Lehigh Valley Hospital–Macungie — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 010 | Pancreas transplant | $33,785 – $179,679 · median $70,642 | 59 plans |
| 313 | Chest pain | $4,334 – $15,730 · median $6,457 | 59 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $20,300 – $87,838 · median $35,625 | 59 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,239 – $45,714 · median $16,303 | 59 plans |
| 849 | RADIOTHERAPY | $8,044 – $68,707 · median $19,848 | 59 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,276 – $19,394 · median $7,749 | 59 plans |
| 955 | Craniotomy for multiple significant trauma | $18,323 – $160,550 · median $47,497 | 59 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $49,904 – $262,560 · median $101,423 | 58 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,870 – $19,042 · median $7,983 | 58 plans |
| 652 | Kidney transplant | $21,703 – $110,973 · median $48,409 | 58 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,217 – $25,807 · median $8,189 | 58 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $70,272 – $756,215 · median $273,599 | 47 plans |
| 642 | INBORN ERRORS OF METABOLISM | $5,125 – $52,486 · median $12,299 | 38 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $47,947 – $355,181 · median $110,523 | 31 plans |
| 115 | Extraocular procedures except orbit | $10,315 – $40,849 · median $15,466 | 31 plans |
| 123 | Neurological eye disorders | $5,367 – $19,190 · median $7,749 | 31 plans |
| 139 | Salivary gland procedures | $8,304 – $33,602 · median $11,548 | 31 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $20,762 – $107,355 · median $37,794 | 31 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,658 – $49,571 · median $22,842 | 31 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,728 – $42,217 · median $16,647 | 31 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,176 – $81,854 · median $30,668 | 31 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,646 – $37,859 · median $18,113 | 31 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,080 – $26,267 · median $12,557 | 31 plans |
| 149 | Dysequilibrium | $5,051 – $16,421 · median $7,287 | 31 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $20,003 – $71,364 · median $26,373 | 31 plans |
| 215 | Other heart assist system implant | $66,915 – $226,002 · median $103,957 | 31 plans |
| 245 | AICD generator procedures | $30,661 – $129,229 · median $41,990 | 31 plans |
| 264 | Other circulatory system O.R. procedures | $22,450 – $72,983 · median $28,485 | 31 plans |
| 265 | AICD lead procedures | $24,316 – $93,211 · median $34,538 | 31 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,919 – $166,186 · median $72,805 | 31 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $31,038 – $112,608 · median $49,487 | 31 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $37,407 – $123,351 · median $46,155 | 31 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $24,236 – $85,938 · median $33,119 | 31 plans |
| 311 | Angina pectoris | $4,717 – $15,491 · median $7,029 | 31 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,936 – $166,025 · median $64,488 | 31 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $22,511 – $116,507 · median $39,545 | 31 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,165 – $62,454 · median $22,511 | 31 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $11,848 – $59,187 · median $18,868 | 31 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $27,818 – $104,779 · median $42,840 | 31 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $18,163 – $81,161 · median $30,718 | 31 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $21,575 – $72,438 · median $28,447 | 31 plans |
| 397 | Appendix Procedures with MCC | $16,095 – $52,322 · median $22,595 | 31 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,693 – $25,009 · median $11,518 | 31 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,636 – $240,785 · median $97,657 | 31 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $23,636 – $157,708 · median $63,963 | 31 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $23,636 – $122,826 · median $54,728 | 31 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $23,636 – $223,836 · median $86,300 | 31 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $23,636 – $125,996 · median $56,604 | 31 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,636 – $145,976 · median $65,223 | 31 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,636 – $92,651 · median $41,112 | 31 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,636 – $116,438 · median $53,288 | 31 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,709 – $70,576 · median $31,545 | 31 plans |
| 506 | Major thumb or joint procedures | $9,067 – $39,050 · median $14,273 | 31 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,289 – $71,713 · median $29,044 | 31 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,232 – $46,266 · median $22,652 | 31 plans |
| 697 | Urethral stricture | $7,243 – $27,912 · median $10,653 | 31 plans |
| 795 | Normal newborn | $1,343 – $4,365 · median $2,188 | 31 plans |
| 813 | Coagulation disorders | $10,251 – $36,742 · median $17,261 | 31 plans |
| 906 | Hand procedures for injuries | $13,201 – $42,915 · median $18,049 | 31 plans |
| 935 | Non-extensive burns | $13,508 – $45,006 · median $15,491 | 31 plans |
| 951 | Other factors influencing health status | $3,737 – $15,491 · median $6,529 | 31 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $188,331 – $612,250 · median $286,083 | 30 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $76,154 – $340,745 · median $166,653 | 30 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $23,636 – $463,716 · median $185,223 | 30 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $23,636 – $302,617 · median $118,623 | 30 plans |
| 007 | Lung transplant | $84,271 – $329,446 · median $108,037 | 30 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $23,636 – $206,176 · median $86,596 | 30 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $23,636 – $155,907 · median $62,445 | 30 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,353 – $109,690 · median $38,688 | 30 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,636 – $85,465 · median $37,154 | 30 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,636 – $99,334 · median $42,424 | 30 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,895 – $67,928 · median $29,282 | 30 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,955 – $55,119 · median $24,062 | 30 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $23,636 – $131,266 · median $55,379 | 30 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,927 – $74,535 · median $32,052 | 30 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,753 – $47,959 · median $21,617 | 30 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,636 – $97,887 · median $40,930 | 30 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,321 – $46,557 · median $22,530 | 30 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,175 – $36,330 · median $18,428 | 30 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,636 – $105,235 · median $37,802 | 30 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,065 – $52,226 · median $23,344 | 30 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,056 – $42,445 · median $19,356 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,124 – $75,927 · median $30,981 | 30 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,904 – $40,902 · median $19,888 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,900 – $27,241 · median $13,606 | 30 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,636 – $84,357 · median $36,808 | 30 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,776 – $48,981 · median $23,879 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,611 – $37,746 · median $18,880 | 30 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,173 – $51,074 · median $15,833 | 30 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,581 – $26,705 · median $12,413 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,261 – $33,359 · median $13,568 | 30 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,852 – $22,276 · median $11,060 | 30 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,491 – $50,754 · median $20,192 | 30 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,707 – $29,764 · median $13,618 | 30 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,488 – $44,150 · median $16,222 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,339 – $27,110 · median $12,187 | 30 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,181 – $20,505 · median $10,275 | 30 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,491 – $62,185 · median $26,691 | 30 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,809 – $46,243 · median $17,781 | 30 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,434 – $43,345 · median $16,111 | 30 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,515 – $43,935 · median $18,059 | 30 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,790 – $23,672 · median $12,151 | 30 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,599 – $18,492 · median $9,164 | 30 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,870 – $38,353 · median $15,057 | 30 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,809 – $20,397 · median $10,508 | 30 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,368 – $18,358 · median $9,177 | 30 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,188 – $41,815 · median $16,275 | 30 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,895 – $22,974 · median $11,735 | 30 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,082 – $17,767 · median $9,049 | 30 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,781 – $35,050 · median $15,009 | 30 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,927 – $22,520 · median $11,046 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,886 – $41,892 · median $17,034 | 30 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,546 – $18,028 · median $9,673 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,164 – $55,986 · median $17,004 | 30 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,019 – $19,567 · median $9,045 | 30 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,360 – $49,934 · median $21,269 | 30 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,380 – $30,495 · median $14,247 | 30 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,423 – $20,882 · median $9,951 | 30 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,268 – $49,635 · median $20,660 | 30 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,755 – $28,461 · median $12,879 | 30 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,147 – $19,984 · median $8,733 | 30 plans |
| 088 | CONCUSSION WITH MCC | $9,085 – $34,542 · median $15,011 | 30 plans |
| 089 | CONCUSSION WITH CC | $7,383 – $24,002 · median $10,819 | 30 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,532 – $17,985 · median $8,642 | 30 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,802 – $38,368 · median $15,748 | 30 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,875 – $24,128 · median $11,794 | 30 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,351 – $18,438 · median $9,081 | 30 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $15,491 – $76,890 · median $33,251 | 30 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,491 – $59,421 · median $23,593 | 30 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,491 – $56,349 · median $22,904 | 30 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $15,491 – $82,878 · median $33,614 | 30 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,423 – $50,138 · median $19,861 | 30 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,156 – $29,765 · median $13,411 | 30 plans |
| 100 | SEIZURES WITH MCC | $13,016 – $42,314 · median $17,106 | 30 plans |
| 101 | SEIZURES WITHOUT MCC | $6,066 – $19,719 · median $8,499 | 30 plans |
| 102 | HEADACHES WITH MCC | $7,533 – $24,489 · median $12,422 | 30 plans |
| 103 | HEADACHES WITHOUT MCC | $5,620 – $18,271 · median $8,871 | 30 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,800 – $62,695 · median $23,134 | 30 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,093 – $33,871 · median $16,381 | 30 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,151 – $48,471 · median $19,829 | 30 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,291 – $29,523 · median $13,579 | 30 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,818 – $28,476 · median $12,899 | 30 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,281 – $17,168 · median $8,665 | 30 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,892 – $36,098 · median $14,207 | 30 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,160 – $16,774 · median $8,485 | 30 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,583 – $66,131 · median $23,575 | 30 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,823 – $29,147 · median $14,584 | 30 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,035 – $32,623 · median $13,671 | 30 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,956 – $23,636 · median $9,084 | 30 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,230 – $56,791 · median $19,329 | 30 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,545 – $32,609 · median $14,215 | 30 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,357 – $22,357 · median $10,386 | 30 plans |
| 150 | EPISTAXIS WITH MCC | $8,948 – $36,125 · median $14,589 | 30 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,933 – $16,036 · median $8,315 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,945 – $25,828 · median $11,566 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,961 – $16,128 · median $6,970 | 30 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,507 – $41,144 · median $15,262 | 30 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,159 – $20,023 · median $9,280 | 30 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,644 – $15,491 · median $7,153 | 30 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,538 – $37,508 · median $15,754 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,114 – $19,877 · median $9,365 | 30 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,761 – $15,491 · median $7,362 | 30 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,636 – $97,916 · median $45,227 | 30 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,962 – $55,143 · median $25,154 | 30 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,864 – $41,820 · median $20,711 | 30 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,636 – $81,659 · median $34,911 | 30 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,120 – $39,400 · median $20,142 | 30 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,183 – $29,852 · median $14,845 | 30 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,231 – $30,010 · median $15,214 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,410 – $17,587 · median $9,353 | 30 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,502 – $34,141 · median $16,107 | 30 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,559 – $22,716 · median $12,458 | 30 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,074 – $16,495 · median $9,124 | 30 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,868 – $38,583 · median $16,565 | 30 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,198 – $24,665 · median $13,083 | 30 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,066 – $21,176 · median $10,209 | 30 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,281 – $33,424 · median $15,386 | 30 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,151 – $23,248 · median $11,163 | 30 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,286 – $17,183 · median $8,548 | 30 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,474 – $34,049 · median $15,634 | 30 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,647 – $21,609 · median $11,395 | 30 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,820 – $15,996 · median $8,741 | 30 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,302 – $26,990 · median $13,134 | 30 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,444 – $24,200 · median $11,605 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,665 – $18,417 · median $9,732 | 30 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,314 – $15,491 · median $7,739 | 30 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,833 – $28,716 · median $13,758 | 30 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,416 – $17,607 · median $9,550 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,224 – $15,491 · median $7,220 | 30 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,683 – $41,230 · median $16,621 | 30 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,378 – $22,035 · median $11,751 | 30 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,813 – $16,935 · median $8,924 | 30 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,855 – $38,541 · median $15,914 | 30 