UPMC Hamot — Pricing
860 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 860 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 860 procedures
Procedures with negotiated rates only
These 860 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $9,495 – $291,921 · median $257,949 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $9,495 – $118,253 · median $104,399 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $9,495 – $471,884 · median $200,567 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $9,495 – $313,936 · median $131,000 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $9,495 – $132,060 · median $51,777 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $9,495 – $107,374 · median $40,097 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,495 – $63,786 · median $27,510 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $9,495 – $449,637 · median $403,911 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $9,495 – $74,585 · median $65,736 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $9,495 – $242,817 · median $74,558 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $9,495 – $183,614 · median $50,265 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $9,495 – $129,184 · median $30,191 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $9,495 – $135,285 · median $54,383 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $9,495 – $96,153 · median $37,228 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $9,495 – $99,061 · median $43,217 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $9,495 – $68,053 · median $29,655 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,495 – $58,665 · median $24,124 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $9,495 – $129,121 · median $57,006 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $9,495 – $74,912 · median $32,508 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $9,495 – $43,272 · median $21,032 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $9,495 – $87,082 · median $42,592 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $9,495 – $47,128 · median $20,426 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,495 – $39,416 · median $16,010 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $9,495 – $123,937 · median $36,839 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $9,495 – $58,096 · median $22,874 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,495 – $41,850 · median $18,651 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,495 – $89,421 · median $31,380 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,495 – $48,171 · median $15,630 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,495 – $32,083 · median $11,412 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $9,495 – $81,266 · median $36,750 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $9,495 – $57,686 · median $21,065 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,495 – $36,792 · median $16,621 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,495 – $60,151 · median $17,410 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,934 – $31,450 · median $9,560 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,495 – $27,563 · median $14,727 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,291 – $24,086 · median $9,941 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $9,495 – $55,094 · median $22,239 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,495 – $35,054 · median $12,545 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,495 – $51,996 · median $16,450 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,495 – $27,152 · median $12,029 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,407 – $24,149 · median $9,030 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,495 – $73,237 · median $26,333 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,495 – $54,462 · median $16,900 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,495 – $51,048 · median $13,566 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,495 – $44,378 · median $19,294 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,209 – $27,879 · median $9,853 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,255 – $21,778 · median $6,779 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,495 – $45,169 · median $14,178 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,901 – $24,022 · median $8,486 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,301 – $21,620 · median $7,858 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $9,495 – $49,246 · median $16,028 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,347 – $27,057 · median $10,001 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,912 – $20,925 · median $7,456 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,495 – $38,594 · median $15,457 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,389 – $25,002 · median $10,047 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,495 – $36,129 · median $18,412 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,844 – $19,218 · median $8,107 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,495 – $65,935 · median $17,398 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,186 – $20,767 · median $8,793 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,495 – $55,252 · median $21,885 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,495 – $34,706 · median $13,490 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,728 – $21,652 · median $9,384 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $9,495 – $44,536 · median $21,756 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,495 – $27,657 · median $12,612 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,360 – $18,112 · median $8,980 | 14 plans |
| 088 | CONCUSSION WITH MCC | $9,495 – $40,680 · median $13,075 | 14 plans |
| 089 | CONCUSSION WITH CC | $9,495 – $22,948 · median $10,686 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,524 – $18,617 · median $8,088 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,495 – $39,953 · median $16,890 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,321 – $28,416 · median $9,973 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,278 – $21,715 · median $7,834 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $9,495 – $89,926 · median $33,525 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $9,495 – $69,981 · median $24,655 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,495 – $64,418 · median $24,655 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,495 – $97,607 · median $34,397 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,495 – $52,281 · median $21,973 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,495 – $29,333 · median $13,175 | 14 plans |
| 100 | SEIZURES WITH MCC | $9,495 – $38,847 · median $18,594 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $8,250 – $17,227 · median $8,862 | 14 plans |
| 102 | HEADACHES WITH MCC | $9,495 – $28,353 · median $10,897 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $7,644 – $20,419 · median $8,212 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,495 – $73,838 · median $22,503 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,495 – $39,890 · median $13,086 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,495 – $48,108 · median $14,803 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,495 – $57,085 · median $17,380 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,495 – $34,769 · median $10,557 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,495 – $33,537 · median $11,297 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,182 – $19,281 · median $7,735 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,299 – $22,600 · median $7,856 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,495 – $42,513 · median $12,804 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,018 – $18,365 · median $7,565 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,495 – $77,883 · median $20,767 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,253 – $34,327 · median $9,900 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,495 – $24,971 · median $14,409 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,100 – $18,839 · median $8,701 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,495 – $39,574 · median $11,866 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $9,495 – $126,434 · median $40,562 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,495 – $58,381 · median $20,899 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,495 – $49,720 · median $15,383 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $9,495 – $76,019 · median $35,668 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,495 – $38,468 · median $16,670 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,495 – $28,132 · median $11,665 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,495 – $66,884 · median $20,298 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,495 – $38,404 · median $12,318 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,285 – $26,330 · median $7,842 | 14 plans |
