Penn Presbyterian Medical Center — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 766
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Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $3,121 – $639,822 · median $300,148 | 48 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,121 – $616,987 · median $228,334 | 48 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $3,121 – $164,411 · median $78,990 | 48 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $3,121 – $127,089 · median $60,506 | 48 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $3,121 – $90,406 · median $43,759 | 48 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $3,121 – $323,322 · median $116,432 | 48 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $3,121 – $287,893 · median $91,447 | 48 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $3,121 – $287,893 · median $53,434 | 48 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $3,121 – $271,029 · median $133,866 | 48 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $3,121 – $258,611 · median $90,689 | 48 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,121 – $250,323 · median $54,910 | 48 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,121 – $200,839 · median $92,856 | 48 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,121 – $106,518 · median $56,474 | 48 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $3,121 – $123,250 · median $67,060 | 48 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,121 – $64,238 · median $33,294 | 48 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $3,121 – $46,366 · median $24,933 | 48 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $3,121 – $105,416 · median $57,875 | 48 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $3,121 – $65,826 · median $35,379 | 48 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,121 – $58,565 · median $28,524 | 48 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $3,121 – $146,255 · median $62,826 | 48 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,121 – $65,394 · median $34,586 | 48 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,121 – $72,250 · median $29,371 | 48 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,121 – $71,824 · median $29,283 | 48 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,121 – $28,080 · median $11,852 | 48 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,121 – $42,728 · median $17,954 | 48 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,121 – $29,160 · median $13,170 | 48 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,121 – $53,541 · median $21,575 | 48 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,910 – $53,078 · median $13,789 | 48 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,121 – $47,612 · median $17,967 | 48 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,121 – $35,079 · median $17,697 | 48 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,121 – $27,026 · median $14,450 | 48 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $3,121 – $80,018 · median $42,446 | 48 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,121 – $52,970 · median $27,857 | 48 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $3,121 – $42,317 · median $23,991 | 48 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,121 – $55,676 · median $22,926 | 48 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,121 – $30,455 · median $16,231 | 48 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,121 – $20,195 · median $10,964 | 48 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,121 – $44,273 · median $22,904 | 48 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,121 – $25,009 · median $14,633 | 48 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,121 – $24,079 · median $12,796 | 48 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,121 – $121,322 · median $28,463 | 48 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,121 – $48,433 · median $17,083 | 48 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,121 – $22,115 · median $9,976 | 48 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,121 – $44,799 · median $15,920 | 48 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,121 – $31,073 · median $16,070 | 48 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,121 – $66,845 · median $29,909 | 48 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,121 – $31,173 · median $14,693 | 48 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,910 – $42,876 · median $18,024 | 48 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,549 – $31,339 · median $9,752 | 48 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $3,121 – $80,014 · median $38,645 | 48 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $3,121 – $42,076 · median $21,189 | 48 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,121 – $31,976 · median $15,467 | 48 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,121 – $68,485 · median $34,720 | 48 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,121 – $36,732 · median $14,318 | 48 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,551 – $26,354 · median $9,697 | 48 plans |
| 088 | CONCUSSION WITH MCC | $3,121 – $38,045 · median $18,337 | 48 plans |
| 089 | CONCUSSION WITH CC | $2,872 – $31,273 · median $11,219 | 48 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,121 – $23,907 · median $12,899 | 48 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,121 – $48,861 · median $25,745 | 48 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,121 – $48,973 · median $17,937 | 48 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,121 – $23,188 · median $10,198 | 48 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $3,121 – $104,786 · median $54,047 | 48 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $3,121 – $70,873 · median $38,174 | 48 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,121 – $70,873 · median $26,163 | 48 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $3,121 – $98,491 · median $49,021 | 48 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $3,121 – $63,269 · median $22,445 | 48 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,121 – $76,278 · median $23,503 | 48 plans |
| 100 | SEIZURES WITH MCC | $3,121 – $53,692 · median $20,261 | 48 plans |
| 102 | HEADACHES WITH MCC | $3,121 – $45,864 · median $19,385 | 48 plans |
| 103 | HEADACHES WITHOUT MCC | $2,594 – $24,258 · median $9,381 | 48 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $3,121 – $64,773 · median $36,908 | 48 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $3,121 – $95,156 · median $23,253 | 48 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,121 – $43,892 · median $25,004 | 48 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,121 – $63,460 · median $30,825 | 48 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,121 – $30,907 · median $13,771 | 48 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,121 – $33,004 · median $12,323 | 48 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,121 – $22,907 · median $12,647 | 48 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,121 – $23,249 · median $11,411 | 48 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $3,121 – $41,999 · median $22,544 | 48 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,730 – $22,426 · median $9,286 | 48 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $3,121 – $59,929 · median $32,698 | 48 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,121 – $46,921 · median $17,811 | 48 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $3,121 – $41,827 · median $18,229 | 48 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,121 – $25,592 · median $11,381 | 48 plans |
| 139 | SALIVARY GLAND PROCEDURES | $3,121 – $34,940 · median $19,341 | 48 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,121 – $58,522 · median $20,945 | 48 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,121 – $35,898 · median $20,464 | 48 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,121 – $70,497 · median $14,232 | 48 plans |
| 149 | DYSEQUILIBRIUM | $3,121 – $21,992 · median $12,245 | 48 plans |