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,388 – $24,017 · median $11,015 | 30 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,806 – $15,623 · median $7,294 | 30 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,527 – $21,218 · median $9,830 | 30 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,503 – $15,491 · median $6,857 | 30 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,426 – $17,640 · median $8,493 | 30 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,305 – $40,003 · median $15,858 | 30 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,325 – $20,561 · median $9,299 | 30 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $15,491 – $151,800 · median $56,884 | 30 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,491 – $60,052 · median $24,428 | 30 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $73,078 – $289,913 · median $112,030 | 30 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $65,744 – $213,729 · median $102,147 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,188 – $143,653 · median $67,274 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,188 – $143,653 · median $60,984 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,601 – $167,751 · median $75,982 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,838 – $116,508 · median $55,366 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,872 – $112,608 · median $46,582 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,248 – $137,495 · median $72,449 | 30 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,166 – $84,975 · median $44,853 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $56,652 – $190,072 · median $80,308 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,743 – $132,452 · median $67,079 | 30 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,439 – $128,214 · median $58,776 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,150 – $91,514 · median $42,729 | 30 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $23,636 – $107,526 · median $45,841 | 30 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,156 – $62,276 · median $26,427 | 30 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,304 – $39,882 · median $18,367 | 30 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,457 – $70,774 · median $39,550 | 30 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,320 – $52,309 · median $28,559 | 30 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,147 – $45,733 · median $24,238 | 30 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,667 – $48,954 · median $27,061 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,044 – $41,990 · median $20,032 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,443 – $79,148 · median $32,184 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,443 – $56,707 · median $24,934 | 30 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,974 – $38,970 · median $20,599 | 30 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,128 – $58,931 · median $24,964 | 30 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,411 – $37,095 · median $16,723 | 30 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,340 – $23,862 · median $11,482 | 30 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,116 – $76,276 · median $29,863 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,589 – $51,155 · median $22,615 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,860 – $77,671 · median $32,972 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,705 – $41,303 · median $21,845 | 30 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,954 – $36,635 · median $19,090 | 30 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,547 – $72,089 · median $25,636 | 30 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $23,636 – $150,264 · median $64,241 | 30 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,636 – $92,266 · median $40,211 | 30 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $23,636 – $115,274 · median $48,941 | 30 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,636 – $77,696 · median $33,262 | 30 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,157 – $56,442 · median $24,514 | 30 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $40,367 – $143,212 · median $73,366 | 30 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,780 – $35,045 · median $16,215 | 30 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,177 – $20,290 · median $10,937 | 30 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,860 – $18,304 · median $9,195 | 30 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,312 – $43,275 · median $17,867 | 30 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,652 – $19,807 · median $9,434 | 30 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,025 – $15,491 · median $6,889 | 30 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,871 – $48,344 · median $20,661 | 30 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,191 – $23,379 · median $12,702 | 30 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,491 – $59,123 · median $26,001 | 30 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,471 – $37,291 · median $15,790 | 30 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,248 – $27,080 · median $12,844 | 30 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,628 – $28,048 · median $14,182 | 30 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,706 – $18,548 · median $9,427 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,804 – $15,491 · median $7,480 | 30 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,497 – $39,909 · median $15,456 | 30 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,261 – $18,787 · median $8,309 | 30 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,058 – $15,491 · median $6,034 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,972 – $35,670 · median $14,535 | 30 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,174 – $23,322 · median $10,725 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,837 – $15,724 · median $7,785 | 30 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,042 – $30,811 · median $13,295 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,524 – $15,491 · median $7,279 | 30 plans |
| 304 | HYPERTENSION WITH MCC | $7,997 – $25,998 · median $11,668 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,075 – $16,497 · median $8,029 | 30 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,590 – $38,836 · median $14,793 | 30 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,137 – $23,940 · median $11,174 | 30 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,091 – $26,304 · median $12,223 | 30 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,944 – $16,073 · median $7,819 | 30 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,804 – $15,491 · median $5,901 | 30 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,013 – $45,556 · median $19,370 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,474 – $21,046 · median $10,839 | 30 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,584 – $17,740 · median $8,937 | 30 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $23,636 – $108,962 · median $45,626 | 30 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,426 – $53,399 · median $22,767 | 30 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,768 – $35,006 · median $17,235 | 30 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,636 – $100,422 · median $42,620 | 30 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,110 – $52,373 · median $24,592 | 30 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,310 – $36,767 · median $18,956 | 30 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,636 – $100,887 · median $35,812 | 30 plans |