| 149 | DYSEQUILIBRIUM | $6,870 – $18,428 · median $7,413 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $9,495 – $42,545 · median $12,884 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,709 – $18,523 · median $7,247 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,495 – $25,066 · median $11,475 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,747 – $12,454 · median $7,286 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,495 – $48,456 · median $15,072 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,377 – $18,965 · median $8,998 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,317 – $15,172 · median $6,842 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,495 – $43,967 · median $16,519 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,316 – $19,502 · median $8,932 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,476 – $15,867 · median $7,006 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $9,495 – $103,771 · median $42,604 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,495 – $62,901 · median $24,134 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,495 – $45,548 · median $18,381 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $9,495 – $83,541 · median $35,584 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,495 – $43,240 · median $17,336 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,495 – $33,410 · median $13,213 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $9,495 – $84,047 · median $28,402 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,495 – $31,166 · median $13,281 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,358 – $19,313 · median $7,916 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,495 – $34,200 · median $15,065 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,906 – $23,548 · median $9,530 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,901 – $17,638 · median $7,445 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,495 – $42,008 · median $16,983 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,495 – $29,048 · median $10,426 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,800 – $24,939 · median $7,433 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,495 – $33,347 · median $14,755 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,495 – $24,181 · median $10,361 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,189 – $18,902 · median $7,742 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,495 – $33,189 · median $15,025 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,022 – $24,244 · median $9,653 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,555 – $18,839 · median $7,088 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,495 – $27,910 · median $11,977 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,495 – $23,074 · median $10,772 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,705 – $20,388 · median $8,276 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,868 – $16,278 · median $6,379 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,495 – $27,215 · median $12,722 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,366 – $19,313 · median $7,925 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,744 – $14,508 · median $6,251 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,495 – $44,536 · median $18,126 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,669 – $25,951 · median $9,318 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,546 – $19,945 · median $7,079 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,495 – $33,126 · median $16,965 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,495 – $22,600 · median $10,693 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,536 – $13,750 · median $7,068 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,864 – $20,609 · median $9,495 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,124 – $13,118 · median $6,643 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,380 – $18,523 · median $7,939 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,495 – $35,591 · median $17,596 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,599 – $20,008 · median $9,240 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $9,495 – $178,778 · median $61,029 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,495 – $61,795 · median $26,254 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $9,495 – $118,118 · median $105,105 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $9,495 – $341,435 · median $102,911 | 14 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $9,495 – $59,731 · median $53,150 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $9,495 – $169,106 · median $94,259 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $9,495 – $216,771 · median $92,616 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $9,495 – $142,207 · median $62,355 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $9,495 – $129,152 · median $62,355 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $9,495 – $149,793 · median $72,761 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $9,495 – $117,679 · median $50,633 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $9,495 – $93,530 · median $47,873 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $9,495 – $161,931 · median $46,997 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $9,495 – $86,449 · median $30,035 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $9,495 – $223,852 · median $79,852 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $9,495 – $150,773 · median $57,518 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $9,495 – $154,566 · median $72,449 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $9,495 – $120,587 · median $51,859 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $9,495 – $118,121 · median $55,688 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $9,495 – $92,581 · median $39,840 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $9,495 – $100,800 · median $46,755 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $9,495 – $62,964 · median $27,214 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,495 – $46,970 · median $13,383 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $9,495 – $83,352 · median $30,444 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $9,495 – $61,605 · median $20,425 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,495 – $53,861 · median $17,374 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $9,495 – $152,195 · median $43,365 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $9,495 – $57,654 · median $20,912 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,495 – $46,749 · median $14,421 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $9,495 – $93,214 · median $33,231 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $9,495 – $66,315 · median $24,809 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,495 – $45,896 · median $17,131 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,495 – $59,361 · median $25,770 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,495 – $31,514 · median $16,340 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,495 – $23,137 · median $10,626 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,495 – $89,831 · median $29,965 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,495 – $60,246 · median $19,399 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $9,495 – $91,475 · median $31,010 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,495 – $48,551 · median $18,157 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,495 – $43,146 · median $15,699 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,495 – $84,901 · median $29,166 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $9,495 – $58,255 · median $31,838 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $9,495 – $109,776 · median $34,457 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $9,495 – $140,626 · median $58,139 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $9,495 – $126,655 · median $45,237 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $9,495 – $174,068 · median $65,210 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $9,495 – $92,487 · median $40,165 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $9,495 – $112,495 · median $50,100 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $9,495 – $91,285 · median $33,873 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,495 – $66,473 · median $24,408 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $9,495 – $115,908 · median $39,243 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $9,495 – $80,728 · median $31,377 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $9,495 – $195,720 · median $67,592 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $9,495 – $168,663 · median $56,990 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $9,495 – $130,164 · median $43,894 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $9,495 – $145,273 · median $52,835 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $9,495 – $101,211 · median $34,346 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,495 – $34,643 · median $15,455 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,401 – $23,896 · median $9,024 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,609 – $21,557 · median $7,144 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $9,495 – $49,183 · median $19,009 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,327 – $23,327 · median $6,852 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,474 – $16,468 · median $5,972 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,495 – $44,410 · median $21,198 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,495 – $27,089 · median $10,417 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,495 – $66,757 · median $25,853 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,495 – $32,904 · median $16,425 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,497 – $31,893 · median $9,128 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,495 – $26,772 · median $12,434 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,760 – $18,270 · median $8,335 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,173 – $16,342 · median $5,662 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,495 – $47,002 · median $15,057 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,699 – $22,126 · median $6,303 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,160 – $14,508 · median $4,615 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,495 – $27,816 · median $15,725 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,495 – $22,316 · median $10,393 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,578 – $16,500 · median $7,112 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,495 – $36,287 · median $11,611 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,153 – $15,741 · median $6,673 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $9,495 – $25,540 · median $11,549 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,902 – $18,207 · median $7,446 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,495 – $45,738 · median $15,188 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,347 – $28,195 · median $8,966 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,495 – $24,844 · median $11,681 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,724 – $15,646 · median $7,263 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,174 – $12,233 · median $5,663 | 14 plans |
| 311 | ANGINA PECTORIS | $6,415 – $15,520 · median $6,944 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,966 – $20,419 · median $8,557 | 14 plans |
| 313 | CHEST PAIN | $6,581 – $14,730 · median $7,114 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,495 – $45,927 · median $19,994 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,794 – $23,896 · median $9,457 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,234 – $20,893 · median $6,757 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $9,495 – $195,530 · median $63,404 | 14 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $9,495 – $25,556 · median $22,740 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $9,495 – $137,213 · median $42,426 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,495 – $73,553 · median $23,014 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $9,495 – $77,978 · median $25,991 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,495 – $57,844 · median $16,954 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $9,495 – $123,400 · median $41,148 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,495 – $95,584 · median $30,049 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,495 – $85,311 · median $30,610 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $9,495 – $115,529 · median $47,374 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,495 – $62,364 · median $23,381 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,495 – $38,657 · median $15,438 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,495 – $91,033 · median $43,687 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,495 – $55,979 · median $22,938 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,495 – $42,071 · median $16,199 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $9,495 – $118,816 · median $34,481 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $9,495 – $66,410 · median $22,419 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,495 – $39,195 · median $15,774 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $9,495 – $71,088 · median $34,011 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,495 – $47,223 · median $20,216 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,495 – $36,318 · median $14,803 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,495 – $86,133 · median $24,689 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,495 – $36,002 · median $14,518 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,495 – $30,502 · median $11,513 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $9,495 – $78,705 · median $21,979 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,495 – $30,281 · median $12,669 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,957 – $23,169 · median $8,547 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,495 – $76,082 · median $23,831 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,495 – $45,358 · median $14,704 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,495 – $27,183 · median $11,339 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,495 – $71,878 · median $27,700 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,495 – $38,784 · median $16,194 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,495 – $32,399 · median $13,011 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $9,495 – $88,219 · median $41,765 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,495 – $44,789 · median $22,261 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,495 – $33,157 · median $13,510 | 14 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $9,495 – $36,131 · median $32,150 | 14 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,495 – $25,474 · median $22,667 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,495 – $38,373 · median $15,340 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,120 – $25,445 · median $9,758 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,405 – $21,747 · median $6,933 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,495 – $39,131 · median $17,050 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,303 – $22,790 · median $9,954 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,648 – $16,847 · median $7,184 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,495 – $48,045 · median $20,499 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,495 – $28,384 · median $11,734 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,448 – $23,675 · median $9,075 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,495 – $42,355 · median $17,568 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,948 – $24,339 · median $9,574 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,762 – $17,163 · median $6,269 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,495 – $43,335 · median $18,834 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,495 – $24,022 · median $10,544 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,317 – $18,997 · median $7,875 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,495 – $42,450 · median $13,348 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,813 – $20,103 · median $8,392 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,495 – $33,600 · median $15,250 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,909 – $23,454 · median $9,533 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,227 – $16,847 · median $6,749 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,495 – $28,922 · median $14,254 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,219 – $16,247 · median $7,773 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,972 – $12,707 · median $5,454 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,495 – $27,626 · median $12,287 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,126 – $16,405 · median $7,677 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,495 – $38,942 · median $15,410 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,551 – $20,925 · median $9,187 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,932 – $17,100 · median $6,445 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $9,495 – $43,936 · median $22,916 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,495 – $39,068 · median $14,602 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,495 – $28,068 · median $11,121 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $9,495 – $83,320 · median $38,252 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,495 – $136,960 · median $51,932 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $9,495 – $71,751 · median $27,683 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,495 – $54,620 · median $21,262 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $9,495 – $107,532 · median $33,961 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $9,495 – $55,694 · median $20,863 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,495 – $46,496 · median $15,301 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,495 – $100,009 · median $31,486 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,495 – $68,591 · median $20,157 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,495 – $50,795 · median $15,987 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $9,495 – $98,050 · median $33,932 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,495 – $48,298 · median $19,820 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,495 – $36,603 · median $13,184 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,495 – $49,531 · median $22,836 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,495 – $40,332 · median $16,281 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,495 – $33,537 · median $13,207 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $9,495 – $105,636 · median $32,465 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,495 – $53,102 · median $16,714 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,495 – $45,011 · median $13,525 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $9,495 – $110,661 · median $39,502 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,495 – $67,168 · median $20,963 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,495 – $48,772 · median $14,476 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $9,495 – $163,005 · median $102,350 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $9,495 – $127,256 · median $68,424 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $9,495 – $111,926 · median $53,361 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $9,495 – $263,615 · median $85,321 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $9,495 – $118,753 · median $54,730 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,495 – $46,243 · median $18,890 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,495 – $25,192 · median $10,286 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,512 – $21,304 · median $7,044 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,495 – $40,427 · median $17,650 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,495 – $26,488 · median $10,993 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,799 – $25,097 · median $8,378 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,495 – $43,715 · median $15,702 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,689 – $20,672 · median $8,259 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,680 – $14,856 · median $6,184 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,495 – $47,887 · median $17,254 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,812 – $24,560 · median $9,477 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,395 – $20,293 · median $6,923 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,495 – $37,741 · median $16,086 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,495 – $26,203 · median $10,647 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,562 – $22,252 · median $8,127 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $9,495 – $133,388 · median $63,358 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $9,495 – $84,079 · median $40,331 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $9,495 – $112,210 · median $50,603 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $9,495 – $64,513 · median $30,798 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $9,495 – $215,444 · median $79,602 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $9,495 – $156,683 · median $56,579 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $9,495 – $141,638 · median $39,687 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $9,495 – $201,915 · median $52,427 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $9,495 – $60,309 · median $25,417 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $9,495 – $115,340 · median $54,093 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,495 – $66,568 · median $29,707 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,495 – $43,999 · median $17,527 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $9,495 – $101,874 · median $49,431 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $9,495 – $67,295 · median $33,593 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $9,495 – $54,651 · median $26,247 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $9,495 – $70,203 · median $28,938 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $9,495 – $38,120 · median $18,520 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $9,495 – $94,573 · median $45,877 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $9,495 – $60,720 · median $28,116 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $9,495 – $49,056 · median $23,354 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $9,495 – $90,369 · median $40,822 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,495 – $49,373 · median $21,791 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,495 – $37,266 · median $11,456 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,495 – $77,125 · median $32,914 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,495 – $51,237 · median $23,523 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,495 – $39,605 · median $17,859 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $9,495 – $80,570 · median $27,797 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,495 – $56,516 · median $20,082 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,495 – $40,933 · median $15,709 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $9,495 – $46,686 · median $26,473 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $9,495 – $103,771 · median $30,767 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $9,495 – $44,536 · median $20,050 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,495 – $33,505 · median $15,098 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,495 – $58,539 · median $16,692 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,495 – $34,706 · median $10,858 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $9,495 – $73,458 · median $34,961 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $9,495 – $59,772 · median $24,248 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,495 – $42,008 · median $19,252 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $9,495 – $113,032 · median $34,528 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $9,495 – $107,627 · median $95,770 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $9,495 – $48,599 · median $43,245 | 13 plans |
| 007 | LUNG TRANSPLANT | $9,495 – $135,091 · median $120,208 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $9,495 – $58,666 · median $52,203 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $9,495 – $75,012 · median $65,477 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $9,495 – $125,391 · median $111,577 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $9,495 – $62,049 · median $55,213 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $9,495 – $56,874 · median $49,644 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,206 – $42,134 · median $17,421 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,527 – $33,473 · median $11,612 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $26,900 – $80,949 · median $28,916 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,065 – $39,321 · median $19,419 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $28,205 – $67,453 · median $30,319 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,714 – $41,028 · median $16,892 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,168 – $30,692 · median $13,080 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $24,910 – $76,240 · median $26,777 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,782 – $38,815 · median $18,039 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,108 – $36,160 · median $17,315 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,964 – $45,990 · median $12,929 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,228 – $63,691 · median $17,444 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,653 – $44,378 · median $14,677 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $26,933 – $88,125 · median $28,951 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,635 – $47,002 · median $20,032 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,897 – $34,358 · median $16,013 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,182 – $29,491 · median $15,244 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,314 – $23,043 · median $10,002 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,400 – $79,812 · median $30,529 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,624 – $52,375 · median $20,019 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,850 – $33,221 · median $14,888 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $33,253 – $66,662 · median $35,745 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,937 – $43,493 · median $19,281 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,473 – $29,744 · median $14,482 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,608 – $84,458 · median $27,527 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,973 – $52,344 · median $20,395 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,123 – $48,298 · median $15,182 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,368 – $22,410 · median $7,920 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,604 – $36,445 · median $12,474 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,381 – $18,997 · median $7,935 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,715 – $30,155 · median $9,347 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,584 – $22,126 · median $7,095 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,668 – $37,108 · median $18,992 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,730 – $24,939 · median $12,610 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,052 – $17,701 · median $7,678 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,876 – $47,919 · median $17,066 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,365 – $30,186 · median $10,056 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,897 – $24,275 · median $7,425 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,182 – $75,513 · median $23,845 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,470 – $30,913 · median $11,255 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,643 – $25,793 · median $8,210 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,326 – $60,404 · median $18,624 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,945 – $28,384 · median $11,765 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,989 – $24,307 · median $8,575 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,079 – $38,878 · median $16,209 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,777 – $19,977 · median $9,414 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,730 – $41,755 · median $12,610 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,587 – $19,155 · median $8,151 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,955 – $43,146 · median $12,851 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,592 – $20,862 · median $8,156 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,411 – $30,534 · median $14,416 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,164 – $14,635 · median $8,759 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,744 – $44,694 · median $17,999 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,230 – $26,014 · median $10,996 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,348 – $20,956 · median $7,899 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,863 – $37,583 · median $13,827 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,185 – $19,344 · median $8,781 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,911 – $45,358 · median $14,953 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,892 – $23,264 · median $9,541 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,849 – $20,451 · median $7,374 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $26,233 – $61,984 · median $28,199 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,197 – $31,893 · median $16,336 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,408 – $27,373 · median $11,188 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,065 – $185,100 · median $62,417 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $30,908 – $102,886 · median $33,225 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,931 – $59,456 · median $17,114 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,515 – $172,993 · median $46,777 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,672 – $73,648 · median $25,446 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,465 – $51,395 · median $15,549 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $28,855 – $57,907 · median $31,018 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,537 – $42,261 · median $16,701 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,025 – $35,433 · median $14,001 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,288 – $66,441 · median $18,583 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,505 – $59,993 · median $16,667 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,176 – $72,384 · median $20,613 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,310 – $63,122 · median $18,607 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $17,364 – $35,402 · median $18,666 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $10,760 – $21,620 · median $11,567 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,923 – $14,698 · median $8,505 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,999 – $67,168 · median $20,423 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,845 – $19,850 · median $10,581 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,000 – $52,186 · median $16,124 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,276 – $26,994 · median $11,046 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,701 – $23,264 · median $7,510 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,485 – $20,135 · median $10,187 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,530 – $11,221 · median $5,985 | 13 plans |
| 602 | CELLULITIS WITH MCC | $12,833 – $34,074 · median $13,794 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,960 – $15,551 · median $8,544 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,280 – $46,275 · median $14,276 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,372 – $18,839 · median $8,978 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,643 – $45,042 · median $14,665 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,285 – $16,594 · median $8,886 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,626 – $58,318 · median $21,097 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,639 – $43,304 · median $13,586 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,050 – $72,289 · median $33,377 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,791 – $36,634 · median $18,050 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,806 – $23,106 · median $13,766 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,759 – $69,159 · median $27,690 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,411 – $40,364 · median $15,491 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,600 – $32,588 · median $14,620 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,683 – $63,502 · median $34,057 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,118 – $36,065 · median $17,326 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,339 – $27,468 · median $12,189 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $26,929 – $91,159 · median $28,948 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,521 – $41,692 · median $14,535 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,013 – $29,996 · median $12,913 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,160 – $72,162 · median $35,646 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,511 – $41,755 · median $20,974 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,169 – $27,120 · median $14,156 | 13 plans |
| 637 | DIABETES WITH MCC | $12,968 – $28,037 · median $13,940 | 13 plans |
| 638 | DIABETES WITH CC | $8,191 – $17,321 · median $8,788 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,678 – $13,370 · median $6,141 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,077 – $30,534 · median $12,982 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,113 – $16,784 · median $7,652 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,840 – $24,370 · median $13,802 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,815 – $37,045 · median $15,925 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,338 – $21,399 · median $10,028 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,022 – $14,666 · median $7,557 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,753 – $125,373 · median $44,883 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $32,975 – $125,373 · median $35,447 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $28,776 – $125,373 · median $31,075 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $46,118 – $173,152 · median $49,574 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,982 – $67,990 · median $26,855 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,963 – $55,979 · median $20,384 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $28,373 – $76,429 · median $30,499 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,436 – $45,200 · median $17,668 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,983 – $38,973 · median $15,031 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,704 – $50,258 · median $24,406 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,954 – $27,879 · median $12,850 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,430 – $22,821 · median $10,128 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $27,294 – $95,837 · median $29,340 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,705 – $47,855 · median $14,732 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,531 – $34,801 · median $10,238 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,821 – $99,946 · median $29,906 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $15,725 – $53,924 · median $16,903 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,054 – $32,304 · median $10,808 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,047 – $79,148 · median $27,999 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,985 – $31,387 · median $15,033 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,918 – $25,540 · median $9,568 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,127 – $55,252 · median $17,336 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,819 – $32,588 · median $10,552 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $37,347 – $76,682 · median $40,146 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,920 – $50,700 · median $22,488 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,773 – $47,097 · median $15,880 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $13,359 – $28,100 · median $14,360 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $8,005 – $16,089 · median $8,591 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,487 – $11,980 · median $5,939 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,204 – $48,582 · median $17,419 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,539 – $25,413 · median $10,247 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,223 – $19,534 · median $7,768 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,531 – $28,827 · median $11,321 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,399 – $15,773 · median $7,953 | 13 plans |
