UPMC Jameson (Acute Care) — Pricing
859 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 859 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 859 procedures
Procedures with negotiated rates only
These 859 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $26,304 – $216,115 · median $166,517 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $20,155 – $141,035 · median $108,767 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $6,692 – $55,534 · median $43,000 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $8,285 – $42,927 · median $33,304 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $6,761 – $29,346 · median $22,854 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $18,023 – $80,120 · median $61,912 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $12,411 – $53,901 · median $41,745 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $6,755 – $32,281 · median $24,992 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $6,926 – $58,346 · median $45,163 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $8,348 – $39,831 · median $30,922 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $4,772 – $46,295 · median $35,894 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $5,426 – $31,658 · median $24,635 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,645 – $25,782 · median $20,044 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $10,531 – $61,177 · median $47,341 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $5,365 – $34,737 · median $27,004 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,190 – $22,529 · median $17,477 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $6,600 – $45,620 · median $35,375 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,011 – $21,891 · median $16,974 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,214 – $17,243 · median $13,350 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $9,399 – $39,411 · median $30,599 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $5,076 – $24,468 · median $19,007 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $5,182 – $20,023 · median $15,502 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,000 – $33,520 · median $26,068 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,466 – $16,843 · median $13,040 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,374 – $12,404 · median $9,603 | 11 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $5,401 – $39,315 · median $30,525 | 11 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,297 – $22,563 · median $17,504 | 11 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $4,921 – $17,887 · median $13,848 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,198 – $28,577 · median $20,732 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,119 – $15,835 · median $12,198 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,409 – $36,987 · median $13,754 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,347 – $25,231 · median $16,089 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,218 – $12,012 · median $9,898 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,361 – $22,278 · median $17,248 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,846 – $10,813 · median $8,372 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,692 – $15,559 · median $12,046 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,808 – $9,532 · median $7,720 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,274 – $13,002 · median $10,066 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $5,415 – $43,429 · median $33,690 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $6,079 – $22,389 · median $17,367 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,477 – $16,583 · median $12,839 | 11 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,473 – $38,148 · median $29,627 | 11 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,155 – $17,938 · median $13,888 | 11 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,326 – $12,670 · median $9,809 | 11 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $6,295 – $45,634 · median $35,385 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,424 – $25,793 · median $20,902 | 11 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,363 – $19,739 · median $15,282 | 11 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $11,652 – $38,057 · median $29,558 | 11 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,774 – $18,638 · median $14,430 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,394 – $14,300 · median $11,142 | 11 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $5,419 – $30,306 · median $23,595 | 11 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $7,861 – $110,720 · median $85,449 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $9,499 – $101,382 · median $78,266 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $18,212 – $99,608 · median $76,902 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $26,033 – $66,950 · median $51,781 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $12,139 – $66,950 · median $51,781 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,902 – $78,180 · median $60,420 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $8,330 – $54,299 · median $42,050 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $15,499 – $51,319 · median $39,759 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,277 – $50,374 · median $39,032 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $5,161 – $32,068 · median $24,951 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $9,757 – $85,833 · median $66,306 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,003 – $61,729 · median $47,766 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $16,485 – $77,843 · median $60,161 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $8,246 – $55,621 · median $43,068 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,757 – $59,754 · median $46,247 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $6,725 – $42,650 · median $33,091 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $8,946 – $50,113 · median $38,831 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,288 – $29,035 · median $22,609 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,049 – $14,478 · median $11,209 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $9,899 – $32,509 · median $25,290 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $6,163 – $21,890 · median $16,973 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,357 – $18,679 · median $14,462 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,165 – $46,454 · median $36,017 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $6,014 – $22,403 · median $17,378 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $3,903 – $15,571 · median $12,056 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,152 – $35,518 · median $27,604 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $6,591 – $26,504 · median $20,613 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,742 – $18,423 · median $14,263 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,180 – $27,515 · median $21,410 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,536 – $17,591 · median $13,619 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,652 – $11,577 · median $9,049 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,048 – $31,993 · median $24,893 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,174 – $20,810 · median $16,121 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,054 – $33,120 · median $25,760 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,431 – $19,503 · median $15,100 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $5,617 – $16,916 · median $13,096 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,370 – $31,130 · median $24,266 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $10,092 – $34,014 · median $26,448 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $12,074 – $36,841 · median $28,622 | 11 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $6,367 – $62,399 · median $48,281 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $6,001 – $48,474 · median $37,570 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $7,231 – $70,031 · median $54,151 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $14,732 – $43,001 · median $33,360 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $5,720 – $53,723 · median $41,608 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $9,815 – $36,210 · median $28,137 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $8,716 – $26,081 · median $20,279 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $5,485 – $42,006 · median $32,595 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $9,591 – $33,516 · median $26,065 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $4,441 – $72,602 · median $56,129 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $5,311 – $61,159 · median $47,327 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $7,618 – $47,026 · median $36,456 | 11 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $5,062 – $56,675 · median $43,878 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $5,805 – $36,720 · median $28,529 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $4,785 – $45,441 · median $35,237 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,178 – $24,615 · median $19,123 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $5,286 – $27,747 · median $21,593 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,728 – $18,237 · median $14,120 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $6,249 – $44,062 · median $34,176 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,351 – $32,083 · median $24,963 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $5,604 – $32,688 · median $25,428 | 11 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,622 – $50,782 · median $39,345 | 11 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $6,249 – $25,001 · median $19,427 | 11 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,825 – $16,642 · median $12,884 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,713 – $46,802 · median $36,284 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,512 – $24,534 · median $19,059 | 11 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,604 – $17,442 · median $13,504 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $5,208 – $36,866 · median $28,641 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $8,980 – $23,988 · median $18,628 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,139 – $17,674 · median $14,592 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $11,636 – $36,359 · median $28,251 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,375 – $21,670 · median $16,800 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,304 – $15,974 · median $12,367 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $8,602 – $26,377 · median $20,513 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,508 – $15,673 · median $12,134 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,305 – $12,510 · median $9,800 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,239 – $23,526 · median $18,263 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,819 – $13,728 · median $10,628 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,543 – $9,377 · median $7,260 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $5,873 – $25,475 · median $19,801 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,004 – $15,869 · median $12,286 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,025 – $12,328 · median $9,544 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,325 – $29,548 · median $23,013 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,896 – $17,437 · median $13,849 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,592 – $14,087 · median $10,906 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $6,198 – $44,727 · median $34,688 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,016 – $23,822 · median $19,919 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,534 – $14,612 · median $11,347 | 11 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $10,808 – $24,511 · median $19,041 | 11 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,504 – $15,761 · median $12,370 | 11 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,818 – $12,098 · median $9,367 | 11 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,380 – $55,701 · median $43,129 | 11 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,092 – $29,530 · median $23,971 | 11 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,745 – $22,771 · median $17,668 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $13,487 – $36,305 · median $28,210 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,467 – $22,351 · median $17,337 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,840 – $16,497 · median $12,772 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,873 – $33,634 · median $26,156 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,907 – $21,608 · median $16,751 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,764 – $17,220 · median $13,686 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $5,801 – $36,274 · median $28,186 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,181 – $36,164 · median $18,300 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,192 – $15,364 · median $12,286 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,331 – $24,427 · median $18,975 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,331 – $17,528 · median $13,571 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,042 – $14,294 · median $11,066 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $5,510 – $34,691 · median $26,968 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,943 – $17,984 · median $13,924 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $5,070 – $14,628 · median $11,325 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,712 – $42,286 · median $32,810 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,040 – $26,321 · median $19,336 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,126 – $15,629 · median $12,100 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $18,796 – $85,563 · median $66,099 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $14,111 – $60,716 · median $46,987 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,116 – $42,485 · median $34,352 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $8,162 – $55,570 · median $43,023 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,384 – $27,144 · median $21,117 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $6,204 – $58,032 · median $44,922 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,102 – $31,714 · median $24,678 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,863 – $18,840 · median $14,586 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,603 – $53,001 · median $41,052 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,221 – $35,908 · median $27,904 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,012 – $36,815 · median $24,125 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,449 – $49,166 · median $38,489 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,417 – $119,780 · median $25,819 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,837 – $37,177 · median $21,503 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,663 – $38,088 · median $20,087 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,893 – $22,980 · median $10,721 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,171 – $35,175 · median $27,341 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,964 – $25,150 · median $20,373 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,685 – $19,190 · median $14,857 | 11 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,178 – $187,922 · median $25,530 | 11 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,378 – $157,554 · median $18,538 | 11 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,090 – $37,805 · median $14,575 | 11 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,182 – $173,709 · median $24,329 | 11 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,410 – $32,858 · median $27,458 | 11 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,354 – $50,963 · median $18,509 | 11 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,631 – $19,902 · median $14,021 | 11 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,111 – $45,137 · median $15,298 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,444 – $18,689 · median $10,179 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,563 – $37,881 · median $31,596 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,684 – $25,913 · median $20,147 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,322 – $20,655 · median $15,999 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,237 – $132,101 · median $31,629 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $27,314 – $285,339 · median $219,763 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $26,798 – $115,380 · median $89,033 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $7,897 – $430,118 · median $332,520 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,127 – $71,572 · median $55,213 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,920 – $18,132 · median $14,439 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,468 – $9,970 · median $8,124 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,210 – $15,547 · median $12,260 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,586 – $10,382 · median $8,375 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $6,649 – $23,654 · median $18,466 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,804 – $13,192 · median $10,489 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,792 – $17,406 · median $13,659 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,982 – $12,635 · median $10,070 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,357 – $9,365 · median $7,610 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $8,670 – $28,073 · median $21,840 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,784 – $17,892 · median $14,024 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,559 – $14,293 · median $11,370 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,881 – $20,476 · median $15,985 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,385 – $10,287 · median $8,304 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,392 – $6,969 · median $5,807 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,252 – $14,954 · median $11,815 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,144 – $8,801 · median $7,238 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,442 – $8,133 · median $6,684 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,029 – $16,951 · median $13,317 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,632 – $10,447 · median $8,424 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,330 – $7,700 · median $6,357 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,590 – $16,335 · median $12,853 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,090 – $10,496 · median $8,461 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,122 – $31,445 · median $16,664 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,952 – $25,861 · median $7,458 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,012 – $18,429 · median $14,429 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,875 – $14,742 · median $8,112 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,454 – $23,272 · median $18,168 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,247 – $14,212 · median $11,256 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,323 – $9,732 · median $7,886 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,289 – $23,132 · median $18,059 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,844 – $13,264 · median $10,543 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,010 – $13,695 · median $8,272 | 10 plans |
| 088 | CONCUSSION WITH MCC | $8,699 – $13,764 · median $10,919 | 10 plans |
| 089 | CONCUSSION WITH CC | $8,315 – $11,648 · median $9,793 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,992 – $8,382 · median $6,920 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,914 – $17,882 · median $14,017 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,779 – $12,438 · median $9,179 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,171 – $8,108 · median $6,713 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $10,753 – $35,835 · median $27,721 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,318 – $26,261 · median $20,467 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,345 – $26,261 · median $20,467 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,298 – $36,775 · median $28,434 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,635 – $23,367 · median $18,242 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,074 – $13,872 · median $11,000 | 10 plans |
| 100 | SEIZURES WITH MCC | $4,371 – $19,721 · median $15,400 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $6,925 – $9,320 · median $7,836 | 10 plans |
| 102 | HEADACHES WITH MCC | $4,620 – $11,413 · median $9,151 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $6,454 – $139,459 · median $7,616 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,774 – $16,491 · median $10,353 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,096 – $11,622 · median $7,194 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,187 – $14,704 · median $7,301 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,907 – $13,472 · median $10,953 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,969 – $8,698 · median $7,043 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,540 – $26,109 · median $18,337 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,541 – $15,922 · median $11,258 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,176 – $33,163 · median $7,288 | 10 plans |
| 149 | DYSEQUILIBRIUM | $5,854 – $15,461 · median $6,907 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $9,966 – $26,402 · median $11,760 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,729 – $12,160 · median $6,760 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,908 – $18,351 · median $10,511 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,759 – $11,477 · median $6,795 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,612 – $42,961 · median $13,702 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,023 – $14,305 · median $8,287 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,425 – $8,987 · median $6,401 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,930 – $17,480 · median $13,715 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,712 – $9,264 · median $7,534 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,548 – $11,390 · median $6,547 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,637 – $13,986 · median $11,086 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,232 – $10,741 · median $7,354 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,976 – $15,911 · median $12,535 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,025 – $9,938 · median $8,041 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,878 – $11,469 · median $6,936 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,908 – $17,981 · median $14,092 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,305 – $10,905 · median $8,768 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,869 – $7,910 · median $6,650 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,635 – $15,577 · median $12,283 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,669 – $10,835 · median $8,716 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,101 – $8,555 · median $7,193 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,705 – $15,869 · median $12,502 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,495 – $10,071 · median $8,141 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,610 – $10,499 · median $6,619 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,350 – $12,579 · median $10,028 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,804 – $11,279 · median $9,050 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,502 – $45,468 · median $7,672 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,076 – $18,124 · median $5,990 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,845 – $32,418 · median $11,617 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,239 – $17,047 · median $7,362 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,981 – $25,295 · median $5,877 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,860 – $19,215 · median $15,129 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,254 – $21,404 · median $8,560 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,603 – $11,250 · median $6,611 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,034 – $24,294 · median $15,381 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,320 – $30,567 · median $9,817 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,595 – $33,268 · median $6,602 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,411 – $13,470 · median $8,745 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,275 – $12,746 · median $6,224 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,249 – $11,709 · median $7,374 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,630 – $18,643 · median $14,590 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,382 – $9,582 · median $7,773 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $8,708 – $65,518 · median $50,212 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,899 – $27,987 · median $21,775 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $20,052 – $115,248 · median $87,892 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $14,913 – $58,108 · median $44,597 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,823 – $16,333 · median $12,852 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,759 – $9,358 · median $7,605 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,086 – $7,363 · median $6,104 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,191 – $20,169 · median $15,745 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,757 – $7,048 · median $5,867 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,761 – $26,009 · median $5,629 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,217 – $23,283 · median $19,136 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,113 – $21,650 · median $9,573 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,467 – $27,555 · median $21,447 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,708 – $17,380 · median $13,639 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,863 – $9,466 · median $7,742 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,415 – $13,072 · median $10,398 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,544 – $27,993 · median $7,722 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,499 – $11,943 · median $5,354 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,943 – $15,903 · median $12,528 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,591 – $6,348 · median $5,460 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,618 – $5,580 · median $4,426 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,025 – $16,624 · median $13,071 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,094 – $11,303 · median $9,503 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,195 – $7,328 · median $6,122 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,010 – $42,605 · median $10,631 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,298 – $26,492 · median $6,251 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $8,963 – $23,995 · median $10,576 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,879 – $11,699 · median $6,937 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,471 – $16,045 · median $12,635 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,728 – $9,298 · median $7,560 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,062 – $14,888 · median $10,693 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,741 – $8,204 · median $6,774 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,500 – $9,427 · median $5,355 | 10 plans |
