Coastal Carolina Hospital — Pricing
782 procedures published in this hospital's Machine-Readable File (MRF) — 243 with a comparable price, 539 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 782
Lowest published price $2,752
Average published price $55,589
Highest published price $281,871
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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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 782 procedures
Published charges
Showing all 243 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
Across 17 procedures, this hospital's negotiated rates average ≈346% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. SC median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $281,871 | $281,871 | $69,376 | +306% | $64,465 | +337% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $265,902 | $265,902 | $306,758 | −13% | $245,189 | +8% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $203,646 | $203,646 | $110,643 | +84% | $88,050 | +131% | — |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $201,144 | $201,144 | $81,452 | +147% | $97,028 | +107% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $191,392 | $191,392 | $107,751 | +78% | $80,747 | +137% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $169,219 | $169,219 | $51,761 | +227% | $60,861 | +178% | — |
| 103 | HEADACHES WITHOUT MCC | $165,260 | $165,260 | $28,465 | +481% | $20,076 | +723% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $163,682 | $163,682 | $83,562 | +96% | $66,765 | +145% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $160,851 | $160,851 | $60,903 | +164% | $57,030 | +182% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $148,425 | $148,425 | $69,566 | +113% | $56,394 | +163% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $145,515 | $145,515 | $62,508 | +133% | $32,953 | +342% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $144,796 | $144,796 | $63,856 | +127% | $65,383 | +121% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $138,583 | — | $26,855 | +416% | $15,045 | +821% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $129,834 | $129,834 | $63,758 | +104% | $56,197 | +131% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $127,794 | $127,794 | $50,264 | +154% | $29,929 | +327% | ≈323% of Medicare |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $122,969 | $122,969 | $62,597 | +96% | $45,594 | +170% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $122,586 | $122,586 | $104,680 | +17% | $84,825 | +45% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $120,919 | $120,919 | $50,166 | +141% | $68,421 | +77% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $120,919 | $120,919 | $71,600 | +69% | $54,929 | +120% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $115,558 | $115,558 | $88,654 | +30% | $72,843 | +59% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $112,424 | $112,424 | $97,885 | +15% | $87,575 | +28% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $112,097 | $112,097 | $48,865 | +129% | $40,583 | +176% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $106,762 | $106,762 | $34,039 | +214% | $51,950 | +106% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $103,949 | $103,949 | $64,252 | +62% | $55,147 | +88% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $103,187 | $103,187 | $47,045 | +119% | $38,574 | +168% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $100,643 | $100,643 | $44,909 | +124% | $42,119 | +139% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $100,008 | $100,008 | $92,372 | +8% | $72,879 | +37% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $97,352 | $97,352 | $20,068 | +385% | $20,084 | +385% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $95,754 | $95,754 | $54,791 | +75% | $35,961 | +166% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $95,601 | $95,601 | $15,618 | +512% | $17,006 | +462% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $95,050 | $95,050 | $95,050 | +0% | $63,984 | +49% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $93,045 | $93,045 | $34,311 | +171% | $24,008 | +288% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $92,895 | $92,895 | $59,597 | +56% | $48,682 | +91% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $90,212 | $90,212 | $90,212 | +0% | $52,405 | +72% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $90,029 | $90,029 | $43,008 | +109% | $47,635 | +89% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $88,172 | $88,172 | $46,112 | +91% | $40,552 | +117% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $88,172 | $88,172 | $39,135 | +125% | $27,369 | +222% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $87,888 | $87,888 | $28,302 | +211% | $21,886 | +302% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $87,124 | $87,124 | $33,105 | +163% | $18,199 | +379% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $87,087 | $87,087 | $49,249 | +77% | $39,675 | +119% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $85,269 | $85,269 | $55,642 | +53% | $50,998 | +67% | ≈320% of Medicare |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $84,629 | $84,629 | $102,204 | −17% | $75,103 | +13% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $83,623 | $83,623 | $66,079 | +27% | $29,409 | +184% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $83,612 | $83,612 | $69,669 | +20% | $51,953 | +61% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $81,510 | $81,510 | $81,510 | +0% | $86,938 | −6% | ≈255% of Medicare |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $81,269 | $81,269 | $14,955 | +443% | $15,370 | +429% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $80,992 | $80,992 | $55,456 | +46% | $42,881 | +89% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $80,747 | $80,747 | $29,618 | +173% | $32,189 | +151% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $79,067 | $79,067 | $57,375 | +38% | $29,957 | +164% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $78,555 | $78,555 | $46,667 | +68% | $35,528 | +121% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $78,393 | $78,393 | $47,589 | +65% | $31,627 | +148% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $78,239 | $78,239 | $69,206 | +13% | $94,320 | −17% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $77,245 | $77,245 | $47,763 | +62% | $31,978 | +142% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $74,391 | $74,391 | $44,694 | +66% | $17,268 | +331% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $73,456 | $73,456 | $56,111 | +31% | $35,375 | +108% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $72,965 | $72,965 | $22,651 | +222% | $29,049 | +151% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $71,565 | $71,565 | $31,723 | +126% | $33,339 | +115% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $71,449 | $71,449 | $64,502 | +11% | $49,071 | +46% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $70,421 | $70,421 | $30,883 | +128% | $25,038 | +181% | — |
| 100 | SEIZURES WITH MCC | $69,776 | $69,776 | $40,437 | +73% | $35,194 | +98% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $68,308 | $68,308 | $68,308 | +0% | $70,540 | −3% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $67,944 | $67,944 | $67,944 | +0% | $71,519 | −5% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $67,463 | $67,463 | $67,463 | +0% | $54,681 | +23% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $67,391 | $67,391 | $49,433 | +36% | $41,114 | +64% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $67,391 | $67,391 | $44,732 | +51% | $23,474 | +187% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $67,178 | $67,178 | $26,251 | +156% | $14,134 | +375% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $65,403 | $65,403 | $38,652 | +69% | $22,623 | +189% | ≈335% of Medicare |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $65,252 | $65,252 | $52,847 | +23% | $29,521 | +121% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $64,193 | $64,193 | $59,299 | +8% | $68,331 | −6% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $63,858 | $63,858 | $63,858 | +0% | $54,313 | +18% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $63,791 | $63,791 | $63,791 | +0% | $44,927 | +42% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $63,781 | $63,781 | $63,781 | +0% | $44,087 | +45% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $62,762 | $62,762 | $39,934 | +57% | $30,259 | +107% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $62,729 | $62,729 | $30,872 | +103% | $20,371 | +208% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $62,237 | $62,237 | $33,398 | +86% | $25,474 | +144% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $60,928 | $60,928 | $46,604 | +31% | $44,839 | +36% | — |
| 666 | PROSTATECTOMY WITH CC | $60,925 | $60,925 | $46,244 | +32% | $30,016 | +103% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $60,779 | $60,779 | $37,277 | +63% | $34,564 | +76% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $60,614 | $60,614 | $50,218 | +21% | $53,868 | +13% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $59,495 | $59,495 | $24,220 | +146% | $18,243 | +226% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $59,007 | $59,007 | $35,102 | +68% | $28,385 | +108% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $58,866 | $58,866 | $47,402 | +24% | $31,754 | +85% | ≈474% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $58,329 | $58,329 | $30,755 | +90% | $18,038 | +223% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $58,144 | $58,144 | $58,144 | +0% | $43,266 | +34% | — |
| 602 | CELLULITIS WITH MCC | $57,739 | $57,739 | $28,351 | +104% | $29,347 | +97% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $57,626 | $57,626 | $57,626 | +0% | $43,444 | +33% | ≈320% of Medicare |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $56,424 | $56,424 | $35,348 | +60% | $26,146 | +116% | — |
| 638 | DIABETES WITH CC | $56,367 | $56,367 | $18,440 | +206% | $18,763 | +200% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $53,693 | $53,693 | $40,225 | +33% | $25,786 | +108% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $53,507 | $53,507 | $31,872 | +68% | $23,646 | +126% | — |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $52,793 | $52,793 | $16,872 | +213% | $23,396 | +126% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $52,336 | $52,336 | $39,806 | +31% | $32,538 | +61% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $52,091 | $52,091 | $37,002 | +41% | $37,975 | +37% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $51,999 | $51,999 | $37,639 | +38% | $34,354 | +51% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $51,955 | $51,955 | $26,505 | +96% | $32,689 | +59% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $51,474 | $51,474 | $27,338 | +88% | $25,766 | +100% | ≈376% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $50,809 | $50,809 | $33,584 | +51% | $24,561 | +107% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $50,458 | $50,458 | $50,458 | +0% | $47,583 | +6% | — |
| 149 | DYSEQUILIBRIUM | $49,973 | $49,973 | $23,638 | +111% | $17,203 | +190% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $49,386 | $49,386 | $20,311 | +143% | $19,096 | +159% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $49,232 | $49,232 | $26,416 | +86% | $23,814 | +107% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $48,401 | $48,401 | $19,268 | +151% | $22,010 | +120% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $48,325 | $48,325 | $18,292 | +164% | $17,296 | +179% | — |