| 150 | EPISTAXIS WITH MCC | $3,121 – $37,502 · median $21,479 | 48 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,121 – $21,521 · median $9,873 | 48 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,121 – $33,509 · median $14,166 | 48 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,534 – $21,634 · median $8,775 | 48 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,121 – $57,332 · median $24,905 | 48 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,327 – $26,403 · median $9,422 | 48 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,121 – $20,833 · median $11,740 | 48 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,121 – $47,807 · median $19,969 | 48 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,532 – $26,223 · median $9,637 | 48 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,121 – $20,839 · median $12,024 | 48 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $3,121 – $101,859 · median $50,527 | 48 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,121 – $50,124 · median $26,647 | 48 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $38,436 · median $19,460 | 48 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,121 – $49,658 · median $23,379 | 48 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,121 – $71,324 · median $26,789 | 48 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,121 – $64,711 · median $17,313 | 48 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,121 – $24,186 · median $12,052 | 48 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $3,121 – $49,123 · median $19,267 | 48 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,121 – $22,790 · median $13,522 | 48 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,121 – $42,809 · median $16,504 | 48 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,440 – $30,350 · median $10,817 | 48 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,393 – $22,926 · median $8,757 | 48 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,121 – $43,574 · median $15,488 | 48 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,121 – $28,344 · median $12,295 | 48 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,121 – $22,320 · median $12,544 | 48 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $3,121 – $40,342 · median $20,028 | 48 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,121 – $39,023 · median $18,901 | 48 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,121 – $24,437 · median $12,238 | 48 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,038 – $19,061 · median $7,371 | 48 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,121 – $37,045 · median $13,668 | 48 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,121 – $24,276 · median $11,802 | 48 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,121 – $18,700 · median $10,802 | 48 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,121 – $52,365 · median $26,485 | 48 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 48 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,121 – $104,210 · median $12,921 | 48 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,121 – $73,609 · median $30,092 | 48 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,121 – $34,352 · median $18,353 | 48 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,121 – $70,720 · median $12,887 | 48 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,121 – $27,866 · median $13,278 | 48 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,121 – $19,810 · median $10,776 | 48 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,624 – $23,485 · median $9,290 | 48 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $3,121 – $55,195 · median $27,066 | 48 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,121 – $27,310 · median $14,531 | 48 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,121 – $362,687 · median $106,694 | 48 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,121 – $75,407 · median $39,986 | 48 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,121 – $397,472 · median $152,824 | 48 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $3,121 – $148,362 · median $72,512 | 48 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $3,121 – $78,130 · median $34,489 | 48 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,121 – $47,807 · median $23,700 | 48 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,121 – $105,153 · median $51,463 | 48 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,121 – $82,776 · median $41,427 | 48 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,121 – $49,572 · median $27,905 | 48 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $3,121 – $74,035 · median $27,938 | 48 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,121 – $47,302 · median $26,004 | 48 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,121 – $32,924 · median $18,702 | 48 plans |
| 263 | VEIN LIGATION AND STRIPPING | $3,121 – $92,164 · median $45,102 | 48 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $3,121 – $91,238 · median $34,568 | 48 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,121 – $37,081 · median $20,642 | 48 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,121 – $27,010 · median $10,393 | 48 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,121 – $47,083 · median $24,393 | 48 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,121 – $30,255 · median $11,624 | 48 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,121 – $53,251 · median $8,423 | 48 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,121 – $45,558 · median $22,751 | 48 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,038 – $21,139 · median $7,762 | 48 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,121 – $33,894 · median $16,412 | 48 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,121 – $58,951 · median $12,187 | 48 plans |
| 304 | HYPERTENSION WITH MCC | $3,121 – $33,718 · median $17,001 | 48 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,121 – $23,823 · median $12,854 | 48 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $3,121 – $44,036 · median $21,525 | 48 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,121 – $27,262 · median $14,597 | 48 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,676 – $34,092 · median $12,138 | 48 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,294 – $17,031 · median $6,112 | 48 plans |
| 311 | ANGINA PECTORIS | $3,121 – $21,158 · median $11,728 | 48 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,121 – $25,202 · median $13,120 | 48 plans |
| 313 | CHEST PAIN | $3,121 – $21,147 · median $9,609 | 48 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,121 – $136,860 · median $35,358 | 48 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,121 – $25,627 · median $12,340 | 48 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,121 – $266,758 · median $83,514 | 48 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,121 – $44,745 · median $21,316 | 48 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,121 – $138,559 · median $71,129 | 48 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,121 – $71,059 · median $37,611 | 48 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,121 – $49,813 · median $26,182 | 48 plans |
| 332 | RECTAL RESECTION WITH MCC | $3,121 – $114,105 · median $54,052 | 48 plans |
| 333 | RECTAL RESECTION WITH CC | $3,121 – $151,645 · median $39,573 | 48 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $3,121 – $45,697 · median $21,324 | 48 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $3,121 – $103,315 · median $55,498 | 48 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $3,121 – $63,566 · median $33,214 | 48 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $3,121 – $42,945 · median $19,486 | 48 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,121 – $77,857 · median $40,439 | 48 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,121 – $45,358 · median $24,009 | 48 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,121 – $44,346 · median $20,928 | 48 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $3,121 – $206,495 · median $40,003 | 48 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,187 – $36,895 · median $13,128 | 48 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,121 – $68,538 · median $24,306 | 48 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,121 – $45,955 · median $23,256 | 48 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,121 – $33,124 · median $16,672 | 48 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $3,121 – $79,507 · median $43,092 | 48 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,121 – $46,887 · median $23,269 | 48 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $3,121 – $40,544 · median $21,303 | 48 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,121 – $231,238 · median $73,205 | 48 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,121 – $71,815 · median $37,317 | 48 