Commonwealth Health Regional Hospital of Scranton — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,049 – $306,143 · median $213,732 | 33 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,999 – $397,601 · median $141,863 | 33 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $32,300 – $76,853 · median $54,607 | 33 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,124 – $60,271 · median $41,529 | 33 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,901 – $37,548 · median $26,818 | 33 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $380,098 – $1,211,123 · median $436,871 | 33 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $52,845 – $157,106 · median $81,578 | 33 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,380 – $146,461 · median $55,936 | 33 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,611 – $133,875 · median $35,728 | 33 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,495 – $103,715 · median $61,185 | 33 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $19,212 – $54,502 · median $29,090 | 33 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $16,907 – $63,090 · median $34,183 | 33 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $8,636 – $43,275 · median $23,447 | 33 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,326 – $34,994 · median $18,960 | 33 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $18,228 – $85,617 · median $46,389 | 33 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $7,110 – $47,453 · median $25,711 | 33 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $4,228 – $31,597 · median $17,119 | 33 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,820 – $59,141 · median $32,322 | 33 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $8,133 – $30,338 · median $16,437 | 33 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,935 – $22,768 · median $12,336 | 33 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,441 – $70,429 · median $29,751 | 33 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $6,727 – $33,127 · median $17,494 | 33 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,799 – $26,098 · median $14,140 | 33 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,276 – $47,747 · median $25,439 | 33 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,134 – $26,695 · median $12,456 | 33 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,797 – $18,311 · median $8,863 | 33 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,161 – $68,173 · median $36,438 | 33 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,369 – $32,056 · median $17,368 | 33 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,006 – $25,040 · median $15,302 | 33 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,281 – $33,450 · median $20,367 | 33 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,293 – $18,257 · median $9,325 | 33 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,229 – $21,417 · median $11,603 | 33 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,851 – $15,697 · median $8,504 | 33 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $8,812 – $35,503 · median $19,236 | 33 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,658 – $19,547 · median $13,504 | 33 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,701 – $28,003 · median $14,237 | 33 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,278 – $17,555 · median $9,511 | 33 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,124 – $13,706 · median $6,996 | 33 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,087 – $42,784 · median $20,749 | 33 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,689 – $30,960 · median $13,744 | 33 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,429 – $29,258 · median $12,669 | 33 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,646 – $28,286 · median $15,325 | 33 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,811 – $15,749 · median $7,941 | 33 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,447 – $12,398 · median $5,821 | 33 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,993 – $25,441 · median $11,268 | 33 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,590 – $13,115 · median $8,142 | 33 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,140 – $12,506 · median $6,295 | 33 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,315 – $52,369 · median $17,597 | 33 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,780 – $15,211 · median $8,406 | 33 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,042 – $11,413 · median $7,064 | 33 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,734 – $22,068 · median $11,957 | 33 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,095 – $15,015 · median $8,135 | 33 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,698 – $35,035 · median $13,485 | 33 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,911 – $28,814 · median $9,042 | 33 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,579 – $27,430 · median $12,190 | 33 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,500 – $17,845 · median $10,099 | 33 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,646 – $13,561 · median $6,747 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,618 – $37,947 · median $15,315 | 33 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,830 – $16,425 · median $9,157 | 33 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,362 – $35,516 · median $23,480 | 33 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,616 – $19,893 · median $10,929 | 33 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,729 – $13,806 · median $7,480 | 33 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,328 – $32,166 · median $18,466 | 33 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,744 – $18,789 · median $10,179 | 33 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,685 – $12,795 · median $8,034 | 33 plans |
| 088 | CONCUSSION WITH MCC | $9,616 – $24,814 · median $11,529 | 33 plans |
| 089 | CONCUSSION WITH CC | $7,329 – $15,432 · median $10,178 | 33 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,919 – $12,421 · median $7,940 | 33 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,837 – $25,955 · median $14,063 | 33 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,557 – $15,999 · median $10,714 | 33 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,988 – $12,201 · median $7,988 | 33 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,741 – $51,546 · median $30,496 | 33 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $7,111 – $40,097 · median $18,424 | 33 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,734 – $35,905 · median $18,424 | 33 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,440 – $59,214 · median $27,442 | 33 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,142 – $30,810 · median $16,693 | 33 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,390 – $26,092 · median $13,357 | 33 plans |
| 100 | SEIZURES WITH MCC | $5,792 – $28,231 · median $15,296 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $5,831 – $13,324 · median $7,722 | 33 plans |
| 102 | HEADACHES WITH MCC | $6,123 – $16,698 · median $9,024 | 33 plans |
| 103 | HEADACHES WITHOUT MCC | $5,412 – $12,322 · median $8,604 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,267 – $42,319 · median $22,837 | 33 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,839 – $47,279 · median $11,963 | 33 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,912 – $41,211 · median $15,494 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,339 – $33,163 · median $16,886 | 33 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,398 – $19,833 · median $10,915 | 33 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,963 – $21,446 · median $11,772 | 33 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,724 – $12,949 · median $6,864 | 33 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,173 – $14,806 · median $8,128 | 33 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,401 – $24,331 · median $13,195 | 33 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,132 – $11,978 · median $8,205 | 33 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,756 – $44,451 · median $18,530 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,436 – $20,102 · median $7,647 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,544 – $20,008 · median $10,840 | 33 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,557 – $11,807 · median $8,233 | 33 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,664 – $21,715 · median $10,646 | 33 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,710 – $70,286 · median $42,800 | 33 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,416 – $32,250 · median $16,535 | 33 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $5,933 – $27,699 · median $12,160 | 33 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,890 – $46,685 · median $29,201 | 33 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,948 – $25,027 · median $13,560 | 33 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,772 – $17,011 · median $10,033 | 33 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,319 – $36,836 · median $19,340 | 33 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,864 – $21,589 · median $12,597 | 33 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,541 – $36,949 · median $8,103 | 33 plans |
