AllianceHealth Durant — 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,300 – $22,789 · median $8,633 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,200 – $35,086 · median $18,869 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,200 – $22,153 · median $8,547 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,200 – $16,995 · median $7,790 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,200 – $31,253 · median $12,909 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,200 – $21,731 · median $8,967 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,200 – $18,105 · median $7,798 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,300 – $29,512 · median $9,338 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,300 – $17,024 · median $8,106 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,300 – $17,024 · median $7,785 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,300 – $20,567 · median $8,689 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,300 – $14,219 · median $6,283 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,300 – $12,342 · median $5,692 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,458 – $354,270 · median $157,783 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $87,094 – $222,444 · median $103,223 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,294 – $98,879 · median $41,089 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,509 – $70,828 · median $31,928 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,120 – $48,419 · median $22,056 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $271,521 – $750,350 · median $320,253 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $44,860 – $133,911 · median $53,523 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,477 – $200,992 · median $58,956 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,286 – $151,487 · median $39,903 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,979 – $114,919 · median $24,243 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,030 – $110,453 · median $43,132 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,597 – $77,015 · median $29,678 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,588 – $86,563 · median $34,375 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,550 – $60,245 · median $23,738 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,863 – $47,569 · median $19,400 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,778 – $111,733 · median $45,189 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,451 – $65,805 · median $25,976 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,803 – $42,881 · median $16,975 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,172 – $81,895 · median $33,885 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,399 – $42,767 · median $16,500 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,456 – $34,156 · median $13,037 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,338 – $80,239 · median $29,373 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,031 – $44,781 · median $18,420 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,216 – $35,450 · median $15,108 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,700 – $63,698 · median $25,092 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,202 – $31,512 · median $12,738 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,391 – $22,386 · median $9,430 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,278 – $76,541 · median $29,302 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,825 – $46,857 · median $17,001 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,863 – $38,403 · median $13,516 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,389 – $30,334 · median $14,135 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,157 – $18,760 · median $7,978 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,601 – $26,433 · median $12,030 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,411 – $20,091 · median $8,277 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,607 – $38,463 · median $17,922 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,146 – $22,817 · median $10,319 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,749 – $32,931 · median $13,381 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,802 – $21,558 · median $9,914 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,783 – $16,981 · median $7,538 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,336 – $56,241 · median $21,133 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,049 – $38,837 · median $13,734 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,827 – $32,501 · median $11,119 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,645 – $35,549 · median $15,612 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,352 – $20,726 · median $8,208 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,303 – $15,007 · median $5,796 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,235 – $28,407 · median $11,600 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,435 – $18,008 · median $7,128 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,023 – $15,118 · median $6,643 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,468 – $33,139 · median $13,051 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,451 – $19,892 · median $8,324 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,755 – $15,281 · median $6,328 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,087 – $28,218 · median $12,603 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,481 – $19,166 · median $8,360 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,057 – $33,173 · median $14,920 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,189 – $19,327 · median $6,838 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,381 – $34,907 · median $14,125 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,631 – $15,194 · median $7,359 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,371 – $43,290 · median $17,644 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,776 – $25,259 · median $11,060 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,010 – $18,093 · median $7,805 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,285 – $41,163 · median $17,543 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,191 – $23,765 · median $10,371 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,751 – $16,724 · median $7,501 | 15 plans |
| 088 | CONCUSSION WITH MCC | $8,500 – $28,226 · median $10,735 | 15 plans |
| 089 | CONCUSSION WITH CC | $6,908 – $20,236 · median $8,861 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,176 – $15,892 · median $6,823 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,042 – $30,956 · median $13,727 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,432 – $18,831 · median $8,302 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,007 – $14,654 · median $6,624 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,129 – $68,607 · median $26,773 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,217 – $47,265 · median $19,817 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,217 – $44,588 · median $19,817 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,710 – $68,426 · median $27,457 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,430 – $37,661 · median $17,713 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,566 – $24,240 · median $10,813 | 15 plans |
| 100 | SEIZURES WITH MCC | $12,178 – $33,122 · median $15,063 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $5,675 – $16,656 · median $7,411 | 15 plans |