| 311 | ANGINA PECTORIS | $4,668 – $7,147 · median $5,941 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,705 – $8,875 · median $7,319 | 10 plans |
| 313 | CHEST PAIN | $4,131 – $7,331 · median $6,080 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,897 – $21,232 · median $16,575 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,355 – $20,918 · median $8,679 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,361 – $13,216 · median $6,326 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $4,456 – $68,082 · median $52,154 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $9,688 – $24,663 · median $19,254 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $6,911 – $35,012 · median $27,097 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,084 – $24,582 · median $19,191 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,397 – $16,209 · median $12,758 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,409 – $10,184 · median $8,226 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,493 – $9,239 · median $6,482 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,486 – $18,054 · median $14,146 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,242 – $10,396 · median $8,385 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,931 – $7,406 · median $6,137 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,324 – $21,776 · median $17,000 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,145 – $12,316 · median $9,830 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,040 – $9,411 · median $7,645 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,447 – $18,613 · median $14,567 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,102 – $9,985 · median $8,077 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,773 – $6,419 · median $5,394 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,012 – $19,979 · median $15,597 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,516 – $11,032 · median $8,864 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,606 – $8,152 · median $6,697 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,513 – $14,058 · median $11,141 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,517 – $8,704 · median $7,112 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,025 – $16,111 · median $12,776 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,447 – $39,111 · median $8,788 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,355 – $19,585 · median $6,319 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,430 – $15,037 · median $11,962 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,125 – $13,352 · median $7,227 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,324 – $5,543 · median $4,766 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,000 – $12,914 · median $10,280 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,052 – $32,958 · median $7,142 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,866 – $16,302 · median $13,706 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,159 – $16,173 · median $8,448 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,126 – $8,355 · median $6,049 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $7,971 – $40,937 · median $31,587 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $5,157 – $112,218 · median $85,596 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $5,165 – $73,500 · median $56,259 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $6,508 – $57,243 · median $43,942 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $8,021 – $91,736 · median $70,077 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $7,771 – $58,721 · median $45,061 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $6,523 – $20,040 · median $15,645 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,904 – $10,754 · median $8,655 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,576 – $7,447 · median $6,261 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,783 – $18,701 · median $14,633 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,923 – $11,517 · median $9,295 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,575 – $9,285 · median $7,758 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,489 – $13,684 · median $7,657 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,930 – $18,007 · median $5,818 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $6,784 – $18,274 · median $14,312 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,369 – $20,724 · median $8,696 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,486 – $7,768 · median $6,473 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,403 – $17,013 · median $13,363 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,015 – $11,143 · median $8,948 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,322 – $8,424 · median $6,902 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $8,948 – $32,892 · median $25,491 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,035 – $30,884 · median $25,056 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,203 – $19,885 · median $16,105 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,969 – $43,710 · median $35,334 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,317 – $18,643 · median $15,100 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,093 – $12,730 · median $10,310 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,919 – $30,717 · median $24,922 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,812 – $20,737 · median $16,796 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,968 – $32,224 · median $26,130 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,921 – $18,089 · median $14,651 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,069 – $14,096 · median $11,417 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,318 – $28,445 · median $23,081 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,780 – $19,292 · median $15,625 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,238 – $18,533 · median $15,011 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,535 – $14,129 · median $11,443 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,334 – $18,668 · median $15,120 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,264 – $15,769 · median $12,772 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,945 – $30,755 · median $24,952 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,271 – $21,379 · median $17,315 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,264 – $17,169 · median $13,906 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,688 – $16,364 · median $13,253 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,774 – $10,883 · median $8,814 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,125 – $32,449 · median $26,310 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,261 – $21,366 · median $17,305 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,422 – $15,990 · median $12,951 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,029 – $38,053 · median $30,801 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,709 – $20,592 · median $16,678 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,118 – $15,565 · median $12,607 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,879 – $29,231 · median $23,726 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,542 – $21,759 · median $17,623 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,382 – $29,946 · median $24,305 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,505 – $17,508 · median $14,180 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,653 – $12,114 · median $9,812 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,987 – $66,706 · median $53,760 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,143 – $35,346 · median $28,631 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,985 – $18,575 · median $15,044 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,283 – $49,904 · median $40,297 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,322 – $27,051 · median $21,935 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,916 – $16,682 · median $13,512 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,491 – $32,974 · median $26,731 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,778 – $17,890 · median $14,489 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,758 – $15,061 · median $12,198 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,187 – $19,862 · median $16,087 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,753 – $17,854 · median $14,461 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,705 – $21,988 · median $17,808 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,205 – $19,887 · median $16,107 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,068 – $22,495 · median $18,219 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,447 – $14,626 · median $11,846 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,256 – $35,509 · median $28,762 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,788 – $19,303 · median $15,634 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,582 – $14,815 · median $11,999 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,001 – $29,401 · median $23,866 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,873 – $16,622 · median $13,463 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,221 – $15,709 · median $12,724 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,766 – $36,240 · median $29,347 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,246 – $18,544 · median $15,019 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,402 – $13,163 · median $10,661 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,942 – $30,751 · median $24,949 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,157 – $15,620 · median $12,651 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,944 – $13,921 · median $11,275 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,954 – $37,946 · median $30,715 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,976 – $22,366 · median $18,115 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,874 – $15,224 · median $12,330 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,377 – $52,910 · median $42,705 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,376 – $28,527 · median $23,148 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,534 – $21,748 · median $17,615 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,103 – $32,417 · median $26,285 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,502 – $18,903 · median $15,310 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,529 – $16,140 · median $13,073 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,544 – $25,961 · median $21,039 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,897 – $13,856 · median $11,222 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,866 – $11,013 · median $8,920 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,236 – $31,172 · median $25,287 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,305 – $15,827 · median $12,818 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,948 – $11,127 · median $9,012 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,659 – $31,780 · median $25,774 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $12,930 – $18,101 · median $14,661 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,369 – $11,716 · median $9,489 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,232 – $29,731 · median $24,132 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,530 – $16,142 · median $13,074 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,454 – $10,436 · median $8,453 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,254 – $18,555 · median $15,028 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,179 – $11,451 · median $9,274 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,322 – $42,781 · median $34,589 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,109 – $23,952 · median $19,400 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,164 – $17,030 · median $13,793 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,710 – $20,594 · median $16,679 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,404 – $15,966 · median $12,931 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,027 – $23,838 · median $19,307 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,461 – $14,645 · median $11,861 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,302 – $21,423 · median $17,351 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,322 – $11,651 · median $9,437 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,186 – $15,660 · median $12,683 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,022 – $11,231 · median $9,097 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,390 – $22,947 · median $18,585 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,956 – $15,338 · median $12,423 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,931 – $19,503 · median $15,796 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,049 – $14,068 · median $11,394 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,629 – $21,881 · median $17,722 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,066 – $14,092 · median $11,414 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,874 – $36,396 · median $29,472 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,137 – $21,192 · median $17,164 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,938 – $15,313 · median $12,403 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,933 – $36,306 · median $29,405 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,357 – $18,700 · median $15,146 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,637 – $14,892 · median $12,062 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,536 – $18,950 · median $15,348 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,322 – $13,051 · median $10,571 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,056 – $21,078 · median $17,072 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,591 – $12,027 · median $9,741 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,843 – $17,980 · median $14,563 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,620 – $9,269 · median $7,507 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,362 – $14,507 · median $11,750 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,733 – $26,226 · median $21,257 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,990 – $15,386 · median $12,461 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,123 – $11,372 · median $9,211 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,508 – $17,511 · median $14,182 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,635 – $10,688 · median $8,657 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,935 – $25,109 · median $20,339 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,042 – $11,258 · median $9,118 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,316 – $10,243 · median $8,296 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,222 – $17,110 · median $13,858 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,444 – $11,821 · median $9,574 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,323 – $10,252 · median $8,304 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,800 – $12,320 · median $9,978 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,618 – $10,666 · median $8,638 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,311 – $10,236 · median $8,290 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,643 – $46,113 · median $37,259 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,448 – $28,627 · median $23,230 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,061 – $19,686 · median $15,944 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,779 – $40,566 · median $32,814 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,707 – $19,190 · median $15,542 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,140 – $14,196 · median $11,498 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,418 – $23,387 · median $18,040 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,380 – $12,242 · median $9,915 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,622 – $9,270 · median $7,508 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,117 – $59,715 · median $48,158 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,400 – $22,960 · median $18,596 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,062 – $12,687 · median $10,276 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,039 – $46,682 · median $37,715 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,591 – $23,228 · median $18,813 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,093 – $14,131 · median $11,445 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,699 – $47,629 · median $38,474 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,915 – $23,680 · median $19,179 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,607 – $17,650 · median $14,295 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,934 – $32,175 · median $26,091 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,197 – $15,676 · median $12,696 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,548 – $50,285 · median $40,602 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,694 – $20,572 · median $16,662 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,142 – $15,598 · median $12,633 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,783 – $46,315 · median $37,421 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,711 – $21,995 · median $17,815 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,402 – $14,563 · median $11,795 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,934 – $39,352 · median $31,842 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,286 – $42,730 · median $34,548 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,101 – $19,742 · median $15,989 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,818 – $12,345 · median $9,999 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,573 – $37,400 · median $30,277 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,044 – $15,461 · median $12,522 