| 149 | DYSEQUILIBRIUM | $4,803 – $17,227 · median $7,565 | 33 plans |
| 150 | EPISTAXIS WITH MCC | $8,355 – $29,417 · median $13,988 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,965 – $11,734 · median $7,671 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,567 – $16,311 · median $11,072 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,741 – $10,380 · median $5,563 | 33 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,749 – $47,867 · median $16,458 | 33 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $13,491 · median $7,309 | 33 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,247 – $10,014 · median $6,805 | 33 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,801 – $24,832 · median $12,654 | 33 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,011 – $13,589 · median $7,362 | 33 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,370 – $12,690 · median $6,675 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,373 – $177,285 · median $46,645 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,058 – $35,684 · median $24,822 | 33 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,857 – $26,531 · median $14,375 | 33 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $18,819 – $54,372 · median $29,459 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,977 – $26,015 · median $14,095 | 33 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,611 – $19,381 · median $12,450 | 33 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $7,181 – $47,514 · median $23,523 | 33 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,841 – $20,155 · median $10,920 | 33 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,245 – $11,968 · median $8,243 | 33 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,735 – $24,246 · median $15,373 | 33 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,312 – $17,598 · median $10,040 | 33 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,919 – $12,779 · median $7,789 | 33 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,480 – $24,903 · median $13,492 | 33 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,705 – $16,232 · median $8,651 | 33 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,140 – $13,831 · median $8,476 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,142 – $22,653 · median $12,273 | 33 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,862 – $15,376 · median $8,330 | 33 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,872 – $11,305 · median $7,870 | 33 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,911 – $22,551 · median $12,218 | 33 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,371 – $14,477 · median $7,843 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,814 – $11,698 · median $7,430 | 33 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,765 – $17,749 · median $9,616 | 33 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,030 – $16,145 · median $8,747 | 33 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,453 – $16,260 · median $8,694 | 33 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,162 – $9,476 · median $6,550 | 33 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,430 – $18,874 · median $12,208 | 33 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,286 – $15,774 · median $8,298 | 33 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,061 – $16,004 · median $6,302 | 33 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,975 – $26,813 · median $17,042 | 33 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,144 – $117,995 · median $10,019 | 33 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,871 – $47,730 · median $7,088 | 33 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,219 – $34,626 · median $14,450 | 33 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,874 – $34,057 · median $10,007 | 33 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,563 – $37,066 · median $6,061 | 33 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,129 – $15,008 · median $9,127 | 33 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,493 – $14,202 · median $5,735 | 33 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,291 – $11,772 · median $8,048 | 33 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,445 – $26,865 · median $15,756 | 33 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,855 – $13,101 · median $7,133 | 33 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,297 – $222,600 · median $65,448 | 33 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,344 – $38,022 · median $20,601 | 33 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $45,611 – $192,978 · median $82,951 | 33 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $63,829 – $148,904 · median $79,948 | 33 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,654 – $135,677 · median $96,255 | 33 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,836 – $90,920 · median $56,170 | 33 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,087 – $83,792 · median $45,400 | 33 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,225 – $111,679 · median $67,766 | 33 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,991 – $74,645 · median $40,444 | 33 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,136 – $64,776 · median $42,230 | 33 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $23,813 – $86,895 · median $38,064 | 33 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,241 – $48,912 · median $23,809 | 33 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $50,743 – $119,177 · median $85,196 | 33 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,239 – $86,026 · median $61,820 | 33 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,776 – $109,961 · median $68,973 | 33 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $32,560 – $74,974 · median $47,187 | 33 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $33,242 – $82,879 · median $44,906 | 33 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,963 – $58,041 · median $31,448 | 33 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,122 – $71,003 · median $45,267 | 33 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,634 – $41,223 · median $22,335 | 33 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,250 – $26,480 · median $11,685 | 33 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,697 – $55,416 · median $34,327 | 33 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $8,167 – $34,865 · median $17,327 | 33 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,463 – $30,727 · median $13,924 | 33 plans |
| 245 | AICD GENERATOR PROCEDURES | $18,572 – $85,838 · median $37,331 | 33 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $14,814 – $32,819 · median $23,404 | 33 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,052 – $26,695 · median $15,814 | 33 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,065 – $53,749 · median $28,351 | 33 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,062 – $37,517 · median $25,836 | 33 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,959 – $25,997 · median $13,504 | 33 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $5,540 – $37,078 · median $20,089 | 33 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,336 – $24,144 · median $13,081 | 33 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,150 – $12,906 · median $9,026 | 33 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,015 – $51,133 · median $21,525 | 33 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,508 – $35,027 · median $13,567 | 33 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,825 – $48,786 · median $26,137 | 33 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,523 – $27,215 · median $14,630 | 33 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,444 – $23,542 · median $11,745 | 33 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,771 – $48,141 · median $27,143 | 33 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,375 – $49,393 · median $26,507 | 33 plans |
