $16,015 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,758 – $14,042 · median $7,096 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,417 – $30,801 · median $15,137 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,305 – $15,240 · median $7,671 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,115 – $38,894 · median $19,021 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,195 – $23,752 · median $11,755 | 29 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,774 – $16,265 · median $8,162 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,009 – $38,661 · median $18,909 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,471 – $22,168 · median $10,995 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,454 – $15,565 · median $7,827 | 29 plans |
| 088 | CONCUSSION WITH MCC | $10,853 – $23,004 · median $11,396 | 29 plans |
| 089 | CONCUSSION WITH CC | $8,884 – $18,695 · median $9,328 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,742 – $14,008 · median $7,079 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,998 – $29,885 · median $14,698 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,296 – $17,408 · median $8,711 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,533 – $13,551 · median $6,860 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,710 – $59,890 · median $29,096 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,398 – $43,890 · median $21,418 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,398 – $43,890 · median $21,418 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,429 – $61,462 · median $29,850 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,188 – $39,052 · median $19,097 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,936 – $23,184 · median $11,482 | 29 plans |
| 100 | SEIZURES WITH MCC | $15,403 – $32,959 · median $16,173 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $7,360 – $15,360 · median $7,728 | 29 plans |
| 102 | HEADACHES WITH MCC | $9,058 – $19,074 · median $9,510 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $6,844 – $14,231 · median $7,186 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,625 – $40,009 · median $19,556 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,863 – $23,024 · median $11,406 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,277 – $26,119 · median $12,891 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,402 – $30,768 · median $15,122 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,778 – $18,462 · median $9,216 | 29 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,387 – $19,796 · median $9,857 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,452 – $13,372 · median $6,774 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,551 – $13,590 · median $6,879 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,630 – $22,515 · median $11,162 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,312 – $13,066 · median $6,627 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,216 – $36,927 · median $18,077 | 29 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,236 – $17,277 · median $8,648 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,953 – $25,410 · median $12,550 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,232 – $15,080 · median $7,594 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,950 – $21,028 · median $10,448 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,511 – $72,583 · median $35,187 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,303 – $37,116 · median $18,168 | 29 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,755 – $27,166 · median $13,393 | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,477 – $63,756 · median $30,951 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,817 – $29,489 · median $14,508 | 29 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,691 – $20,460 · median $10,175 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,807 – $36,032 · median $17,648 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,229 – $21,637 · median $10,740 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,539 – $13,564 · median $6,866 | 29 plans |
| 149 | DYSEQUILIBRIUM | $6,186 – $12,790 · median $6,495 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $10,695 – $22,658 · median $11,230 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,049 – $12,490 · median $6,351 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,534 – $20,118 · median $10,011 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,081 – $12,562 · median $6,385 | 29 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,500 – $26,606 · median $13,125 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,468 – $15,596 · median $7,841 | 29 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,715 – $11,760 · median $6,001 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,692 – $29,215 · median $14,376 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,416 – $15,482 · median $7,787 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,850 – $12,057 · median $6,143 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,195 – $76,267 · median $36,954 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,969 – $42,951 · median $20,968 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,227 – $32,574 · median $15,988 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,408 – $63,604 · median $30,878 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,365 – $30,688 · median $15,083 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,967 – $23,252 · median $11,515 | 29 plans |
| 173 | DRG | $23,487 – $50,649 · median $24,662 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,023 – $23,375 · median $11,574 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,601 – $13,699 · median $6,931 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,493 – $26,592 · median $13,118 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,931 – $16,609 · median $8,327 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,212 – $12,848 · median $6,523 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,074 – $30,052 · median $14,778 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,669 – $18,225 · median $9,103 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,203 – $12,827 · median $6,513 | 29 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,238 – $26,034 · median $12,850 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,616 – $18,108 · median $9,047 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,457 – $13,384 · median $6,780 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,461 – $26,521 · median $13,084 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,033 – $16,832 · median $8,434 | 29 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,918 – $12,205 · median $6,214 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,948 – $21,023 · median $10,445 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,955 – $18,850 · median $9,403 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,896 – $14,345 · median $7,241 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,376 – $10,925 · median $5,645 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,562 – $22,367 · median $11,090 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,608 – $13,714 · median $6,938 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,286 – $10,695 · median $5,550 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,017 – $32,114 · median $15,768 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,721 – $16,151 · median $8,108 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,910 – $12,188 · median $6,206 | 29 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,060 – $30,020 · median $14,763 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,890 – $18,707 · median $9,334 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,902 – $12,169 · median $6,197 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,893 – $16,527 · median $8,288 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,564 – $11,401 · median $5,842 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,619 – $13,740 · median $6,950 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,580 – $31,158 · median $15,309 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,659 – $16,015 · median $8,042 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,382 – $109,499 · median $52,901 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,717 – $46,775 · median $22,802 | 29 plans |
