UPMC Williamsport — 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 | $27,675 – $387,602 · median $170,625 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $21,205 – $257,865 · median $111,515 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,041 – $108,473 · median $44,200 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $8,716 – $88,196 · median $34,275 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $7,113 – $54,376 · median $23,579 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $18,962 – $199,448 · median $63,557 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $13,057 – $150,819 · median $42,915 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,107 – $106,111 · median $25,949 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,287 – $111,122 · median $46,414 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $8,783 – $78,979 · median $31,837 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $5,021 – $81,368 · median $36,926 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $5,708 – $55,898 · median $25,402 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,251 – $50,011 · median $20,702 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $11,080 – $106,059 · median $48,642 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $5,645 – $61,532 · median $27,826 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,357 – $37,463 · median $18,075 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $6,944 – $76,465 · median $36,395 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,220 – $40,176 · median $17,561 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,330 – $33,601 · median $13,808 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $9,889 – $101,801 · median $31,507 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $5,341 – $49,526 · median $19,641 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $5,452 – $35,676 · median $16,052 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,364 – $73,449 · median $26,868 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,646 – $41,065 · median $13,485 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,602 – $27,350 · median $9,901 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $5,682 – $66,751 · median $31,430 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,469 – $49,176 · median $18,103 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $5,178 – $31,365 · median $14,328 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,332 – $51,278 · median $14,998 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,787 – $26,811 · median $8,469 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,533 – $26,058 · median $12,718 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,877 – $20,533 · median $8,651 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $6,996 – $46,966 · median $19,101 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,263 – $29,883 · median $10,864 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,938 – $44,326 · median $14,182 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,190 – $23,146 · median $10,425 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,480 – $20,586 · median $7,851 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,121 – $60,156 · median $22,580 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,929 – $46,427 · median $14,564 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,057 – $43,517 · median $11,731 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,396 – $37,832 · median $16,599 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,613 – $23,766 · median $8,577 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,621 – $18,566 · median $5,964 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,630 – $38,505 · median $12,252 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,464 – $20,479 · median $7,407 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,673 – $18,431 · median $6,881 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,291 – $41,981 · median $13,823 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,925 – $23,065 · median $8,703 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,608 – $17,838 · median $6,540 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,934 – $32,901 · median $13,339 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,251 – $21,314 · median $8,741 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,820 – $32,724 · median $21,284 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,632 – $25,269 · median $9,316 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,430 – $56,209 · median $14,987 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,160 – $17,703 · median $10,479 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,051 – $47,101 · median $18,800 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,676 – $29,586 · median $11,667 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,548 – $18,458 · median $8,140 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,825 – $38,772 · median $18,690 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,148 – $23,577 · median $10,921 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,303 – $15,610 · median $10,095 | 10 plans |
| 088 | CONCUSSION WITH MCC | $9,152 – $34,679 · median $11,314 | 10 plans |
| 089 | CONCUSSION WITH CC | $8,682 – $19,563 · median $9,952 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,304 – $15,871 · median $7,077 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,222 – $34,059 · median $14,556 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,115 – $24,224 · median $9,988 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,416 – $18,512 · median $7,053 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $11,314 – $73,865 · median $28,691 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,595 – $57,482 · median $21,154 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,728 – $54,915 · median $21,154 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,574 – $80,174 · median $29,431 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,876 – $44,568 · median $18,875 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,390 – $25,006 · median $11,399 | 10 plans |
| 100 | SEIZURES WITH MCC | $4,599 – $33,116 · median $16,004 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $7,212 – $15,404 · median $8,110 | 10 plans |
| 102 | HEADACHES WITH MCC | $4,861 – $24,170 · median $9,463 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $6,715 – $136,266 · median $10,023 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,070 – $60,650 · median $22,630 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,588 – $34,005 · median $12,858 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,952 – $41,011 · median $18,189 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,000 – $48,664 · median $18,900 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,579 – $29,640 · median $10,056 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,167 – $28,589 · median $12,362 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,337 – $16,437 · median $8,644 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,433 – $19,266 · median $9,582 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,364 – $36,242 · median $11,492 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,202 – $15,655 · median $7,276 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,745 – $63,973 · median $17,873 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,098 – $29,263 · median $8,617 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,989 – $25,483 · median $12,448 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,090 – $16,060 · median $7,711 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,497 – $33,736 · median $10,384 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $5,697 – $103,852 · median $34,670 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $6,396 – $49,769 · median $17,962 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,711 – $42,386 · median $13,275 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,706 – $63,940 · median $30,512 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,632 – $32,793 · median $14,369 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,604 – $23,982 · median $10,116 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,318 – $54,938 · median $20,570 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,978 – $32,739 · median $12,559 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,422 – $32,403 · median $9,564 | 10 plans |