| 265 | AICD LEAD PROCEDURES | $22,189 – $61,650 · median $29,056 | 33 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,093 – $84,373 · median $60,189 | 33 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,579 – $72,938 · median $47,612 | 33 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,057 – $213,237 · median $67,476 | 33 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,082 – $80,575 · median $40,725 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $20,815 – $72,350 · median $39,201 | 33 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,704 – $51,492 · median $34,857 | 33 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,367 – $38,449 · median $25,322 | 33 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,451 – $63,836 · median $29,915 | 33 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $15,446 – $46,171 · median $23,921 | 33 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $41,145 – $112,246 · median $53,888 | 33 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $8,465 – $92,556 · median $47,261 | 33 plans |
| 277 | CELLULITIS AGE >17 W CC | $29,970 – $81,418 · median $47,077 | 33 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $6,709 – $79,907 · median $38,216 | 33 plans |
| 279 | CELLULITIS AGE 0-17 | $7,693 – $57,350 · median $24,554 | 33 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $7,717 – $23,411 · median $12,684 | 33 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,982 – $13,401 · median $7,219 | 33 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,089 – $12,219 · median $5,725 | 33 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $8,205 – $28,774 · median $15,069 | 33 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,772 – $13,204 · median $5,846 | 33 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,207 – $9,084 · median $5,503 | 33 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,597 – $31,427 · median $19,248 | 33 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,903 – $24,123 · median $11,028 | 33 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,323 – $72,169 · median $27,041 | 33 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,372 – $22,504 · median $12,193 | 33 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,732 – $18,257 · median $9,095 | 33 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,851 – $18,693 · median $10,128 | 33 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,500 – $31,189 · median $8,389 | 33 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,661 – $13,307 · median $5,553 | 33 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,978 – $20,640 · median $9,545 | 33 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,130 – $15,086 · median $7,993 | 33 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,154 – $27,340 · median $12,661 | 33 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,703 – $12,524 · median $6,084 | 33 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,902 – $10,118 · median $4,470 | 33 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,310 – $23,078 · median $12,435 | 33 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,812 – $15,411 · median $9,851 | 33 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,586 – $10,404 · median $6,884 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,149 – $20,997 · median $11,773 | 33 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,263 – $29,517 · median $6,805 | 33 plans |
| 304 | HYPERTENSION WITH MCC | $7,323 – $22,918 · median $11,469 | 33 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,858 – $13,034 · median $7,597 | 33 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,740 – $27,269 · median $13,877 | 33 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,037 – $16,519 · median $7,591 | 33 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,655 – $17,307 · median $9,910 | 33 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,803 – $10,767 · median $7,069 | 33 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,608 – $8,247 · median $4,793 | 33 plans |
| 311 | ANGINA PECTORIS | $4,513 – $10,192 · median $6,187 | 33 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,544 – $12,617 · median $8,818 | 33 plans |
| 313 | CHEST PAIN | $4,672 – $10,404 · median $5,637 | 33 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,210 – $60,410 · median $20,469 | 33 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,191 – $13,893 · median $9,036 | 33 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,479 – $14,725 · median $6,909 | 33 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,349 – $77,471 · median $33,579 | 33 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,922 – $41,763 · median $17,798 | 33 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $7,006 – $43,662 · median $21,838 | 33 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $6,266 – $32,554 · median $13,958 | 33 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $8,281 – $74,174 · median $32,566 | 33 plans |
| 324 | URINARY STONES W/O CC | $4,440 – $53,857 · median $24,484 | 33 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $7,427 – $47,371 · median $21,955 | 33 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,818 – $139,817 · median $51,399 | 33 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,728 – $72,079 · median $24,572 | 33 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,720 – $22,740 · median $12,320 | 33 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,314 – $64,766 · median $41,208 | 33 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,075 – $33,535 · median $18,170 | 33 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,583 – $23,614 · median $12,757 | 33 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,588 – $69,086 · median $26,561 | 33 plans |
| 333 | RECTAL RESECTION WITH CC | $13,123 – $76,226 · median $21,508 | 33 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,166 – $23,652 · median $16,785 | 33 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,444 – $51,191 · median $27,736 | 33 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,284 – $30,011 · median $18,473 | 33 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,030 – $21,921 · median $11,877 | 33 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,242 – $49,001 · median $20,682 | 33 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,625 – $21,271 · median $11,524 | 33 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,188 – $17,859 · median $11,007 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,050 – $103,627 · median $23,952 | 33 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $18,221 · median $9,779 | 33 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,695 – $13,581 · median $6,909 | 33 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,783 – $43,035 · median $18,587 | 33 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,982 – $25,280 · median $11,644 | 33 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,659 – $15,859 · median $8,592 | 33 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,388 – $41,515 · median $22,493 | 33 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,868 – $24,248 · median $15,765 | 33 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,654 – $19,091 · median $10,344 | 33 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,830 – $121,417 · median $39,731 | 33 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,854 – $33,869 · median $19,575 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,146 – $19,398 · median $12,635 | 33 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,458 – $23,812 · median $12,901 | 33 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,843 – $14,668 · median $7,947 | 33 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,797 – $13,151 · median $7,064 | 33 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,271 – $24,905 · median $13,494 | 33 