| 209 | DRG | $88,365 – $192,612 · median $92,783 | 29 plans |
| 212 | DRG | $84,907 – $185,045 · median $89,152 | 29 plans |
| 213 | DRG | $44,722 – $97,114 · median $46,958 | 29 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,774 – $169,438 · median $81,663 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,420 – $166,474 · median $80,241 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,476 – $111,892 · median $54,049 | 29 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,476 – $111,892 · median $54,049 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,053 – $130,662 · median $63,056 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,813 – $90,748 · median $43,903 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,537 – $85,769 · median $41,514 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,816 – $84,190 · median $40,756 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,834 – $53,595 · median $26,075 | 29 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,898 – $143,452 · median $69,193 | 29 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,488 – $103,167 · median $49,863 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,796 – $130,098 · median $62,786 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,823 – $92,959 · median $44,964 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,980 – $99,866 · median $48,279 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,916 – $71,281 · median $34,562 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,616 – $83,753 · median $40,547 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,508 – $48,507 · median $23,634 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,107 – $23,558 · median $11,662 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,170 – $81,264 · median $26,429 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,912 – $57,406 · median $17,758 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,397 – $60,251 · median $15,117 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,822 – $77,638 · median $37,613 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,313 – $37,140 · median $18,179 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,963 – $25,432 · median $12,561 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,468 – $59,360 · median $28,842 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,526 – $44,169 · median $21,552 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,196 – $30,319 · median $14,906 | 29 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,318 – $45,902 · median $22,384 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,545 – $28,893 · median $14,222 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,834 – $18,586 · median $9,276 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,776 – $53,469 · median $26,015 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,066 – $34,410 · median $16,869 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,637 – $55,353 · median $26,919 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,043 – $32,171 · median $15,795 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,016 – $27,736 · median $13,667 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,117 – $52,028 · median $25,323 | 29 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,320 – $56,847 · median $27,636 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $28,479 – $61,571 · median $29,903 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,000 – $104,287 · median $50,400 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,364 – $81,015 · median $39,233 | 29 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,829 – $117,041 · median $56,520 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,184 – $71,866 · median $34,843 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,373 – $89,787 · median $43,442 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,997 – $60,518 · median $29,397 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,195 – $43,444 · median $21,204 | 29 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,424 – $70,204 · median $34,045 | 29 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,940 – $56,015 · median $27,236 | 29 plans |
| 275 | DRG | $55,792 – $129,286 · median $58,582 | 29 plans |
| 276 | DRG | $47,053 – $102,214 · median $49,405 | 29 plans |
| 277 | DRG | $36,258 – $94,841 · median $38,071 | 29 plans |
| 278 | DRG | $43,628 – $94,720 · median $45,809 | 29 plans |
| 279 | DRG | $28,387 – $61,370 · median $29,806 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,815 – $27,297 · median $13,456 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,488 – $15,640 · median $7,863 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,964 – $12,305 · median $6,262 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,745 – $33,707 · median $16,532 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,724 – $11,779 · median $6,010 | 29 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,087 – $10,191 · median $5,342 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,549 – $37,655 · median $18,427 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,662 – $18,210 · median $9,096 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,386 – $46,051 · median $22,455 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,615 – $29,046 · median $14,295 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,571 – $15,821 · median $7,949 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,324 – $21,846 · median $10,841 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,943 – $14,447 · median $7,290 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,867 – $9,632 · median $5,110 | 29 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,487 – $26,579 · median $13,111 | 29 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,323 – $10,789 · median $5,589 | 29 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,123 – $7,744 · median $4,329 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,038 – $27,784 · median $13,690 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,642 – $18,166 · median $9,074 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,937 – $12,247 · median $6,234 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,646 – $20,363 · median $10,129 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,585 – $11,456 · median $5,865 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $9,595 – $20,250 · median $10,075 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,213 – $12,850 · median $6,523 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,595 – $26,815 · median $13,225 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,442 – $15,540 · median $7,814 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,704 – $20,488 · median $10,189 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,062 – $12,519 · median $6,365 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,867 – $9,633 · median $5,111 | 29 plans |