| 149 | DYSEQUILIBRIUM | $6,081 – $15,709 · median $9,033 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $10,427 – $36,269 · median $15,811 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,949 – $15,790 · median $8,667 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,308 – $21,368 · median $13,263 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,980 – $12,598 · median $7,819 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,166 – $41,978 · median $18,523 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,317 – $16,167 · median $10,372 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,627 – $12,934 · median $7,086 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,396 – $37,481 · median $14,240 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,957 – $16,625 · median $7,771 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,758 – $13,527 · median $8,221 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $6,623 – $85,237 · median $36,405 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,366 – $53,622 · median $21,064 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,903 – $38,829 · median $15,823 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $12,259 – $68,620 · median $30,440 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,127 – $36,862 · median $14,935 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,883 – $28,482 · median $11,431 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $5,701 – $69,036 · median $24,338 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,879 – $26,568 · median $11,489 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,481 – $16,464 · median $8,334 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,340 – $29,155 · median $13,005 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,287 – $20,075 · median $8,302 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,106 – $15,036 · median $8,449 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,320 – $35,811 · median $14,635 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,529 – $24,763 · median $9,063 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,097 – $21,260 · median $6,870 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,876 – $28,428 · median $12,742 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,860 – $20,613 · median $9,008 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,342 – $16,114 · median $7,291 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,898 – $28,293 · median $12,971 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,781 – $20,667 · median $8,407 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,823 – $16,060 · median $7,863 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,577 – $23,793 · median $10,381 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,106 – $19,670 · median $9,358 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,766 – $44,427 · median $10,101 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,259 – $17,709 · median $7,751 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,299 – $31,676 · median $15,555 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,488 – $16,656 · median $9,667 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,158 – $24,716 · median $7,594 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,530 – $37,966 · median $15,606 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,561 – $22,122 · median $11,341 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,815 – $17,003 · median $8,191 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,670 – $30,106 · median $18,303 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,687 – $29,867 · median $12,991 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,807 – $32,506 · median $8,192 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,727 – $17,569 · median $10,230 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,469 – $12,455 · median $7,776 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,499 – $15,790 · median $8,772 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,184 – $31,248 · median $15,156 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,663 – $17,057 · median $8,022 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $9,162 – $146,847 · median $52,060 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $5,154 – $52,679 · median $22,512 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $21,097 – $193,168 · median $90,790 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $8,270 – $280,452 · median $87,648 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $15,690 – $97,394 · median $46,012 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $9,994 – $169,927 · median $80,296 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $19,161 – $178,054 · median $78,900 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $27,389 – $116,808 · median $53,188 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $12,771 – $112,215 · median $53,188 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,314 – $131,039 · median $62,029 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $8,764 – $96,660 · median $43,227 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,306 – $86,017 · median $40,882 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,656 – $133,008 · median $40,138 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $5,430 – $71,009 · median $25,725 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $10,265 – $183,870 · median $68,055 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,524 – $123,844 · median $49,078 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $17,344 – $130,474 · median $61,764 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $8,675 – $99,049 · median $44,269 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,161 – $100,154 · median $47,522 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,076 – $76,046 · median $34,057 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $9,412 – $83,994 · median $39,932 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,824 – $53,676 · median $23,328 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,312 – $40,041 · median $11,576 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $10,415 – $68,464 · median $26,072 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $6,484 – $52,517 · median $17,560 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,688 – $45,915 · median $14,967 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,382 – $125,012 · median $37,052 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $6,327 – $49,149 · median $17,974 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,106 – $39,853 · median $12,458 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,316 – $76,565 · median $28,441 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $6,935 – $56,532 · median $21,285 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,937 – $39,125 · median $14,761 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,398 – $50,604 · median $22,101 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,824 – $28,977 · median $14,089 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,051 – $19,724 · median $9,233 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,363 – $73,787 · median $25,666 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,548 – $51,358 · median $16,688 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,317 – $75,137 · median $26,553 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,766 – $41,389 · median $15,633 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $5,910 – $36,781 · median $13,544 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,431 – $69,737 · median $24,987 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $10,618 – $57,011 · median $27,257 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $12,703 – $90,170 · median $29,483 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $6,699 – $115,509 · median $49,605 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $6,314 – $104,034 · median $38,642 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $7,607 – $142,978 · median $55,613 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $15,500 – $75,968 · median $34,332 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $6,018 – $92,402 · median $42,774 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $10,327 – $74,981 · median $28,986 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,170 – $54,600 · median $20,944 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $5,771 – $95,206 · median $33,549 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $10,091 – $66,310 · median $26,865 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $4,672 – $160,763 · median $57,637 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $5,587 – $138,539 · median $48,629 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $8,015 – $106,916 · median $37,501 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $5,326 – $119,326 · median $45,098 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $6,107 – $83,134 · median $29,388 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $6,126 – $29,532 · median $13,337 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,955 – $20,371 · median $7,846 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,247 – $18,377 · median $6,275 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,514 – $41,927 · median $16,357 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,953 – $19,886 · median $6,027 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,936 – $25,414 · median $7,248 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,033 – $37,859 · median $19,715 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,468 – $23,092 · median $12,755 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,325 – $54,834 · median $22,172 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,162 – $29,130 · median $14,161 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,221 – $27,188 · median $7,954 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,645 – $22,823 · median $10,769 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,811 – $27,352 · median $10,171 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,689 – $13,931 · median $6,863 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,357 – $40,068 · median $12,999 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,830 – $18,862 · median $5,560 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,858 – $12,368 · median $4,601 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,391 – $27,864 · median $13,566 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,448 – $19,024 · median $9,671 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,465 – $14,066 · median $6,247 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,416 – $41,630 · median $14,234 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,493 – $25,886 · median $8,116 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $9,367 – $23,446 · median $14,157 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,107 – $15,521 · median $8,551 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,017 – $38,990 · median $13,110 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,026 – $24,036 · median $7,798 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,472 – $21,179 · median $11,822 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,961 – $13,338 · median $6,925 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,690 – $10,428 · median $6,763 | 10 plans |
| 311 | ANGINA PECTORIS | $4,912 – $13,230 · median $6,105 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,980 – $17,407 · median $7,710 | 10 plans |
| 313 | CHEST PAIN | $4,346 – $12,557 · median $6,250 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,100 – $39,152 · median $17,194 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,667 – $20,439 · median $11,507 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,560 – $17,811 · median $8,220 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $4,688 – $160,607 · median $54,079 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $10,193 – $41,337 · median $19,803 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $5,035 – $112,705 · median $36,254 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,604 – $60,416 · median $19,760 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $5,562 – $64,051 · median $22,289 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,975 – $49,311 · median $14,611 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $6,574 – $101,360 · median $35,168 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,525 – $78,512 · median $25,737 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $5,896 – $70,074 · median $26,213 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,811 – $94,895 · median $40,458 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $6,575 – $53,164 · median $20,071 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,129 – $32,955 · median $13,322 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,907 – $78,444 · median $37,325 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,643 – $47,721 · median $19,695 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,052 – $35,865 · median $13,969 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $5,480 – $97,595 · median $29,503 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $9,447 – $54,548 · median $19,254 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,724 – $33,413 · median $14,852 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $12,242 – $60,941 · median $29,103 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,759 – $40,257 · median $17,382 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,581 – $30,961 · median $12,783 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,050 – $70,749 · median $21,182 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,847 – $30,691 · median $12,540 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,738 – $26,003 · median $9,987 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,460 – $64,648 · median $18,880 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,122 – $25,814 · median $10,970 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,727 – $19,751 · median $7,457 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $6,179 – $62,493 · median $20,454 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,161 – $38,667 · median $12,699 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,287 – $23,173 · median $9,839 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,175 – $59,040 · median $23,741 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,516 – $33,062 · median $13,965 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,987 – $27,619 · median $11,260 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $6,520 – $74,968 · median $35,692 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,878 – $39,687 · median $20,279 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,031 – $28,266 · median $11,684 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $7,272 – $58,683 · median $27,913 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,453 – $41,203 · median $19,740 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,835 – $32,712 · median $13,239 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,639 – $21,691 · median $8,496 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,700 – $18,539 · median $7,238 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,772 – $33,359 · median $14,692 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,463 – $19,428 · median $8,663 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,084 – $14,362 · median $6,309 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,601 – $40,957 · median $17,622 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,465 – $24,197 · median $10,174 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,198 – $20,182 · median $7,887 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,887 – $36,107 · median $15,132 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,420 – $20,748 · median $8,340 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,917 – $14,631 · median $5,531 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,169 – $36,943 · median $16,208 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,699 – $20,479 · median $9,164 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,690 – $16,194 · median $6,896 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,696 – $36,188 · median $11,546 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,648 – $17,137 · median $7,330 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,600 – $28,643 · median $13,162 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,765 – $38,215 · median $11,659 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,554 – $19,136 · median $8,211 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,973 – $25,203 · median $12,316 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,367 – $13,850 · median $9,407 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,525 – $10,832 · median $4,953 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,104 – $23,551 · median $10,645 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,290 – $32,203 · median $9,360 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,435 – $33,197 · median $14,086 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,461 – $17,838 · median $11,184 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,312 – $14,578 · median $6,632 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $11,371 – $40,872 · median $19,676 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,052 – $33,305 · median $12,611 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,121 – $23,928 · median $9,654 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $8,387 – $68,614 · median $32,707 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,869 – $112,498 · median $44,331 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,186 – $58,936 · median $24,328 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,253 – $46,562 · median $18,271 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $14,190 – $88,326 · median $29,061 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,908 – $47,478 · median $17,932 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,144 – $39,637 · median $13,205 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,075 – $82,147 · median $26,958 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,111 – $56,340 · median $17,332 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,377 – $43,302 · median $13,789 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $6,103 – $80,537 · median $29,037 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,938 – $41,173 · median $24,405 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,666 – $31,203 · median $12,692 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,973 – $42,224 · median $19,608 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,765 – $34,383 · median $14,038 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,461 – $28,589 · median $11,427 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $5,798 – $86,768 · median $27,790 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,253 – $45,269 · median $14,406 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $5,334 – $38,371 · median $11,697 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $14,426 – $90,896 · median $33,770 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,847 – $55,171 · median $20,956 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,445 – $41,577 · median $12,505 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $5,426 – $188,089 · median $88,827 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $5,434 – $123,193 · median $58,344 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $6,847 – $95,946 · median $45,546 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $8,439 – $216,531 · median $72,702 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $8,176 – $98,422 · median $46,709 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $6,863 – $39,422 · median $16,256 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,055 – $21,476 · median $8,945 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,788 – $18,161 · median $6,494 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,980 – $34,464 · median $15,202 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,336 – $22,580 · median $9,545 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,843 – $21,395 · median $7,890 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,752 – $17,622 · median $9,785 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,105 – $17,595 · median $7,511 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,138 – $40,823 · median $14,865 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,682 – $20,937 · median $11,530 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,692 – $17,299 · median $6,583 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,736 – $32,173 · median $13,872 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,224 – $22,338 · median $9,251 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,548 – $18,970 · median $7,110 | 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 | $3,290 – $72,374 · median $34,473 | 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 | $9,415 – $55,130 · median $26,374 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $19,775 – $176,964 · median $67,842 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $14,846 – $128,699 · median $48,280 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,723 – $116,340 · median $34,505 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $8,587 – $165,852 · median $44,752 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,134 – $51,412 · median $21,801 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $6,528 – $97,268 · median $46,167 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,315 – $54,678 · median $25,446 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,064 – $37,508 · median $15,097 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,843 – $88,836 · median $42,206 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,389 – $60,185 · median $28,748 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,045 – $46,898 · median $27,919 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,140 – $82,407 · median $39,186 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,530 – $117,038 · median $34,456 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,746 – $41,820 · median $26,807 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,505 – $42,089 · median $26,524 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,293 – $31,769 · median $14,042 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,857 – $63,350 · median $28,171 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,880 – $43,679 · median $20,557 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,293 – $33,763 · median $15,379 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,276 – $183,620 · median $34,289 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,146 – $153,947 · median $24,730 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,672 – $36,939 · median $19,312 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,224 – $169,733 · median $28,650 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,636 – $85,237 · median $27,979 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,121 – $49,796 · median $24,690 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,187 – $28,562 · median $15,540 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,706 – $49,903 · median $19,073 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,818 – $29,586 · median $13,141 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,968 – $62,660 · median $32,218 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,396 – $50,954 · median $20,808 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,704 – $35,811 · median $16,563 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,624 – $129,077 · median $42,628 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $28,737 – $478,258 · median $225,115 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $28,194 – $193,390 · median $91,313 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $14,203 – $175,960 · median $83,126 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $5,771 – $79,135 · median $37,648 | 9 plans |
| 007 | LUNG TRANSPLANT | $22,765 – $221,009 · median $104,286 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $8,362 – $95,649 · median $45,404 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $11,488 – $59,974 · median $54,233 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $10,885 – $205,099 · median $96,813 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $9,548 – $101,197 · median $48,010 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $5,640 – $82,571 · median $44,023 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $8,308 – $736,962 · median $346,628 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,394 – $113,100 · median $57,668 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,666 – $37,266 · median $13,777 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,183 – $57,664 · median $25,215 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,905 – $32,919 · median $16,212 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,625 – $74,228 · median $35,486 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,968 – $35,919 · median $15,193 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,504 – $28,535 · median $10,337 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,060 – $66,491 · median $25,082 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,549 – $34,385 · median $16,913 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,169 – $55,405 · median $26,288 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,550 – $34,975 · median $14,738 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,535 – $26,164 · median $11,459 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,368 – $62,623 · median $23,242 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,458 – $33,089 · median $15,725 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,885 – $30,826 · median $15,103 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,560 – $39,206 · median $11,486 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,987 – $54,296 · median $15,213 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,798 – $37,832 · median $12,833 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,087 – $72,385 · median $25,112 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,033 – $40,068 · median $17,439 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,855 – $29,290 · median $13,982 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,247 – $26,867 · median $13,321 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,110 – $19,643 · median $8,821 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,335 – $65,557 · median $26,468 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,024 – $44,649 · median $17,429 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,965 – $28,320 · median $13,015 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,460 – $63,781 · median $30,956 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,440 – $37,077 · median $16,793 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,645 – $25,495 · median $12,666 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,961 – $69,373 · median $23,886 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,320 – $44,622 · median $17,751 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,198 – $41,173 · median $13,267 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,489 – $19,104 · median $7,058 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,056 – $31,068 · median $10,938 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,500 – $16,194 · median $7,070 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,600 – $25,706 · median $8,266 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,846 – $18,862 · median $6,359 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,211 – $33,615 · median $16,545 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,163 – $22,123 · median $11,055 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,349 – $15,090 · median $6,906 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,688 – $40,850 · median $14,888 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,152 – $25,733 · median $8,867 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,103 – $20,694 · median $6,638 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,049 – $62,026 · median $20,719 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,092 – $26,353 · median $9,890 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,715 – $21,988 · median $7,304 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,920 – $51,493 · median $16,228 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,496 – $24,197 · median $10,328 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,999 – $20,721 · median $7,613 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,010 – $33,143 · median $14,151 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,652 – $17,030 · median $8,323 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,163 – $35,595 · median $11,055 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,669 – $16,329 · median $7,254 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,355 – $36,781 · median $11,263 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,673 – $17,784 · median $7,258 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,592 – $26,030 · median $12,609 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,142 – $15,243 · median $7,768 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,425 – $38,101 · median $15,690 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,888 – $22,176 · median $9,667 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,473 – $17,865 · median $7,040 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,127 – $32,038 · median $12,102 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,159 – $16,491 · median $7,787 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,017 – $38,667 · median $13,071 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,751 – $19,832 · median $8,430 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,063 – $17,434 · median $6,595 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,492 – $52,840 · median $24,465 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,111 – $28,833 · median $14,260 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,039 – $23,335 · median $9,832 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,553 – $152,039 · median $53,899 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,467 – $84,510 · median $28,788 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,916 – $50,685 · median $15,137 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,184 – $142,096 · median $40,445 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,315 – $60,494 · median $22,097 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,488 – $43,814 · median $13,583 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,721 – $55,269 · median $26,889 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,399 – $36,026 · median $14,574 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,264 – $30,206 · median $12,252 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,888 – $54,574 · median $16,193 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,372 – $51,143 · median $14,545 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,493 – $59,455 · median $17,939 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,907 – $53,810 · median $16,214 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $14,953 – $33,028 · median $16,264 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $9,339 – $20,246 · median $10,158 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,944 – $14,793 · median $7,553 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,343 – $55,171 · median $17,776 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,561 – $18,474 · median $9,312 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,943 – $44,487 · median $14,078 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,927 – $23,012 · median $9,709 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,214 – $19,832 · median $6,759 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,254 – $17,776 · median $8,978 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,982 – $10,325 · median $5,419 | 8 plans |
| 602 | CELLULITIS WITH MCC | $11,100 – $29,047 · median $12,074 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,975 – $14,863 · median $7,586 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,481 – $39,448 · median $12,488 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,313 – $16,060 · median $7,954 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,789 – $38,398 · median $12,823 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,241 – $15,469 · median $7,876 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,876 – $49,715 · median $18,356 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,935 – $36,916 · median $11,894 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,587 – $59,516 · median $28,918 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,466 – $31,919 · median $15,734 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,078 – $24,205 · median $12,049 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,090 – $56,807 · median $24,027 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,442 – $34,410 · median $13,533 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,753 – $27,781 · median $12,784 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,125 – $60,742 · median $29,504 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,893 – $30,745 · median $15,112 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,831 – $23,416 · median $10,693 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,084 – $74,877 · median $25,109 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,686 – $35,541 · median $12,711 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,403 – $25,571 · median $11,316 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,381 – $63,602 · median $30,870 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,778 – $37,184 · median $18,250 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,387 – $24,908 · median $12,385 | 8 plans |
| 637 | DIABETES WITH MCC | $11,216 – $24,519 · median $12,199 | 8 plans |
| 638 | DIABETES WITH CC | $7,164 – $15,295 · median $7,793 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,103 – $11,398 · median $5,551 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,458 – $26,030 · median $11,375 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,280 – $14,308 · median $6,831 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,106 – $24,270 · median $12,080 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,785 – $31,580 · median $13,907 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,130 – $18,242 · median $8,843 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,206 – $13,112 · median $6,750 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,397 – $142,225 · median $42,852 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,429 – $55,846 · median $23,308 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,312 – $47,721 · median $17,742 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,311 – $62,779 · median $26,443 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,164 – $38,532 · median $15,406 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,079 – $33,224 · median $13,138 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,492 – $43,363 · median $21,202 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,354 – $23,766 · median $11,262 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,208 – $19,455 · median $8,928 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,395 – $78,720 · median $25,446 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,842 – $40,796 · median $12,880 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,294 – $29,667 · median $9,021 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,842 – $82,095 · median $25,933 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $13,559 – $45,969 · median $14,748 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,739 – $27,538 · median $9,505 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,334 – $65,011 · median $24,292 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,080 – $26,757 · median $13,139 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,772 – $21,772 · median $8,454 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,901 – $47,101 · median $15,121 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,538 – $27,781 · median $9,287 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,940 – $71,705 · median $34,741 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,976 – $43,221 · median $19,552 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,750 – $40,149 · median $13,868 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $11,548 – $25,275 · median $12,561 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $7,012 – $14,946 · median $7,626 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,947 – $10,245 · median $5,380 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,967 – $41,415 · median $15,191 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,301 – $21,664 · median $9,029 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,371 – $16,652 · median $6,929 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,144 – $24,574 · median $9,946 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,515 – $13,815 · median $7,086 | 8 plans |