| 693 | URINARY STONES WITH MCC | $12,155 – $44,600 · median $13,066 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,145 – $14,951 · median $7,686 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,386 – $36,698 · median $11,164 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,297 – $15,646 · median $6,793 | 13 plans |
| 697 | URETHRAL STRICTURE | $9,804 – $32,873 · median $10,536 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,888 – $38,310 · median $16,004 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,250 – $22,442 · median $9,931 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,306 – $19,787 · median $6,802 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,938 – $46,148 · median $19,282 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,828 – $42,640 · median $14,864 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,819 – $71,435 · median $22,379 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,655 – $45,232 · median $13,604 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,674 – $65,019 · median $20,073 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,997 – $36,160 · median $10,746 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,556 – $37,709 · median $14,572 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,624 – $26,362 · median $10,339 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,027 – $69,444 · median $21,528 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,271 – $43,651 · median $14,265 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,969 – $36,255 · median $18,241 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,143 – $24,339 · median $13,053 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,257 – $56,137 · median $17,476 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,376 – $35,402 · median $11,154 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,591 – $23,770 · median $6,447 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,619 – $39,700 · median $11,414 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,599 – $23,548 · median $7,111 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,376 – $47,760 · median $14,378 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,414 – $17,069 · median $7,970 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,635 – $33,063 · median $10,352 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,142 – $19,534 · median $6,630 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,081 – $46,654 · median $20,511 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,164 – $37,583 · median $13,076 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,817 – $127,414 · median $34,202 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,469 – $47,887 · median $19,854 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,249 – $34,864 · median $14,242 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,891 – $119,860 · median $34,281 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,256 – $46,812 · median $17,475 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,875 – $32,810 · median $13,840 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,478 – $39,447 · median $17,713 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,240 – $27,594 · median $12,083 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,368 – $32,209 · median $19,745 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,330 – $21,494 · median $11,104 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,617 – $32,715 · median $16,787 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,673 – $23,327 · median $8,354 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,533 – $42,608 · median $13,472 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,940 – $52,122 · median $24,659 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,313 – $43,114 · median $14,311 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,539 – $40,585 · median $17,779 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,892 – $24,370 · median $10,632 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,770 – $21,462 · median $9,407 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,926 – $45,927 · median $13,895 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,933 – $19,692 · median $9,585 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,065 – $15,488 · median $6,549 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,184 – $18,902 · median $9,859 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,206 – $14,097 · median $5,651 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,749 – $16,626 · median $10,411 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,200 – $33,726 · median $16,339 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,142 – $17,638 · median $9,813 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,984 – $10,873 · median $6,463 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $6,518 – $11,600 · median $8,027 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,417 – $26,267 · median $23,264 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,648 – $22,979 · median $10,365 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,746 – $19,186 · median $9,381 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,845 – $25,793 · median $15,957 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,148 – $22,821 · median $10,908 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,755 – $19,155 · median $9,390 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,191 – $36,034 · median $17,404 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $52,705 – $206,246 · median $56,655 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $36,089 – $60,783 · median $38,303 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,624 – $25,837 · median $22,771 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $16,397 – $43,736 · median $38,547 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,484 – $15,710 · median $13,846 | 13 plans |
| 795 | NORMAL NEWBORN | $1,826 – $4,931 · median $2,186 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,590 – $36,982 · median $11,384 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,121 – $24,370 · median $9,791 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,740 – $20,735 · median $9,374 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $40,233 – $95,489 · median $43,248 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $25,072 – $70,203 · median $26,951 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,132 – $50,827 · median $18,416 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $35,429 – $112,842 · median $38,084 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,691 – $49,025 · median $17,942 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,257 – $33,315 · median $13,175 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,816 – $16,215 · median $10,405 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,892 – $14,761 · median $7,419 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,162 – $12,580 · median $6,651 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,768 – $51,174 · median $21,250 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,462 – $27,468 · median $12,321 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,529 – $22,727 · median $10,236 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,683 – $32,557 · median $13,633 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,392 – $22,568 · median $9,000 | 13 plans |
