Lehigh Valley Hospital–Hazleton — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 010 | Pancreas transplant | $32,486 – $194,854 · median $90,033 | 24 plans |
| 652 | KIDNEY TRANSPLANT | $26,433 – $201,892 · median $58,009 | 24 plans |
| 069 | TRANSIENT ISCHEMIA | $4,406 – $31,814 · median $10,747 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,949 – $24,846 · median $9,496 | 23 plans |
| 313 | CHEST PAIN | $3,557 – $31,814 · median $8,586 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,492 – $61,674 · median $14,330 | 23 plans |
| 748 | Female reproductive system reconstructive procedures | $5,117 – $80,401 · median $18,889 | 23 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,254 – $37,960 · median $10,095 | 23 plans |
| 849 | RADIOTHERAPY | $7,077 – $75,511 · median $24,729 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,665 – $21,963 · median $8,893 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $15,740 – $171,403 · median $51,475 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $45,381 – $304,576 · median $115,510 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $27,886 – $1,101,565 · median $149,936 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,898 – $41,390 · median $14,415 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $58,570 – $338,268 · median $147,895 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $26,593 – $291,282 · median $91,815 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,765 – $238,389 · median $69,801 | 20 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $225,407 – $628,885 · median $432,223 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $93,924 – $396,678 · median $194,354 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $22,511 – $478,482 · median $326,264 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $22,511 – $315,466 · median $216,556 | 19 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $22,511 – $123,457 · median $84,207 | 19 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,474 – $100,681 · median $61,168 | 19 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,710 – $60,247 · median $41,235 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $22,511 – $228,567 · median $136,096 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $22,511 – $171,673 · median $96,571 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,511 – $127,857 · median $62,266 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $22,511 – $128,635 · median $93,132 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,511 – $91,044 · median $62,644 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $22,511 – $99,849 · median $71,271 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,511 – $68,286 · median $48,742 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,342 – $55,096 · median $39,567 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $22,511 – $135,731 · median $95,154 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,511 – $74,942 · median $53,492 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,400 – $49,684 · median $31,629 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,511 – $93,559 · median $54,519 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,683 – $47,679 · median $34,033 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,898 – $37,561 · median $26,291 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,511 – $117,651 · median $65,653 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,668 – $55,339 · median $37,484 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,138 – $40,926 · median $29,212 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,511 – $79,761 · median $54,246 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,708 – $44,594 · median $26,836 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,607 – $30,587 · median $19,065 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,511 – $84,216 · median $60,112 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,233 – $52,555 · median $37,211 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,277 – $41,494 · median $25,811 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,779 – $55,877 · median $32,071 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,766 – $30,498 · median $15,556 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,677 – $33,469 · median $20,807 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,153 – $24,358 · median $17,110 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,754 – $55,907 · median $37,985 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,922 – $32,653 · median $21,265 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,615 – $46,779 · median $29,416 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,347 – $27,318 · median $18,657 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,389 – $22,896 · median $14,705 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,754 – $71,470 · median $44,547 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,754 – $51,717 · median $30,067 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,281 – $48,874 · median $23,717 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,754 – $44,411 · median $30,509 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,987 – $26,308 · median $16,756 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,197 – $20,711 · median $12,132 | 19 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,727 – $42,499 · median $24,192 | 19 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,816 – $21,908 · median $14,754 | 19 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,141 – $43,966 · median $28,221 | 19 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,771 – $25,410 · median $16,940 | 19 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,723 – $19,065 · median $12,666 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,579 – $35,346 · median $24,631 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,257 – $23,494 · median $16,612 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,709 – $38,454 · median $22,746 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,138 – $20,883 · median $14,754 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,483 – $45,821 · median $26,106 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,490 – $29,809 · median $16,848 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,014 – $22,058 · median $11,751 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,057 – $63,390 · median $32,755 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,984 – $20,831 · median $14,754 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,754 – $54,471 · median $36,975 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,265 – $32,982 · median $22,157 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,317 – $21,346 · median $15,236 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,754 – $50,591 · median $34,454 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,101 – $29,283 · median $20,239 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,328 – $19,736 · median $14,087 | 19 plans |
| 088 | CONCUSSION WITH MCC | $12,331 – $41,452 · median $23,817 | 19 plans |
| 089 | CONCUSSION WITH CC | $9,062 – $23,936 · median $17,085 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,969 – $19,140 · median $13,662 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,709 – $40,698 · median $28,061 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,266 – $26,727 · median $16,871 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,494 – $20,382 · median $13,006 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $14,754 – $81,461 · median $58,427 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,754 – $66,981 · median $40,252 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,754 – $59,978 · median $38,202 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $14,754 – $98,915 · median $59,067 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,754 – $50,221 · median $34,570 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,222 – $31,107 · median $20,643 | 19 plans |
| 100 | SEIZURES WITH MCC | $13,851 – $44,324 · median $28,208 | 19 plans |
| 101 | SEIZURES WITHOUT MCC | $7,262 – $20,578 · median $14,184 | 19 plans |
| 102 | HEADACHES WITH MCC | $9,468 – $27,894 · median $18,478 | 19 plans |
| 103 | HEADACHES WITHOUT MCC | $6,776 – $19,184 · median $13,890 | 19 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,029 – $70,692 · median $37,440 | 19 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,390 – $38,578 · median $20,836 | 19 plans |