| 311 | ANGINA PECTORIS | $5,799 – $11,944 · median $6,089 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,119 – $14,832 · median $7,475 | 29 plans |
| 313 | CHEST PAIN | $5,940 – $12,252 · median $6,237 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,557 – $35,484 · median $17,385 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,832 – $16,392 · median $8,223 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,645 – $11,607 · median $5,927 | 29 plans |
| 317 | DRG | $52,340 – $113,784 · median $54,957 | 29 plans |
| 318 | DRG | $19,178 – $41,219 · median $20,136 | 29 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,048 – $75,945 · median $36,800 | 29 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,046 – $40,931 · median $19,998 | 29 plans |
| 321 | DRG | $21,500 – $46,300 · median $22,575 | 29 plans |
| 322 | DRG | $14,051 – $30,001 · median $14,754 | 29 plans |
| 323 | DRG | $33,994 – $73,639 · median $35,694 | 29 plans |
| 324 | DRG | $22,429 – $53,621 · median $25,669 | 29 plans |
| 325 | DRG | $25,307 – $54,631 · median $26,573 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,127 – $84,871 · median $41,083 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,349 – $41,593 · median $20,316 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,801 – $27,266 · median $13,441 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,087 – $78,219 · median $37,891 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,983 – $40,793 · median $19,932 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,428 – $28,638 · median $14,100 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,498 – $61,613 · median $29,923 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $18,555 – $39,857 · median $19,483 | 29 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,078 – $27,872 · median $13,732 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,111 – $60,766 · median $29,516 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,739 – $35,884 · median $17,576 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,278 – $26,121 · median $12,892 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,426 – $43,952 · median $21,448 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,042 – $25,605 · median $12,644 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,565 – $20,186 · median $10,044 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,193 – $39,064 · median $19,103 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,519 – $22,272 · median $11,045 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,111 – $14,815 · median $7,467 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,720 – $42,405 · median $20,706 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,196 – $25,942 · median $12,806 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,422 – $19,872 · median $9,893 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,909 – $49,383 · median $24,054 | 29 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,424 – $28,629 · median $14,095 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,800 – $22,888 · median $11,340 | 29 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,503 – $74,752 · median $36,228 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,426 – $39,573 · median $19,347 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,212 – $23,788 · median $11,772 | 29 plans |
| 359 | DRG | $27,082 – $58,515 · median $28,436 | 29 plans |
| 360 | DRG | $19,116 – $41,084 · median $20,072 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,720 – $27,089 · median $13,356 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,119 – $17,020 · median $8,525 | 29 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,790 – $11,926 · median $6,080 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,130 – $30,173 · median $14,836 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,281 – $17,374 · median $8,695 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,997 – $12,378 · median $6,297 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,973 – $36,394 · median $17,821 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,747 – $20,584 · median $10,235 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,529 – $15,729 · median $7,905 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,557 – $31,107 · median $15,284 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,967 – $16,689 · median $8,366 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,298 – $10,728 · median $5,563 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,600 – $33,391 · median $16,380 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,767 – $18,438 · median $9,205 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,567 – $13,624 · median $6,895 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,078 – $23,495 · median $11,632 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,988 – $14,546 · median $7,338 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,646 – $26,926 · median $13,278 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,933 – $16,614 · median $8,330 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,640 – $11,594 · median $5,922 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,825 – $25,131 · median $12,417 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,483 – $13,440 · median $6,807 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,719 – $9,257 · median $4,955 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,204 – $21,583 · median $10,714 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,403 – $13,266 · median $6,723 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,778 – $27,215 · median $13,417 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,617 – $15,923 · median $7,998 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,423 – $11,044 · median $5,694 | 29 plans |
| 397 | DRG | $18,965 – $40,754 · median $19,913 | 29 plans |
| 398 | DRG | $12,112 – $25,757 · median $12,717 | 29 plans |
| 399 | DRG | $9,243 – $19,479 · median $9,705 | 29 plans |