| 693 | URINARY STONES WITH MCC | $10,525 – $38,020 · median $11,448 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,306 – $13,341 · median $6,859 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,020 – $31,284 · median $9,811 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,611 – $13,338 · median $6,103 | 8 plans |
| 697 | URETHRAL STRICTURE | $8,526 – $28,023 · median $9,273 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,848 – $32,658 · median $13,974 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,055 – $19,131 · median $8,761 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,618 – $16,868 · median $6,111 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,440 – $39,341 · median $16,794 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,947 – $36,350 · median $12,994 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,890 – $58,676 · median $19,459 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,950 – $38,559 · median $11,910 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,066 – $55,427 · median $17,475 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,690 – $30,826 · median $9,452 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,716 – $32,146 · median $12,743 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,373 – $22,473 · median $9,107 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,217 – $57,041 · median $18,727 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,473 – $37,212 · median $12,479 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,617 – $32,263 · median $15,899 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,514 – $22,921 · median $11,436 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,012 – $47,855 · median $15,240 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,012 – $30,179 · median $9,802 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,362 – $20,263 · median $5,832 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,218 – $33,844 · median $10,027 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,859 – $20,075 · median $6,372 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,562 – $40,715 · median $12,576 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,527 – $14,551 · median $7,100 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,382 – $28,185 · median $9,118 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,484 – $16,652 · median $5,965 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,413 – $39,772 · median $17,852 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,532 – $32,038 · median $11,456 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,240 – $104,657 · median $29,629 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,892 – $40,823 · median $17,286 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,454 – $29,721 · median $12,459 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,302 – $98,452 · median $29,696 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,011 – $39,907 · median $15,240 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,136 – $27,970 · median $12,113 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,200 – $33,628 · median $15,445 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,747 – $23,524 · median $10,601 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,806 – $34,970 · median $17,192 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,973 – $19,413 · median $9,760 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,468 – $29,646 · median $14,648 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,891 – $19,886 · median $7,495 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,846 – $36,323 · median $11,797 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,693 – $44,433 · median $21,419 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,509 – $36,754 · median $12,518 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,252 – $34,598 · median $15,501 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,601 – $20,775 · median $9,355 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,646 – $18,296 · median $8,317 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,180 – $39,152 · median $12,160 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,785 – $16,787 · median $8,468 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,421 – $13,203 · median $5,896 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,999 – $17,194 · median $8,700 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,723 – $12,018 · median $5,137 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,479 – $18,288 · median $9,223 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,113 – $28,838 · median $14,263 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,963 – $17,112 · median $8,661 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,354 – $11,173 · median $5,824 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $6,753 – $12,170 · median $7,345 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,849 – $40,904 · median $20,159 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,393 – $19,513 · median $9,129 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,626 – $16,292 · median $8,295 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,811 – $27,482 · median $13,934 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,818 – $19,379 · median $9,591 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,634 – $16,265 · median $8,303 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,688 – $27,193 · median $14,856 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $31,949 – $95,244 · median $48,123 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,819 – $61,246 · median $32,100 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,928 – $36,956 · median $19,554 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,298 – $62,914 · median $32,962 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,816 – $22,270 · median $11,968 | 8 plans |
| 795 | NORMAL NEWBORN | $1,074 – $3,819 · median $2,080 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,194 – $31,494 · median $10,001 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,946 – $20,754 · median $8,642 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,621 – $17,658 · median $8,289 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,394 – $78,434 · median $37,410 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,505 – $57,664 · median $23,391 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,755 – $43,329 · median $16,049 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,310 – $92,688 · median $32,968 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,380 – $41,793 · median $15,642 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,611 – $28,401 · median $11,541 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,536 – $18,418 · median $9,285 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,099 – $12,868 · median $6,633 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,500 – $11,506 · median $5,983 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,996 – $43,625 · median $18,487 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,936 – $23,416 · median $10,807 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,292 – $19,374 · median $9,019 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,973 – $27,754 · median $11,935 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,329 – $19,239 · median $7,972 | 8 plans |
| 813 | COAGULATION DISORDERS | $11,880 – $36,889 · median $12,922 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,388 – $36,781 · median $17,825 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,047 – $20,155 · median $8,753 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,184 – $15,143 · median $5,639 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,549 – $32,038 · median $19,088 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,136 – $21,503 · median $9,937 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,892 – $14,675 · median $7,497 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,407 – $123,584 · median $48,301 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,227 – $56,074 · median $18,737 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,472 – $31,985 · median $10,302 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,813 – $93,051 · median $37,865 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,429 – $53,999 · median $18,957 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,561 – $32,847 · median $11,488 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,510 – $125,427 · median $38,624 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,771 – $56,478 · median $19,329 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,218 – $37,643 · median $14,377 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,133 – $53,929 · median $26,249 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,728 – $36,781 · median $12,756 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,460 – $20,522 · median $10,290 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,856 – $12,315 · median $6,369 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,366 – $8,924 · median $4,749 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $41,597 – $176,782 · median $45,245 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,081 – $67,608 · median $17,491 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,588 – $43,275 · median $10,429 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,458 – $81,991 · median $39,655 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,093 – $35,624 · median $17,504 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,270 – $24,642 · median $12,258 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,694 – $81,290 · median $26,860 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,675 – $42,386 · median $13,787 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,020 – $28,886 · median $8,724 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,399 – $47,748 · median $16,749 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,572 – $27,053 · median $10,411 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,830 – $22,985 · median $7,429 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,879 – $44,244 · median $21,622 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,253 – $22,326 · median $11,152 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,814 – $14,496 · median $7,411 | 8 plans |