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $42,139 · median $23,011 | 48 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,121 – $44,690 · median $24,810 | 48 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,121 – $30,151 · median $16,320 | 48 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,121 – $21,125 · median $12,538 | 48 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,121 – $49,313 · median $18,949 | 48 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,313 – $59,092 · median $20,969 | 48 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,121 – $34,242 · median $14,229 | 48 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,121 – $27,863 · median $15,163 | 48 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,121 – $50,782 · median $20,269 | 48 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,121 – $19,003 · median $10,545 | 48 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,121 – $54,371 · median $20,517 | 48 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,121 – $30,869 · median $16,187 | 48 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,121 – $23,303 · median $12,412 | 48 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,121 – $48,647 · median $22,520 | 48 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,121 – $25,767 · median $13,895 | 48 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,121 – $91,495 · median $27,110 | 48 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,121 – $54,283 · median $17,171 | 48 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,121 – $22,344 · median $12,020 | 48 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $3,121 – $41,388 · median $21,075 | 48 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,121 – $16,440 · median $9,638 | 48 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,928 – $35,812 · median $12,746 | 48 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,121 – $29,380 · median $13,285 | 48 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $3,121 – $44,665 · median $26,598 | 48 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,121 – $43,252 · median $16,505 | 48 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,121 – $19,564 · median $11,400 | 48 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,121 – $69,598 · median $34,096 | 48 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,121 – $97,256 · median $36,700 | 48 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,121 – $61,717 · median $33,237 | 48 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,121 – $44,355 · median $18,286 | 48 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,121 – $90,240 · median $47,355 | 48 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,121 – $64,155 · median $33,585 | 48 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,121 – $52,801 · median $27,178 | 48 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,121 – $97,175 · median $41,838 | 48 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,121 – $57,166 · median $27,348 | 48 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,121 – $69,574 · median $23,518 | 48 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,121 – $65,717 · median $27,989 | 48 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,121 – $47,134 · median $26,087 | 48 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,121 – $38,420 · median $17,645 | 48 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,121 – $93,016 · median $32,952 | 48 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,121 – $60,776 · median $29,395 | 48 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,121 – $41,265 · median $21,943 | 48 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,121 – $125,190 · median $63,656 | 48 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,121 – $91,900 · median $37,042 | 48 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $45,226 · median $23,107 | 48 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,121 – $167,818 · median $33,439 | 48 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,121 – $31,839 · median $16,593 | 48 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,121 – $20,946 · median $10,794 | 48 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,121 – $51,014 · median $19,251 | 48 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,121 – $24,712 · median $13,957 | 48 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $3,121 – $71,240 · median $26,955 | 48 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,121 – $18,510 · median $10,182 | 48 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,121 – $49,891 · median $21,530 | 48 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,121 – $27,708 · median $11,424 | 48 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,121 – $20,604 · median $12,010 | 48 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $3,121 – $70,167 · median $27,189 | 48 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,121 – $31,161 · median $11,977 | 48 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,121 – $154,329 · median $82,229 | 48 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,121 – $85,196 · median $32,149 | 48 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,121 – $50,667 · median $19,229 | 48 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,121 – $141,114 · median $53,251 | 48 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,121 – $96,213 · median $43,405 | 48 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $3,121 – $82,837 · median $45,085 | 48 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,121 – $116,708 · median $54,160 | 48 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,121 – $72,229 · median $35,759 | 48 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,121 – $53,492 · median $20,515 | 48 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,121 – $94,287 · median $51,027 | 48 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,121 – $67,664 · median $30,564 | 48 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,121 – $58,152 · median $29,507 | 48 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $3,121 – $76,027 · median $42,442 | 48 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $3,121 – $163,723 · median $54,086 | 48 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,121 – $70,711 · median $34,650 | 48 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,121 – $43,780 · median $23,921 | 48 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,121 – $100,091 · median $50,414 | 48 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,121 – $69,721 · median $26,963 | 48 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,121 – $55,556 · median $28,344 | 48 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $3,121 – $127,136 · median $56,986 | 48 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,121 – $64,906 · median $30,744 | 48 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,121 – $34,207 · median $16,779 | 48 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,121 – $82,577 · median $29,554 | 48 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,121 – $91,645 · median $22,769 | 48 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $3,121 – $123,858 · median $53,064 | 48 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,121 – $52,696 · median $28,214 | 48 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,121 – $40,571 · median $21,536 | 48 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,121 – $142,931 · median $46,935 | 48 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,121 – $68,073 · median $29,646 | 48 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,121 – $52,428 · median $28,603 | 48 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,121 – $38,743 · median $22,361 | 48 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,121 – $63,525 · median $30,785 | 48 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,121 – $42,394 · median $22,320 | 48 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $3,121 – $82,676 · median $41,454 | 48 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $3,121 – $57,506 · median $29,360 | 48 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $3,121 – $46,165 · median $26,306 | 48 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,121 – $43,996 · median $20,981 | 48 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,121 – $33,196 · median $17,613 | 48 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,121 – $87,127 · median $43,686 | 48 