| 813 | COAGULATION DISORDERS | $13,749 – $43,272 · median $14,780 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,052 – $43,146 · median $20,480 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,241 – $23,643 · median $9,922 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,776 – $17,764 · median $6,245 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,428 – $37,583 · median $21,643 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,635 – $25,224 · median $11,153 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,859 – $16,911 · median $8,438 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $52,011 – $150,457 · median $55,910 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,039 – $65,777 · median $21,541 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,917 – $37,519 · median $11,735 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $40,725 – $113,285 · median $43,778 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,277 – $63,343 · median $21,797 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,199 – $38,531 · median $13,113 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $41,545 – $152,701 · median $44,659 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,679 – $66,251 · median $22,229 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,323 – $44,157 · median $16,472 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $28,163 – $50,827 · median $30,274 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,570 – $43,146 · median $14,588 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,903 – $19,629 · median $11,721 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,595 – $12,801 · median $7,107 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,779 – $9,103 · median $5,206 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $48,706 – $215,222 · median $52,356 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,691 – $82,309 · median $20,092 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,053 – $50,763 · median $11,882 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $42,661 – $99,693 · median $45,858 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,706 – $33,126 · median $20,108 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,032 – $26,772 · median $14,009 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,823 – $98,966 · median $30,983 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,685 – $49,720 · median $15,786 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,210 – $33,884 · median $9,887 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,889 – $56,010 · median $19,230 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,035 – $31,735 · median $11,862 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,784 – $26,962 · median $8,358 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,159 – $48,108 · median $24,895 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,835 – $23,485 · median $12,722 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,764 – $15,046 · median $8,337 | 13 plans |
| 849 | RADIOTHERAPY | $24,191 – $80,918 · median $26,004 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $76,652 – $291,146 · median $82,398 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $43,845 – $107,216 · median $47,131 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,918 – $43,967 · median $19,261 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,502 – $34,769 · median $14,514 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $40,407 – $86,765 · median $43,436 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,183 – $40,712 · median $20,620 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,582 – $28,922 · median $13,525 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,381 – $31,545 · median $17,608 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,099 – $20,103 · median $9,767 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,114 – $19,945 · median $8,706 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,511 – $30,091 · median $14,524 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,948 – $16,942 · median $8,532 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,757 – $52,217 · median $20,163 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,392 – $23,959 · median $10,086 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,669 – $19,313 · median $7,185 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $61,243 – $164,364 · median $65,833 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,428 – $44,315 · median $18,734 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,323 – $22,632 · median $10,011 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $34,378 – $113,949 · median $36,955 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,767 – $18,586 · median $9,404 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $7,230 – $11,569 · median $9,113 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,072 – $11,527 · median $10,355 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,638 – $31,798 · median $18,960 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,367 – $19,787 · median $15,356 | 13 plans |
| 885 | PSYCHOSES | $10,609 – $16,974 · median $13,373 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,599 – $38,910 · median $19,993 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,743 – $32,620 · median $10,469 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,638 – $10,779 · median $6,099 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,782 – $47,223 · median $13,740 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,687 – $35,907 · median $16,863 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,069 – $15,709 · median $8,659 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $37,303 – $101,369 · median $40,098 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,181 – $37,709 · median $18,469 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,613 – $25,192 · median $11,409 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $32,687 – $92,360 · median $35,137 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,087 – $50,795 · median $14,187 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,108 – $40,870 · median $18,677 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $34,152 – $86,829 · median $36,712 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,893 – $44,505 · median $19,234 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,875 – $30,281 · median $12,765 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,713 – $48,898 · median $15,816 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,093 – $18,934 · median $8,685 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,128 – $33,063 · median $16,261 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,090 – $14,445 · median $6,575 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,129 – $31,356 · median $15,188 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,834 – $15,583 · median $8,411 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,443 – $35,054 · median $17,676 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,138 – $21,557 · median $9,809 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,292 – $15,457 · median $6,787 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,725 – $47,002 · median $16,904 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,274 – $17,543 · median $9,957 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $168,452 – $685,779 · median $199,863 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,524 – $74,981 · median $67,356 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,600 – $36,160 · median $30,421 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,636 – $102,728 · median $37,232 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,792 – $63,818 · median $21,275 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $17,266 – $27,626 · median $19,572 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $32,294 – $101,748 · median $34,714 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,905 – $54,177 · median $22,472 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,179 – $36,287 · median $19,542 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,955 – $47,571 · median $15,001 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,412 – $34,011 · median $11,193 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,493 – $28,195 · median $12,355 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,317 – $19,155 · median $7,867 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,790 – $32,999 · median $11,599 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,737 – $20,640 · median $6,203 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,082 – $10,620 · median $5,515 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $59,650 – $189,082 · median $64,120 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $33,480 – $150,393 · median $35,989 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $67,486 – $181,338 · median $72,544 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $37,455 – $104,782 · median $40,262 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $26,259 – $82,087 · median $28,227 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,405 – $76,082 · median $26,234 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,814 – $34,769 · median $14,849 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,593 – $23,896 · median $9,214 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $54,273 – $208,838 · median $58,341 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,555 – $89,547 · median $25,320 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,747 – $81,202 · median $27,677 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,719 – $42,608 · median $12,597 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,176 – $28,795 · median $8,810 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,586 – $43,557 · median $12,505 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $41,669 – $123,905 · median $44,792 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,978 – $62,364 · median $23,625 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,413 – $38,752 · median $16,568 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,529 – $81,645 · median $32,817 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,793 – $38,088 · median $15,901 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,874 – $29,333 · median $11,689 | 13 plans |