| 333 | RECTAL RESECTION WITH CC | $15,740 – $56,388 · median $22,195 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,007 – $35,784 · median $16,839 | 30 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,636 – $78,015 · median $33,200 | 30 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,171 – $46,070 · median $23,363 | 30 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,316 – $33,536 · median $17,252 | 30 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,357 – $73,136 · median $26,061 | 30 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,112 – $32,874 · median $16,880 | 30 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,972 – $25,915 · median $13,152 | 30 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,427 – $66,829 · median $25,423 | 30 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,796 – $28,594 · median $14,710 | 30 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,851 – $23,636 · median $10,915 | 30 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,746 – $64,601 · median $24,549 | 30 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,245 – $38,514 · median $18,794 | 30 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,848 – $25,513 · median $12,013 | 30 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,503 – $63,401 · median $28,430 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,306 – $36,756 · median $18,401 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,039 – $29,385 · median $14,754 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,636 – $95,971 · median $39,154 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,628 – $50,806 · median $21,815 | 30 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,394 – $30,541 · median $15,394 | 30 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,698 – $34,779 · median $17,127 | 30 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,722 – $21,852 · median $11,849 | 30 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,710 – $18,465 · median $9,182 | 30 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,916 – $38,738 · median $16,777 | 30 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,862 – $22,306 · median $11,051 | 30 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,888 – $15,892 · median $8,062 | 30 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,373 – $46,725 · median $19,830 | 30 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,129 – $26,427 · median $13,328 | 30 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,212 – $20,194 · median $10,652 | 30 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,285 – $39,937 · median $16,967 | 30 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,591 – $21,426 · median $10,971 | 30 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,237 – $15,491 · median $7,531 | 30 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,187 – $42,869 · median $18,507 | 30 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,282 – $23,672 · median $11,451 | 30 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,380 – $17,491 · median $8,800 | 30 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,279 – $36,044 · median $14,703 | 30 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,745 – $18,675 · median $9,450 | 30 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,634 – $34,569 · median $15,960 | 30 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,561 – $21,330 · median $10,711 | 30 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,579 – $15,491 · median $7,921 | 30 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,925 – $32,264 · median $14,816 | 30 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,308 – $17,255 · median $8,388 | 30 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,656 – $15,491 · median $6,193 | 30 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,523 – $27,709 · median $13,144 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,239 – $17,032 · median $7,939 | 30 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,748 – $34,941 · median $16,235 | 30 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,288 – $20,443 · median $9,995 | 30 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,362 – $15,491 · median $7,671 | 30 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $23,636 – $119,516 · median $51,593 | 30 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,490 – $63,362 · median $27,314 | 30 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,917 – $48,493 · median $22,261 | 30 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,636 – $91,306 · median $36,218 | 30 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,632 – $47,568 · median $23,876 | 30 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,670 – $39,480 · median $20,310 | 30 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,199 – $84,918 · median $31,700 | 30 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,130 – $58,240 · median $24,102 | 30 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,159 – $43,130 · median $20,544 | 30 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,636 – $83,254 · median $34,134 | 30 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,889 – $45,152 · median $22,264 | 30 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,162 – $31,079 · median $16,204 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,037 – $52,137 · median $23,927 | 30 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,368 – $36,957 · median $18,481 | 30 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,179 – $29,839 · median $14,952 | 30 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,897 – $89,695 · median $36,092 | 30 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,677 – $45,089 · median $21,564 | 30 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,405 – $38,218 · median $18,895 | 30 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,636 – $93,963 · median $37,993 | 30 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,704 – $57,032 · median $23,384 | 30 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,083 – $41,412 · median $19,913 | 30 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,227 – $43,000 · median $18,035 | 30 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,098 – $23,075 · median $11,444 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,788 – $18,089 · median $8,459 | 30 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,343 – $40,127 · median $16,779 | 30 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,601 – $24,712 · median $12,350 | 30 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,734 – $21,310 · median $10,840 | 30 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,956 – $37,118 · median $16,330 | 30 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,653 – $18,378 · median $9,576 | 30 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,176 – $15,491 · median $6,933 | 30 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,061 – $40,661 · median $17,346 | 30 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,487 – $21,089 · median $10,865 | 30 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,702 – $17,231 · median $8,473 | 30 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,229 – $36,505 · median $16,022 | 30 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,355 – $23,910 · median $11,881 | 30 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,560 – $18,895 · median $9,536 | 30 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $23,636 – $183,593 · median $84,853 | 30 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $23,636 – $133,040 · median $61,633 | 30 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,636 – $120,265 · median $46,248 | 30 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,636 – $124,519 · median $51,209 | 30 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,932 – $68,048 · median $28,513 | 30 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,256 – $39,843 · median $20,492 | 30 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,982 – $113,725 · median $47,969 | 30 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,700 – $77,047 · median $34,446 | 30 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,468 – $60,037 · median $27,936 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $23,636 – $105,495 · median $44,515 | 30 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,799 – $64,365 · median $27,815 | 30 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,406 – $53,336 · median $23,674 | 30 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,636 – $93,789 · median $39,006 | 30 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,294 – $49,718 · median $22,955 | 30 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,931 – $31,643 · median $15,155 | 30 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,216 – $75,474 · median $32,033 | 30 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,527 – $53,727 · median $23,400 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,493 – $40,612 · median $18,824 | 30 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,572 – $68,412 · median $28,527 | 30 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,076 – $47,988 · median $22,425 | 30 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,961 – $35,633 · median $18,644 | 30 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,687 – $88,112 · median $31,130 | 30 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,053 – $45,685 · median $22,387 | 30 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,525 – $34,217 · median $16,777 | 30 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,888 – $49,705 · median $22,148 | 30 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,505 – $29,469 · median $15,147 | 30 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,636 – $80,215 · median $33,344 | 30 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,044 – $55,407 · median $23,219 | 30 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,484 – $43,837 · median $19,357 | 30 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,636 – $95,976 · median $31,647 | 30 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,123 – $39,411 · median $20,517 | 30 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,120 – $28,422 · median $15,362 | 30 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,274 – $68,734 · median $25,933 | 30 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,850 – $44,018 · median $18,540 | 30 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,269 – $69,143 · median $29,332 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,748 – $38,191 · median $18,771 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,045 – $29,404 · median $14,042 | 30 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,757 – $64,735 · median $25,236 | 30 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,562 – $40,837 · median $18,410 | 30 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,048 – $39,168 · median $16,783 | 30 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,140 – $54,080 · median $21,530 | 30 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,177 – $37,682 · median $18,784 | 30 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,580 – $34,394 · median $15,421 | 30 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,870 – $23,636 · median $10,907 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,417 – $69,626 · median $29,224 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,966 – $45,401 · median $21,555 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,327 – $33,573 · median $15,552 | 30 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,636 – $81,650 · median $31,266 | 30 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,442 – $43,699 · median $19,966 | 30 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,040 – $32,638 · median $13,980 | 30 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,536 – $41,010 · median $15,185 | 30 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,417 – $19,029 · median $9,416 | 30 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,616 – $30,945 · median $14,248 | 30 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,427 – $17,644 · median $8,548 | 30 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,413 – $25,604 · median $12,381 | 30 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,841 – $18,787 · median $8,910 | 30 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,237 – $43,033 · median $17,799 | 30 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,712 – $28,321 · median $12,779 | 30 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,292 – $17,203 · median $9,217 | 30 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,872 – $40,688 · median $17,193 | 30 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,909 – $25,631 · median $12,967 | 30 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,071 – $20,612 · median $9,859 | 30 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,491 – $64,118 · median $23,223 | 30 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,751 – $26,248 · median $13,388 | 30 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,620 – $21,900 · median $10,524 | 30 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,976 – $51,289 · median $19,101 | 30 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,113 – $26,374 · median $13,120 | 30 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,874 – $20,639 · median $10,602 | 30 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,264 – $36,618 · median $15,782 | 30 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,460 – $21,002 · median $9,508 | 30 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,712 – $35,454 · median $14,415 | 30 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,579 – $18,136 · median $8,572 | 30 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,883 – $36,635 · median $14,326 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,582 – $18,146 · median $9,131 | 30 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,993 – $32,485 · median $14,932 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,003 – $19,514 · median $8,389 | 30 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,533 – $40,743 · median $16,961 | 30 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,568 – $24,602 · median $11,933 | 30 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,403 – $17,794 · median $9,061 | 30 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,374 – $38,514 · median $15,315 | 30 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,548 – $21,288 · median $10,617 | 30 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,036 – $17,365 · median $9,019 | 30 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,765 – $64,255 · median $26,455 | 30 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,354 – $36,911 · median $16,224 | 30 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,704 – $25,044 · median $12,775 | 30 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,636 – $157,168 · median $53,021 | 30 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,329 – $87,360 · median $30,691 | 30 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,077 – $50,484 · median $20,830 | 30 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,636 – $146,889 · median $45,167 | 30 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,814 – $62,534 · median $24,455 | 30 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,796 – $43,640 · median $19,523 | 30 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,764 – $70,753 · median $27,923 | 30 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,613 – $37,752 · median $18,382 | 30 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,698 – $31,528 · median $15,056 | 30 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,947 – $56,415 · median $20,354 | 30 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,589 – $50,940 · median $19,458 | 30 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,386 – $61,461 · median $21,420 | 30 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,964 – $53,597 · median $20,365 | 30 plans |
| 592 | SKIN ULCERS WITH MCC | $13,006 – $42,281 · median $16,320 | 30 plans |
| 593 | SKIN ULCERS WITH CC | $7,972 – $25,918 · median $10,697 | 30 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,825 – $18,937 · median $7,764 | 30 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,252 – $57,032 · median $20,359 | 30 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,275 – $23,650 · median $9,919 | 30 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,204 – $44,311 · median $17,075 | 30 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,603 – $24,716 · median $12,226 | 30 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,171 – $19,753 · median $10,206 | 30 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,000 – $22,756 · median $9,873 | 30 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,066 – $15,491 · median $5,999 | 30 plans |