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,009 – $20,236 · median $16,390 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,752 – $39,092 · median $31,633 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,673 – $20,543 · median $16,638 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,833 – $13,766 · median $11,150 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $146,499 – $212,721 · median $172,289 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,393 – $73,032 · median $58,829 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,366 – $32,794 · median $26,587 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,257 – $36,945 · median $29,913 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,097 – $23,936 · median $19,386 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,904 – $20,866 · median $16,900 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,261 – $68,536 · median $55,226 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,211 – $38,315 · median $31,010 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,565 – $77,586 · median $62,478 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,409 – $42,906 · median $34,689 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,403 – $29,977 · median $24,329 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,936 – $62,327 · median $50,251 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,228 – $26,919 · median $21,827 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,798 – $47,772 · median $38,588 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,959 – $25,143 · median $20,367 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,679 – $17,751 · median $14,377 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,838 – $34,908 · median $28,280 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,180 – $17,052 · median $13,811 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,028 – $12,639 · median $10,237 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $13,500 – $103,105 · median $80,113 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $5,485 – $46,773 · median $36,343 | 9 plans |
| 007 | LUNG TRANSPLANT | $21,638 – $129,315 · median $100,477 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $7,948 – $56,380 · median $43,808 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $10,919 – $71,980 · median $55,522 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,085 – $16,599 · median $13,146 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,642 – $15,962 · median $12,664 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,240 – $8,208 · median $6,788 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,615 – $13,053 · median $10,460 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,251 – $8,223 · median $6,800 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,291 – $9,717 · median $7,931 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,632 – $7,334 · median $6,126 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,493 – $20,055 · median $15,765 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,717 – $13,199 · median $10,570 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,108 – $7,855 · median $6,644 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,052 – $17,987 · median $14,197 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,814 – $10,467 · median $8,500 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,875 – $7,683 · median $6,391 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,124 – $25,269 · median $19,727 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,703 – $11,744 · median $9,467 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,454 – $8,514 · median $7,020 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,217 – $19,660 · median $15,466 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,085 – $12,292 · median $9,883 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,722 – $8,900 · median $7,313 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,410 – $17,066 · median $13,500 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,341 – $9,788 · median $7,985 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,717 – $13,199 · median $10,570 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,410 – $8,452 · median $6,973 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,898 – $13,459 · median $10,767 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,414 – $8,457 · median $6,977 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,069 – $15,140 · median $12,040 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,858 – $9,095 · median $7,460 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,749 – $18,988 · median $14,957 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,510 – $11,466 · median $9,257 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,225 – $8,185 · median $6,771 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,628 – $14,507 · median $11,561 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,874 – $9,118 · median $7,478 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,471 – $15,717 · median $12,478 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,434 – $9,921 · median $8,087 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,837 – $7,629 · median $6,350 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $14,249 – $19,705 · median $15,500 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $8,937 – $12,079 · median $9,721 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,671 – $8,826 · median $7,256 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,564 – $21,593 · median $16,930 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,200 – $11,022 · median $8,920 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,347 – $16,974 · median $13,431 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,547 – $11,519 · median $9,297 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,828 – $7,465 · median $6,505 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,910 – $10,606 · median $8,605 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,809 – $6,160 · median $5,237 | 9 plans |
| 602 | CELLULITIS WITH MCC | $10,603 – $14,472 · median $11,534 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,700 – $8,868 · median $7,288 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,964 – $14,989 · median $11,926 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,020 – $9,327 · median $7,636 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,255 – $15,407 · median $12,243 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,952 – $9,229 · median $7,562 | 9 plans |
| 637 | DIABETES WITH MCC | $10,713 – $14,628 · median $11,653 | 9 plans |
| 638 | DIABETES WITH CC | $6,879 – $9,125 · median $7,483 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,929 – $6,325 · median $5,362 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,995 – $13,599 · median $10,873 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,042 – $7,924 · median $6,573 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,609 – $14,480 · median $11,540 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,198 – $16,761 · median $13,269 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,793 – $10,437 · median $8,477 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,972 – $7,823 · median $6,496 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,866 – $47,870 · median $38,666 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,805 – $37,732 · median $30,544 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $23,427 – $32,883 · median $26,658 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $11,027 – $15,080 · median $11,995 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,735 – $8,917 · median $7,326 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,772 – $6,112 · median $5,200 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,315 – $18,365 · median $14,484 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,954 – $10,669 · median $8,653 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,128 – $8,047 · median $6,666 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,752 – $11,814 · median $9,521 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,264 – $8,242 · median $6,814 | 9 plans |
| 693 | URINARY STONES WITH MCC | $10,059 – $13,690 · median $10,942 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,067 – $7,959 · median $6,600 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,635 – $11,646 · median $9,393 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,410 – $7,015 · median $5,885 | 9 plans |