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,121 – $57,471 · median $29,623 | 48 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $44,360 · median $23,010 | 48 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,121 – $43,820 · median $24,730 | 48 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,121 – $23,450 · median $11,294 | 48 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,121 – $36,178 · median $19,725 | 48 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,121 – $23,490 · median $10,446 | 48 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,121 – $28,767 · median $15,854 | 48 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,121 – $24,670 · median $12,492 | 48 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,330 – $54,572 · median $19,372 | 48 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,121 – $36,561 · median $15,871 | 48 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,121 – $47,911 · median $14,374 | 48 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,121 – $49,137 · median $24,216 | 48 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,121 – $22,072 · median $11,065 | 48 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $3,121 – $68,266 · median $24,209 | 48 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,121 – $44,913 · median $19,731 | 48 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,121 – $24,255 · median $13,071 | 48 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,121 – $53,534 · median $25,813 | 48 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,121 – $34,178 · median $13,467 | 48 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,694 – $25,269 · median $9,022 | 48 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,299 – $46,719 · median $16,599 | 48 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,121 – $27,601 · median $14,353 | 48 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,121 – $36,561 · median $16,370 | 48 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,039 – $24,092 · median $10,174 | 48 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,121 – $53,803 · median $22,838 | 48 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,121 – $24,105 · median $13,498 | 48 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $3,121 – $43,707 · median $24,400 | 48 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,121 – $56,216 · median $28,403 | 48 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,121 – $45,571 · median $19,429 | 48 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,121 – $23,391 · median $13,372 | 48 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $3,121 – $39,998 · median $14,224 | 48 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,121 – $25,841 · median $13,715 | 48 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,121 – $43,175 · median $23,552 | 48 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,121 – $62,514 · median $17,140 | 48 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $668 – $21,931 · median $7,843 | 48 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,121 – $365,150 · median $58,593 | 48 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,121 – $50,929 · median $26,098 | 48 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,121 – $32,549 · median $16,870 | 48 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,121 – $177,114 · median $63,253 | 48 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,121 – $94,736 · median $43,238 | 48 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,121 – $54,170 · median $29,222 | 48 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,121 – $133,944 · median $48,056 | 48 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,121 – $72,786 · median $33,635 | 48 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,121 – $76,877 · median $27,491 | 48 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $3,121 – $88,507 · median $47,032 | 48 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,121 – $48,107 · median $18,084 | 48 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,121 – $76,406 · median $24,579 | 48 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,121 – $53,419 · median $29,699 | 48 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,121 – $48,011 · median $20,908 | 48 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,121 – $53,486 · median $27,314 | 48 plans |
| 592 | SKIN ULCERS WITH MCC | $3,121 – $53,652 · median $22,062 | 48 plans |
| 593 | SKIN ULCERS WITH CC | $3,121 – $33,619 · median $12,359 | 48 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,121 – $51,935 · median $15,375 | 48 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,121 – $58,610 · median $33,974 | 48 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,278 – $30,842 · median $10,991 | 48 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,121 – $46,478 · median $18,710 | 48 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,121 – $126,768 · median $19,713 | 48 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,121 – $77,457 · median $12,803 | 48 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,121 – $29,749 · median $16,011 | 48 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,121 – $19,465 · median $10,768 | 48 plans |
| 602 | CELLULITIS WITH MCC | $3,121 – $39,904 · median $23,650 | 48 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,121 – $41,263 · median $22,058 | 48 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,121 – $65,546 · median $16,182 | 48 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,121 – $42,362 · median $20,376 | 48 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,001 – $26,132 · median $9,327 | 48 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $3,121 – $72,650 · median $37,106 | 48 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $3,121 – $39,316 · median $20,608 | 48 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,121 – $105,126 · median $54,226 | 48 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,121 – $51,913 · median $28,444 | 48 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,121 – $85,315 · median $22,692 | 48 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,121 – $97,085 · median $43,880 | 48 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,121 – $49,870 · median $26,137 | 48 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,121 – $78,585 · median $20,156 | 48 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,121 – $101,567 · median $46,398 | 48 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,121 – $60,164 · median $30,036 | 48 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $103,671 · median $24,622 | 48 plans |
| 637 | DIABETES WITH MCC | $3,121 – $40,316 · median $22,302 | 48 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,025 – $18,505 · median $8,879 | 48 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,173 – $37,612 · median $13,382 | 48 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,121 – $31,964 · median $13,236 | 48 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,198 – $39,925 · median $14,199 | 48 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,121 – $45,917 · median $25,168 | 48 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,121 – $40,553 · median $17,334 | 48 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,121 – $30,670 · median $13,222 | 48 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $3,121 – $302,839 · median $87,318 | 48 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 48 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,121 – $73,376 · median $34,172 | 48 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $3,121 – $95,974 · median $49,127 | 48 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,121 – $62,219 · median $30,863 | 48 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,121 – $76,102 · median $26,418 | 48 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $3,121 – $87,258 · median $32,155 | 48 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,121 – $47,650 · median $18,090 | 48 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,121 – $35,008 · median $17,899 | 48 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $3,121 – $83,773 · median $32,373 | 48 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $3,121 – $42,549 · median $21,190 | 48 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,121 – $62,994 · median $18,120 | 48 plans |
| 665 | PROSTATECTOMY WITH MCC | $3,121 – $94,087 · median $46,413 | 48 plans |