| 602 | CELLULITIS WITH MCC | $9,552 – $31,052 · median $15,229 | 30 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,853 – $19,027 · median $8,258 | 30 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,893 – $39,292 · median $14,945 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,156 – $20,012 · median $8,982 | 30 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,169 – $38,245 · median $14,897 | 30 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,091 – $19,803 · median $8,144 | 30 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,730 – $49,518 · median $23,971 | 30 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,404 – $36,769 · median $18,218 | 30 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,437 – $76,191 · median $33,124 | 30 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,569 – $40,861 · median $19,811 | 30 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,532 – $30,986 · median $12,381 | 30 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,404 – $63,082 · median $33,035 | 30 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,755 – $48,804 · median $19,364 | 30 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,137 – $48,804 · median $16,155 | 30 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,636 – $77,759 · median $31,294 | 30 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,056 – $39,192 · median $18,632 | 30 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,413 – $27,351 · median $12,868 | 30 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,296 – $77,403 · median $27,289 | 30 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,077 – $35,400 · median $18,048 | 30 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,927 – $29,020 · median $13,219 | 30 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,636 – $81,421 · median $34,154 | 30 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,642 – $47,601 · median $22,026 | 30 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,808 – $31,886 · median $14,893 | 30 plans |
| 637 | DIABETES WITH MCC | $9,655 – $31,388 · median $13,760 | 30 plans |
| 638 | DIABETES WITH CC | $6,023 – $19,580 · median $8,639 | 30 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,175 – $15,491 · median $6,506 | 30 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,062 – $35,963 · median $15,979 | 30 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,888 – $22,394 · median $10,417 | 30 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,163 – $16,785 · median $7,408 | 30 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,595 – $158,792 · median $56,045 | 30 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,904 – $129,958 · median $44,111 | 30 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,636 – $147,023 · median $51,633 | 30 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,812 – $61,157 · median $26,747 | 30 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,224 – $47,532 · median $22,422 | 30 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,396 – $69,558 · median $30,944 | 30 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,298 – $39,981 · median $21,285 | 30 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,429 – $33,903 · median $17,615 | 30 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,076 – $59,857 · median $24,105 | 30 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,882 – $31,445 · median $15,385 | 30 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,958 – $25,501 · median $12,594 | 30 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,574 – $81,375 · median $29,321 | 30 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,216 – $40,634 · median $20,912 | 30 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,036 – $29,550 · median $14,766 | 30 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,976 – $84,864 · median $29,988 | 30 plans |
| 666 | PROSTATECTOMY WITH CC | $11,756 – $45,787 · median $20,818 | 30 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,434 – $27,429 · median $13,026 | 30 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,623 – $67,204 · median $26,570 | 30 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,430 – $33,907 · median $14,828 | 30 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,568 – $23,636 · median $11,333 | 30 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,063 – $46,914 · median $19,771 | 30 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,255 – $27,671 · median $13,258 | 30 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,636 – $91,794 · median $36,848 | 30 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,716 – $51,092 · median $23,803 | 30 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,031 – $39,990 · median $20,003 | 30 plans |
| 682 | RENAL FAILURE WITH MCC | $9,953 – $32,356 · median $14,550 | 30 plans |
| 683 | RENAL FAILURE WITH CC | $5,886 – $19,134 · median $8,741 | 30 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,034 – $15,491 · median $6,180 | 30 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,122 – $41,251 · median $16,929 | 30 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,042 – $22,892 · median $11,897 | 30 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,311 – $17,266 · median $9,180 | 30 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,798 – $25,350 · median $12,632 | 30 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,440 – $17,685 · median $7,967 | 30 plans |
| 693 | URINARY STONES WITH MCC | $9,036 – $37,870 · median $15,130 | 30 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,253 – $17,078 · median $7,868 | 30 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,687 – $31,160 · median $13,800 | 30 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,630 – $15,491 · median $7,427 | 30 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,118 – $36,144 · median $15,961 | 30 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,821 – $22,175 · median $10,901 | 30 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,636 – $16,801 · median $8,855 | 30 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,443 – $43,701 · median $20,606 | 30 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,310 – $36,206 · median $17,589 | 30 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,639 – $60,656 · median $23,640 | 30 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,417 – $38,406 · median $18,653 | 30 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,004 – $55,207 · median $22,268 | 30 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,390 – $30,704 · median $13,027 | 30 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,103 – $32,845 · median $16,587 | 30 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,106 – $23,636 · median $11,130 | 30 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,035 – $58,965 · median $23,073 | 30 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,886 – $37,064 · median $18,053 | 30 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,705 – $41,303 · median $18,845 | 30 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,026 – $29,343 · median $12,399 | 30 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,162 – $47,666 · median $17,003 | 30 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,679 – $30,059 · median $13,551 | 30 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,407 – $20,183 · median $8,999 | 30 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,864 – $33,710 · median $14,335 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,852 – $19,995 · median $9,407 | 30 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,966 – $40,553 · median $15,248 | 30 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,452 – $17,723 · median $8,372 | 30 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,115 – $28,073 · median $13,207 | 30 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,516 – $16,586 · median $8,078 | 30 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,314 – $46,535 · median $22,661 | 30 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,042 – $31,911 · median $15,957 | 30 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,636 – $108,187 · median $36,158 | 30 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,848 – $45,019 · median $21,847 | 30 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,869 – $32,083 · median $15,734 | 30 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,331 – $40,086 · median $18,124 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,338 – $27,106 · median $12,306 | 30 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,771 – $44,768 · median $17,871 | 30 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,644 – $24,851 · median $10,740 | 30 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,674 – $37,951 · median $16,454 | 30 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,778 – $23,636 · median $10,474 | 30 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,255 – $56,095 · median $24,561 | 30 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,918 – $36,608 · median $17,266 | 30 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,377 – $40,236 · median $17,423 | 30 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,310 – $23,766 · median $11,637 | 30 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,455 – $20,984 · median $9,503 | 30 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,623 – $38,997 · median $15,328 | 30 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,579 – $21,389 · median $10,004 | 30 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,460 – $15,491 · median $7,489 | 30 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,771 – $22,011 · median $9,085 | 30 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,834 – $15,491 · median $6,771 | 30 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,202 – $23,412 · median $8,812 | 30 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,706 – $36,918 · median $15,732 | 30 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,400 – $14,304 · median $6,243 | 30 plans |