| 402 | DRG | $31,607 – $68,417 · median $33,188 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,884 – $93,092 · median $45,028 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,895 – $49,353 · median $24,040 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,602 – $37,771 · median $18,482 | 29 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,070 – $60,676 · median $29,473 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,273 – $37,051 · median $18,137 | 29 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,688 – $27,018 · median $13,322 | 29 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,030 – $56,212 · median $27,331 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,691 – $35,778 · median $17,526 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,254 – $28,257 · median $13,917 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,046 – $60,625 · median $29,449 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,413 – $35,169 · median $17,234 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,943 – $23,199 · median $11,490 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,899 – $40,609 · median $19,844 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,496 – $28,786 · median $14,171 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,962 – $23,242 · median $11,510 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,837 – $57,979 · median $28,179 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,853 – $29,567 · median $14,545 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,224 – $23,815 · median $11,785 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,638 – $70,672 · median $34,270 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,355 – $37,231 · median $18,223 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,008 – $25,531 · median $12,608 | 29 plans |
| 426 | DRG | $86,051 – $187,548 · median $90,353 | 29 plans |
| 427 | DRG | $56,478 – $122,839 · median $59,302 | 29 plans |
| 428 | DRG | $44,062 – $95,670 · median $46,265 | 29 plans |
| 429 | DRG | $70,407 – $153,316 · median $73,927 | 29 plans |
| 430 | DRG | $45,190 – $98,139 · median $47,450 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,647 – $33,493 · median $16,429 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,554 – $17,973 · median $8,982 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,881 – $12,125 · median $6,176 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,624 – $31,255 · median $15,355 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,137 – $19,248 · median $9,594 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,976 – $14,521 · median $7,325 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,018 – $27,741 · median $13,669 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,882 – $14,315 · median $7,226 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,238 – $10,574 · median $5,500 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,298 – $30,540 · median $15,012 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,847 – $16,427 · median $8,240 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,782 – $11,907 · median $6,071 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,335 – $28,434 · median $14,002 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,851 – $18,623 · median $9,294 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,774 – $14,078 · median $7,113 | 29 plans |
| 447 | DRG | $52,302 – $113,701 · median $54,917 | 29 plans |
| 448 | DRG | $33,320 – $72,166 · median $34,986 | 29 plans |
| 450 | DRG | $41,788 – $90,694 · median $43,877 | 29 plans |
| 451 | DRG | $25,463 – $54,972 · median $26,736 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,692 – $143,001 · median $68,977 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,715 – $101,474 · median $49,050 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,790 – $71,005 · median $34,430 | 29 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,690 – $93,985 · median $45,457 | 29 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,027 – $47,563 · median $22,078 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,665 – $96,988 · median $46,898 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,563 – $53,003 · median $25,791 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,523 – $31,034 · median $15,249 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,822 – $88,580 · median $42,863 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,766 – $60,012 · median $29,155 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,711 – $46,763 · median $22,797 | 29 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,929 – $51,616 · median $25,126 | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,341 – $32,824 · median $16,108 | 29 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,892 – $82,170 · median $39,787 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,252 – $50,134 · median $24,414 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,326 – $41,544 · median $20,292 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,726 – $73,052 · median $35,412 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,038 – $38,726 · median $18,940 | 29 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,519 – $20,083 · median $9,995 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,206 – $58,787 · median $28,567 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,465 – $41,848 · median $20,439 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,797 – $31,633 · median $15,537 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,989 – $49,559 · median $24,138 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,629 – $35,642 · median $17,460 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,024 – $27,755 · median $13,676 | 29 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,897 – $47,169 · median $22,992 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,437 – $54,916 · median $26,709 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,603 – $35,584 · median $17,433 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,521 – $26,652 · median $13,147 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,097 – $30,101 · median $14,802 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,026 – $19,005 · median $9,477 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,894 – $62,480 · median $30,339 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,063 – $43,157 · median $21,066 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,945 – $34,145 · median $16,742 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,537 – $61,699 · median $29,964 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,369 – $30,697 · median $15,088 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,737 – $20,562 · median $10,224 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,802 – $51,337 · median $24,992 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,009 – $34,286 · median $16,810 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,953 – $53,855 · median $26,200 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,935 – $29,747 · median $14,632 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,807 – $22,903 · median $11,348 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,046 – $47,496 · median $23,149 | 29 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,877 – $31,808 · median $15,621 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,283 – $30,508 · median $14,997 | 29 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,833 – $22,959 · median $11,375 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,389 – $30,740 · median $15,108 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,118 – $25,771 · median $12,724 | 29 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,830 – $51,400 · median $25,022 | 29 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,512 – $35,385 · median $17,337 | 29 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,214 – $28,170 · median $13,875 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,584 – $26,790 · median $13,213 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,291 – $17,396 · median $8,705 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,124 – $54,231 · median $26,381 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,502 – $35,363 · median $17,327 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,291 – $26,150 · median $12,906 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,405 – $63,598 · median $30,875 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,896 – $34,037 · median $16,690 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,958 – $25,422 · median $12,556 | 29 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,662 – $48,842 · median $23,795 | 29 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,809 – $36,037 · median $17,650 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,532 – $26,678 · median $13,159 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,609 – $13,717 · median $6,940 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,310 – $21,816 · median $10,826 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,621 – $13,743 · median $6,952 | 29 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,762 – $16,239 · median $8,150 | 29 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,942 – $12,257 · median $6,239 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,659 – $33,518 · median $16,441 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,422 – $22,059 · median $10,943 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,464 – $13,399 · median $6,787 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,078 – $30,061 · median $14,782 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,335 – $17,493 · median $8,752 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,209 – $12,841 · median $6,519 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,640 – $42,231 · median $20,622 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,310 – $19,627 · median $9,776 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,843 – $14,230 · median $7,186 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,357 – $32,858 · median $16,125 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,729 – $20,543 · median $10,215 | 29 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,138 – $14,875 · median $7,495 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,375 – $28,522 · median $14,044 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,816 – $16,358 · median $8,207 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,422 – $22,059 · median $10,943 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,796 – $14,126 · median $7,136 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,620 – $22,493 · median $11,151 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,800 – $14,134 · median $7,140 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,904 – $25,303 · median $12,499 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,287 – $15,200 · median $7,651 | 29 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,843 – $31,735 · median $15,586 | 29 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,098 – $19,163 · median $9,553 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,592 – $13,680 · median $6,922 | 29 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,421 – $24,246 · median $11,992 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,305 – $15,239 · median $7,670 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,345 – $26,267 · median $12,962 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,918 – $16,581 · median $8,314 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,168 – $12,751 · median $6,476 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,213 – $50,049 · median $24,374 | 29 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,479 – $28,750 · median $14,153 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,255 – $19,507 · median $9,718 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,290 – $111,485 · median $53,854 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,337 – $59,073 · median $28,704 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,315 – $30,580 · median $15,031 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,456 – $83,404 · median $40,379 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,955 – $45,107 · median $22,002 | 29 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,833 – $27,336 · median $13,475 | 29 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,526 – $55,110 · median $26,802 | 29 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,779 – $29,405 · median $14,468 | 29 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,563 – $24,557 · median $12,141 | 29 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,323 – $32,785 · median $16,089 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,751 – $29,344 · median $14,438 | 29 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,988 – $36,428 · median $17,838 | 29 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,343 – $32,827 · median $16,110 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $15,391 – $32,933 · median $16,161 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $9,566 – $20,187 · median $10,044 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,081 – $14,750 · median $7,435 | 29 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,833 – $36,088 · median $17,674 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,759 – $18,421 · median $9,197 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,305 – $28,369 · median $13,970 | 29 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,138 – $19,251 · median $9,595 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,324 – $13,093 · median $6,640 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,441 – $17,725 · median $8,863 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,128 – $10,295 · median $5,385 | 29 plans |
| 602 | CELLULITIS WITH MCC | $11,394 – $24,186 · median $11,963 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,113 – $14,820 · median $7,469 | 29 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,789 – $25,051 · median $12,378 | 29 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,464 – $15,588 · median $7,837 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,108 – $25,750 · median $12,714 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,389 – $15,424 · median $7,759 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,386 – $37,298 · median $18,255 | 29 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,223 – $23,812 · median $11,784 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,461 – $59,345 · median $28,834 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,885 – $31,827 · median $15,630 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,370 – $24,135 · median $11,939 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,333 – $49,135 · median $23,935 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,786 – $27,383 · median $13,425 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,071 – $27,383 · median $12,675 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,020 – $60,567 · median $29,421 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,291 – $30,527 · median $15,006 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,076 – $21,304 · median $10,580 | 29 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,827 – $51,393 · median $25,019 | 29 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,001 – $25,515 · median $12,601 | 29 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,670 – $22,604 · median $11,204 | 29 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,323 – $63,419 · median $30,789 | 29 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,285 – $37,077 · median $18,149 | 29 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,691 – $24,836 · median $12,275 | 29 plans |