| 849 | RADIOTHERAPY | $20,756 – $66,465 · median $22,576 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,355 – $239,145 · median $71,086 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,465 – $88,067 · median $40,750 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,424 – $37,481 · median $16,776 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,669 – $29,640 · median $12,693 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,542 – $77,629 · median $37,571 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,499 – $36,547 · median $17,945 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,888 – $24,655 · median $11,842 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,117 – $31,123 · median $15,355 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,927 – $17,137 · median $8,622 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,101 – $17,003 · median $7,723 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,678 – $25,652 · median $12,702 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,965 – $14,841 · median $7,576 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,137 – $44,514 · median $17,552 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,176 – $20,425 · median $8,893 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,916 – $16,464 · median $6,435 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,255 – $135,008 · median $56,837 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,007 – $37,778 · median $16,323 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,117 – $19,293 · median $8,829 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,417 – $93,597 · median $31,996 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,644 – $16,387 · median $8,314 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $7,500 – $16,057 · median $8,157 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,200 – $18,326 · median $9,086 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,185 – $33,557 · median $16,517 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,507 – $27,458 · median $13,603 | 8 plans |
| 885 | PSYCHOSES | $10,917 – $23,838 · median $11,874 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,003 – $35,417 · median $17,406 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,474 – $27,808 · median $9,217 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,071 – $10,528 · median $5,516 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,058 – $40,257 · median $12,027 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,527 – $30,610 · median $14,714 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,064 – $15,066 · median $7,683 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,903 – $83,263 · median $34,700 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,797 – $32,673 · median $16,095 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,214 – $21,476 · median $10,022 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,979 – $75,864 · median $30,432 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,566 – $43,302 · median $12,580 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,170 – $34,841 · median $16,501 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,225 – $71,320 · median $31,787 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,402 – $37,939 · median $16,753 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,286 – $25,814 · median $11,188 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,699 – $41,685 · median $13,813 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,084 – $16,140 · median $7,705 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,051 – $28,698 · median $14,196 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,441 – $12,314 · median $5,918 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,203 – $26,766 · median $13,273 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,871 – $14,627 · median $7,474 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,170 – $31,245 · median $15,412 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,960 – $18,377 · median $8,658 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,607 – $13,176 · median $6,099 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,560 – $40,068 · median $14,749 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,075 – $17,368 · median $8,783 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $160,481 – $563,293 · median $174,554 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,971 – $122,410 · median $57,976 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,589 – $54,966 · median $26,297 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,636 – $84,380 · median $32,235 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,017 – $54,403 · median $18,509 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $15,888 – $35,156 · median $17,281 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,645 – $83,575 · median $30,069 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,963 – $46,185 · median $19,539 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,646 – $34,605 · median $17,018 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,055 – $40,553 · median $13,112 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,043 – $28,994 · median $9,836 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,962 – $24,036 · median $10,835 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,447 – $16,329 · median $7,012 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,364 – $28,131 · median $10,186 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,152 – $17,596 · median $5,604 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,614 – $9,489 · median $5,019 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,900 – $155,311 · median $55,364 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,653 – $123,532 · median $31,165 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,563 – $148,950 · median $62,610 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,033 – $86,067 · median $34,841 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,515 – $67,426 · median $24,489 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,938 – $62,493 · median $22,774 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,935 – $29,640 · median $12,981 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,497 – $20,371 · median $8,154 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,330 – $171,538 · median $50,392 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,216 – $73,553 · median $21,989 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,079 – $66,699 · median $24,015 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,154 – $36,323 · median $11,044 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,213 – $24,548 · median $7,846 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,174 – $37,131 · median $11,066 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,615 – $101,775 · median $38,738 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,875 – $53,164 · median $20,530 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,294 – $33,035 · median $14,460 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,145 – $67,062 · median $28,437 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,767 – $32,470 · median $13,886 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,436 – $25,006 · median $10,263 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,687 – $80,235 · median $38,168 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,224 – $63,244 · median $30,186 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $24,654 – $55,115 · median $26,368 | 7 plans |
| 009 | DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES | $11,428 – $12,624 · median $12,026 | 2 plans |
| 015 | DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK & | $6,290 – $6,948 · median $6,619 | 2 plans |
| 043 | DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA | $3,095 – $3,419 · median $3,257 | 2 plans |
| 044 | DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS | $5,239 – $5,788 · median $5,514 | 2 plans |
| 045 | DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS | $5,655 – $6,246 · median $5,950 | 2 plans |