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,622 – $14,832 · median $8,036 | 33 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,884 – $10,572 · median $5,728 | 33 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,055 – $29,999 · median $16,253 | 33 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,630 – $17,627 · median $9,550 | 33 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,029 – $13,204 · median $6,925 | 33 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,195 – $25,889 · median $14,027 | 33 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,293 – $14,224 · median $8,087 | 33 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,674 – $9,872 · median $5,054 | 33 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,992 – $27,376 · median $14,833 | 33 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,659 – $15,670 · median $8,490 | 33 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,128 – $10,907 · median $5,909 | 33 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,730 – $24,528 · median $9,820 | 33 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,336 – $12,593 · median $6,823 | 33 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,928 – $41,999 · median $15,103 | 33 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,217 – $43,577 · median $10,044 | 33 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,425 – $21,821 · median $6,783 | 33 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,221 – $21,007 · median $12,960 | 33 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,125 – $14,876 · median $7,310 | 33 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,646 – $8,075 · median $5,538 | 33 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,650 – $18,409 · median $9,974 | 33 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,058 – $29,380 · median $7,310 | 33 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,256 – $23,616 · median $16,759 | 33 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,001 – $18,019 · median $9,468 | 33 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,197 – $9,836 · median $6,440 | 33 plans |
| 397 | COAGULATION DISORDERS | $14,164 – $35,134 · median $19,036 | 33 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,594 – $22,091 · median $15,314 | 33 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $7,099 – $56,451 · median $11,373 | 33 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,475 – $77,363 · median $51,295 | 33 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,158 – $44,048 · median $28,421 | 33 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,568 – $30,341 · median $21,614 | 33 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,874 – $60,360 · median $26,809 | 33 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,221 – $29,790 · median $16,140 | 33 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,740 – $25,871 · median $11,998 | 33 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $6,990 – $59,232 · median $21,000 | 33 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,039 – $39,112 · median $16,407 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,571 – $28,469 · median $16,825 | 33 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,688 – $53,176 · median $26,828 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,476 – $34,376 · median $20,018 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,509 – $31,044 · median $13,866 | 33 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,608 – $33,714 · median $18,267 | 33 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,350 – $23,649 · median $12,813 | 33 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,347 – $18,873 · median $10,657 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,303 – $58,766 · median $27,023 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,817 – $30,350 · median $16,398 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,719 – $25,244 · median $11,378 | 33 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,538 – $64,212 · median $41,162 | 33 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,448 – $44,976 · median $23,107 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,130 – $27,627 · median $11,958 | 33 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,104 – $82,902 · median $21,100 | 33 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,129 – $15,399 · median $8,343 | 33 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,334 – $10,284 · median $7,049 | 33 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,014 – $25,979 · median $14,075 | 33 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,022 – $16,211 · median $10,500 | 33 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,342 – $14,279 · median $7,946 | 33 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,824 – $25,495 · median $12,853 | 33 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,492 – $15,051 · median $8,705 | 33 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,998 – $14,921 · median $6,225 | 33 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,991 – $26,901 · median $14,575 | 33 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,092 – $13,947 · median $9,778 | 33 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,616 – $11,449 · median $7,111 | 33 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,341 – $24,014 · median $16,722 | 33 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,321 – $15,606 · median $8,455 | 33 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,157 – $12,595 · median $6,274 | 33 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $52,701 – $130,191 · median $85,150 | 33 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $21,628 – $88,310 · median $43,806 | 33 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,403 – $77,256 · median $40,240 | 33 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,327 – $142,780 · median $62,103 | 33 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,902 – $40,545 · median $23,152 | 33 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,868 – $76,107 · median $41,236 | 33 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $5,436 – $41,733 · median $22,612 | 33 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,119 – $24,993 · median $13,403 | 33 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $7,695 – $71,812 · median $38,909 | 33 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $4,268 – $48,413 · median $26,231 | 33 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,801 – $41,019 · median $24,188 | 33 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $9,354 – $46,220 · median $25,042 | 33 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,821 – $150,561 · median $42,840 | 33 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,582 – $70,030 · median $26,899 | 33 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,498 – $34,259 · median $21,789 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | — | 33 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,529 – $42,437 · median $21,832 | 33 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,497 – $25,604 · median $11,771 | 33 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,160 – $48,607 · median $27,107 | 33 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,019 – $33,183 · median $23,294 | 33 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,780 – $25,295 · median $17,786 | 33 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,542 – $72,083 · median $29,763 | 33 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,094 – $85,846 · median $20,998 | 33 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,062 – $37,525 · median $16,054 | 33 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,645 – $67,917 · median $20,866 | 33 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,693 – $86,409 · median $32,579 | 33 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,679 – $56,782 · median $19,490 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,791 – $22,553 · median $14,905 | 33 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,292 – $50,291 · median $19,890 | 33 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,876 – $20,823 · median $12,533 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,740 – $50,179 · median $32,819 | 33 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,131 – $34,058 · median $18,453 | 33 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,704 – $26,831 · median $14,537 | 33 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,483 – $127,136 · median $35,628 | 33 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,549 – $28,059 · median $18,922 | 33 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,058 – $21,754 · median $13,587 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,588 – $46,099 · median $19,394 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,947 – $47,659 · median $11,747 | 33 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,374 – $59,849 · median $29,540 | 33 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,980 – $25,420 · median $18,061 | 33 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,780 – $19,988 · median $11,298 | 33 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,878 – $70,272 · median $26,784 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,926 – $40,240 · median $17,744 | 33 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,793 – $25,003 · median $16,154 | 33 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,278 – $38,743 · median $15,171 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,140 – $40,240 · median $19,615 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,814 – $25,818 · median $13,061 | 33 plans |
| 509 | ARTHROSCOPY | $8,676 – $41,265 · median $17,778 | 33 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,119 – $49,539 · median $21,924 | 33 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,494 – $27,894 · median $15,113 | 33 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,220 – $43,239 · median $15,203 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,250 – $26,265 · median $13,017 | 33 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,653 – $33,196 · median $10,318 | 33 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,867 – $58,122 · median $31,295 | 33 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,882 – $29,795 · median $20,358 | 33 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,476 – $22,799 · median $14,649 | 33 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,923 – $50,639 · median $29,525 | 33 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,432 – $28,044 · median $19,135 | 33 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,084 – $20,493 · median $12,588 | 33 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 33 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | — | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,330 – $27,394 · median $15,432 | 33 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,210 – $14,318 · median $8,238 | 33 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,244 – $29,592 · median $13,459 | 33 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,067 – $12,028 · median $8,206 | 33 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,189 – $17,289 · median $9,300 | 33 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,581 – $12,930 · median $6,796 | 33 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $28,751 · median $15,578 | 33 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,253 – $18,543 · median $11,526 | 33 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,509 – $47,911 · median $7,396 | 33 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,528 – $31,573 · median $18,875 | 33 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,960 – $22,892 · median $10,736 | 33 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,945 – $14,717 · median $7,648 | 33 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $43,465 · median $19,409 | 33 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,637 – $26,711 · median $11,716 | 33 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,177 – $18,779 · median $7,552 | 33 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,314 – $33,611 · median $20,388 | 33 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,680 – $17,296 · median $12,196 | 33 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,951 – $13,222 · median $6,766 | 33 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $24,322 · median $13,178 | 33 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,184 – $19,879 · median $8,943 | 33 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,585 – $23,757 · median $13,217 | 33 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,284 – $12,103 · median $8,446 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,881 – $24,563 · median $13,628 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,300 – $21,057 · median $8,263 | 33 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,865 – $22,799 · median $12,761 | 33 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,636 – $12,512 · median $6,708 | 33 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,695 – $26,423 · median $18,786 | 33 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,218 – $23,885 · median $11,524 | 33 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,024 – $22,378 · median $8,274 | 33 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,640 – $20,918 · median $11,333 | 33 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,744 – $12,933 · median $7,007 | 33 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,325 – $25,101 · median $12,136 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,391 – $42,437 · median $10,277 | 33 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $11,682 · median $5,900 | 33 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $26,190 – $227,050 · median $48,841 | 33 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,813 – $23,872 · median $12,934 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,265 – $16,417 · median $8,895 | 33 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,517 – $103,109 · median $46,987 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,310 – $57,064 · median $26,533 | 33 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,914 – $33,002 · median $17,118 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $98,522 · median $41,193 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,673 – $41,172 · median $22,799 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,200 – $40,293 · median $17,107 | 33 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,993 – $46,089 · median $25,991 | 33 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,045 – $20,577 · median $11,149 | 33 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | — | 33 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,400 – $49,048 · median $10,918 | 33 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,355 – $18,766 · median $8,652 | 33 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,430 – $33,235 · median $17,526 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,829 – $54,578 · median $29,571 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,401 – $23,592 · median $10,348 | 33 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $6,180 – $22,826 · median $12,347 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,893 – $19,459 · median $10,151 | 33 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,763 – $51,778 · median $21,993 | 33 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,864 – $34,865 · median $12,421 | 33 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,904 – $157,174 · median $56,415 | 33 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $6,283 – $39,960 · median $21,651 | 33 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,742 – $32,303 · median $15,995 | 33 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,718 – $46,070 · median $27,793 | 33 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,914 – $21,536 · median $11,641 | 33 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,778 – $19,851 · median $9,885 | 33 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,416 – $55,021 · median $26,295 | 33 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,726 – $42,390 · median $25,964 | 33 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | — | 33 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,005 – $18,096 · median $8,530 | 33 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,211 – $59,127 · median $32,066 | 33 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,050 – $29,781 · median $15,841 | 33 plans |