| 637 | DIABETES WITH MCC | $11,513 – $24,448 · median $12,089 | 29 plans |
| 638 | DIABETES WITH CC | $7,310 – $15,251 · median $7,676 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,237 – $10,571 · median $5,499 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,727 – $22,728 · median $11,264 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,392 – $13,243 · median $6,712 | 29 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,400 – $24,200 · median $11,970 | 29 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,142 – $28,012 · median $13,799 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,312 – $17,442 · median $8,727 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,315 – $13,074 · median $6,631 | 29 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,903 – $80,004 · median $38,748 | 29 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,160 – $63,062 · median $30,618 | 29 plans |
| 652 | KIDNEY TRANSPLANT | $25,456 – $54,956 · median $26,729 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,752 – $88,427 · median $42,790 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,110 – $47,636 · median $23,216 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,801 – $36,018 · median $17,641 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,100 – $54,179 · median $26,355 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,572 – $31,141 · median $15,301 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,409 – $26,407 · median $13,029 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,101 – $43,239 · median $21,106 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,619 – $22,491 · median $11,150 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,393 – $17,619 · median $8,812 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,149 – $52,098 · median $25,357 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,163 – $25,869 · median $12,771 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,482 – $17,815 · median $8,906 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,614 – $53,113 · median $25,844 | 29 plans |
| 666 | PROSTATECTOMY WITH CC | $13,944 – $29,768 · median $14,642 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,943 – $18,824 · median $9,390 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,049 – $49,690 · median $24,201 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,410 – $26,410 · median $13,031 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,941 – $16,631 · median $8,338 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,300 – $30,546 · median $15,015 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,736 – $18,370 · median $9,172 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,016 – $71,499 · median $34,666 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,527 – $39,796 · median $19,454 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,105 – $27,932 · median $13,761 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $11,858 – $25,202 · median $12,451 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $7,151 – $14,903 · median $7,509 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,097 – $10,215 · median $5,352 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,368 – $30,694 · median $15,086 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,489 – $17,830 · median $8,913 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,487 – $13,449 · median $6,811 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,364 – $19,745 · median $9,832 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,636 – $13,775 · median $6,968 | 29 plans |
| 693 | URINARY STONES WITH MCC | $10,796 – $22,879 · median $11,336 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,420 – $13,302 · median $6,741 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,236 – $19,464 · median $9,697 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,699 – $11,725 · median $5,984 | 29 plans |
| 697 | URETHRAL STRICTURE | $8,722 – $18,341 · median $9,158 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,206 – $28,153 · median $13,867 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,234 – $17,272 · median $8,646 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,706 – $11,740 · median $5,991 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,896 – $34,039 · median $16,691 | 29 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,272 – $26,107 · median $12,885 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,438 – $39,600 · median $19,360 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,237 – $23,844 · median $11,799 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,546 – $35,460 · median $17,373 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,893 – $18,714 · median $9,337 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,032 – $25,583 · median $12,634 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,564 – $17,994 · median $8,992 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,740 – $38,072 · median $18,627 | 29 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,780 – $25,032 · median $12,369 | 29 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,043 – $32,171 · median $15,795 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,786 – $22,856 · median $11,325 | 29 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,414 – $30,796 · median $15,135 | 29 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,227 – $19,445 · median $9,688 | 29 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,468 – $11,158 · median $5,741 | 29 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,441 – $19,913 · median $9,913 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,955 – $12,286 · median $6,253 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,873 – $25,235 · median $12,466 | 29 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,649 – $13,804 · median $6,981 | 29 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,574 – $18,016 · median $9,002 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,577 – $11,435 · median $5,856 | 29 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,905 – $36,246 · median $17,750 | 29 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,804 – $22,896 · median $11,344 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,139 – $60,827 · median $29,546 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,365 – $35,065 · median $17,184 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,761 – $24,989 · median $12,349 | 29 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,203 – $60,969 · median $29,613 | 29 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,413 – $30,794 · median $15,134 | 29 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,431 – $24,268 · median $12,003 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,609 – $31,223 · median $15,340 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,989 – $21,113 · median $10,489 | 29 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,276 – $34,870 · median $17,090 | 29 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,187 – $19,357 · median $9,646 | 29 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,850 – $29,560 · median $14,542 | 29 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,026 – $14,630 · median $7,378 | 29 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,129 – $23,608 · median $11,686 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,308 – $43,693 · median $21,324 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,818 – $25,114 · median $12,408 | 29 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,663 – $31,340 · median $15,396 | 29 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,800 – $18,511 · median $9,240 | 29 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,810 – $16,345 · median $8,201 | 29 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,476 – $24,367 · median $12,050 | 29 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,954 – $16,660 · median $8,352 | 29 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,521 – $11,292 · median $5,797 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,176 – $17,145 · median $8,584 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,897 – $9,708 · median $5,142 | 29 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,029 – $18,235 · median $8,674 | 29 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,482 – $28,755 · median $14,156 | 29 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,138 – $17,063 · median $8,545 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,461 – $11,141 · median $5,734 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $6,883 – $14,316 · median $7,227 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,184 – $41,778 · median $19,433 | 29 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,184 – $18,040 · median $8,906 | 29 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,184 – $16,299 · median $8,179 | 29 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,184 – $28,070 · median $13,168 | 29 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,184 – $19,005 · median $9,296 | 29 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,184 – $16,316 · median $8,187 | 29 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,029 – $19,859 · median $9,416 | 29 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,029 – $17,024 · median $8,120 | 29 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,029 – $16,287 · median $7,784 | 29 plans |
| 799 | SPLENECTOMY WITH MCC | $35,561 – $77,068 · median $37,339 | 29 plans |
| 800 | SPLENECTOMY WITH CC | $22,189 – $47,808 · median $23,298 | 29 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,186 – $32,484 · median $15,945 | 29 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,324 – $67,797 · median $32,890 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,797 – $31,633 · median $15,537 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,886 – $23,075 · median $11,430 | 29 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,029 – $18,365 · median $8,733 | 29 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,029 – $12,831 · median $6,514 | 29 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,029 – $11,473 · median $5,872 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,511 – $37,572 · median $18,387 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,185 – $21,542 · median $10,694 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,480 – $17,810 · median $8,904 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,261 – $23,897 · median $11,825 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,481 – $15,625 · median $7,855 | 29 plans |
| 813 | COAGULATION DISORDERS | $12,202 – $25,956 · median $12,813 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,879 – $36,190 · median $17,723 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,226 – $17,255 · median $8,637 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,309 – $10,755 · median $5,575 | 29 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,084 – $38,826 · median $18,988 | 29 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,355 – $19,726 · median $9,823 | 29 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,028 – $14,633 · median $7,379 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,950 – $99,801 · median $48,248 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,750 – $38,094 · median $18,637 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,704 – $20,488 · median $10,189 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,996 – $78,020 · median $37,796 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,960 – $38,554 · median $18,858 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,835 – $22,963 · median $11,376 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,719 – $79,602 · median $38,555 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,314 – $39,330 · median $19,230 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,591 – $28,994 · median $14,270 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,915 – $53,774 · median $26,161 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,045 – $25,611 · median $12,647 | 29 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,692 – $20,463 · median $10,177 | 29 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,952 – $12,279 · median $6,250 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,578 – $8,898 · median $4,807 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $43,035 – $93,422 · median $45,186 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,561 – $35,494 · median $17,389 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,824 – $20,752 · median $10,316 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,703 – $81,755 · median $39,588 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,574 – $35,521 · median $17,403 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,569 – $24,571 · median $12,148 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,498 – $55,048 · median $26,773 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,028 – $27,762 · median $13,679 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,198 – $17,194 · median $8,608 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,854 – $33,946 · median $16,646 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,808 – $20,717 · median $10,298 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,963 – $14,492 · median $7,311 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,502 – $44,117 · median $21,527 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,514 – $22,262 · median $11,040 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,946 – $14,454 · median $7,293 | 29 plans |
| 849 | RADIOTHERAPY | $21,412 – $46,108 · median $22,482 | 29 plans |