| 666 | PROSTATECTOMY WITH CC | $3,121 – $48,677 · median $23,394 | 48 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,121 – $31,476 · median $14,730 | 48 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $3,121 – $89,177 · median $44,437 | 48 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $3,121 – $69,199 · median $25,605 | 48 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,121 – $28,029 · median $12,847 | 48 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,121 – $53,785 · median $29,754 | 48 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,352 – $58,610 · median $17,814 | 48 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $3,121 – $126,655 · median $61,187 | 48 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,121 – $64,438 · median $36,148 | 48 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,121 – $95,393 · median $26,996 | 48 plans |
| 682 | RENAL FAILURE WITH MCC | $3,121 – $78,310 · median $24,506 | 48 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,121 – $18,081 · median $10,703 | 48 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,121 – $50,132 · median $17,804 | 48 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,121 – $34,694 · median $17,709 | 48 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,218 – $60,293 · median $13,447 | 48 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,121 – $32,923 · median $15,627 | 48 plans |
| 693 | URINARY STONES WITH MCC | $3,121 – $37,850 · median $20,163 | 48 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,121 – $22,797 · median $10,149 | 48 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,592 – $32,482 · median $11,570 | 48 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,257 – $20,318 · median $7,273 | 48 plans |
| 697 | URETHRAL STRICTURE | $3,121 – $30,717 · median $15,017 | 48 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,121 – $56,416 · median $26,997 | 48 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,813 – $20,342 · median $7,281 | 48 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $3,121 – $66,963 · median $31,739 | 48 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $3,121 – $46,825 · median $24,734 | 48 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $3,121 – $69,383 · median $38,534 | 48 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $3,121 – $39,366 · median $18,487 | 48 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $3,121 – $57,623 · median $27,567 | 48 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,121 – $31,303 · median $17,876 | 48 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $3,121 – $42,100 · median $22,591 | 48 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,121 – $30,171 · median $14,954 | 48 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,121 – $61,729 · median $21,900 | 48 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,121 – $50,779 · median $24,329 | 48 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,121 – $52,453 · median $27,465 | 48 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,121 – $43,046 · median $21,485 | 48 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,600 – $61,035 · median $29,696 | 48 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,121 – $32,453 · median $16,211 | 48 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,121 – $79,043 · median $11,885 | 48 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,121 – $33,188 · median $16,681 | 48 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,121 – $27,734 · median $12,845 | 48 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,121 – $41,552 · median $20,902 | 48 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,121 – $23,586 · median $11,524 | 48 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,121 – $30,206 · median $11,863 | 48 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,121 – $22,931 · median $11,408 | 48 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,121 – $63,237 · median $31,926 | 48 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,121 – $41,241 · median $22,607 | 48 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,121 – $108,386 · median $55,553 | 48 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,121 – $58,068 · median $33,135 | 48 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,121 – $52,712 · median $23,637 | 48 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $3,121 – $104,791 · median $55,680 | 48 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,244 – $60,345 · median $29,445 | 48 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,121 – $102,324 · median $24,006 | 48 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,121 – $50,964 · median $25,970 | 48 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,121 – $69,974 · median $32,090 | 48 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,121 – $170,264 · median $19,815 | 48 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,121 – $48,350 · median $25,538 | 48 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,121 – $26,761 · median $15,256 | 48 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,121 – $38,995 · median $14,874 | 48 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $3,121 – $70,563 · median $39,993 | 48 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $65,013 · median $23,864 | 48 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,121 – $74,667 · median $29,621 | 48 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,121 – $30,984 · median $16,987 | 48 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,688 – $27,579 · median $9,838 | 48 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,121 – $75,493 · median $24,643 | 48 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,121 – $28,074 · median $14,885 | 48 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,121 – $19,639 · median $9,414 | 48 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,121 – $28,837 · median $11,935 | 48 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,121 – $50,358 · median $10,415 | 48 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,121 – $64,958 · median $26,732 | 48 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,121 – $28,708 · median $15,665 | 48 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,121 – $19,401 · median $9,455 | 48 plans |
| 779 | ABORTION WITHOUT D&C | $3,121 – $26,125 · median $12,270 | 48 plans |
| 799 | SPLENECTOMY WITH MCC | $3,121 – $123,020 · median $65,957 | 48 plans |
| 800 | SPLENECTOMY WITH CC | $3,121 – $100,270 · median $45,813 | 48 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $3,121 – $52,945 · median $25,334 | 48 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $3,121 – $161,104 · median $59,164 | 48 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,121 – $51,608 · median $28,160 | 48 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,121 – $38,158 · median $16,971 | 48 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,121 – $60,943 · median $21,623 | 48 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,121 – $100,011 · median $21,921 | 48 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,121 – $30,393 · median $17,027 | 48 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,121 – $55,261 · median $22,819 | 48 plans |
| 813 | COAGULATION DISORDERS | $3,121 – $43,444 · median $25,239 | 48 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,121 – $58,771 · median $26,012 | 48 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,121 – $29,010 · median $15,693 | 48 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,577 – $18,793 · median $8,318 | 48 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $3,121 – $159,643 · median $87,392 | 48 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $3,121 – $66,409 · median $36,475 | 48 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $47,891 · median $20,613 | 48 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $3,121 – $138,206 · median $66,688 | 48 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $3,121 – $62,486 · median $30,637 | 48 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,121 – $37,981 · median $20,952 | 48 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $3,121 – $141,010 · median $72,368 | 48 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | — | 48 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $47,460 · median $26,037 | 48 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $3,121 – $86,407 · median $39,471 | 48 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,121 – $79,316 · median $24,013 | 48 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $34,507 · median $12,680 | 48 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,121 – $327,819 · median $82,414 | 48 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,121 – $69,377 · median $30,399 | 48 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,121 – $40,508 · median $21,324 | 48 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $3,121 – $88,411 · median $33,560 | 48 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,121 – $138,959 · median $27,915 | 48 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,121 – $28,914 · median $11,366 | 48 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,121 – $60,153 · median $31,989 | 48 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | — | 48 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,121 – $32,558 · median $14,676 | 48 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,365 – $24,608 · median $8,788 | 48 plans |