| 102 | HEADACHES WITH MCC | $7,048 – $21,329 · median $9,026 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $5,258 – $15,070 · median $6,920 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,783 – $43,963 · median $18,129 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,507 – $25,753 · median $10,744 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,651 – $30,043 · median $12,090 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,369 – $30,156 · median $14,111 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,822 – $20,107 · median $8,760 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,314 – $19,826 · median $9,340 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,941 – $15,351 · median $6,547 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,021 – $15,054 · median $6,641 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,319 – $25,104 · median $10,522 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,828 – $15,522 · median $6,414 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,644 – $45,676 · median $16,789 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,384 – $26,107 · median $8,245 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,389 – $27,410 · median $11,781 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,572 – $17,399 · median $7,290 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,770 – $22,433 · median $9,876 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,819 – $80,014 · median $32,292 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,714 – $44,373 · median $16,871 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,038 – $32,338 · median $12,545 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,558 – $59,575 · median $28,454 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,896 – $35,187 · median $13,555 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,560 – $24,393 · median $9,629 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,314 – $38,648 · median $16,400 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,995 – $25,136 · median $10,141 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,012 – $16,364 · median $6,630 | 15 plans |
| 149 | DYSEQUILIBRIUM | $4,726 – $14,155 · median $6,294 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $8,372 – $26,590 · median $10,585 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,615 – $14,712 · median $6,163 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,433 – $21,128 · median $9,480 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,642 – $14,374 · median $6,195 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,831 – $29,203 · median $12,301 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,763 – $18,041 · median $7,514 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,345 – $13,379 · median $5,846 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,795 – $31,114 · median $13,435 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,721 – $17,860 · median $7,464 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,455 – $13,532 · median $5,975 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,180 – $99,343 · median $33,894 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,870 – $51,812 · median $19,408 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,036 – $37,201 · median $14,896 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,502 – $71,298 · median $28,389 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,339 – $37,181 · median $14,076 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,592 – $25,938 · median $10,843 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,715 – $61,811 · median $22,756 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,637 – $29,504 · median $10,896 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,062 – $17,994 · median $6,689 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,826 – $37,201 · median $12,295 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,137 – $26,035 · median $7,954 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,747 – $18,694 · median $6,319 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,104 – $33,959 · median $13,800 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,734 – $23,237 · median $8,657 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,740 – $16,981 · median $6,310 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,620 – $29,685 · median $12,053 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,691 – $20,403 · median $8,606 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,945 – $15,255 · median $6,552 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,799 – $30,646 · median $12,264 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,219 – $21,243 · median $8,051 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,510 – $16,065 · median $6,039 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,768 – $24,515 · median $9,873 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,965 – $23,168 · median $8,929 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,301 – $18,445 · median $6,970 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,037 – $14,603 · median $5,483 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,265 – $27,601 · median $10,458 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,067 – $18,758 · median $6,695 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,952 – $14,270 · median $5,383 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,866 – $32,089 · median $14,696 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,968 – $21,004 · median $7,755 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,503 – $15,727 · median $6,032 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,092 – $36,312 · median $13,785 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,912 – $21,329 · median $8,866 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,496 – $15,277 · median $6,024 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,107 – $18,614 · median $7,919 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,213 – $14,181 · median $5,690 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,077 – $15,401 · median $6,707 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,513 – $30,011 · median $14,280 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,917 – $17,122 · median $7,696 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,460 – $110,244 · median $48,344 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,283 – $47,595 · median $21,071 | 15 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $68,373 – $216,502 · median $81,193 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,607 – $259,023 · median $74,407 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,511 – $190,951 · median $73,118 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,344 – $126,293 · median $49,385 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,344 – $114,254 · median $49,385 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,279 – $152,918 · median $57,546 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,531 – $103,325 · median $40,191 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,691 – $92,139 · median $38,026 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,108 – $132,594 · median $37,340 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,803 – $92,147 · median $24,036 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,005 – $163,065 · median $63,107 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,120 – $117,398 · median $45,591 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,071 – $147,614 · median $57,301 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,348 – $101,643 · median $41,152 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,900 – $116,156 · median $44,156 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,338 – $78,068 · median $31,726 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,946 – $93,381 · median $37,149 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,923 – $53,607 · median $21,824 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,705 – $29,697 · median $10,976 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,075 – $74,484 · median $24,357 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,398 – $52,439 · median $16,499 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,365 – $43,006 · median $14,107 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,687 – $109,599 · median $34,491 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,723 – $50,371 · median $16,881 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,397 – $33,422 · median $11,791 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,933 – $64,995 · median $26,543 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,320 – $50,956 · median $19,938 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,203 – $36,437 · median $13,916 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,960 – $50,560 · median $20,691 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,676 – $35,038 · median $13,296 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,867 – $22,632 · median $8,814 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,757 – $61,939 · median $23,982 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,714 – $41,949 · median $15,694 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,453 – $72,112 · median $24,801 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,887 – $38,958 · median $14,721 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,248 – $33,187 · median $12,792 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,224 – $46,974 · median $23,355 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,005 – $64,679 · median $25,450 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $22,750 – $67,093 · median $27,504 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,534 – $155,833 · median $46,078 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,935 – $122,749 · median $35,959 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $43,246 – $131,195 · median $51,624 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,554 – $83,532 · median $31,981 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,176 – $99,321 · median $39,773 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,361 – $68,014 · median $27,046 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,053 – $49,324 · median $19,623 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,940 – $71,943 · median $31,258 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,697 – $55,648 · median $25,089 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,834 – $141,427 · median $53,492 | 15 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $37,768 – $124,831 · median $45,177 | 15 plans |
| 277 | CELLULITIS AGE >17 W CC | $29,040 – $96,131 · median $34,906 | 15 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $34,999 – $89,659 · median $41,918 | 15 plans |
| 279 | CELLULITIS AGE 0-17 | $22,676 – $64,335 · median $27,417 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,086 – $33,321 · median $12,602 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,779 – $19,795 · median $7,533 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,547 – $15,249 · median $6,083 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,455 – $35,321 · median $15,389 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,352 – $15,822 · median $5,854 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,766 – $11,122 · median $5,164 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,913 – $44,789 · median $17,106 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,728 – $23,619 · median $8,650 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,016 – $54,436 · median $20,756 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,732 – $34,063 · median $13,362 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,846 – $21,922 · median $7,611 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,072 – $29,667 · median $10,232 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,338 – $19,273 · median $7,014 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,559 – $13,540 · median $4,920 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,821 – $29,957 · median $12,289 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,986 – $13,204 · median $5,424 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,862 – $9,749 · median $4,100 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,266 – $28,367 · median $12,813 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,712 – $20,471 · median $8,631 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,525 – $14,575 · median $6,058 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,524 – $21,562 · median $9,586 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,233 – $13,327 · median $5,714 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $7,482 – $21,074 · median $9,538 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,748 – $13,902 · median $6,320 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,908 – $27,380 · median $12,392 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,742 – $16,632 · median $7,489 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,570 – $23,890 · median $9,641 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,626 – $15,518 · median $6,176 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,559 – $11,307 · median $4,921 | 15 plans |
| 311 | ANGINA PECTORIS | $4,413 – $13,655 · median $5,926 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,480 – $16,010 · median $7,182 | 15 plans |
| 313 | CHEST PAIN | $4,527 – $14,119 · median $6,060 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,111 – $39,362 · median $16,161 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,057 – $19,414 · median $7,860 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,289 – $14,877 · median $5,779 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,061 – $82,428 · median $33,755 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,124 – $47,191 · median $18,530 | 15 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $17,108 – $57,784 · median $20,864 | 15 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $11,085 – $36,652 · median $13,777 | 15 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $27,209 – $83,218 · median $32,752 | 15 plans |
| 324 | URINARY STONES W/O CC | $19,813 – $59,672 · median $24,047 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,186 – $53,153 · median $24,487 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,359 – $91,415 · median $37,635 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,368 – $42,538 · median $18,818 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,075 – $30,240 · median $12,588 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,901 – $98,762 · median $34,743 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,073 – $49,627 · median $18,470 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,582 – $33,685 · median $13,185 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,766 – $76,813 · median $27,523 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $14,727 – $40,051 · median $18,063 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,299 – $26,069 · median $12,852 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,453 – $82,289 · median $27,154 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,259 – $47,030 · median $16,335 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,652 – $32,527 · median $12,090 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,240 – $55,334 · median $19,843 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,461 – $31,384 · median $11,866 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,458 – $22,125 · median $9,509 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,434 – $52,858 · median $17,718 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,229 – $28,389 · median $10,417 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,474 – $20,398 · median $7,174 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,668 – $49,463 · median $19,171 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,586 – $29,934 · median $12,013 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,343 – $20,853 · median $9,373 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,247 – $60,502 · median $22,205 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,578 – $34,650 · median $13,181 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,457 – $26,545 · median $10,684 