| 850 | DRG | $67,684 – $147,359 · median $71,068 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,747 – $84,040 · median $40,685 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,879 – $34,002 · median $16,673 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,984 – $25,478 · median $12,583 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,715 – $77,405 · median $37,501 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,995 – $36,442 · median $17,844 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,173 – $23,703 · median $11,731 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,523 – $31,034 · median $15,249 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,101 – $16,981 · median $8,506 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,244 – $15,106 · median $7,606 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,993 – $25,497 · median $12,592 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,103 – $14,798 · median $7,458 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,619 – $35,620 · median $17,450 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,359 – $17,546 · median $8,777 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,015 – $12,417 · median $6,316 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,092 – $117,618 · median $56,797 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,447 – $33,056 · median $16,219 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,299 – $17,414 · median $8,713 | 29 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,977 – $71,414 · median $34,626 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,229 – $32,579 · median $15,991 | 29 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,436 – $19,903 · median $9,908 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,906 – $62,505 · median $30,351 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,877 – $25,243 · median $12,470 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,617 – $33,426 · median $16,397 | 29 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,198 – $65,333 · median $31,708 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,857 – $33,952 · median $16,650 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,549 – $22,338 · median $11,077 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,052 – $27,816 · median $13,705 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,227 – $15,069 · median $7,588 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,418 – $28,616 · median $14,089 | 29 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,539 – $11,338 · median $5,816 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,538 – $26,689 · median $13,165 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,006 – $14,585 · median $7,356 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,578 – $31,155 · median $15,307 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,135 – $17,056 · median $8,542 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,694 – $11,715 · median $5,979 | 29 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,945 – $29,770 · median $14,643 | 29 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,255 – $17,318 · median $8,668 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $166,380 – $363,321 · median $174,699 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $56,121 – $122,058 · median $58,927 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,388 – $54,808 · median $26,658 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,625 – $66,268 · median $32,156 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,532 – $37,618 · median $18,409 | 29 plans |
| 935 | NON-EXTENSIVE BURNS | $16,361 – $35,055 · median $17,179 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,559 – $61,746 · median $29,987 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,514 – $39,767 · median $19,440 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,110 – $34,505 · median $16,915 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,212 – $21,601 · median $10,723 | 29 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,566 – $13,622 · median $6,894 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,593 – $20,245 · median $10,072 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,280 – $10,682 · median $5,544 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,800 – $9,461 · median $5,040 | 29 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,687 – $114,543 · median $55,322 | 29 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,605 – $64,035 · median $31,085 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,599 – $129,668 · median $62,579 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,111 – $71,708 · median $34,767 | 29 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,236 – $50,100 · median $24,398 | 29 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,601 – $46,521 · median $22,681 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,259 – $26,080 · median $12,872 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,655 – $16,004 · median $8,037 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $47,945 – $104,166 · median $50,342 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,851 – $44,881 · median $21,894 | 29 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,784 – $49,111 · median $23,924 | 29 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,411 – $22,037 · median $10,932 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,361 – $15,361 · median $7,729 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,432 – $22,083 · median $10,954 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,828 – $79,840 · median $38,669 | 29 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,460 – $41,836 · median $20,433 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,670 – $29,167 · median $14,353 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,003 – $58,341 · median $28,353 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,122 – $27,969 · median $13,779 | 29 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,666 – $20,407 · median $10,150 | 29 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,356 – $30,668 · median $15,074 | 28 plans |
| 795 | NORMAL NEWBORN | $1,918 – $4,341 · median $2,412 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,397 – $65,769 · median $31,613 | 26 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,562 – $83,812 · median $47,959 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,907 – $57,432 · median $32,864 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,388 – $34,898 · median $19,969 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,767 – $58,980 · median $33,750 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,818 – $21,273 · median $12,173 | 25 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,208 – $9,374 · median $5,364 | 25 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,349 – $20,429 · median $11,690 | 25 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,912 – $25,041 · median $14,329 | 25 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,206 – $12,971 · median $7,422 | 25 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,808 – $14,054 · median $7,808 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $7,658 – $13,784 · median $7,658 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,691 – $15,644 · median $8,691 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,632 – $28,138 · median $15,632 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,853 – $23,135 · median $12,853 | 23 plans |
| 885 | PSYCHOSES | $11,203 – $20,166 · median $11,203 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,480 – $29,664 · median $16,480 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,669 – $15,604 · median $8,669 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,384 – $22,291 · median $12,384 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,259 – $16,666 · median $9,259 | 23 plans |
No procedures match that keyword.