| 849 | RADIOTHERAPY | $3,121 – $186,276 · median $41,009 | 48 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,671 – $133,978 · median $57,115 | 48 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,121 – $59,604 · median $33,930 | 48 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $41,934 · median $19,316 | 48 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $3,121 – $123,550 · median $56,413 | 48 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,121 – $59,167 · median $20,995 | 48 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $39,144 · median $21,317 | 48 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,121 – $50,667 · median $23,926 | 48 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,121 – $25,632 · median $13,954 | 48 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,121 – $62,806 · median $23,989 | 48 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,640 – $25,148 · median $9,633 | 48 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,121 – $115,030 · median $34,935 | 48 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,121 – $29,468 · median $15,509 | 48 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,121 – $21,406 · median $9,966 | 48 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,121 – $205,349 · median $99,608 | 48 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,121 – $62,888 · median $31,245 | 48 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $3,121 – $114,132 · median $59,642 | 48 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,121 – $53,095 · median $29,963 | 48 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,121 – $39,599 · median $19,401 | 48 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,121 – $110,724 · median $54,781 | 48 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,121 – $84,069 · median $25,488 | 48 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $3,121 – $54,427 · median $24,465 | 48 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,121 – $104,576 · median $54,638 | 48 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,121 – $139,314 · median $33,882 | 48 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,121 – $42,556 · median $21,912 | 48 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,121 – $58,403 · median $25,989 | 48 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,110 – $25,574 · median $10,585 | 48 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,121 – $66,003 · median $27,841 | 48 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,723 – $19,711 · median $7,059 | 48 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,119 – $61,939 · median $16,543 | 48 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,829 – $19,390 · median $8,069 | 48 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,121 – $50,857 · median $21,189 | 48 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,086 – $28,697 · median $10,233 | 48 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,390 – $20,302 · median $7,267 | 48 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,121 – $48,679 · median $19,890 | 48 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $853 – $29,109 · median $10,378 | 48 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $3,121 – $572,932 · median $304,844 | 48 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $3,121 – $193,732 · median $68,527 | 48 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,121 – $113,407 · median $50,163 | 48 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,121 – $117,389 · median $53,284 | 48 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,121 – $61,015 · median $26,064 | 48 plans |
| 935 | NON-EXTENSIVE BURNS | $3,121 – $56,987 · median $20,243 | 48 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $3,121 – $109,379 · median $55,369 | 48 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $3,121 – $64,393 · median $30,284 | 48 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,121 – $56,123 · median $29,555 | 48 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,121 – $29,601 · median $12,756 | 48 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,910 – $39,406 · median $8,792 | 48 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,468 – $33,710 · median $12,003 | 48 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,121 – $75,784 · median $11,402 | 48 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,872 – $24,752 · median $6,630 | 48 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $3,121 – $202,905 · median $96,422 | 48 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $3,121 – $103,543 · median $58,419 | 48 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,121 – $205,692 · median $113,436 | 48 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,121 – $114,595 · median $56,302 | 48 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,121 – $137,959 · median $46,579 | 48 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,121 – $88,107 · median $43,679 | 48 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,121 – $42,881 · median $19,497 | 48 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,121 – $36,821 · median $15,791 | 48 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $3,121 – $481,576 · median $113,148 | 48 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $3,121 – $203,225 · median $45,689 | 48 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,121 – $79,079 · median $33,618 | 48 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $3,121 – $36,526 · median $14,032 | 48 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,121 – $62,377 · median $15,463 | 48 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,121 – $36,598 · median $15,114 | 48 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,121 – $80,225 · median $39,482 | 48 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | — | 48 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,121 – $93,586 · median $29,987 | 48 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,121 – $45,850 · median $15,452 | 48 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,121 – $33,964 · median $13,945 | 48 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 47 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $3,121 – $192,712 · median $61,950 | 47 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $3,121 – $184,620 · median $64,617 | 47 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,121 – $70,160 · median $32,272 | 47 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,121 – $55,595 · median $23,892 | 47 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $3,121 – $121,136 · median $54,708 | 47 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,121 – $48,238 · median $25,848 | 47 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $73,917 · median $20,556 | 47 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $3,121 – $81,497 · median $26,285 | 47 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $3,121 – $292,729 · median $110,464 | 47 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $3,121 – $117,631 · median $44,389 | 47 plans |
| 324 | URINARY STONES W/O CC | $3,121 – $86,167 · median $27,520 | 47 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,121 – $87,755 · median $40,961 | 47 plans |