| 115 | Extraocular procedures except orbit | $8,027 – $48,559 · median $25,585 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,712 – $55,399 · median $27,495 | 19 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,702 – $33,131 · median $18,210 | 19 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,405 – $35,825 · median $19,167 | 19 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,980 – $20,531 · median $11,956 | 19 plans |
| 123 | Neurological eye disorders | $4,438 – $31,814 · median $13,560 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,805 – $40,644 · median $21,486 | 19 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,915 – $18,460 · median $13,219 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,340 – $74,254 · median $39,730 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,659 – $33,580 · median $17,242 | 19 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,228 – $31,225 · median $22,288 | 19 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,260 – $22,511 · median $13,405 | 19 plans |
| 139 | Salivary gland procedures | $6,838 – $48,559 · median $22,475 | 19 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $19,964 – $117,411 · median $68,139 | 19 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,009 – $53,872 · median $34,239 | 19 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,480 – $46,270 · median $25,910 | 19 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $16,515 – $73,718 · median $45,564 | 19 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,315 – $39,220 · median $25,786 | 19 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,151 – $48,559 · median $20,003 | 19 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,754 – $61,534 · median $37,384 | 19 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,922 – $36,064 · median $21,016 | 19 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,152 – $25,260 · median $13,936 | 19 plans |
| 149 | Dysequilibrium | $4,190 – $31,814 · median $12,481 | 19 plans |
| 150 | EPISTAXIS WITH MCC | $11,744 – $39,925 · median $22,776 | 19 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,516 – $17,179 · median $12,490 | 19 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,036 – $25,336 · median $17,993 | 19 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,396 – $16,033 · median $11,342 | 19 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,443 – $44,953 · median $26,798 | 19 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,021 – $20,844 · median $14,754 | 19 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,062 – $15,196 · median $11,080 | 19 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,413 – $41,482 · median $26,498 | 19 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,661 – $21,000 · median $14,754 | 19 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,778 – $15,563 · median $11,136 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $22,511 – $107,339 · median $73,452 | 19 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,725 – $58,092 · median $41,475 | 19 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,479 – $43,337 · median $30,715 | 19 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $22,511 – $85,962 · median $60,719 | 19 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,868 – $41,063 · median $29,729 | 19 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,715 – $31,186 · median $22,310 | 19 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $18,120 – $79,372 · median $48,901 | 19 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,318 – $31,879 · median $22,455 | 19 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,269 – $19,443 · median $13,421 | 19 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,079 – $40,195 · median $25,761 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,777 – $28,130 · median $16,348 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,888 – $20,198 · median $12,683 | 19 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,714 – $40,195 · median $28,800 | 19 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,780 – $27,116 · median $18,296 | 19 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,408 – $23,105 · median $14,140 | 19 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,003 – $35,438 · median $25,280 | 19 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,813 – $23,846 · median $17,021 | 19 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,654 – $17,508 · median $12,815 | 19 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,506 – $35,275 · median $25,179 | 19 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,878 – $23,165 · median $16,544 | 19 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,587 – $17,479 · median $12,396 | 19 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,699 – $27,626 · median $19,719 | 19 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,888 – $25,072 · median $17,718 | 19 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,647 – $19,929 · median $14,156 | 19 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,848 – $15,779 · median $10,927 | 19 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,542 – $29,822 · median $20,591 | 19 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,315 – $20,268 · median $13,512 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,640 – $15,418 · median $10,261 | 19 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,127 – $44,415 · median $30,025 | 19 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,759 – $26,547 · median $16,313 | 19 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,300 – $20,771 · median $12,345 | 19 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,754 – $39,412 · median $24,374 | 19 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,352 – $24,726 · median $16,880 | 19 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,102 – $16,506 · median $10,790 | 19 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,025 – $21,583 · median $15,395 | 19 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,202 – $15,712 · median $11,101 | 19 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,789 – $18,147 · median $13,116 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,785 – $42,147 · median $25,558 | 19 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,535 – $20,223 · median $14,581 | 19 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $14,754 – $170,505 · median $103,589 | 19 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,754 – $59,919 · median $42,769 | 19 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $63,468 – $322,365 · median $173,605 | 19 plans |
| 215 | Other heart assist system implant | $75,935 – $327,148 · median $168,839 | 19 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $80,621 – $215,470 · median $153,800 | 19 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $53,050 – $144,179 · median $105,781 | 19 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,644 – $132,824 · median $95,581 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $64,590 – $172,747 · median $114,305 | 19 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $43,393 – $118,254 · median $87,279 | 19 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,874 – $107,246 · median $73,188 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $42,667 – $145,155 · median $84,527 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,729 – $99,563 · median $54,752 | 19 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,535 – $198,070 · median $138,869 | 19 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $49,464 – $138,392 · median $99,978 | 19 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $62,736 – $174,509 · median $116,340 | 19 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,708 – $118,779 · median $84,783 | 19 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,444 – $131,371 · median $89,212 | 19 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,583 – $91,807 · median $66,484 | 19 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,511 – $112,454 · median $76,355 | 19 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,511 – $65,018 · median $45,653 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,645 – $44,235 · median $25,291 | 19 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $29,155 – $80,569 · median $55,893 | 19 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,482 – $58,242 · median $38,034 | 19 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,677 – $51,328 · median $31,184 | 19 plans |