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,621 – $76,506 · median $33,236 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,622 – $42,212 · median $17,939 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,790 – $28,312 · median $11,076 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,009 – $36,930 · median $12,511 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,289 – $21,866 · median $8,133 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,406 – $15,015 · median $5,918 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,149 – $34,662 · median $13,852 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,420 – $21,287 · median $8,287 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,574 – $15,321 · median $6,115 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,448 – $40,230 · median $16,557 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,606 – $24,819 · median $9,683 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,812 – $18,897 · median $7,572 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,494 – $34,453 · median $14,258 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,166 – $19,504 · median $7,989 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,964 – $12,957 · median $5,397 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,338 – $38,128 · median $15,251 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,813 – $21,671 · median $8,750 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,034 – $16,145 · median $6,656 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,681 – $27,032 · median $10,949 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,375 – $17,619 · median $7,057 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,949 – $33,233 · median $12,440 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,139 – $19,335 · median $7,956 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,284 – $14,770 · median $5,774 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,286 – $30,632 · median $11,660 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,966 – $17,158 · median $6,576 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,421 – $11,992 · median $4,758 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,975 – $24,825 · median $10,117 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,902 – $15,263 · median $6,501 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,056 – $32,982 · median $12,566 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,883 – $18,957 · median $7,656 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,081 – $13,560 · median $5,535 | 15 plans |
| 397 | COAGULATION DISORDERS | $15,058 – $45,159 · median $18,453 | 15 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,517 – $30,419 · median $11,932 | 15 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $7,198 – $22,374 · median $9,202 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,397 – $106,282 · median $41,210 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,236 – $56,198 · median $22,192 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,956 – $40,574 · median $17,156 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,419 – $79,337 · median $27,115 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,690 – $46,845 · median $16,843 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,983 – $34,741 · median $12,480 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,770 – $66,301 · median $25,174 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,220 – $47,726 · median $16,289 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,441 – $33,900 · median $13,019 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,401 – $71,294 · median $27,093 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,995 – $40,624 · median $16,024 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,572 – $28,188 · median $10,820 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,005 – $48,066 · median $18,390 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,636 – $33,492 · median $13,249 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,588 – $26,236 · median $10,838 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,423 – $81,576 · median $25,942 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,925 – $37,866 · median $13,589 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,800 – $31,295 · median $11,088 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,113 – $76,122 · median $31,462 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,757 – $44,934 · median $16,921 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,433 – $32,218 · median $11,834 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,375 – $36,190 · median $15,296 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,641 – $20,531 · median $8,548 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,480 – $12,627 · median $6,004 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,549 – $33,573 · median $14,323 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,112 – $22,823 · median $9,102 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,365 – $18,278 · median $7,046 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,250 – $33,354 · median $12,795 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,289 – $17,570 · median $6,957 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,907 – $12,826 · median $5,330 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,285 – $36,501 · median $14,012 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,070 – $18,883 · median $7,875 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,400 – $13,643 · median $5,910 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,506 – $32,156 · median $13,096 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,881 – $21,269 · median $8,830 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,202 – $15,912 · median $6,854 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $52,838 – $185,018 · median $62,911 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $37,494 – $136,811 · median $44,855 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,236 – $107,856 · median $31,607 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,727 – $98,344 · median $41,599 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,725 – $65,610 · median $20,414 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,837 – $100,849 · median $42,905 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,584 – $57,163 · median $23,779 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,467 – $37,820 · median $14,226 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,730 – $101,369 · median $39,249 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,174 – $69,907 · median $26,827 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,279 – $56,625 · median $21,066 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,072 – $64,343 · median $23,176 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,128 – $41,293 · median $15,005 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,361 – $98,871 · median $36,461 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,524 – $57,356 · median $22,531 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,350 – $46,063 · median $18,796 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,993 – $77,650 · median $32,497 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,309 – $43,269 · median $17,571 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,421 – $23,480 · median $9,465 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,722 – $64,991 · median $26,294 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,463 – $44,998 · median $18,929 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,688 – $35,512 · median $14,487 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,312 – $60,703 · median $22,281 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,170 – $41,209 · median $16,230 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,255 – $33,553 · median $12,801 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,429 – $48,779 · median $21,242 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,291 – $65,397 · median $24,611 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,148 – $44,672 · median $16,205 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,848 – $33,358 · median $12,321 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,122 – $40,132 · median $13,821 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,022 – $25,882 · median $8,996 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,086 – $66,349 · median $27,900 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,946 – $44,295 · median $19,498 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,616 – $35,301 · median $15,579 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,797 – $60,546 · median $27,560 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,342 – $39,691 · median $14,080 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,597 – $27,888 · median $9,673 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,969 – $48,825 · median $23,054 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,668 – $24,961 · median $15,640 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,899 – $59,483 · median $24,150 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,992 – $33,957 · median $13,667 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,463 – $25,402 · median $10,691 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,550 – $50,001 · median $21,384 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,753 – $34,656 · median $14,563 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,273 – $30,658 · median $13,998 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,483 – $27,725 · median $10,715 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,358 – $37,732 · median $14,098 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,522 – $30,825 · median $11,938 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,992 – $50,009 · median $23,082 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,075 – $35,900 · median $16,118 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,409 – $30,071 · median $12,981 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,899 – $31,902 · median $12,381 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,428 – $20,487 · median $8,297 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,038 – $58,685 · median $24,313 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,066 – $37,830 · median $16,109 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,662 – $28,867 · median $12,103 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,499 – $58,152 · median $28,386 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,577 – $36,258 · median $15,532 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,393 – $26,063 · median $11,786 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,047 – $61,577 · median $21,970 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,315 – $44,003 · median $16,402 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,857 – $28,905 · median $12,332 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,069 – $15,295 · median $6,697 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,061 – $25,263 · median $10,218 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,078 – $15,166 · median $6,708 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,000 – $19,458 · median $7,794 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,529 – $13,600 · median $6,062 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,385 – $37,886 · median $15,307 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,151 – $25,958 · median $10,324 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,951 – $18,997 · median $6,559 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,107 – $36,391 · median $13,803 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,464 – $21,705 · median $8,339 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,745 – $15,594 · median $6,316 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,604 – $47,507 · median $19,095 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,252 – $22,650 · median $9,267 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,258 – $16,386 · median $6,920 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,141 – $40,974 · median $15,020 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,591 – $24,013 · median $9,665 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,496 – $18,103 · median $7,200 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,539 – $31,223 · median $13,134 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,044 – $17,966 · median $7,845 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,151 – $25,912 · median $10,324 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,219 – $15,108 · median $6,875 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,311 – $25,566 · median $10,513 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,223 – $15,659 · median $6,878 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,349 – $29,010 · median $11,734 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,616 – $17,219 · median $7,341 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,726 – $33,796 · median $14,531 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,081 – $21,653 · median $9,065 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,055 – $15,299 · median $6,681 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,959 – $27,778 · median $11,275 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,631 – $16,553 · median $7,358 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,706 – $29,408 · median $12,154 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,127 – $19,150 · median $7,942 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,711 – $15,616 · median $6,277 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,493 – $52,158 · median $22,494 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,623 – $32,739 · median $13,233 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,208 – $23,631 · median $9,214 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,193 – $81,680 · median $49,208 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,827 – $59,487 · median $26,418 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,299 – $35,014 · median $14,029 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,817 – $91,116 · median $36,998 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,667 – $49,097 · median $20,346 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,101 – $29,934 · median $12,619 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,363 – $53,481 · median $24,695 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,865 – $31,273 · median $13,518 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,074 – $24,604 · median $11,410 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,114 – $29,792 · median $14,988 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,843 – $27,239 · median $13,492 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,460 – $37,303 · median $16,572 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,130 – $32,005 · median $15,006 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $12,169 – $29,786 · median $15,052 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $7,459 – $21,024 · median $9,510 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,450 – $15,245 · median $7,146 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,334 – $42,594 · median $16,424 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,806 – $19,681 · median $8,742 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,482 – $36,248 · median $13,068 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,113 – $21,858 · median $9,103 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,838 – $17,556 · median $6,425 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,549 – $19,233 · median $8,439 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,804 – $12,648 · median $5,209 | 15 plans |