| 397 | COAGULATION DISORDERS | $3,121 – $65,944 · median $35,336 | 47 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $3,121 – $82,456 · median $26,383 | 47 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $3,121 – $180,383 · median $20,240 | 47 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,121 – $78,656 · median $37,293 | 47 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,121 – $78,575 · median $31,363 | 47 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,121 – $79,116 · median $29,855 | 47 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | — | 47 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $3,121 – $236,648 · median $77,062 | 47 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $3,121 – $219,147 · median $60,984 | 47 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,121 – $62,914 · median $33,712 | 47 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,121 – $32,894 · median $17,626 | 47 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,121 – $24,889 · median $13,337 | 47 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,121 – $34,052 · median $18,247 | 47 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,121 – $21,190 · median $11,355 | 47 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,180 – $15,875 · median $5,417 | 47 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,278 – $85,059 · median $33,905 | 47 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,597 – $61,942 · median $10,404 | 47 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,172 – $14,902 · median $6,244 | 47 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,121 – $172,079 · median $24,751 | 47 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,121 – $123,094 · median $18,326 | 47 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,536 – $56,202 · median $9,623 | 47 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $3,121 – $85,049 · median $38,834 | 46 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,121 – $69,368 · median $33,307 | 46 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $3,121 – $162,588 · median $57,604 | 46 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $3,121 – $93,137 · median $36,852 | 46 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,121 – $61,352 · median $27,671 | 46 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $3,121 – $89,941 · median $34,727 | 46 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,121 – $57,365 · median $25,641 | 46 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,121 – $33,330 · median $15,219 | 46 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $3,121 – $43,247 · median $21,084 | 46 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,121 – $28,580 · median $10,785 | 46 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,121 – $19,721 · median $9,153 | 46 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $3,121 – $53,087 · median $20,033 | 46 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,121 – $294,897 · median $125,329 | 46 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,121 – $177,753 · median $81,163 | 46 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,121 – $177,753 · median $57,921 | 46 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,121 – $231,458 · median $108,454 | 46 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,121 – $144,521 · median $63,371 | 46 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,121 – $136,695 · median $61,958 | 46 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,121 – $174,055 · median $57,810 | 46 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,121 – $114,153 · median $39,326 | 46 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $3,121 – $254,115 · median $115,612 | 46 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $3,121 – $182,754 · median $77,944 | 46 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,121 – $215,419 · median $94,229 | 46 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,121 – $151,346 · median $67,575 | 46 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,121 – $158,852 · median $69,106 | 46 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $3,121 – $113,924 · median $52,018 | 46 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,121 – $115,773 · median $53,524 | 46 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,121 – $66,214 · median $26,886 | 46 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,121 – $54,486 · median $25,606 | 46 plans |
| 245 | AICD GENERATOR PROCEDURES | $3,121 – $123,916 · median $55,023 | 46 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $3,121 – $86,999 · median $34,339 | 46 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $3,121 – $64,455 · median $23,853 | 46 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,121 – $85,929 · median $37,782 | 46 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,121 – $58,253 · median $25,558 | 46 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,121 – $98,054 · median $43,454 | 46 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,121 – $52,453 · median $23,950 | 46 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,121 – $49,132 · median $23,662 | 46 plans |
| 265 | AICD LEAD PROCEDURES | $3,121 – $98,663 · median $43,341 | 46 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $3,121 – $215,305 · median $77,214 | 46 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $3,121 – $164,197 · median $63,797 | 46 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,121 – $351,490 · median $109,232 | 46 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,121 – $146,313 · median $68,278 | 46 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,121 – $143,010 · median $58,763 | 46 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,121 – $107,203 · median $48,672 | 46 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,121 – $76,959 · median $36,267 | 46 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $3,121 – $117,267 · median $50,470 | 46 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $3,121 – $89,930 · median $40,810 | 46 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,121 – $44,793 · median $20,159 | 46 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,121 – $27,706 · median $13,860 | 46 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,121 – $21,230 · median $9,471 | 46 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,121 – $54,868 · median $24,007 | 46 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,121 – $20,866 · median $10,289 | 46 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,486 – $17,908 · median $5,989 | 46 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,121 – $66,704 · median $33,922 | 46 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,121 – $37,312 · median $17,385 | 46 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,121 – $131,407 · median $43,548 | 46 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,121 – $51,454 · median $24,370 | 46 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,121 – $26,756 · median $15,246 | 46 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,121 – $34,734 · median $13,107 | 46 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,664 – $23,014 · median $8,684 | 46 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,121 – $124,093 · median $55,201 | 46 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,121 – $72,506 · median $30,723 | 46 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,121 – $253,316 · median $119,351 | 46 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,121 – $177,132 · median $57,100 | 46 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,121 – $132,674 · median $64,668 | 46 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,121 – $261,787 · median $87,402 | 46 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $3,121 – $80,489 · median $37,753 | 46 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,121 – $88,758 · median $37,905 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,121 – $53,480 · median $20,181 | 46 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $3,121 – $272,536 · median $78,814 | 46 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,121 – $80,686 · median $44,378 | 46 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,121 – $67,185 · median $25,353 | 46 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $3,121 – $79,783 · median $44,803 | 46 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $3,121 – $85,846 · median $32,224 | 46 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $3,121 – $45,513 · median $24,390 | 46 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,121 – $61,442 · median $28,035 | 46 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,121 – $39,729 · median $18,097 | 46 plans |