| 682 | RENAL FAILURE WITH MCC | $9,516 – $21,456 · median $11,867 | 33 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,029 – $10,555 · median $7,329 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | — | 33 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $8,682 – $32,106 · median $13,349 | 33 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,060 – $13,616 · median $5,752 | 33 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,390 – $72,777 · median $30,192 | 33 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $16,247 – $66,810 · median $30,451 | 33 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $8,258 – $26,606 · median $14,028 | 33 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,260 – $34,037 · median $13,901 | 33 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,280 – $27,793 · median $14,621 | 33 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,618 – $75,759 · median $8,020 | 33 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,297 – $25,765 · median $13,959 | 33 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,652 – $26,248 · median $10,967 | 33 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,475 – $19,977 · median $11,091 | 33 plans |
| 799 | SPLENECTOMY WITH MCC | $14,845 – $67,049 · median $36,329 | 33 plans |
| 800 | SPLENECTOMY WITH CC | $17,724 – $41,245 · median $29,488 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,545 – $70,134 · median $36,278 | 33 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,668 – $32,617 · median $12,335 | 33 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,850 – $82,012 · median $44,436 | 33 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,221 – $65,994 · median $44,463 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,006 – $86,877 · median $36,486 | 33 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $6,321 – $38,090 · median $18,141 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,962 – $23,865 · median $14,801 | 33 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,587 – $172,514 · median $43,720 | 33 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,969 – $56,535 · median $15,868 | 33 plans |
| 849 | RADIOTHERAPY | $16,937 – $85,592 · median $27,032 | 33 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $7,574 – $70,504 · median $38,201 | 33 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,203 – $41,840 · median $21,700 | 33 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,573 – $97,909 · median $59,474 | 33 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $8,298 – $62,654 · median $30,062 | 33 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,823 – $25,585 · median $13,862 | 33 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,865 – $76,874 · median $14,653 | 33 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,244 – $46,792 · median $16,679 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $9,641 – $62,504 · median $33,866 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,457 – $54,523 · median $29,541 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,033 – $28,541 · median $16,680 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,894 – $56,241 · median $30,472 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,653 – $56,753 · median $20,043 | 33 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,219 – $24,764 · median $13,417 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $158,667 – $376,603 · median $180,379 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,395 – $44,982 · median $23,254 | 33 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $19,060 – $61,052 · median $33,079 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,202 – $57,942 · median $30,864 | 33 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,108 – $17,739 · median $5,931 | 33 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,121 – $102,607 · median $58,626 | 33 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $15,710 – $84,906 · median $29,248 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,241 – $105,025 · median $56,905 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,641 – $59,483 · median $31,430 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,946 – $55,921 · median $26,756 | 33 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,204 – $42,767 · median $25,306 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $64,002 – $289,685 · median $80,281 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,486 – $96,001 · median $26,851 | 33 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,430 – $15,766 · median $9,506 | 33 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $9,173 – $70,698 · median $36,322 | 33 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,657 – $34,721 · median $20,466 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,367 – $23,787 · median $12,888 | 33 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,890 – $26,833 · median $15,765 | 32 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,048 – $25,256 · median $15,813 | 32 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,015 – $35,958 · median $15,620 | 32 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,647 – $31,981 · median $14,659 | 32 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,658 – $36,084 · median $17,692 | 32 plans |
| 592 | SKIN ULCERS WITH MCC | $13,189 – $29,227 · median $15,550 | 32 plans |
| 593 | SKIN ULCERS WITH CC | $7,703 – $17,543 · median $9,493 | 32 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,069 – $12,301 · median $6,530 | 32 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,718 – $38,126 · median $18,843 | 32 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,450 – $15,558 · median $8,523 | 32 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,137 – $28,935 · median $15,669 | 32 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,553 – $13,813 · median $8,582 | 32 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,110 – $8,808 · median $4,770 | 32 plans |
| 602 | CELLULITIS WITH MCC | $9,433 – $20,998 · median $13,122 | 32 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,676 – $12,750 · median $6,903 | 32 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,549 – $26,086 · median $13,268 | 32 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,826 – $13,352 · median $7,634 | 32 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,046 – $24,420 · median $14,372 | 32 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,731 – $12,518 · median $7,060 | 32 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,331 – $24,975 · median $12,802 | 32 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,531 – $27,479 · median $15,705 | 32 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,383 – $38,620 · median $24,258 | 32 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,619 – $20,894 · median $12,970 | 32 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,006 – $52,854 · median $28,092 | 32 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,763 – $27,215 · median $15,400 | 32 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,460 – $23,202 · median $13,478 | 32 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,865 – $18,162 · median $11,331 | 32 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,184 – $55,709 · median $31,310 | 32 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,265 – $31,929 · median $18,075 | 32 plans |
| 637 | DIABETES WITH MCC | $9,195 – $20,817 · median $11,977 | 32 plans |
| 638 | DIABETES WITH CC | $5,767 – $13,261 · median $7,467 | 32 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,041 – $9,188 · median $5,462 | 32 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,359 – $19,019 · median $11,872 | 32 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,032 – $11,357 · median $6,803 | 32 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,285 – $17,800 · median $10,195 | 32 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,415 – $23,634 · median $14,721 | 32 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,779 – $14,889 · median $8,853 | 32 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,904 – $11,319 · median $6,359 | 32 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,656 – $26,028 · median $16,301 | 32 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,298 – $36,627 · median $21,051 | 32 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,550 – $19,187 · median $11,450 | 32 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,696 – $14,794 · median $9,111 | 32 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,840 – $53,803 · median $27,740 | 32 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,255 – $27,036 · median $13,638 | 32 plans |