| 101 | SEIZURES WITHOUT MCC | $48,037 | $48,037 | $37,371 | +29% | $19,930 | +141% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $47,955 | $47,955 | $32,406 | +48% | $18,000 | +166% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $47,954 | $47,954 | $27,842 | +72% | $12,013 | +299% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $47,741 | $47,741 | $27,997 | +71% | $32,385 | +47% | — |
| 813 | COAGULATION DISORDERS | $46,923 | $46,923 | $46,923 | +0% | $30,128 | +56% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $46,880 | $46,880 | $24,685 | +90% | $27,118 | +73% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $46,560 | $46,560 | $47,204 | −1% | $50,919 | −9% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $45,551 | $45,551 | $33,723 | +35% | $17,693 | +157% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $45,504 | $45,504 | $27,914 | +63% | $29,924 | +52% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $45,170 | $45,170 | $21,022 | +115% | $16,645 | +171% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $44,857 | $44,857 | $27,028 | +66% | $27,041 | +66% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $44,542 | $44,542 | $24,872 | +79% | $14,128 | +215% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $44,300 | $44,300 | $44,300 | +0% | $39,409 | +12% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $44,217 | $44,217 | $11,458 | +286% | $13,090 | +238% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $44,182 | $44,182 | $41,511 | +6% | $35,714 | +24% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $44,178 | $44,178 | $44,178 | +0% | $58,713 | −25% | ≈311% of Medicare |
| 637 | DIABETES WITH MCC | $43,828 | $43,828 | $29,378 | +49% | $28,772 | +52% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $43,380 | $43,380 | $19,368 | +124% | $16,718 | +159% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $43,222 | $43,222 | $29,266 | +48% | $27,674 | +56% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $43,212 | $43,212 | $37,623 | +15% | $20,463 | +111% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $43,132 | $43,132 | $26,329 | +64% | $26,098 | +65% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $42,705 | $42,705 | $28,506 | +50% | $20,842 | +105% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $42,314 | $42,314 | $24,089 | +76% | $24,177 | +75% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $42,041 | $42,041 | $12,048 | +249% | $14,861 | +183% | — |
| 694 | URINARY STONES WITHOUT MCC | $41,582 | $41,582 | $16,778 | +148% | $16,451 | +153% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $41,260 | $41,260 | $27,058 | +52% | $13,892 | +197% | — |
| 540 | OSTEOMYELITIS WITH CC | $41,165 | $41,165 | $30,156 | +37% | $23,494 | +75% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $41,105 | $41,105 | $37,428 | +10% | $37,842 | +9% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $41,064 | $41,064 | $41,064 | +0% | $31,913 | +29% | — |
| 199 | PNEUMOTHORAX WITH MCC | $41,000 | $41,000 | $26,106 | +57% | $31,085 | +32% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $40,240 | $40,240 | $28,602 | +41% | $23,400 | +72% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $40,240 | $40,240 | $32,791 | +23% | $31,067 | +30% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $40,221 | $40,221 | $35,042 | +15% | $31,029 | +30% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $40,183 | $40,183 | $31,227 | +29% | $28,403 | +41% | — |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $39,623 | $39,623 | $23,195 | +71% | $16,654 | +138% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $39,420 | $39,420 | $39,420 | +0% | $30,224 | +30% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $39,262 | $39,262 | $27,802 | +41% | $24,932 | +57% | ≈346% of Medicare |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $39,239 | $39,239 | $30,401 | +29% | $23,734 | +65% | — |
| 305 | HYPERTENSION WITHOUT MCC | $38,897 | $38,897 | $21,255 | +83% | $16,897 | +130% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $38,593 | $38,593 | $38,593 | +0% | $22,850 | +69% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $38,511 | $38,511 | $26,211 | +47% | $15,876 | +143% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $38,422 | $38,422 | $17,855 | +115% | $17,412 | +121% | — |
| 682 | RENAL FAILURE WITH MCC | $38,221 | $38,221 | $38,221 | +0% | $27,640 | +38% | ≈335% of Medicare |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $37,895 | $37,895 | $29,611 | +28% | $29,777 | +27% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $37,856 | $37,856 | $37,856 | +0% | $34,876 | +9% | ≈348% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $37,520 | $37,520 | $35,161 | +7% | $18,815 | +99% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $36,942 | $36,942 | $16,838 | +119% | $19,483 | +90% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $36,900 | $36,900 | $21,088 | +75% | $22,610 | +63% | ≈426% of Medicare |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $36,887 | $36,887 | $20,321 | +82% | $24,277 | +52% | — |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $36,742 | $36,742 | $36,742 | +0% | $30,814 | +19% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $36,739 | $36,739 | $19,488 | +89% | $17,183 | +114% | — |