| 697 | URETHRAL STRICTURE | $8,167 – $10,974 · median $8,884 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,256 – $16,845 · median $13,333 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,722 – $10,335 · median $8,400 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,416 – $7,025 · median $5,892 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,358 – $18,426 · median $14,531 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,627 – $11,635 · median $9,385 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,862 – $6,369 · median $5,628 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,822 – $11,915 · median $9,597 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,644 – $7,351 · median $6,139 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,040 – $15,099 · median $12,010 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,276 – $8,260 · median $6,827 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,032 – $10,780 · median $8,737 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,289 – $6,842 · median $5,754 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,585 – $18,752 · median $14,778 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,238 – $11,076 · median $8,961 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,335 – $9,780 · median $7,979 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,678 – $14,580 · median $11,616 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,466 – $9,968 · median $8,122 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,230 – $6,757 · median $5,689 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,669 – $10,258 · median $8,342 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,528 – $5,800 · median $4,971 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,166 – $6,666 · median $5,620 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $5,668 – $7,989 · median $7,060 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,305 – $18,350 · median $14,473 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,675 – $60,517 · median $47,244 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,310 – $41,329 · median $32,265 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,893 – $24,938 · median $19,468 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,095 – $42,455 · median $33,144 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,991 – $15,028 · median $11,955 | 9 plans |
| 795 | NORMAL NEWBORN | $1,588 – $2,388 · median $2,095 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,177 – $10,988 · median $8,895 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,871 – $7,677 · median $6,386 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,305 – $6,865 · median $5,771 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,182 – $22,481 · median $17,603 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,501 – $12,889 · median $10,335 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,946 – $10,656 · median $8,644 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,483 – $14,299 · median $11,403 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,035 – $9,349 · median $7,653 | 9 plans |
| 813 | COAGULATION DISORDERS | $11,341 – $15,531 · median $12,337 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,606 – $21,654 · median $16,976 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,715 – $10,325 · median $8,392 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,005 – $6,435 · median $5,445 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,052 – $12,244 · median $9,846 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,641 – $7,347 · median $6,136 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,156 – $5,324 · median $4,603 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,458 – $55,898 · median $43,639 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,316 – $21,238 · median $16,661 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,172 – $12,417 · median $9,977 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,596 – $48,917 · median $38,189 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,327 – $21,254 · median $16,673 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,764 – $14,702 · median $11,709 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,466 – $32,938 · median $25,714 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,093 – $16,611 · median $13,155 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,689 – $10,288 · median $8,364 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,671 – $20,311 · median $15,959 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,157 – $12,396 · median $9,961 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,563 – $8,671 · median $7,139 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,910 – $26,397 · median $20,607 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,801 – $13,320 · median $10,662 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,547 – $8,649 · median $7,122 | 9 plans |
| 849 | RADIOTHERAPY | $19,739 – $27,588 · median $21,537 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,937 – $88,171 · median $68,833 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,457 – $18,569 · median $14,639 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,601 – $10,161 · median $8,268 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,819 – $9,039 · median $7,418 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,149 – $15,256 · median $12,128 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,691 – $8,854 · median $7,278 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,368 – $21,313 · median $16,718 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,836 – $10,499 · median $8,524 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,698 – $7,430 · median $6,199 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,543 – $70,376 · median $54,941 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,300 – $19,779 · median $15,555 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,781 – $10,419 · median $8,464 | 9 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,333 – $9,777 · median $7,977 | 9 plans |
| 881 | DEPRESSIVE NEUROSES | $7,196 – $9,580 · median $7,828 | 9 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,139 – $10,933 · median $8,853 | 9 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,468 – $20,021 · median $15,739 | 9 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,934 – $16,382 · median $12,982 | 9 plans |
| 885 | PSYCHOSES | $10,430 – $14,222 · median $11,345 | 9 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,242 – $21,131 · median $16,580 | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,118 – $10,904 · median $8,831 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,898 – $6,281 · median $5,328 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,563 – $14,414 · median $11,490 | 9 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,900 – $17,769 · median $14,032 | 9 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,784 – $8,989 · median $7,380 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,116 – $16,644 · median $13,180 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,803 – $9,016 · median $7,401 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,449 – $17,122 · median $13,542 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,249 – $6,784 · median $5,710 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,647 – $15,969 · median $12,669 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,602 – $8,727 · median $7,182 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,508 – $18,641 · median $14,693 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,632 – $10,205 · median $8,302 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,405 – $7,009 · median $5,880 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,930 – $17,812 · median $14,065 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,741 – $10,362 · median $8,421 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,141 – $38,862 · median $30,612 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,201 – $22,508 · median $17,624 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $15,133 – $20,975 · median $16,462 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,506 – $15,425 · median $12,472 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,657 – $11,423 · median $9,383 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,526 – $12,925 · median $10,362 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,201 – $8,151 · median $6,745 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,961 – $12,114 · median $9,748 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,975 – $6,391 · median $5,412 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,420 – $5,661 · median $4,859 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,912 – $27,836 · median $21,731 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,393 – $15,605 · median $12,393 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,193 – $9,576 · median $7,825 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,991 – $29,385 · median $22,940 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,708 – $13,186 · median $10,560 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,925 – $9,108 · median $7,533 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,727 – $12,907 · median $10,581 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $10,346 – $119,703 · median $92,951 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $9,076 – $59,062 · median $46,150 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $5,361 – $48,191 · median $42,172 | 8 plans |
| 009 | DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES | $10,863 – $12,920 · median $11,891 | 1 plans |
| 015 | DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK & | $5,979 – $7,111 · median $6,545 | 1 plans |
| 043 | DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA | $2,942 – $3,499 · median $3,221 | 1 plans |