| 046 | DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17 | $6,876 – $7,596 · median $7,236 | 2 plans |
| 047 | DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17 | $3,943 – $4,356 · median $4,149 | 2 plans |
| 048 | DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0- | $3,811 – $4,210 · median $4,010 | 2 plans |
| 049 | DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES | $15,574 – $17,203 · median $16,388 | 2 plans |
| 050 | DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY | $6,492 – $7,172 · median $6,832 | 2 plans |
| 051 | DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT | $6,225 – $6,877 · median $6,551 | 2 plans |
| 077 | DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES | $9,678 – $10,691 · median $10,184 | 2 plans |
| 078 | DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM | $12,938 – $14,292 · median $13,615 | 2 plans |
| 079 | DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS & | $15,436 – $17,052 · median $16,244 | 2 plans |
| 104 | DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC | $69,261 – $76,509 · median $72,885 | 2 plans |
| 105 | DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O | $52,491 – $57,984 · median $55,238 | 2 plans |
| 106 | DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH | $51,605 – $57,006 · median $54,305 | 2 plans |
| 107 | DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH | $38,214 – $42,213 · median $40,213 | 2 plans |
| 108 | DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES | $55,609 – $61,429 · median $58,519 | 2 plans |
| 110 | DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W | $37,141 – $41,028 · median $39,085 | 2 plans |
| 111 | DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/ | $20,961 – $23,155 · median $22,058 | 2 plans |
| 112 | DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR | $18,100 – $19,994 · median $19,047 | 2 plans |
| 118 | DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE | $14,186 – $15,671 · median $14,928 | 2 plans |
| 119 | DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING | $9,058 – $10,006 · median $9,532 | 2 plans |
| 120 | DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R. | $17,859 – $19,728 · median $18,793 | 2 plans |
| 126 | DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS | $25,240 – $27,882 · median $26,561 | 2 plans |
| 127 | DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK | $9,322 – $10,297 · median $9,810 | 2 plans |
| 128 | DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS | $7,119 – $7,865 · median $7,492 | 2 plans |
| 129 | DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED | $10,295 – $11,372 · median $10,834 | 2 plans |
| 130 | DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC | $8,355 – $9,229 · median $8,792 | 2 plans |
| 131 | DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O | $5,361 – $5,923 · median $5,642 | 2 plans |
| 132 | DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC | $6,642 – $7,338 · median $6,990 | 2 plans |
| 133 | DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC | $4,869 – $5,378 · median $5,124 | 2 plans |
| 134 | DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION | $5,245 – $5,794 · median $5,519 | 2 plans |
| 160 | DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL | $5,985 – $6,611 · median $6,298 | 2 plans |
| 161 | DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA | $8,242 – $9,105 · median $8,673 | 2 plans |
| 162 | DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA | $4,694 – $5,185 · median $4,940 | 2 plans |
| 169 | DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC | $5,598 – $6,184 · median $5,891 | 2 plans |
| 170 | DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R. | $25,321 – $27,971 · median $26,646 | 2 plans |
| 171 | DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R. | $9,685 – $10,699 · median $10,192 | 2 plans |
| 172 | DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC | $11,826 – $13,064 · median $12,445 | 2 plans |
| 174 | DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC | $8,855 – $9,781 · median $9,318 | 2 plans |
| 210 | DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT | $16,776 – $18,532 · median $17,654 | 2 plans |
| 211 | DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT | $11,826 – $13,064 · median $12,445 | 2 plans |
| 214 | DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC | $17,514 – $19,347 · median $18,430 | 2 plans |
| 222 | DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC | $8,969 – $9,908 · median $9,439 | 2 plans |
| 223 | DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR | $7,431 – $8,208 · median $7,820 | 2 plans |
| 224 | DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC, | $6,311 – $6,971 · median $6,641 | 2 plans |
| 225 | DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES | $8,199 – $9,057 · median $8,628 | 2 plans |
| 226 | DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC | $12,182 – $13,457 · median $12,820 | 2 plans |
| 227 | DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC | $6,372 – $7,039 · median $6,705 | 2 plans |
| 230 | DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT | $8,326 – $9,197 · median $8,761 | 2 plans |
| 237 | DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS | $5,039 – $5,567 · median $5,303 | 2 plans |
| 238 | DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS | $13,601 – $15,024 · median $14,312 | 2 plans |
| 246 | DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES | $5,034 – $5,560 · median $5,297 | 2 plans |
| 247 | DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF | $5,036 – $5,563 · median $5,300 | 2 plans |
| 248 | DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS | $6,479 – $7,158 · median $6,818 | 2 plans |
| 249 | DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM | $5,905 – $6,523 · median $6,214 | 2 plans |
| 294 | DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35 | $6,794 – $7,505 · median $7,150 | 2 plans |
| 295 | DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35 | $6,767 – $7,475 · median $7,121 | 2 plans |
| 338 | DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY | $8,866 – $9,793 · median $9,330 | 2 plans |
| 339 | DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY | $7,525 – $8,312 · median $7,918 | 2 plans |
| 340 | DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY | $4,111 – $4,542 · median $4,327 | 2 plans |
| 341 | DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES | $9,279 – $10,250 · median $9,764 | 2 plans |
| 342 | DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17 | $6,090 – $6,727 · median $6,408 | 2 plans |
| 343 | DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17 | $3,592 – $3,967 · median $3,780 | 2 plans |
| 361 | DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL | $10,057 – $11,110 · median $10,584 | 2 plans |
| 362 | DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION | $4,724 – $5,219 · median $4,971 | 2 plans |
| 363 | DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT, | $5,890 – $6,507 · median $6,199 | 2 plans |
| 364 | DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR | $5,680 – $6,275 · median $5,977 | 2 plans |
| 365 | DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM | $15,593 – $17,225 · median $16,409 | 2 plans |
| 366 | DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE | $11,026 – $12,180 · median $11,603 | 2 plans |
| 367 | DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE | $4,084 – $4,512 · median $4,298 | 2 plans |
| 396 | DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17 | $2,603 – $2,875 · median $2,739 | 2 plans |
| 400 | DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R. | $23,374 – $25,820 · median $24,597 | 2 plans |
| 401 | DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W | $21,889 – $24,180 · median $23,035 | 2 plans |
| 403 | DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $15,437 – $17,053 · median $16,245 | 2 plans |
| 404 | DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O | $6,893 – $7,614 · median $7,253 | 2 plans |
| 431 | DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS | $5,750 – $6,352 · median $6,051 | 2 plans |
| 449 | DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS | $7,102 – $7,845 · median $7,474 | 2 plans |
| 452 | DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC | $7,809 – $8,626 · median $8,217 | 2 plans |
| 453 | DRG Grouper 12 (10/1/1994): DRG 453: COMPLICATIONS OF TREATMENT W/O CC | — | 2 plans |
| 454 | DRG Grouper 12 (10/1/1994): DRG 454: OTHER INJURY, POISONING & TOXIC | — | 2 plans |
| 455 | DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC | — | 2 plans |
| 459 | DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND | $15,971 – $17,643 · median $16,807 | 2 plans |
| 460 | DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R. | $9,125 – $10,080 · median $9,603 | 2 plans |
| 484 | DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE | $54,449 – $60,147 · median $57,298 | 2 plans |
| 490 | DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED | $9,678 – $10,691 · median $10,184 | 2 plans |
| 491 | DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT | $14,781 – $16,327 · median $15,554 | 2 plans |
No procedures match that keyword.