| 509 | ARTHROSCOPY | $3,121 – $136,253 · median $26,732 | 46 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,121 – $101,848 · median $48,704 | 46 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,121 – $55,387 · median $30,159 | 46 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,121 – $41,846 · median $22,103 | 46 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $3,121 – $82,666 · median $45,255 | 46 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,121 – $41,993 · median $23,928 | 46 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,121 – $48,537 · median $19,394 | 46 plans |
| 652 | KIDNEY TRANSPLANT | $3,121 – $123,997 · median $50,295 | 46 plans |
| 881 | DEPRESSIVE NEUROSES | $2,549 – $61,403 · median $9,653 | 46 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,273 – $23,920 · median $9,919 | 46 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,661 – $43,274 · median $17,538 | 46 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,597 – $35,409 · median $14,766 | 46 plans |
| 885 | PSYCHOSES | $2,549 – $30,741 · median $12,923 | 46 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,042 – $58,008 · median $18,818 | 46 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,525 – $24,963 · median $10,438 | 46 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $3,121 – $844,766 · median $304,921 | 45 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 45 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $3,121 – $331,494 · median $161,023 | 45 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $3,121 – $398,454 · median $83,633 | 45 plans |
| 007 | LUNG TRANSPLANT | $3,121 – $1,405,851 · median $256,585 | 45 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 45 plans |
| 010 | PANCREAS TRANSPLANT | $3,121 – $254,736 · median $75,627 | 45 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,121 – $192,600 · median $72,679 | 45 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $3,121 – $162,543 · median $53,684 | 45 plans |
| 277 | CELLULITIS AGE >17 W CC | $3,121 – $232,912 · median $74,338 | 45 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $3,121 – $150,764 · median $47,125 | 45 plans |
| 279 | CELLULITIS AGE 0-17 | $3,121 – $98,347 · median $30,791 | 45 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $3,121 – $74,661 · median $27,308 | 45 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $3,121 – $49,043 · median $16,332 | 45 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $3,121 – $286,212 · median $95,779 | 45 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $3,121 – $202,064 · median $62,444 | 45 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $3,121 – $155,080 · median $51,155 | 45 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $3,121 – $179,278 · median $67,652 | 45 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,121 – $99,724 · median $37,632 | 45 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,121 – $27,489 · median $14,730 | 45 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,121 – $24,323 · median $10,675 | 45 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,121 – $23,951 · median $10,694 | 44 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,121 – $32,285 · median $11,523 | 44 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,121 – $42,397 · median $14,010 | 44 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,121 – $30,441 · median $13,900 | 44 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,121 – $21,567 · median $9,457 | 44 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,440 – $27,654 · median $9,036 | 44 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $3,121 – $150,784 · median $38,327 | 44 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,121 – $25,175 · median $9,500 | 44 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,121 – $29,198 · median $11,018 | 44 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,499 – $21,345 · median $7,314 | 44 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,121 – $28,120 · median $10,611 | 44 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,121 – $28,383 · median $12,438 | 44 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,121 – $91,061 · median $44,054 | 44 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,121 – $36,217 · median $17,666 | 44 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,121 – $24,389 · median $9,493 | 44 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,121 – $24,017 · median $8,894 | 44 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,121 – $29,385 · median $12,984 | 44 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,736 – $25,779 · median $9,202 | 44 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,121 – $29,893 · median $11,978 | 44 plans |
| 638 | DIABETES WITH CC | $3,121 – $39,582 · median $13,855 | 44 plans |
| 683 | RENAL FAILURE WITH CC | $3,121 – $30,636 · median $12,144 | 44 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,121 – $23,541 · median $8,883 | 44 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,121 – $29,037 · median $13,258 | 44 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,121 – $51,988 · median $18,495 | 44 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,121 – $26,448 · median $10,648 | 44 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,121 – $28,580 · median $10,203 | 44 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,121 – $29,259 · median $12,960 | 44 plans |
| 945 | REHABILITATION WITH CC/MCC | $3,121 – $73,807 · median $23,405 | 44 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,121 – $44,072 · median $16,437 | 44 plans |
| 101 | SEIZURES WITHOUT MCC | $3,121 – $26,031 · median $9,823 | 43 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $3,121 – $157,406 · median $55,926 | 43 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,121 – $67,319 · median $23,562 | 43 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,121 – $31,595 · median $11,529 | 43 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $3,121 – $148,723 · median $47,843 | 43 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,121 – $57,677 · median $21,765 | 43 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,114 – $71,229 · median $22,992 | 43 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,025 – $36,879 · median $11,976 | 43 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,011 – $127,377 · median $48,067 | 43 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,121 – $66,610 · median $15,937 | 42 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,121 – $130,407 · median $25,492 | 42 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,121 – $32,327 · median $11,413 | 42 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,121 – $27,507 · median $10,380 | 42 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,121 – $85,844 · median $17,361 | 42 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,121 – $31,760 · median $11,985 | 42 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,121 – $27,534 · median $10,390 | 42 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $636 – $50,092 · median $16,213 | 42 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,384 – $160,855 · median $51,733 | 42 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,268 – $110,452 · median $35,570 | 42 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,121 – $67,396 · median $21,763 | 42 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,305 – $113,410 · median $36,519 | 42 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,493 – $41,364 · median $13,415 | 42 plans |
| 795 | NORMAL NEWBORN | $2,162 – $8,131 · median $2,983 | 42 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,121 – $38,130 · median $12,919 | 42 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,121 – $28,647 · median $10,810 | 42 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,121 – $41,014 · median $12,980 | 42 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,121 – $24,323 · median $8,323 | 42 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $3,121 – $123,496 · median $40,834 | 41 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $3,121 – $322,003 · median $45,947 | 41 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $3,121 – $69,397 · median $26,188 | 41 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $3,121 – $11,378 · median $11,378 | 28 plans |
| 999 | UNGROUPABLE | $3,121 – $21,765 · median $21,765 | 28 plans |
No procedures match that keyword.