| 009 | DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 015 | DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK & | $9,495 – $9,495 · median $9,495 | 1 plans |
| 043 | DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA | $9,495 – $9,495 · median $9,495 | 1 plans |
| 044 | DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 045 | DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 046 | DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 047 | DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 048 | DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0- | $9,495 – $9,495 · median $9,495 | 1 plans |
| 049 | DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 050 | DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY | $9,495 – $9,495 · median $9,495 | 1 plans |
| 051 | DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT | $9,495 – $9,495 · median $9,495 | 1 plans |
| 077 | DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 078 | DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM | $9,495 – $9,495 · median $9,495 | 1 plans |
| 079 | DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS & | $9,495 – $9,495 · median $9,495 | 1 plans |
| 104 | DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 105 | DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O | $9,495 – $9,495 · median $9,495 | 1 plans |
| 106 | DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH | $9,495 – $9,495 · median $9,495 | 1 plans |
| 107 | DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH | $9,495 – $9,495 · median $9,495 | 1 plans |
| 108 | DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 109 | DRG Grouper 12 (10/1/1994): DRG 109: NO LONGER VALID | $9,495 – $9,495 · median $9,495 | 1 plans |
| 110 | DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W | $9,495 – $9,495 · median $9,495 | 1 plans |
| 111 | DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/ | $9,495 – $9,495 · median $9,495 | 1 plans |
| 112 | DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR | $9,495 – $9,495 · median $9,495 | 1 plans |
| 118 | DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE | $9,495 – $9,495 · median $9,495 | 1 plans |
| 119 | DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING | $9,495 – $9,495 · median $9,495 | 1 plans |
| 120 | DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R. | $9,495 – $9,495 · median $9,495 | 1 plans |
| 126 | DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 127 | DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK | $9,495 – $9,495 · median $9,495 | 1 plans |
| 128 | DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 129 | DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED | $9,495 – $9,495 · median $9,495 | 1 plans |
| 130 | DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 131 | DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O | $9,495 – $9,495 · median $9,495 | 1 plans |
| 132 | DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 133 | DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 134 | DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION | $9,495 – $9,495 · median $9,495 | 1 plans |
| 160 | DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL | $9,495 – $9,495 · median $9,495 | 1 plans |
| 161 | DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA | $9,495 – $9,495 · median $9,495 | 1 plans |
| 162 | DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA | $9,495 – $9,495 · median $9,495 | 1 plans |
| 169 | DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 170 | DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R. | $9,495 – $9,495 · median $9,495 | 1 plans |
| 171 | DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R. | $9,495 – $9,495 · median $9,495 | 1 plans |
| 172 | DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 174 | DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 210 | DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT | $9,495 – $9,495 · median $9,495 | 1 plans |
| 211 | DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT | $9,495 – $9,495 · median $9,495 | 1 plans |
| 214 | DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 222 | DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 223 | DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR | $9,495 – $9,495 · median $9,495 | 1 plans |
| 224 | DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC, | $9,495 – $9,495 · median $9,495 | 1 plans |
| 225 | DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 226 | DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 227 | DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 230 | DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT | $9,495 – $9,495 · median $9,495 | 1 plans |
| 237 | DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 238 | DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 246 | DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 247 | DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF | $9,495 – $9,495 · median $9,495 | 1 plans |
| 248 | DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 249 | DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM | $9,495 – $9,495 · median $9,495 | 1 plans |
| 294 | DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 295 | DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 338 | DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY | $9,495 – $9,495 · median $9,495 | 1 plans |
| 339 | DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY | $9,495 – $9,495 · median $9,495 | 1 plans |
| 340 | DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY | $9,495 – $9,495 · median $9,495 | 1 plans |
| 341 | DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES | $9,495 – $9,495 · median $9,495 | 1 plans |
| 342 | DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 343 | DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 361 | DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL | $9,495 – $9,495 · median $9,495 | 1 plans |
| 362 | DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION | $9,495 – $9,495 · median $9,495 | 1 plans |
| 363 | DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT, | $9,495 – $9,495 · median $9,495 | 1 plans |
| 364 | DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR | $9,495 – $9,495 · median $9,495 | 1 plans |
| 365 | DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM | $9,495 – $9,495 · median $9,495 | 1 plans |
| 366 | DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE | $9,495 – $9,495 · median $9,495 | 1 plans |
| 367 | DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE | $9,495 – $9,495 · median $9,495 | 1 plans |
| 396 | DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17 | $9,495 – $9,495 · median $9,495 | 1 plans |
| 400 | DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R. | $9,495 – $9,495 · median $9,495 | 1 plans |
| 401 | DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W | $9,495 – $9,495 · median $9,495 | 1 plans |
| 403 | DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 404 | DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O | $9,495 – $9,495 · median $9,495 | 1 plans |
| 431 | DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 449 | DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS | $9,495 – $9,495 · median $9,495 | 1 plans |
| 452 | DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 453 | DRG Grouper 12 (10/1/1994): DRG 453: COMPLICATIONS OF TREATMENT W/O CC | — | 1 plans |
| 454 | DRG Grouper 12 (10/1/1994): DRG 454: OTHER INJURY, POISONING & TOXIC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 455 | DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC | $9,495 – $9,495 · median $9,495 | 1 plans |
| 459 | DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND | $9,495 – $9,495 · median $9,495 | 1 plans |
| 460 | DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R. | $9,495 – $9,495 · median $9,495 | 1 plans |
| 484 | DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE | $9,495 – $9,495 · median $9,495 | 1 plans |
| 490 | DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED | $9,495 – $9,495 · median $9,495 | 1 plans |
| 491 | DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT | $9,495 – $9,495 · median $9,495 | 1 plans |
No procedures match that keyword.