| 779 | ABORTION WITHOUT D&C | $5,654 – $18,380 · median $7,050 | 30 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,727 – $53,638 · median $17,654 | 30 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,124 – $23,160 · median $11,482 | 30 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,437 – $20,925 · median $9,022 | 30 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,085 – $36,037 · median $12,395 | 30 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,505 – $24,399 · median $11,443 | 30 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,443 – $20,947 · median $9,014 | 30 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,706 – $31,401 · median $9,988 | 30 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,723 – $21,856 · median $9,250 | 30 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,432 – $20,910 · median $9,058 | 30 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,636 – $98,945 · median $43,411 | 30 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,880 – $61,378 · median $26,348 | 30 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,829 – $43,157 · median $20,628 | 30 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,636 – $95,814 · median $34,486 | 30 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,493 – $41,627 · median $21,443 | 30 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,113 – $29,625 · median $14,346 | 30 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,253 – $23,578 · median $9,078 | 30 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,067 – $16,473 · median $7,905 | 30 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,531 – $14,730 · median $6,415 | 30 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,838 – $48,237 · median $20,795 | 30 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,507 – $27,657 · median $12,905 | 30 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,034 – $22,866 · median $10,423 | 30 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,437 – $30,680 · median $14,666 | 30 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,171 – $20,060 · median $10,085 | 30 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,292 – $46,463 · median $18,502 | 30 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,814 – $22,153 · median $10,964 | 30 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,247 – $15,491 · median $7,976 | 30 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,333 – $54,981 · median $21,660 | 30 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,790 – $30,018 · median $13,195 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,779 – $18,966 · median $8,475 | 30 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $23,636 – $128,131 · median $54,013 | 30 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,044 – $55,852 · median $23,902 | 30 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,091 – $31,858 · median $15,589 | 30 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,636 – $100,166 · median $42,625 | 30 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,226 – $53,785 · median $23,123 | 30 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,068 – $32,716 · median $16,074 | 30 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,636 – $129,658 · median $47,706 | 30 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,532 – $56,254 · median $24,070 | 30 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,450 – $37,494 · median $19,180 | 30 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,236 – $69,038 · median $26,426 | 30 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,114 – $36,635 · median $17,216 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,081 – $26,272 · median $10,647 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,849 – $16,407 · median $6,916 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,514 – $11,424 · median $4,802 | 30 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $15,491 – $104,962 · median $45,658 | 30 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,028 – $45,604 · median $17,347 | 30 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,704 – $31,545 · median $13,440 | 30 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,740 – $84,032 · median $30,264 | 30 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,964 – $42,217 · median $20,203 | 30 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,790 – $28,771 · median $13,643 | 30 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,406 – $47,558 · median $18,094 | 30 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,181 – $26,946 · median $13,990 | 30 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,723 – $22,893 · median $11,260 | 30 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,491 – $56,639 · median $23,248 | 30 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,792 – $28,581 · median $12,322 | 30 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,708 – $18,557 · median $8,388 | 30 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $58,195 – $247,212 · median $88,673 | 30 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $23,636 – $107,896 · median $48,093 | 30 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,428 – $43,653 · median $22,567 | 30 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,062 – $32,710 · median $15,951 | 30 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,636 – $99,377 · median $41,365 | 30 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,392 – $46,786 · median $20,240 | 30 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,361 – $30,431 · median $14,049 | 30 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,256 – $39,843 · median $15,825 | 30 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,706 – $21,802 · median $10,126 | 30 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,069 – $32,734 · median $15,102 | 30 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,844 – $18,999 · median $8,284 | 30 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,067 – $45,731 · median $20,229 | 30 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,929 – $22,527 · median $11,340 | 30 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,904 – $16,399 · median $8,802 | 30 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $15,491 – $151,005 · median $62,129 | 30 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,054 – $42,439 · median $18,037 | 30 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,877 – $22,356 · median $10,989 | 30 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,636 – $96,754 · median $35,280 | 30 plans |
| 881 | Depressive neuroses | $5,657 – $20,556 · median $7,002 | 30 plans |
| 882 | Neuroses except depressive | $5,533 – $23,460 · median $7,830 | 30 plans |
| 885 | Psychoses | $8,300 – $30,516 · median $10,333 | 30 plans |