| 666 | PROSTATECTOMY WITH CC | $10,866 – $30,924 · median $14,700 | 32 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,704 – $18,275 · median $9,213 | 32 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,161 – $13,800 · median $8,574 | 32 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,832 – $31,461 · median $15,376 | 32 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,010 – $32,760 · median $20,231 | 32 plans |
| 683 | RENAL FAILURE WITH CC | $5,776 – $12,864 · median $6,829 | 32 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,954 – $8,918 · median $4,999 | 32 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,626 – $26,835 · median $16,811 | 32 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,677 – $15,160 · median $9,433 | 32 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,481 – $16,913 · median $10,475 | 32 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,191 – $11,654 · median $6,670 | 32 plans |
| 693 | URINARY STONES WITH MCC | $8,989 – $24,922 · median $13,133 | 32 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,040 – $11,357 · median $6,412 | 32 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,616 – $20,998 · median $10,098 | 32 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,475 – $10,101 · median $6,207 | 32 plans |
| 697 | URETHRAL STRICTURE | $6,885 – $18,848 · median $8,982 | 32 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,473 – $23,965 · median $14,997 | 32 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,524 – $14,700 · median $9,035 | 32 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,576 – $11,323 · median $6,258 | 32 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,390 – $27,605 · median $17,298 | 32 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,252 – $23,668 · median $13,240 | 32 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,247 – $25,208 · median $13,408 | 32 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,956 – $37,714 · median $17,032 | 32 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,338 – $20,944 · median $9,583 | 32 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,204 – $20,672 · median $12,917 | 32 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,136 – $14,297 · median $8,432 | 32 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,921 – $38,986 · median $20,112 | 32 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,026 – $24,510 · median $12,680 | 32 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,466 – $26,412 · median $15,246 | 32 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,490 – $17,672 · median $10,238 | 32 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,107 – $20,048 · median $10,055 | 32 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,896 – $22,449 · median $11,292 | 32 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,717 – $13,348 · median $6,703 | 32 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,008 – $27,323 · median $13,124 | 32 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,148 – $11,858 · median $7,009 | 32 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,419 – $18,418 · median $9,860 | 32 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,036 – $11,126 · median $5,485 | 32 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,709 – $29,878 · median $18,620 | 32 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,016 – $21,482 · median $10,861 | 32 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,464 – $28,415 · median $17,810 | 32 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,667 – $21,666 · median $13,545 | 32 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,268 – $26,008 · median $15,797 | 32 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,404 – $17,206 · median $10,726 | 32 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,608 – $23,877 · median $13,984 | 32 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,691 – $13,793 · median $8,570 | 32 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,918 – $24,062 · median $12,176 | 32 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,851 – $36,687 · median $21,167 | 32 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,638 – $24,868 · median $11,531 | 32 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,922 – $15,964 · median $9,854 | 32 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,330 – $13,790 · median $8,568 | 32 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,348 – $14,692 · median $8,316 | 32 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,189 – $9,375 · median $5,778 | 32 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,366 – $14,219 · median $8,188 | 32 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,936 – $9,290 · median $5,724 | 32 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,140 – $15,486 · median $8,224 | 32 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,629 – $10,406 · median $5,522 | 32 plans |
| 779 | ABORTION WITHOUT D&C | $5,252 – $13,507 · median $6,998 | 32 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,500 – $51,283 · median $13,570 | 32 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,500 – $23,917 · median $12,030 | 32 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,159 – $28,595 · median $14,650 | 32 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,743 – $26,427 · median $15,875 | 32 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,578 – $18,794 · median $9,902 | 32 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,812 – $32,506 · median $20,325 | 32 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,422 – $13,746 · median $8,540 | 32 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,910 – $20,124 · median $12,571 | 32 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,775 – $13,341 · median $8,284 | 32 plans |
| 813 | COAGULATION DISORDERS | $9,885 – $23,865 · median $13,820 | 32 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,426 – $29,706 · median $17,629 | 32 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,358 – $14,647 · median $9,109 | 32 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,588 – $10,302 · median $5,950 | 32 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,651 – $35,938 · median $19,098 | 32 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,797 – $18,458 · median $10,437 | 32 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,647 – $11,849 · median $7,064 | 32 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,074 – $36,711 · median $19,882 | 32 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,833 – $21,034 · median $10,239 | 32 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,079 – $35,654 · median $19,590 | 32 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,211 – $21,768 · median $11,011 | 32 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,386 – $24,689 · median $14,307 | 32 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,819 – $43,628 · median $23,187 | 32 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $35,060 – $126,132 · median $49,066 | 32 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,095 – $48,088 · median $19,027 | 32 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,681 – $29,974 · median $11,364 | 32 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,638 – $28,833 · median $15,552 | 32 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,284 – $19,613 · median $11,360 | 32 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,641 – $58,067 · median $28,355 | 32 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,808 – $20,084 · median $9,426 | 32 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,758 – $30,816 · median $16,879 | 32 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,374 – $18,794 · median $10,695 | 32 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,552 – $15,372 · median $7,521 | 32 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,395 – $36,200 · median $20,424 | 32 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,720 – $18,215 · median $10,258 | 32 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,373 – $11,883 · median $6,307 | 32 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,865 – $28,411 · median $17,754 | 32 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,769 – $23,190 · median $14,160 | 32 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,763 – $63,641 · median $36,972 | 32 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,473 – $30,945 · median $17,510 | 32 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,161 – $18,463 · median $11,521 | 32 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,643 – $26,177 · median $13,955 | 32 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,429 – $14,420 · median $8,420 | 32 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,664 – $12,992 · median $7,941 | 32 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,052 – $21,091 · median $12,953 | 32 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,881 – $12,806 · median $7,245 | 32 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,927 – $15,123 · median $9,342 | 32 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,467 – $10,983 · median $6,483 | 32 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,519 – $27,906 · median $17,468 | 32 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,581 – $14,856 · median $9,071 | 32 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,111 – $13,841 · median $7,972 | 32 plans |