| 245 | AICD generator procedures | $29,536 – $143,390 · median $80,525 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,989 – $54,501 · median $39,044 | 19 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,621 – $44,594 · median $27,093 | 19 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,511 – $89,787 · median $55,350 | 19 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,031 – $62,671 · median $42,068 | 19 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,207 – $43,427 · median $28,827 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,511 – $58,416 · median $39,075 | 19 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,628 – $37,858 · median $24,087 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,926 – $24,453 · median $14,713 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,511 – $85,417 · median $47,365 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,278 – $58,511 · median $29,675 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,511 – $81,497 · median $56,127 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,466 – $45,462 · median $31,269 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,241 – $39,327 · median $25,010 | 19 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,655 – $80,419 · median $44,196 | 19 plans |
| 264 | Other circulatory system O.R. procedures | $18,614 – $78,032 · median $43,356 | 19 plans |
| 265 | AICD lead procedures | $18,366 – $102,986 · median $58,780 | 19 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,379 – $168,375 · median $98,716 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,463 – $132,628 · median $79,170 | 19 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $22,511 – $164,729 · median $109,869 | 19 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,511 – $92,892 · median $66,305 | 19 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $22,511 – $114,599 · median $81,799 | 19 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,511 – $86,016 · median $56,757 | 19 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,810 – $64,228 · median $41,231 | 19 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,530 – $106,637 · median $64,786 | 19 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,621 – $174,595 · median $53,613 | 19 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $41,460 – $187,505 · median $113,917 | 19 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $36,594 – $243,599 · median $106,309 | 19 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $28,181 – $243,599 · median $81,868 | 19 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $26,284 – $133,483 · median $82,444 | 19 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $18,860 – $121,605 · median $54,789 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,290 – $36,646 · median $26,157 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,180 – $22,387 · median $15,189 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,510 – $20,412 · median $12,401 | 19 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,672 – $48,066 · median $31,161 | 19 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,645 – $22,058 · median $13,061 | 19 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,939 – $15,174 · median $9,472 | 19 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,754 – $49,414 · median $32,467 | 19 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,605 – $25,520 · median $17,956 | 19 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,754 – $60,983 · median $43,529 | 19 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,509 – $36,805 · median $25,126 | 19 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,666 – $30,498 · median $16,528 | 19 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,432 – $32,055 · median $20,519 | 19 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,665 – $20,824 · median $14,150 | 19 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,012 – $15,443 · median $9,382 | 19 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,886 – $34,478 · median $20,235 | 19 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,230 – $25,200 · median $13,446 | 19 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,010 – $45,672 · median $26,998 | 19 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,549 – $20,920 · median $11,892 | 19 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,103 – $14,754 · median $7,785 | 19 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,380 – $36,115 · median $20,974 | 19 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,993 – $23,902 · median $16,617 | 19 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,410 – $16,069 · median $11,755 | 19 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,267 – $34,209 · median $19,169 | 19 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,966 – $15,196 · median $11,080 | 19 plans |
| 304 | HYPERTENSION WITH MCC | $9,035 – $26,229 · median $17,947 | 19 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,233 – $17,149 · median $12,370 | 19 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,565 – $45,552 · median $24,674 | 19 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,388 – $27,595 · median $15,265 | 19 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,592 – $26,923 · median $18,963 | 19 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,630 – $16,767 · median $11,924 | 19 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,103 – $14,754 · median $9,219 | 19 plans |
| 311 | ANGINA PECTORIS | $4,050 – $31,814 · median $11,628 | 19 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,754 – $48,079 · median $33,521 | 19 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,524 – $22,357 · median $15,857 | 19 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,150 – $20,172 · median $12,033 | 19 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $21,439 – $129,413 · median $72,385 | 19 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,692 – $69,764 · median $39,081 | 19 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,939 – $121,605 · median $49,211 | 19 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $10,745 – $121,605 · median $31,889 | 19 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $24,396 – $123,906 · median $70,186 | 19 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $17,465 – $121,605 · median $54,658 | 19 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $15,582 – $79,132 · median $47,162 | 19 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $22,511 – $113,394 · median $80,065 | 19 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,970 – $58,810 · median $38,694 | 19 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,372 – $36,483 · median $25,753 | 19 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,511 – $106,711 · median $69,507 | 19 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,423 – $53,622 · median $38,353 | 19 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,372 – $39,446 · median $27,205 | 19 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,511 – $115,406 · median $58,562 | 19 plans |