| 887 | Other mental disorder diagnoses | $7,197 – $27,698 · median $10,301 | 30 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,636 – $91,685 · median $40,085 | 30 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,866 – $41,827 · median $19,557 | 30 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,860 – $25,553 · median $12,614 | 30 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,636 – $80,248 · median $33,093 | 30 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,969 – $43,130 · median $19,053 | 30 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,636 – $83,879 · median $38,238 | 30 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,408 – $43,590 · median $21,360 | 30 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,822 – $28,679 · median $14,682 | 30 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,985 – $41,520 · median $14,987 | 30 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,951 – $19,346 · median $8,924 | 30 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,301 – $36,739 · median $15,829 | 30 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,478 – $15,491 · median $6,637 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,540 – $34,265 · median $14,920 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,760 – $18,725 · median $7,691 | 30 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,304 – $39,998 · median $16,681 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,736 – $21,898 · median $10,441 | 30 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,626 – $15,491 · median $7,449 | 30 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,757 – $39,909 · median $15,496 | 30 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,839 – $22,234 · median $8,798 | 30 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,636 – $86,394 · median $34,092 | 30 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,705 – $51,055 · median $23,940 | 30 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,627 – $44,300 · median $18,597 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,407 – $40,392 · median $14,606 | 30 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,707 – $28,879 · median $13,591 | 30 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,531 – $27,733 · median $12,967 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,380 – $17,489 · median $8,680 | 30 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,995 – $28,020 · median $13,776 | 30 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,218 – $17,526 · median $9,024 | 30 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,636 – $127,699 · median $36,884 | 30 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,636 – $166,475 · median $71,545 | 30 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,636 – $92,063 · median $40,688 | 30 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,785 – $69,700 · median $26,985 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,491 – $64,601 · median $25,970 | 30 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,300 – $33,483 · median $15,138 | 30 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,321 – $20,548 · median $10,982 | 30 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $23,636 – $177,324 · median $55,286 | 30 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,724 – $76,034 · median $25,112 | 30 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,491 – $68,949 · median $27,135 | 30 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,703 – $36,179 · median $14,779 | 30 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,066 – $24,450 · median $12,158 | 30 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,721 – $36,984 · median $14,469 | 30 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,636 – $105,208 · median $43,085 | 30 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,522 – $53,712 · median $24,669 | 30 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,519 – $37,446 · median $17,988 | 30 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,040 – $74,902 · median $31,933 | 30 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,046 – $35,908 · median $18,161 | 30 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,059 – $26,199 · median $12,892 | 30 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $69,290 – $284,947 · median $108,019 | 29 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,162 – $129,229 · median $46,583 | 29 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,850 – $129,549 · median $52,542 | 29 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,507 – $118,682 · median $46,854 | 29 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,278 – $65,009 · median $25,064 | 29 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,130 – $32,245 · median $10,415 | 29 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,453 – $20,978 · median $8,508 | 29 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,177 – $42,959 · median $15,548 | 29 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,675 – $35,150 · median $12,164 | 29 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,046 – $45,340 · median $18,389 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $143,483 – $582,294 · median $189,183 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $36,398 – $156,705 · median $52,542 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,681 – $70,366 · median $23,593 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,170 – $87,226 · median $34,506 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,856 – $54,188 · median $19,588 | 29 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $76,067 – $303,783 · median $108,708 | 28 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $38,352 – $153,166 · median $54,810 | 28 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,109 – $92,288 · median $33,025 | 28 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,225 – $64,797 · median $23,187 | 28 plans |
| 789 | Neonates, died or transferred to another acute care facility | $12,111 – $65,099 · median $15,206 | 28 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $39,943 – $175,123 · median $49,387 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,278 – $88,679 · median $29,733 | 27 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $9,181 – $53,509 · median $17,283 | 27 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $9,181 – $91,095 · median $29,422 | 27 plans |
| 008 | Simultaneous pancreas/kidney transplant | $37,665 – $289,334 · median $101,893 | 12 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $27,725 – $98,418 · median $72,196 | 11 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $22,121 – $71,915 · median $57,605 | 11 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $37,117 – $171,446 · median $98,730 | 11 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $17,876 – $58,114 · median $46,088 | 11 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,628 – $60,559 · median $39,641 | 11 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $9,575 – $31,911 · median $24,934 | 11 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,018 – $19,564 · median $14,783 | 11 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,146 – $13,478 · median $9,152 | 11 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $9,513 – $40,097 · median $24,959 | 11 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $11,728 – $38,126 · median $27,471 | 11 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $5,933 – $19,287 · median $13,339 | 11 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $36,654 – $119,158 · median $95,805 | 10 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $28,333 – $92,109 · median $74,057 | 10 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $19,367 – $62,960 · median $49,588 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,510 – $125,192 · median $100,657 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $51,379 – $167,028 · median $125,796 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $36,711 – $119,346 · median $93,874 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $41,185 – $133,890 · median $107,356 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $31,994 – $107,543 · median $83,627 | 10 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $18,285 – $66,211 · median $47,954 | 10 plans |
| 398 | Appendix Procedures without MCC/CC | $10,172 – $33,173 · median $26,587 | 10 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $20,384 – $66,268 · median $53,280 | 10 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $12,963 – $42,141 · median $30,925 | 10 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $20,299 – $74,827 · median $53,715 | 10 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $13,974 – $45,430 · median $36,154 | 10 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $11,125 – $36,166 · median $27,613 | 10 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $8,976 – $29,179 · median $23,353 | 10 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,230 – $17,002 · median $13,222 | 10 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $24,078 – $101,773 · median $67,282 | 10 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $12,161 – $39,748 · median $31,787 | 10 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $9,584 – $31,157 · median $25,015 | 10 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,894 – $182,745 · median $107,317 | 10 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,017 – $69,888 · median $40,905 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,195 – $43,103 · median $24,561 | 10 plans |
No procedures match that keyword.