| 044 | DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS | $4,980 – $5,923 · median $5,452 | 1 plans |
| 045 | DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS | $5,375 – $6,393 · median $5,884 | 1 plans |
| 046 | DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17 | $6,536 – $7,774 · median $7,155 | 1 plans |
| 047 | DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17 | $3,748 – $4,458 · median $4,103 | 1 plans |
| 048 | DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0- | $3,622 – $4,308 · median $3,965 | 1 plans |
| 049 | DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES | $14,802 – $17,606 · median $16,204 | 1 plans |
| 050 | DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY | $6,171 – $7,340 · median $6,755 | 1 plans |
| 051 | DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT | $5,917 – $7,038 · median $6,478 | 1 plans |
| 077 | DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES | $9,198 – $10,941 · median $10,070 | 1 plans |
| 078 | DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM | $12,297 – $14,627 · median $13,462 | 1 plans |
| 079 | DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS & | $14,672 – $17,451 · median $16,061 | 1 plans |
| 104 | DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC | $65,831 – $78,302 · median $72,066 | 1 plans |
| 105 | DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O | $49,892 – $59,343 · median $54,617 | 1 plans |
| 106 | DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH | $49,050 – $58,341 · median $53,695 | 1 plans |
| 107 | DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH | $36,321 – $43,202 · median $39,762 | 1 plans |
| 108 | DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES | $52,855 – $62,868 · median $57,862 | 1 plans |
| 110 | DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W | $35,302 – $41,989 · median $38,646 | 1 plans |
| 111 | DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/ | $19,923 – $23,698 · median $21,811 | 1 plans |
| 112 | DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR | $17,204 – $20,463 · median $18,833 | 1 plans |
| 118 | DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE | $13,484 – $16,038 · median $14,761 | 1 plans |
| 119 | DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING | $8,609 – $10,240 · median $9,425 | 1 plans |
| 120 | DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R. | $16,974 – $20,190 · median $18,582 | 1 plans |
| 126 | DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS | $23,990 – $28,535 · median $26,263 | 1 plans |
| 127 | DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK | $8,860 – $10,539 · median $9,699 | 1 plans |
| 128 | DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS | $6,767 – $8,049 · median $7,408 | 1 plans |
| 129 | DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED | $9,785 – $11,639 · median $10,712 | 1 plans |
| 130 | DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC | $7,941 – $9,445 · median $8,693 | 1 plans |
| 131 | DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O | $5,096 – $6,061 · median $5,579 | 1 plans |
| 132 | DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC | $6,313 – $7,509 · median $6,911 | 1 plans |
| 133 | DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC | $4,628 – $5,504 · median $5,066 | 1 plans |
| 134 | DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION | $4,985 – $5,930 · median $5,457 | 1 plans |
| 160 | DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL | $5,689 – $6,766 · median $6,228 | 1 plans |
| 161 | DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA | $7,834 – $9,318 · median $8,576 | 1 plans |
| 162 | DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA | $4,462 – $5,307 · median $4,884 | 1 plans |
| 169 | DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC | $5,321 – $6,329 · median $5,825 | 1 plans |
| 170 | DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R. | $24,068 – $28,627 · median $26,347 | 1 plans |
| 171 | DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R. | $9,205 – $10,949 · median $10,077 | 1 plans |
| 172 | DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC | $11,241 – $13,370 · median $12,305 | 1 plans |
| 174 | DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC | $8,416 – $10,011 · median $9,213 | 1 plans |
| 210 | DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT | $15,945 – $18,966 · median $17,456 | 1 plans |
| 211 | DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT | $11,241 – $13,370 · median $12,305 | 1 plans |
| 214 | DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC | $16,646 – $19,800 · median $18,223 | 1 plans |
| 222 | DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC | $8,525 – $10,140 · median $9,333 | 1 plans |
| 223 | DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR | $7,063 – $8,401 · median $7,732 | 1 plans |
| 224 | DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC, | $5,998 – $7,135 · median $6,567 | 1 plans |
| 225 | DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES | $7,793 – $9,269 · median $8,531 | 1 plans |
| 226 | DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC | $11,579 – $13,772 · median $12,676 | 1 plans |
| 227 | DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC | $6,056 – $7,204 · median $6,630 | 1 plans |
| 230 | DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT | $7,913 – $9,413 · median $8,663 | 1 plans |
| 237 | DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS | $4,790 – $5,697 · median $5,243 | 1 plans |
| 238 | DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS | $12,927 – $15,376 · median $14,152 | 1 plans |
| 246 | DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES | $4,784 – $5,691 · median $5,238 | 1 plans |
| 247 | DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF | $4,787 – $5,694 · median $5,240 | 1 plans |
| 248 | DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS | $6,159 – $7,325 · median $6,742 | 1 plans |
| 249 | DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM | $5,613 – $6,676 · median $6,144 | 1 plans |
| 294 | DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35 | $6,458 – $7,681 · median $7,070 | 1 plans |
| 295 | DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35 | $6,432 – $7,650 · median $7,041 | 1 plans |
| 338 | DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY | $8,427 – $10,023 · median $9,225 | 1 plans |
| 339 | DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY | $7,152 – $8,507 · median $7,829 | 1 plans |
| 340 | DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY | $3,908 – $4,648 · median $4,278 | 1 plans |
| 341 | DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES | $8,819 – $10,490 · median $9,655 | 1 plans |
| 342 | DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17 | $5,788 – $6,885 · median $6,336 | 1 plans |
| 343 | DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17 | $3,414 – $4,060 · median $3,737 | 1 plans |
| 361 | DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL | $9,559 – $11,370 · median $10,465 | 1 plans |
| 362 | DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION | $4,490 – $5,341 · median $4,916 | 1 plans |
| 363 | DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT, | $5,599 – $6,659 · median $6,129 | 1 plans |
| 364 | DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR | $5,399 – $6,422 · median $5,910 | 1 plans |
| 365 | DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM | $14,821 – $17,628 · median $16,224 | 1 plans |
| 366 | DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE | $10,480 – $12,465 · median $11,473 | 1 plans |
| 367 | DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE | $3,882 – $4,617 · median $4,250 | 1 plans |
| 396 | DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17 | $2,474 – $2,943 · median $2,708 | 1 plans |
| 400 | DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R. | $22,217 – $26,425 · median $24,321 | 1 plans |
| 401 | DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W | $20,805 – $24,746 · median $22,776 | 1 plans |
| 403 | DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $14,673 – $17,452 · median $16,062 | 1 plans |
| 404 | DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O | $6,551 – $7,792 · median $7,172 | 1 plans |
| 431 | DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS | $5,465 – $6,501 · median $5,983 | 1 plans |
| 449 | DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS | $6,750 – $8,029 · median $7,390 | 1 plans |
| 452 | DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC | $7,422 – $8,828 · median $8,125 | 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 | — | 1 plans |
| 455 | DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC | — | 1 plans |
| 459 | DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND | $15,181 – $18,056 · median $16,618 | 1 plans |
| 460 | DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R. | $8,673 – $10,316 · median $9,495 | 1 plans |
| 484 | DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE | $51,753 – $61,557 · median $56,655 | 1 plans |
| 490 | DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED | $9,198 – $10,941 · median $10,070 | 1 plans |
| 491 | DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT | $14,049 – $16,710 · median $15,379 | 1 plans |
No procedures match that keyword.