| 602 | CELLULITIS WITH MCC | $8,937 – $29,074 · median $11,249 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,476 – $17,092 · median $7,176 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,256 – $27,971 · median $11,625 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,760 – $17,003 · median $7,510 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,515 – $27,786 · median $11,929 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,699 – $15,878 · median $7,439 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,781 – $47,217 · median $16,950 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,798 – $29,647 · median $11,086 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,928 – $81,268 · median $26,537 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,760 – $42,172 · median $14,571 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,918 – $23,689 · median $11,227 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,379 – $72,595 · median $27,068 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,280 – $38,132 · median $14,006 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,872 – $23,902 · median $9,996 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,990 – $54,038 · median $23,079 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,428 – $30,517 · median $11,827 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,352 – $21,319 · median $10,561 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,433 – $71,887 · median $28,308 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,700 – $46,548 · median $16,854 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,177 – $32,099 · median $11,532 | 15 plans |
| 637 | DIABETES WITH MCC | $9,034 – $26,829 · median $11,363 | 15 plans |
| 638 | DIABETES WITH CC | $5,635 – $17,110 · median $7,364 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,906 – $12,577 · median $5,329 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,398 – $23,566 · median $10,615 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,893 – $14,997 · median $6,490 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,942 – $25,144 · median $11,255 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,350 – $31,989 · median $12,912 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,445 – $20,147 · median $8,317 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,831 – $14,851 · median $6,417 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,561 – $90,718 · median $35,519 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,301 – $74,245 · median $28,153 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $32,673 – $111,159 · median $39,182 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,601 – $55,732 · median $21,445 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,309 – $41,199 · median $16,394 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,019 – $65,421 · median $24,290 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,507 – $39,762 · median $14,273 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,757 – $31,418 · median $12,215 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,976 – $68,603 · median $19,533 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,310 – $36,039 · median $10,512 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,510 – $29,227 · median $8,394 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,250 – $61,220 · median $23,385 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,559 – $35,792 · median $11,981 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,583 – $25,864 · median $8,479 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,625 – $62,781 · median $23,827 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $10,999 – $34,966 · median $13,676 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,955 – $19,922 · median $8,917 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,360 – $52,966 · median $22,338 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,759 – $27,796 · median $12,216 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,145 – $19,771 · median $7,964 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,286 – $30,843 · median $14,014 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,788 – $20,555 · median $8,720 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,418 – $70,840 · median $31,821 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,704 – $46,564 · median $18,036 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,321 – $32,978 · median $12,878 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $9,312 – $29,836 · median $11,691 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $5,507 – $18,678 · median $7,213 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,775 – $12,631 · median $5,174 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,341 – $34,724 · median $14,078 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,588 – $22,083 · median $8,485 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,969 – $17,110 · median $6,580 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,296 – $21,695 · median $9,318 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,090 – $15,970 · median $6,722 | 15 plans |
| 693 | URINARY STONES WITH MCC | $8,454 – $28,688 · median $10,681 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,915 – $16,366 · median $6,516 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,192 – $23,524 · median $9,196 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,332 – $13,994 · median $5,830 | 15 plans |
| 697 | URETHRAL STRICTURE | $6,777 – $20,694 · median $8,707 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,402 – $31,918 · median $12,974 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,382 – $21,036 · median $8,243 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,338 – $15,608 · median $5,837 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,577 – $36,224 · median $15,533 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,647 – $27,832 · median $12,084 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,632 – $45,929 · median $17,951 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,810 – $30,302 · median $11,100 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,102 – $40,600 · median $16,151 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,915 – $18,692 · median $8,869 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,453 – $28,626 · median $11,856 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,649 – $17,719 · median $8,556 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,067 – $43,728 · median $17,287 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,249 – $28,674 · median $11,617 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,887 – $38,779 · median $14,721 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,445 – $25,052 · median $10,670 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,379 – $34,907 · median $14,123 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,185 – $22,553 · median $9,188 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,123 – $15,233 · median $5,584 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,358 – $25,603 · median $9,391 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,540 – $14,822 · median $6,075 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,324 – $29,146 · median $11,705 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,101 – $16,314 · median $6,735 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,657 – $21,219 · median $8,566 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,225 – $12,828 · median $5,705 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,393 – $43,727 · median $16,493 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,460 – $26,296 · median $10,688 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,475 – $78,951 · median $27,181 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,956 – $39,392 · median $15,979 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,234 – $28,013 · median $11,598 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,528 – $71,184 · median $27,242 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,378 – $34,602 · median $14,122 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,967 – $25,416 · median $11,284 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,537 – $32,944 · median $14,309 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,801 – $21,599 · median $9,913 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,884 – $34,160 · median $15,894 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,152 – $21,309 · median $9,149 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,922 – $32,851 · median $13,586 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,406 – $18,537 · median $7,094 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,723 – $25,474 · median $10,997 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,144 – $51,802 · median $19,731 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,279 – $26,127 · median $11,652 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,580 – $35,991 · median $14,360 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,840 – $22,063 · median $8,781 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,039 – $12,766 · median $7,839 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,003 – $29,458 · median $11,327 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,156 – $20,163 · median $7,976 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,173 – $14,384 · median $5,643 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,335 – $17,259 · median $8,187 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,587 – $12,915 · median $4,954 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,625 – $34,652 · median $13,236 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,117 – $16,228 · median $5,577 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,332 – $32,990 · median $14,067 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,371 – $108,789 · median $44,710 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,522 – $74,299 · median $30,766 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,400 – $44,829 · median $18,855 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,217 – $76,321 · median $31,584 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,280 – $27,014 · median $11,653 | 15 plans |
| 795 | NORMAL NEWBORN | $1,256 – $4,547 · median $2,163 | 15 plans |
| 799 | SPLENECTOMY WITH MCC | $28,476 – $98,031 · median $34,243 | 15 plans |
| 800 | SPLENECTOMY WITH CC | $17,665 – $54,009 · median $21,520 | 15 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $12,003 – $34,228 · median $14,857 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,051 – $65,407 · median $30,212 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,688 – $37,394 · median $14,487 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,526 – $24,093 · median $10,766 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,883 – $42,787 · median $17,069 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,960 – $24,049 · median $10,099 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,581 – $18,907 · median $8,476 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,830 – $26,887 · median $11,123 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,773 – $17,745 · median $7,526 | 15 plans |
| 813 | COAGULATION DISORDERS | $9,591 – $34,795 · median $12,018 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,372 – $35,277 · median $16,468 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,376 – $20,139 · median $8,235 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,974 – $14,113 · median $5,409 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,346 – $50,890 · median $17,615 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,289 – $27,307 · median $9,310 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,407 – $16,865 · median $7,095 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,876 – $108,899 · median $44,128 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,076 – $46,946 · median $17,296 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,570 – $24,927 · median $9,641 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,828 – $86,688 · median $34,657 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,245 – $43,923 · median $17,496 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,485 – $25,850 · median $10,717 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,413 – $104,825 · median $35,345 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,532 – $47,601 · median $17,834 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,713 – $32,576 · median $13,339 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,869 – $62,932 · median $24,114 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,463 – $25,709 · median $11,868 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,561 – $20,666 · median $9,630 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,537 – $14,449 · median $6,072 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,288 – $9,655 · median $4,601 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $34,519 – $110,433 · median $41,354 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,115 – $42,492 · median $16,166 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,668 – $27,673 · median $9,756 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,208 – $114,650 · median $36,281 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,125 – $47,278 · median $16,178 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,079 – $26,787 · median $11,416 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,340 – $61,897 · median $24,668 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,258 – $32,576 · median $12,804 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,353 – $22,600 · median $8,209 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,543 – $35,961 · median $15,492 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,655 – $24,260 · median $9,740 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,355 – $18,135 · median $7,034 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,301 – $47,848 · median $19,915 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,226 – $25,353 · median $10,412 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,341 – $18,734 · median $7,017 | 15 plans |
| 849 | RADIOTHERAPY | $17,037 – $36,180 · median $20,781 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,052 – $103,076 · median $37,274 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,563 – $48,066 · median $15,517 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,414 – $28,945 · median $11,811 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,601 – $89,476 · median $34,389 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,465 – $39,963 · median $16,578 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,758 – $27,112 · median $11,039 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,467 – $36,839 · median $14,226 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,275 – $20,246 · median $8,116 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,582 – $17,490 · median $7,301 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,421 – $30,180 · median $11,819 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,468 – $16,091 · median $7,167 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,161 – $42,561 · median $16,221 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,483 – $21,299 · median $8,362 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,588 – $15,852 · median $6,132 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,459 – $122,407 · median $51,875 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,214 – $36,642 · median $15,105 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,434 – $21,199 · median $8,304 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,364 – $23,655 · median $15,282 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,901 – $26,740 · median $11,207 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,387 – $83,502 · median $31,784 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,038 – $40,162 · median $14,898 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,354 – $25,080 · median $9,387 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,095 – $65,346 · median $27,911 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,327 – $29,386 · median $11,708 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,351 – $35,062 · median $15,267 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,140 – $83,863 · median $29,140 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,545 – $40,713 · median $15,495 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,254 – $28,280 · median $10,445 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,278 – $27,733 · median $12,827 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,568 – $16,688 · median $7,284 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,573 – $32,519 · median $13,175 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,190 – $12,065 · median $5,663 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,862 – $28,182 · median $12,337 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,389 – $15,080 · median $7,074 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,512 – $35,191 · median $14,279 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,302 – $20,087 · median $8,149 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,328 – $14,258 · median $5,826 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,000 – $29,790 · median $13,677 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,399 – $16,414 · median $8,263 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $134,246 – $340,467 · median $158,710 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $45,100 – $114,644 · median $53,805 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,251 – $52,962 · median $24,564 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,486 – $65,443 · median $29,547 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,900 – $35,040 · median $17,089 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $12,953 – $33,928 · median $15,975 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,815 – $69,994 · median $27,581 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,694 – $47,095 · median $18,024 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,750 – $37,350 · median $15,736 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,982 – $23,597 · median $10,125 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,033 – $15,530 · median $6,656 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,480 – $23,430 · median $9,535 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,947 – $16,169 · median $5,377 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,496 – $15,934 · median $4,846 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,323 – $121,213 · median $50,538 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,661 – $78,527 · median $28,576 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,912 – $146,804 · median $57,114 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,496 – $85,546 · median $31,912 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,512 – $54,164 · median $22,517 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,189 – $53,841 · median $20,961 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,637 – $28,720 · median $12,073 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,914 – $19,968 · median $7,691 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,489 – $109,430 · median $46,026 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,583 – $51,648 · median $20,247 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,146 – $55,746 · median $22,087 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,143 – $27,327 · median $10,314 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,676 – $20,071 · median $7,412 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,160 – $26,123 · median $10,334 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,501 – $86,631 · median $35,448 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,458 – $49,929 · median $18,923 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,777 – $33,078 · median $13,415 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,557 – $65,051 · median $26,100 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,334 – $34,381 · median $12,894 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,540 – $22,224 · median $9,606 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $75,565 – $233,881 · median $90,037 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,284 – $129,533 · median $44,777 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $34,157 – $91,017 · median $41,079 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,155 – $62,653 · median $22,068 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,062 – $36,893 · median $12,544 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,484 – $31,812 · median $11,865 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,305 – $15,836 · median $8,123 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $5,290 – $13,538 · median $6,928 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,301 – $70,542 · median $29,456 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,037 – $16,252 · median $7,862 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $5,916 – $14,989 · median $7,719 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,752 – $15,661 · median $8,707 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,116 – $24,809 · median $12,685 | 14 plans |
| 885 | PSYCHOSES | $8,783 – $23,589 · median $11,108 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,049 – $23,050 · median $15,887 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,734 – $21,588 · median $8,685 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,879 – $10,539 · median $5,310 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,973 – $32,879 · median $13,697 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,551 – $15,872 · median $7,287 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $176,206 – $511,538 · median $210,021 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $71,251 – $306,464 · median $85,351 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $64,829 – $209,834 · median $77,723 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,156 – $90,491 · median $35,348 | 13 plans |
| 007 | LUNG TRANSPLANT | $81,427 – $196,831 · median $102,291 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $35,240 – $101,751 · median $42,575 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $33,229 – $87,886 · median $53,769 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $20,306 – $66,729 · median $24,836 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,737 – $17,853 · median $11,925 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,211 – $13,889 · median $9,012 | 11 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,507 – $17,831 · median $12,012 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,793 – $12,420 · median $7,995 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,550 – $9,153 · median $5,569 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,351 – $14,690 · median $9,681 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,383 – $10,367 · median $6,471 | 8 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,046 – $89,999 · median $65,597 | 8 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $41,456 – $62,917 · median $45,489 | 8 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $31,225 – $48,013 · median $34,422 | 8 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,950 – $68,007 · median $49,269 | 8 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,807 – $38,663 · median $27,480 | 8 plans |
| 509 | ARTHROSCOPY | $11,931 – $19,906 · median $13,553 | 8 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $1,676 · median $1,676 | 1 plans |
| 999 | UNGROUPABLE | $1,676 – $1,676 · median $1,676 | 1 plans |
No procedures match that keyword.