| 312 | SYNCOPE AND COLLAPSE | $36,438 | $36,438 | $30,451 | +20% | $19,342 | +88% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $36,207 | $36,207 | $30,327 | +19% | $32,976 | +10% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $36,042 | $36,042 | $35,309 | +2% | $24,244 | +49% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $35,795 | $35,795 | $24,635 | +45% | $20,253 | +77% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $35,750 | $35,750 | $25,089 | +42% | $16,352 | +119% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $35,243 | $35,243 | $17,770 | +98% | $24,103 | +46% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $35,040 | $35,040 | $25,468 | +38% | $15,923 | +120% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $34,961 | $34,961 | $34,961 | +0% | $34,773 | +1% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $34,851 | $34,851 | $22,849 | +53% | $23,571 | +48% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $34,819 | $34,819 | $25,812 | +35% | $24,000 | +45% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $34,461 | $34,461 | $34,461 | +0% | $25,596 | +35% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $34,171 | $34,171 | $34,171 | +0% | $35,693 | −4% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $34,129 | $34,129 | $20,574 | +66% | $22,587 | +51% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $34,061 | $34,061 | $32,271 | +6% | $22,941 | +48% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $33,559 | $33,559 | $33,559 | +0% | $44,989 | −25% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $32,822 | $32,822 | $18,662 | +76% | $14,337 | +129% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $32,290 | $32,290 | $27,145 | +19% | $22,874 | +41% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $32,089 | $32,089 | $32,089 | +0% | $27,125 | +18% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $31,954 | $31,954 | $31,954 | +0% | $25,146 | +27% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $31,694 | $31,694 | $23,548 | +35% | $17,751 | +79% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $31,329 | $31,329 | $18,594 | +68% | $18,104 | +73% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $30,507 | $30,507 | $30,507 | +0% | $20,732 | +47% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $30,396 | $30,396 | $21,874 | +39% | $19,815 | +53% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $30,359 | $30,359 | $33,547 | −10% | $47,574 | −36% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $30,355 | $30,355 | $27,148 | +12% | $26,158 | +16% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $29,897 | $29,897 | $29,897 | +0% | $28,802 | +4% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $29,686 | $29,686 | $13,348 | +122% | $14,770 | +101% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $29,615 | $29,615 | $43,191 | −31% | $30,275 | −2% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $29,571 | $29,571 | $27,792 | +6% | $19,448 | +52% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $29,539 | $29,539 | $16,066 | +84% | $13,318 | +122% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $29,490 | $29,490 | $14,894 | +98% | $14,210 | +108% | — |
| 304 | HYPERTENSION WITH MCC | $28,947 | $28,947 | $23,126 | +25% | $23,945 | +21% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $28,676 | $28,676 | $27,769 | +3% | $29,031 | −1% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $28,479 | $28,479 | $28,479 | +0% | $23,141 | +23% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $28,407 | $28,407 | $28,407 | +0% | $24,603 | +15% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $27,958 | $27,958 | $27,958 | +0% | $21,323 | +31% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $27,746 | $27,746 | $27,746 | +0% | $23,749 | +17% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $27,745 | $27,745 | $16,223 | +71% | $20,632 | +34% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $27,692 | $27,692 | $23,722 | +17% | $17,345 | +60% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $27,563 | $27,563 | $25,457 | +8% | $20,408 | +35% | — |
| 683 | RENAL FAILURE WITH CC | $27,185 | $27,185 | $15,543 | +75% | $18,322 | +48% | ≈402% of Medicare |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $26,863 | $26,863 | $21,646 | +24% | $21,499 | +25% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $26,657 | $26,657 | $26,657 | +0% | $35,990 | −26% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $26,558 | $26,558 | $26,558 | +0% | $32,417 | −18% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $26,219 | $26,219 | $26,219 | +0% | $22,024 | +19% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $25,695 | $25,695 | $24,071 | +7% | $18,204 | +41% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $24,222 | $24,222 | $15,605 | +55% | $17,731 | +37% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $24,186 | $24,186 | $16,785 | +44% | $13,384 | +81% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $24,017 | $24,017 | $17,641 | +36% | $9,385 | +156% | ≈297% of Medicare |
| 639 | DIABETES WITHOUT CC/MCC | $23,723 | $23,723 | $17,457 | +36% | $13,910 | +71% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $23,421 | $23,421 | $21,655 | +8% | $19,091 | +23% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $22,713 | $22,713 | $20,398 | +11% | $17,562 | +29% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $22,584 | $22,584 | $24,475 | −8% | $28,001 | −19% | — |