| 333 | RECTAL RESECTION WITH CC | $18,399 – $62,641 · median $35,021 | 19 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,098 – $37,501 · median $26,119 | 19 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,511 – $88,912 · median $54,495 | 19 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,289 – $50,815 · median $33,662 | 19 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,388 – $35,145 · median $24,724 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,511 – $81,856 · median $45,491 | 19 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,994 – $34,089 · median $24,531 | 19 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,839 – $28,941 · median $20,520 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,450 – $75,750 · median $39,959 | 19 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,042 – $30,673 · median $21,254 | 19 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,833 – $22,686 · median $14,872 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,759 – $71,889 · median $40,835 | 19 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,250 – $42,230 · median $25,400 | 19 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,941 – $25,709 · median $18,169 | 19 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,511 – $65,482 · median $46,740 | 19 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,528 – $37,979 · median $27,109 | 19 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,166 – $30,498 · median $22,080 | 19 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,511 – $95,236 · median $65,154 | 19 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,844 – $50,278 · median $33,018 | 19 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,859 – $31,425 · median $22,511 | 19 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,533 – $39,902 · median $27,281 | 19 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,993 – $24,422 · median $16,768 | 19 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,279 – $21,968 · median $12,303 | 19 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,754 – $39,026 · median $27,856 | 19 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,093 – $23,000 · median $16,403 | 19 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,512 – $16,554 · median $11,953 | 19 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,754 – $47,139 · median $33,647 | 19 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,786 – $27,432 · median $19,581 | 19 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,680 – $22,058 · median $14,754 | 19 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,754 – $40,593 · median $28,975 | 19 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,724 – $23,015 · median $16,246 | 19 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,759 – $16,491 · median $10,749 | 19 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,754 – $42,962 · median $30,666 | 19 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,551 – $24,315 · median $17,356 | 19 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,715 – $17,688 · median $12,650 | 19 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,087 – $40,973 · median $21,343 | 19 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,737 – $19,415 · median $14,329 | 19 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,149 – $36,275 · median $25,476 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,682 – $22,159 · median $15,818 | 19 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,044 – $15,982 · median $11,317 | 19 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,834 – $33,097 · median $21,860 | 19 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,159 – $18,539 · median $12,774 | 19 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,999 – $14,754 · median $9,017 | 19 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,560 – $28,678 · median $20,470 | 19 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,774 – $17,493 · median $12,435 | 19 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,414 – $36,972 · median $26,390 | 19 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,345 – $21,015 · median $15,001 | 19 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,756 – $16,431 · median $10,744 | 19 plans |
| 397 | Appendix Procedures with MCC | $13,238 – $55,319 · median $38,458 | 19 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,918 – $48,559 · median $25,547 | 19 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,559 – $48,559 · median $19,055 | 19 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $22,511 – $129,233 · median $89,454 | 19 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,511 – $67,789 · median $46,277 | 19 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,320 – $50,640 · median $34,553 | 19 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,511 – $100,831 · median $59,112 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,155 – $50,616 · median $34,546 | 19 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,523 – $43,217 · median $26,187 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,511 – $98,945 · median $46,199 | 19 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,453 – $65,335 · median $35,988 | 19 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,469 – $47,557 · median $28,068 | 19 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,511 – $88,829 · median $57,736 | 19 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,149 – $44,163 · median $31,939 | 19 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,632 – $34,448 · median $22,578 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,494 – $53,058 · median $37,615 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,319 – $37,621 · median $27,237 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,101 – $31,515 · median $22,245 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,511 – $98,167 · median $59,589 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,258 – $50,700 · median $27,648 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,435 – $42,170 · median $24,808 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,511 – $107,265 · median $65,168 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,741 – $62,013 · median $37,675 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,247 – $46,150 · median $26,098 | 19 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,754 – $43,739 · median $31,220 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,326 – $23,884 · median $17,140 | 19 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,711 – $17,179 · median $11,477 | 19 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,754 – $40,736 · median $28,591 | 19 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,928 – $25,260 · median $18,288 | 19 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,020 – $23,853 · median $13,840 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,389 – $42,589 · median $27,414 | 19 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,657 – $19,304 · median $14,174 | 19 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,576 – $14,754 · median $10,163 | 19 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,754 – $44,654 · median $31,085 | 19 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,201 – $22,956 · median $15,921 | 19 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,145 – $19,125 · median $11,619 | 19 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,883 – $37,606 · median $26,843 | 19 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,197 – $24,871 · median $17,870 | 19 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,972 – $21,040 · median $13,461 | 19 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $22,511 – $199,908 · median $139,555 | 19 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $22,511 – $147,822 · median $94,574 | 19 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,511 – $129,054 · median $72,901 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $22,511 – $193,670 · median $83,752 | 19 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,822 – $70,890 · median $43,813 | 19 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $22,511 – $120,583 · median $85,645 | 19 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,511 – $65,830 · median $46,989 | 19 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,094 – $41,751 · median $28,607 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,488 – $113,742 · median $71,853 | 19 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,176 – $76,471 · median $50,688 | 19 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,628 – $61,182 · median $40,799 | 19 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $11,727 – $72,977 · median $38,782 | 19 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,727 – $71,567 · median $29,736 | 19 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,511 – $108,444 · median $72,260 | 19 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,511 – $64,683 · median $45,372 | 19 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,704 – $52,855 · median $36,753 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $22,511 – $100,125 · median $66,128 | 19 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,804 – $48,164 · median $34,379 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,568 – $35,436 · median $19,996 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,511 – $76,779 · median $54,804 | 19 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,227 – $52,212 · median $37,268 | 19 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,134 – $39,647 · median $28,299 | 19 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,511 – $74,792 · median $48,462 | 19 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,252 – $52,585 · median $34,190 | 19 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,823 – $38,130 · median $26,141 | 19 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,621 – $56,891 · median $35,196 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,511 – $98,825 · median $54,351 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,764 – $48,268 · median $32,874 | 19 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,420 – $36,042 · median $25,140 | 19 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,152 – $53,902 · median $32,748 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,868 – $32,263 · median $20,908 | 19 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,511 – $79,284 · median $55,357 | 19 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,356 – $55,129 · median $38,262 | 19 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,171 – $42,093 · median $30,046 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,511 – $107,595 · median $58,012 | 19 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,512 – $44,049 · median $31,442 | 19 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,131 – $31,785 · median $22,511 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,279 – $77,007 · median $41,605 | 19 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,072 – $38,070 · median $20,460 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,511 – $70,744 · median $49,826 | 19 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,184 – $39,845 · median $28,441 | 19 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,611 – $31,194 · median $22,266 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,658 – $78,773 · median $43,611 | 19 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,666 – $39,182 · median $27,968 | 19 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,521 – $39,182 · median $26,109 | 19 plans |
| 506 | Major thumb or joint procedures | $8,310 – $48,559 · median $25,309 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,810 – $61,055 · median $32,133 | 19 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,311 – $43,128 · median $22,511 | 19 plans |
| 509 | Arthroscopy | $9,844 – $48,559 · median $29,658 | 19 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,102 – $82,754 · median $45,547 | 19 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,886 – $43,936 · median $30,573 | 19 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,970 – $35,896 · median $23,207 | 19 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,082 – $34,470 · median $22,511 | 19 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,696 – $22,764 · median $16,801 | 19 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,511 – $74,344 · median $49,977 | 19 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,434 – $49,772 · median $32,217 | 19 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,027 – $33,326 · median $23,788 | 19 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,511 – $80,016 · median $49,523 | 19 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,871 – $44,025 · median $30,878 | 19 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,856 – $31,998 · median $22,196 | 19 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,050 – $81,197 · median $49,331 | 19 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,900 – $71,567 · median $35,406 | 19 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,917 – $45,761 · median $25,127 | 19 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,942 – $23,853 · median $13,743 | 19 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,527 – $38,309 · median $21,914 | 19 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,632 – $18,346 · median $13,283 | 19 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,156 – $28,881 · median $15,515 | 19 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,054 – $21,220 · median $11,582 | 19 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,754 – $45,152 · median $27,343 | 19 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,341 – $28,892 · median $19,442 | 19 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,782 – $20,526 · median $13,942 | 19 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,754 – $46,031 · median $30,733 | 19 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,361 – $28,313 · median $17,482 | 19 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,769 – $23,105 · median $13,280 | 19 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,754 – $72,608 · median $41,638 | 19 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,048 – $28,702 · median $19,077 | 19 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,689 – $23,464 · median $13,153 | 19 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,754 – $56,147 · median $34,012 | 19 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,201 – $26,905 · median $19,204 | 19 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,673 – $22,088 · median $14,555 | 19 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,584 – $38,097 · median $26,590 | 19 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,866 – $21,518 · median $15,084 | 19 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,623 – $39,686 · median $22,049 | 19 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,682 – $18,649 · median $13,348 | 19 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,159 – $41,033 · median $22,189 | 19 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,800 – $20,232 · median $13,454 | 19 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,022 – $34,599 · median $21,525 | 19 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,600 – $19,285 · median $13,766 | 19 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,754 – $43,337 · median $29,582 | 19 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,529 – $25,423 · median $18,146 | 19 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,776 – $20,681 · median $13,472 | 19 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,299 – $32,832 · median $23,322 | 19 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,939 – $31,814 · median $14,701 | 19 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,677 – $41,930 · median $25,474 | 19 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,647 – $22,766 · median $16,250 | 19 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,645 – $19,514 · median $12,630 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,300 – $67,206 · median $44,175 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,570 – $37,380 · median $24,398 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,338 – $25,533 · median $18,824 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,511 – $172,241 · median $88,254 | 19 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,511 – $95,324 · median $57,095 | 19 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,903 – $55,129 · median $32,902 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,511 – $164,579 · median $88,904 | 19 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,619 – $68,777 · median $42,434 | 19 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,108 – $48,006 · median $27,854 | 19 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,511 – $72,769 · median $43,840 | 19 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,306 – $39,584 · median $28,255 | 19 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,140 – $32,132 · median $22,925 | 19 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,072 – $60,067 · median $28,856 | 19 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,550 – $53,423 · median $27,068 | 19 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,524 – $69,914 · median $33,737 | 19 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,800 – $60,277 · median $32,066 | 19 plans |
| 592 | SKIN ULCERS WITH MCC | $12,318 – $45,909 · median $25,366 | 19 plans |
| 593 | SKIN ULCERS WITH CC | $8,915 – $27,298 · median $15,994 | 19 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,732 – $18,949 · median $12,983 | 19 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,754 – $63,689 · median $35,709 | 19 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,656 – $24,137 · median $14,754 | 19 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,754 – $48,335 · median $29,366 | 19 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,514 – $24,931 · median $17,778 | 19 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,518 – $20,831 · median $14,433 | 19 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,475 – $21,357 · median $15,244 | 19 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,443 – $14,754 · median $9,554 | 19 plans |