| 881 | DEPRESSIVE NEUROSES | $5,181 – $13,217 · median $6,848 | 32 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,869 – $13,889 · median $7,195 | 32 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,851 – $26,390 · median $14,339 | 32 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,815 – $23,815 · median $12,317 | 32 plans |
| 885 | PSYCHOSES | $7,452 – $20,162 · median $10,432 | 32 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,138 – $18,346 · median $10,644 | 32 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,742 – $9,152 · median $4,856 | 32 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,494 – $12,770 · median $6,944 | 32 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,909 – $27,002 · median $15,725 | 32 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,900 – $17,492 · median $10,431 | 32 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,889 – $30,995 · median $18,163 | 32 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,615 – $18,182 · median $11,343 | 32 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,477 – $27,287 · median $14,443 | 32 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,819 – $13,249 · median $7,961 | 32 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,268 – $9,713 · median $5,882 | 32 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,109 – $23,387 · median $13,405 | 32 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,527 – $12,804 · median $6,923 | 32 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,535 – $25,965 · median $15,125 | 32 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,605 – $14,644 · median $8,814 | 32 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,511 – $10,044 · median $6,200 | 32 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,037 – $25,155 · median $15,073 | 32 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,465 – $14,700 · median $7,805 | 32 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $33,528 – $94,018 · median $48,548 | 32 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,204 – $35,403 · median $19,115 | 32 plans |
| 935 | NON-EXTENSIVE BURNS | $12,875 – $31,190 · median $16,136 | 32 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,666 – $29,999 · median $18,810 | 32 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,730 – $27,797 · median $15,479 | 32 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,928 – $26,839 · median $11,754 | 32 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,963 – $18,433 · median $11,267 | 32 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,154 – $11,541 · median $7,146 | 32 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,848 – $18,490 · median $9,666 | 32 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,839 – $8,352 · median $4,492 | 32 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,517 – $21,431 · median $13,396 | 32 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,120 – $13,599 · median $8,192 | 32 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,340 – $49,682 · median $26,559 | 32 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,659 – $23,721 · median $12,699 | 32 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,988 – $24,295 · median $12,881 | 32 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,208 – $49,500 · median $31,133 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,739 – $24,457 · median $15,227 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,895 – $16,601 · median $10,344 | 32 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $6,795 – $133,459 · median $59,871 | 31 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,194 – $81,341 · median $35,208 | 31 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,717 – $65,405 · median $26,590 | 31 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,500 – $15,771 · median $8,174 | 31 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,545 – $15,585 · median $8,358 | 31 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,561 – $12,648 · median $6,852 | 31 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,713 – $15,287 · median $8,198 | 31 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,491 – $13,085 · median $7,089 | 31 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,502 – $25,671 · median $13,908 | 31 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,560 – $111,709 · median $45,366 | 31 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,702 – $57,309 · median $30,160 | 31 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,787 – $34,740 · median $17,946 | 31 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $11,484 – $58,860 · median $30,389 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,052 – $21,096 · median $10,906 | 31 plans |
| 795 | NORMAL NEWBORN | $1,419 – $3,792 · median $1,736 | 31 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,500 – $20,317 · median $9,815 | 31 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,500 – $13,975 · median $7,494 | 31 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,367 – $13,975 · median $7,494 | 31 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,500 – $14,393 · median $7,462 | 31 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,816 – $10,547 · median $5,653 | 31 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,240 – $9,505 · median $5,059 | 31 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,864 – $16,538 · median $8,960 | 31 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,760 – $10,881 · median $5,832 | 31 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,351 – $7,691 · median $4,100 | 31 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,474 – $19,045 · median $8,698 | 31 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $169,065 – $406,805 · median $283,552 | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,279 – $309,767 · median $123,697 | 27 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $13,711 – $184,043 · median $99,719 | 27 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,662 – $85,006 · median $45,635 | 27 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $7,104 – $85,006 · median $43,915 | 27 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $64,672 – $192,662 · median $109,185 | 26 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $49,544 – $241,983 · median $61,595 | 26 plans |
| 007 | LUNG TRANSPLANT | $133,524 – $918,541 · median $292,474 | 26 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,259 – $236,191 · median $61,200 | 26 plans |
| 010 | PANCREAS TRANSPLANT | $30,164 – $142,104 · median $62,263 | 26 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $55,394 – $124,608 · median $64,975 | 26 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $19,880 – $86,132 · median $44,497 | 26 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $28,868 – $64,958 · median $33,876 | 26 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $41,500 – $93,365 · median $48,686 | 26 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,967 – $51,675 · median $26,709 | 26 plans |
| 652 | KIDNEY TRANSPLANT | $18,888 – $71,218 · median $31,712 | 26 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | — | 3 plans |
| 999 | UNGROUPABLE | — | 3 plans |
No procedures match that keyword.