| 602 | CELLULITIS WITH MCC | $12,709 – $32,801 · median $23,413 | 19 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,639 – $19,665 · median $14,036 | 19 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,817 – $43,577 · median $24,481 | 19 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,397 – $20,623 · median $14,480 | 19 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,298 – $40,793 · median $25,662 | 19 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,037 – $19,294 · median $13,522 | 19 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,704 – $55,518 · median $37,553 | 19 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,367 – $41,721 · median $24,193 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,511 – $87,809 · median $54,734 | 19 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,754 – $45,566 · median $27,870 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,925 – $27,798 · median $19,842 | 19 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,504 – $67,695 · median $44,927 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,913 – $46,480 · median $26,962 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,765 – $46,480 · median $24,088 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,511 – $83,544 · median $46,278 | 19 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,352 – $42,705 · median $27,080 | 19 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,870 – $25,826 · median $16,935 | 19 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,511 – $86,495 · median $47,244 | 19 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,108 – $38,758 · median $24,870 | 19 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,080 – $28,792 · median $20,845 | 19 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,511 – $88,092 · median $54,710 | 19 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,637 – $50,294 · median $31,797 | 19 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,251 – $34,683 · median $22,331 | 19 plans |
| 637 | DIABETES WITH MCC | $11,887 – $32,513 · median $21,381 | 19 plans |
| 638 | DIABETES WITH CC | $7,587 – $20,477 · median $14,571 | 19 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,588 – $14,754 · median $10,032 | 19 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,012 – $31,814 · median $21,163 | 19 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,432 – $31,814 · median $12,772 | 19 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,640 – $37,001 · median $26,411 | 19 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,904 – $23,072 · median $16,257 | 19 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,688 – $17,459 · median $12,409 | 19 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $22,511 – $162,993 · median $94,116 | 19 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,511 – $65,335 · median $46,503 | 19 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,991 – $53,962 · median $34,230 | 19 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,511 – $72,738 · median $51,919 | 19 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,875 – $42,962 · median $30,123 | 19 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,123 – $35,975 · median $24,783 | 19 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,297 – $74,124 · median $41,183 | 19 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,731 – $38,940 · median $22,081 | 19 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,070 – $31,579 · median $17,277 | 19 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,511 – $89,877 · median $52,136 | 19 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,127 – $45,163 · median $25,787 | 19 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,521 – $33,161 · median $19,033 | 19 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,511 – $91,912 · median $55,840 | 19 plans |
| 666 | PROSTATECTOMY WITH CC | $14,340 – $51,657 · median $27,811 | 19 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,943 – $30,528 · median $17,352 | 19 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,983 – $70,812 · median $46,474 | 19 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,468 – $34,549 · median $23,369 | 19 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,468 – $22,686 · median $16,135 | 19 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,592 – $52,555 · median $28,403 | 19 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,776 – $30,228 · median $18,365 | 19 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,511 – $93,537 · median $54,088 | 19 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,336 – $51,537 · median $36,787 | 19 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,471 – $43,846 · median $26,427 | 19 plans |
| 682 | RENAL FAILURE WITH MCC | $13,076 – $33,531 · median $20,016 | 19 plans |
| 683 | RENAL FAILURE WITH CC | $7,900 – $20,181 · median $14,126 | 19 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,510 – $14,754 · median $9,680 | 19 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,494 – $42,499 · median $30,051 | 19 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,291 – $23,860 · median $16,776 | 19 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,350 – $18,487 · median $12,227 | 19 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,467 – $28,253 · median $18,650 | 19 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,085 – $17,968 · median $12,790 | 19 plans |
| 693 | URINARY STONES WITH MCC | $11,620 – $41,631 · median $24,431 | 19 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,763 – $17,683 · median $12,452 | 19 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,929 – $35,077 · median $19,041 | 19 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,227 – $15,609 · median $11,399 | 19 plans |
| 697 | Urethral stricture | $5,657 – $31,814 · median $17,623 | 19 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,624 – $37,528 · median $26,787 | 19 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,013 – $22,770 · median $16,253 | 19 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,247 – $18,915 · median $11,720 | 19 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,639 – $43,487 · median $30,925 | 19 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,812 – $39,536 · median $24,020 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,672 – $67,759 · median $37,938 | 19 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,785 – $42,110 · median $25,348 | 19 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,576 – $63,000 · median $32,257 | 19 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,392 – $34,987 · median $18,058 | 19 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,631 – $33,191 · median $23,827 | 19 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,610 – $23,883 · median $15,484 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,767 – $65,125 · median $37,239 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,668 – $40,943 · median $23,962 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,262 – $41,900 · median $27,295 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,281 – $27,503 · median $19,632 | 19 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,663 – $53,633 · median $29,189 | 19 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,631 – $33,491 · median $18,958 | 19 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,539 – $22,746 · median $12,842 | 19 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,074 – $37,501 · median $21,316 | 19 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,634 – $22,297 · median $12,623 | 19 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,056 – $45,642 · median $24,808 | 19 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,291 – $18,277 · median $13,021 | 19 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,522 – $30,767 · median $18,141 | 19 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,506 – $18,586 · median $10,697 | 19 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,208 – $47,246 · median $33,510 | 19 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,660 – $35,885 · median $21,396 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,511 – $121,571 · median $66,479 | 19 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,819 – $45,163 · median $32,698 | 19 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,210 – $33,866 · median $23,856 | 19 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,200 – $111,605 · median $63,440 | 19 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,270 – $44,445 · median $28,976 | 19 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,825 – $31,186 · median $21,890 | 19 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,977 – $40,783 · median $28,055 | 19 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,067 – $26,762 · median $19,102 | 19 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,500 – $43,625 · median $22,698 | 19 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,054 – $23,024 · median $16,331 | 19 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,868 – $37,387 · median $25,356 | 19 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,401 – $22,511 · median $15,787 | 19 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,333 – $57,793 · median $37,878 | 19 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,302 – $41,541 · median $22,250 | 19 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,754 – $40,394 · median $28,833 | 19 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,779 – $24,784 · median $17,691 | 19 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,184 – $21,321 · median $13,794 | 19 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,370 – $43,846 · median $23,895 | 19 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,008 – $22,757 · median $14,754 | 19 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,787 – $15,542 · median $10,805 | 19 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,928 – $22,005 · median $14,698 | 19 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,245 – $14,754 · median $10,445 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,753 – $24,623 · median $12,355 | 19 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,340 – $37,441 · median $22,896 | 19 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,346 – $17,534 · median $10,345 | 19 plans |
| 779 | ABORTION WITHOUT D&C | $5,860 – $20,870 · median $10,466 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,418 – $41,127 · median $17,942 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,418 – $25,563 · median $15,082 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,770 – $19,502 · median $13,044 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,418 – $36,077 · median $17,638 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,418 – $25,563 · median $15,082 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,035 – $20,198 · median $13,109 | 19 plans |
| 789 | Neonates, died or transferred to another acute care facility | $13,888 – $61,999 · median $26,721 | 19 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $44,337 – $186,607 · median $100,366 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,482 – $90,641 · median $46,977 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,743 – $54,692 · median $22,423 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,743 – $93,111 · median $37,911 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,079 – $32,958 · median $13,403 | 19 plans |
| 795 | Normal newborn | $2,049 – $5,457 · median $3,312 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,533 – $33,939 · median $15,234 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,533 – $23,225 · median $14,110 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,533 – $21,616 · median $11,931 | 19 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $22,511 – $106,156 · median $72,883 | 19 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,511 – $68,807 · median $46,434 | 19 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,293 – $47,767 · median $27,717 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,511 – $106,697 · median $59,070 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,372 – $44,145 · median $29,331 | 19 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,741 – $31,395 · median $19,074 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,753 – $22,281 · median $11,169 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,497 – $18,035 · median $11,062 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,435 – $15,234 · median $9,434 | 19 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,754 – $51,133 · median $36,438 | 19 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,628 – $27,651 · median $19,737 | 19 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,420 – $22,028 · median $15,684 | 19 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,709 – $31,410 · median $22,420 | 19 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,794 – $21,070 · median $15,112 | 19 plans |
| 813 | Coagulation disorders | $9,496 – $39,865 · median $26,135 | 19 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,754 – $46,673 · median $30,043 | 19 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,621 – $22,685 · median $16,338 | 19 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,952 – $17,209 · median $11,133 | 19 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,329 – $56,599 · median $39,477 | 19 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,289 – $29,505 · median $21,224 | 19 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,286 – $18,264 · median $13,454 | 19 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $22,511 – $135,967 · median $92,784 | 19 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,308 – $61,324 · median $37,257 | 19 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,064 – $35,137 · median $20,159 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $22,511 – $104,475 · median $74,302 | 19 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,028 – $59,559 · median $36,242 | 19 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,804 – $36,364 · median $21,694 | 19 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $22,511 – $145,126 · median $80,625 | 19 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,112 – $63,629 · median $38,886 | 19 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,859 – $41,242 · median $26,413 | 19 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,511 – $68,849 · median $40,118 | 19 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,771 – $39,865 · median $24,099 | 19 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,126 – $25,697 · median $17,599 | 19 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,699 – $16,793 · median $11,911 | 19 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,766 – $11,948 · median $8,222 | 19 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $22,511 – $210,700 · median $93,317 | 19 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,754 – $80,329 · median $36,060 | 19 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,667 – $50,071 · median $21,453 | 19 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $14,754 – $123,877 · median $73,745 | 19 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,754 – $51,083 · median $30,139 | 19 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,832 – $30,596 · median $20,400 | 19 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,511 – $97,000 · median $52,713 | 19 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,667 – $49,024 · median $26,473 | 19 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,285 – $33,550 · median $18,541 | 19 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,754 – $51,478 · median $31,198 | 19 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,436 – $31,395 · median $19,695 | 19 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,458 – $25,679 · median $14,749 | 19 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,754 – $57,016 · median $35,819 | 19 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,008 – $28,370 · median $17,957 | 19 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,306 – $20,242 · median $13,019 | 19 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $22,511 – $111,659 · median $79,701 | 19 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,319 – $51,934 · median $31,842 | 19 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,606 – $36,293 · median $24,650 | 19 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $22,511 – $100,726 · median $66,562 | 19 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,874 – $48,646 · median $30,791 | 19 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,293 – $29,294 · median $21,230 | 19 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,754 – $41,051 · median $23,484 | 19 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,843 – $22,324 · median $15,228 | 19 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,638 – $32,951 · median $23,520 | 19 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,001 – $19,754 · median $13,703 | 19 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,754 – $48,156 · median $34,865 | 19 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,269 – $23,445 · median $16,734 | 19 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,142 – $18,346 · median $12,149 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $14,754 – $155,311 · median $110,859 | 19 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,754 – $43,806 · median $31,205 | 19 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,107 – $23,018 · median $16,430 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,511 – $104,662 · median $63,586 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,511 – $99,604 · median $71,111 | 19 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,323 – $43,394 · median $28,373 | 19 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,853 – $27,218 · median $19,428 | 19 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,511 – $88,859 · median $61,530 | 19 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,079 – $47,677 · median $27,159 | 19 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,861 – $48,727 · median $32,946 | 19 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,511 – $90,613 · median $63,484 | 19 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,480 – $45,034 · median $32,145 | 19 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,122 – $30,556 · median $21,192 | 19 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,011 – $45,582 · median $26,666 | 19 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,966 – $20,460 · median $14,604 | 19 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,906 – $38,800 · median $24,661 | 19 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,574 – $15,020 · median $10,583 | 19 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,501 – $36,608 · median $23,847 | 19 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,536 – $19,750 · median $12,842 | 19 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,754 – $40,714 · median $27,295 | 19 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,979 – $22,681 · median $16,189 | 19 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,192 – $15,522 · median $11,332 | 19 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,610 – $42,020 · median $26,922 | 19 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,451 – $22,770 · median $13,979 | 19 plans |
| 935 | Non-extensive burns | $10,736 – $49,037 · median $25,317 | 19 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,511 – $96,790 · median $53,587 | 19 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,007 – $50,885 · median $34,792 | 19 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,529 – $43,632 · median $26,816 | 19 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,782 – $44,834 · median $25,154 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,372 – $31,814 · median $18,850 | 19 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,060 – $28,716 · median $20,095 | 19 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,824 – $17,927 · median $13,092 | 19 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,466 – $30,887 · median $18,217 | 19 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,329 – $20,202 · median $10,331 | 19 plans |
| 951 | Other factors influencing health status | $4,704 – $45,564 · median $9,573 | 19 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,511 – $141,833 · median $64,534 | 19 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,511 – $171,433 · median $122,995 | 19 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,511 – $99,364 · median $67,721 | 19 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,598 – $77,247 · median $44,637 | 19 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,754 – $71,440 · median $44,766 | 19 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,393 – $33,491 · median $23,906 | 19 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,102 – $22,716 · median $15,038 | 19 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $22,511 – $200,554 · median $104,212 | 19 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,682 – $86,584 · median $43,984 | 19 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,754 – $82,993 · median $49,207 | 19 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,193 – $39,626 · median $23,422 | 19 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,920 – $26,337 · median $16,527 | 19 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,923 – $40,584 · median $23,760 | 19 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,511 – $118,100 · median $75,758 | 19 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,142 – $57,134 · median $40,343 | 19 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,518 – $37,244 · median $26,584 | 19 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,511 – $78,201 · median $55,428 | 19 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,241 – $38,311 · median $27,346 | 19 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,762 – $27,205 · median $19,040 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,830 – $317,427 · median $177,090 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,524 – $143,779 · median $78,591 | 18 plans |
| 007 | Lung transplant | $81,030 – $359,477 · median $192,341 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $51,269 – $139,958 · median $88,411 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $34,392 – $134,758 · median $69,583 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,776 – $21,402 · median $13,366 | 18 plans |
| 881 | Depressive neuroses | $4,470 – $20,408 · median $9,900 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,567 – $21,478 · median $10,125 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,383 – $37,289 · median $17,083 | 18 plans |
| 885 | Psychoses | $7,049 – $31,471 · median $15,297 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,551 – $40,109 · median $20,601 | 18 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,273 – $30,647 · median $18,502 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $120,475 – $629,107 · median $367,868 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,948 – $149,113 · median $72,044 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,001 – $71,006 · median $34,540 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,555 – $96,602 · median $62,644 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,382 – $59,140 · median $35,107 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $36,451 – $185,153 · median $109,041 | 17 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,153 – $117,088 · median $62,345 | 17 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,682 – $313,518 · median $166,936 | 17 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $40,682 – $212,576 · median $113,189 | 17 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $32,439 – $164,732 · median $87,713 | 17 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $40,682 – $249,625 · median $132,916 | 17 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $32,233 – $163,726 · median $87,178 | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,505 – $200,665 · median $106,846 | 17 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,060 – $122,215 · median $65,075 | 17 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $30,344 – $154,137 · median $82,072 | 17 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,183 – $92,361 · median $49,179 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $33,662 – $275,703 · median $146,801 | 17 plans |
| 008 | Simultaneous pancreas/kidney transplant | $71,189 – $275,556 · median $112,707 | 8 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $4,836 – $31,814 · median $15,222 | 8 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,046 – $13,934 · median $9,971 | 7 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $8,443 – $45,163 · median $26,093 | 7 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $10,293 – $39,758 · median $29,222 | 7 plans |
No procedures match that keyword.