| 603 | CELLULITIS WITHOUT MCC | $22,386 | $22,386 | $22,386 | +0% | $18,359 | +22% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $21,891 | $21,891 | $21,891 | +0% | $22,870 | −4% | ≈384% of Medicare |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $21,863 | $21,863 | $17,086 | +28% | $17,700 | +24% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $21,464 | $21,464 | $21,464 | +0% | $21,449 | +0% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,455 | $21,455 | $8,712 | +146% | $16,708 | +28% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $20,854 | $20,854 | $21,712 | −4% | $25,412 | −18% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $19,695 | $19,695 | $16,747 | +18% | $16,622 | +18% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $19,238 | $19,238 | $14,535 | +32% | $14,251 | +35% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $19,098 | $19,098 | $19,098 | +0% | $17,322 | +10% | ≈360% of Medicare |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $19,079 | $19,079 | $20,634 | −8% | $29,011 | −34% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,678 | $18,678 | $13,806 | +35% | $18,150 | +3% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $18,653 | $18,653 | $16,206 | +15% | $17,194 | +8% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $18,598 | $18,598 | $17,710 | +5% | $22,231 | −16% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $18,557 | $18,557 | $18,557 | +0% | $19,287 | −4% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,456 | $18,456 | $26,206 | −30% | $36,355 | −49% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $18,378 | $18,378 | $18,378 | +0% | $14,927 | +23% | — |
| 313 | CHEST PAIN | $18,206 | $18,206 | $18,206 | +0% | $15,837 | +15% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,140 | $18,140 | $18,281 | −1% | $24,465 | −26% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $17,968 | $17,968 | $17,968 | +0% | $20,879 | −14% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $16,306 | $16,306 | $11,162 | +46% | $13,455 | +21% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $16,117 | $16,117 | $14,868 | +8% | $17,831 | −10% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $15,382 | $15,382 | $15,382 | +0% | $12,205 | +26% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $15,348 | $15,348 | $15,348 | +0% | $17,379 | −12% | ≈352% of Medicare |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,474 | $14,474 | $18,133 | −20% | $18,133 | −20% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $14,057 | $14,057 | $13,888 | +1% | $17,754 | −21% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $13,967 | $13,967 | $13,967 | +0% | $12,895 | +8% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $11,852 | $11,852 | $11,115 | +7% | $11,957 | −1% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,167 | $9,167 | $13,506 | −32% | $17,719 | −48% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $7,118 | $7,118 | $7,118 | +0% | $39,254 | −82% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,972 | $6,972 | $8,200 | −15% | $9,063 | −23% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $6,966 | $6,966 | $30,598 | −77% | $38,885 | −82% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,714 | $6,714 | $12,332 | −46% | $16,431 | −59% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,733 | $4,733 | $4,562 | +4% | $7,896 | −40% | — |
| 795 | NORMAL NEWBORN | $4,733 | $4,733 | $4,045 | +17% | $4,521 | +5% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,377 | $3,377 | $5,497 | −39% | $11,633 | −71% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,752 | $2,752 | $6,909 | −60% | $80,018 | −97% | — |
Procedures with negotiated rates only
These 539 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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $12,950 – $104,164 · median $37,416 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,950 – $53,523 · median $26,524 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,950 – $51,748 · median $24,110 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,658 – $51,748 · median $21,722 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,493 – $51,748 · median $17,623 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,493 – $51,748 · median $16,877 | 12 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $12,950 – $157,533 · median $51,748 | 11 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $12,950 – $105,143 · median $47,370 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $12,950 – $82,083 · median $43,121 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,950 – $64,461 · median $34,709 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $12,950 – $100,840 · median $50,400 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,950 – $62,617 · median $38,272 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,950 – $51,748 · median $31,865 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,950 – $51,748 · median $24,206 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,950 – $74,862 · median $41,310 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,950 – $51,748 · median $25,917 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,183 – $51,748 · median $20,500 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $12,950 – $152,559 · median $59,261 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $12,950 – $103,501 · median $51,806 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $12,950 – $55,057 · median $38,045 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $12,950 – $243,996 · median $80,603 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $12,950 – $130,013 · median $60,877 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $12,950 – $103,159 · median $48,386 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $12,950 – $151,536 · median $62,579 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $12,950 – $100,596 · median $50,406 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $12,950 – $125,727 · median $54,468 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $12,950 – $71,097 · median $39,796 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,950 – $54,574 · median $36,408 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $12,950 – $155,610 · median $64,893 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,950 – $71,941 · median $42,853 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $32,914 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $12,950 – $84,390 · median $45,792 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,950 – $51,748 · median $34,601 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $27,123 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $12,950 – $88,671 · median $49,134 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,950 – $55,666 · median $35,642 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $30,242 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $12,950 – $105,566 · median $47,731 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,950 – $51,748 · median $27,755 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $21,945 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $12,950 – $94,708 · median $50,430 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $29,098 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,950 – $51,748 · median $31,899 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $12,740 – $51,748 · median $20,465 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,950 – $51,748 · median $21,250 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,950 – $51,748 · median $27,962 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,950 – $51,748 · median $24,802 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,349 – $51,748 · median $19,220 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,950 – $51,748 · median $23,749 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,506 – $51,748 · median $23,226 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,874 – $51,748 · median $17,696 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,950 – $51,748 · median $29,238 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,609 – $51,748 · median $15,988 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,950 – $51,748 · median $29,483 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,425 – $51,748 · median $17,146 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,950 – $84,465 · median $43,395 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,950 – $51,748 · median $24,153 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,910 – $51,748 · median $20,465 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,950 – $57,992 · median $36,268 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,950 – $51,748 · median $22,450 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,595 – $51,748 · median $16,136 | 10 plans |
| 088 | CONCUSSION WITH MCC | $12,950 – $51,748 · median $26,254 | 10 plans |
| 089 | CONCUSSION WITH CC | $12,950 – $51,748 · median $22,036 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,008 – $51,748 · median $17,017 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,521 – $51,748 · median $17,682 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $12,950 – $110,522 · median $49,331 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,950 – $52,033 · median $34,769 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $12,950 – $74,556 · median $44,204 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,950 – $51,748 · median $34,605 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,950 – $51,748 · median $23,782 | 10 plans |
| 102 | HEADACHES WITH MCC | $12,950 – $51,748 · median $22,618 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $36,890 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,124 – $51,748 · median $21,508 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,950 – $51,748 · median $26,285 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $27,462 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,116 – $51,748 · median $21,500 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,950 – $51,748 · median $23,382 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,504 – $51,748 · median $14,106 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $12,950 – $51,748 · median $23,799 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,950 – $54,368 · median $37,827 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,161 – $51,748 · median $20,465 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,024 – $51,748 · median $20,473 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,111 – $51,748 · median $18,778 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,950 – $51,748 · median $22,278 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $12,950 – $77,451 · median $43,464 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,950 – $62,943 · median $37,601 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $26,907 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $12,950 – $68,175 · median $42,106 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,950 – $51,748 · median $26,802 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,057 – $51,748 · median $20,517 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,950 – $56,340 · median $35,823 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,950 – $51,748 · median $23,330 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $11,522 – $51,748 · median $20,465 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $12,950 – $51,748 · median $23,724 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,619 – $51,748 · median $14,974 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,004 – $51,748 · median $19,504 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,673 – $51,748 · median $18,685 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,239 – $51,748 · median $13,444 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,950 – $73,176 · median $37,198 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,163 – $51,748 · median $15,161 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $12,950 – $114,467 · median $56,395 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,950 – $66,005 · median $38,425 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,950 – $53,325 · median $33,590 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $12,950 – $83,185 · median $48,056 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,950 – $65,076 · median $36,173 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $25,793 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $12,950 – $70,702 · median $40,566 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,885 – $51,748 · median $20,465 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,950 – $51,748 · median $29,071 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,950 – $51,748 · median $21,536 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,829 – $51,748 · median $20,465 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,950 – $52,698 · median $30,326 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,786 – $51,748 · median $18,492 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,582 – $51,748 · median $20,465 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,048 – $51,748 · median $16,803 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,311 – $51,748 · median $19,939 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,102 – $51,748 · median $15,625 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,950 – $51,748 · median $29,429 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $12,918 – $51,748 · median $20,474 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $10,078 – $51,748 · median $20,465 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,950 – $51,748 · median $21,289 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,849 – $51,748 · median $14,576 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,298 – $51,748 · median $13,598 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,734 – $51,748 · median $15,616 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,950 – $51,748 · median $25,518 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $12,950 – $149,960 · median $66,247 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES | $12,950 – $220,799 · median $79,598 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $12,950 – $243,218 · median $88,716 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $12,950 – $201,911 · median $67,089 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $12,950 – $164,340 · median $62,760 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $12,950 – $172,342 · median $72,273 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $12,950 – $142,364 · median $59,833 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $12,950 – $127,507 · median $55,974 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $12,950 – $160,546 · median $58,500 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $12,950 – $123,214 · median $46,529 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $12,950 – $218,094 · median $78,420 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $12,950 – $176,404 · median $64,391 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $12,950 – $175,183 · median $73,038 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $12,950 – $149,016 · median $59,530 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $12,950 – $145,874 · median $63,951 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $12,950 – $101,977 · median $52,041 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,950 – $70,214 · median $39,558 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,950 – $51,748 · median $24,495 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $12,950 – $91,786 · median $47,083 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,950 – $71,321 · median $39,856 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,950 – $51,748 · median $30,598 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $12,950 – $92,894 · median $46,529 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,950 – $93,086 · median $44,751 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,950 – $58,320 · median $31,967 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $12,950 – $80,770 · median $43,461 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,950 – $71,351 · median $39,864 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $31,193 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $12,950 – $56,322 · median $38,444 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,950 – $51,748 · median $27,424 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,833 – $51,748 · median $20,465 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,950 – $77,953 · median $41,642 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,950 – $51,748 · median $33,021 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $12,950 – $72,040 · median $42,121 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,950 – $51,748 · median $30,214 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,108 – $51,748 · median $20,465 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,086 – $57,917 · median $22,447 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $12,950 – $72,449 · median $31,230 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $12,950 – $243,218 · median $66,317 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $12,950 – $201,911 · median $57,473 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $12,950 – $146,323 · median $65,268 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $12,950 – $85,251 · median $48,463 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $12,950 – $146,323 · median $58,617 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,950 – $83,903 · median $44,968 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,950 – $83,903 · median $43,244 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $12,950 – $93,086 · median $50,294 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $12,950 – $66,436 · median $41,639 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $12,950 – $214,645 · median $71,431 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $12,950 – $171,720 · median $66,085 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $12,950 – $114,389 · median $56,671 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $12,950 – $91,438 · median $47,619 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,950 – $66,611 · median $41,379 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,299 – $51,748 · median $20,465 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,950 – $60,614 · median $36,526 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,579 – $51,748 · median $20,465 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,329 – $51,748 · median $16,657 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,950 – $52,028 · median $34,662 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,950 – $51,748 · median $21,336 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $12,950 – $65,854 · median $38,385 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,950 – $51,748 · median $28,142 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,950 – $51,748 · median $20,758 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $11,092 – $51,748 · median $20,465 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,271 – $51,748 · median $18,959 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,950 – $51,748 · median $21,460 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,014 – $51,748 · median $13,026 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,950 – $53,287 · median $30,779 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $9,435 – $51,748 · median $17,821 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,684 – $51,748 · median $12,595 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,260 – $51,748 · median $15,340 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,414 – $51,748 · median $21,741 | 10 plans |
| 311 | ANGINA PECTORIS | $6,087 – $51,748 · median $13,631 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,950 – $51,748 · median $34,210 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,527 – $51,748 · median $20,465 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,970 – $51,748 · median $17,154 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $12,950 – $243,218 · median $54,117 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,950 – $201,911 · median $43,472 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $12,950 – $95,744 · median $46,432 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,950 – $69,557 · median $37,416 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $12,950 – $95,744 · median $51,651 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,950 – $77,413 · median $41,497 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $12,950 – $93,086 · median $45,716 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $12,950 – $124,509 · median $49,363 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $12,950 – $58,290 · median $36,348 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,950 – $51,748 · median $27,914 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $12,950 – $108,060 · median $49,022 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,950 – $51,748 · median $26,435 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,950 – $52,257 · median $35,083 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,950 – $51,748 · median $23,589 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,036 – $51,748 · median $19,321 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,950 – $51,748 · median $36,195 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,950 – $51,748 · median $25,170 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,950 – $59,948 · median $39,590 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $12,950 – $106,512 · median $53,579 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $23,381 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,412 – $51,748 · median $19,337 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,950 – $51,748 · median $33,447 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,614 – $51,748 · median $17,855 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,950 – $51,748 · median $24,582 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,973 – $51,748 · median $18,522 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,950 – $51,748 · median $26,502 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,582 – $51,748 · median $20,465 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,859 – $51,748 · median $19,459 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,950 – $60,174 · median $36,855 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $12,950 – $149,401 · median $61,520 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $12,950 – $76,058 · median $41,132 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $34,583 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $12,950 – $117,615 · median $49,975 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,950 – $53,864 · median $34,564 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,950 – $51,748 · median $28,637 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $12,950 – $103,188 · median $46,529 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,950 – $68,099 · median $38,989 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,950 – $51,748 · median $27,978 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $12,950 – $96,154 · median $48,700 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,950 – $55,875 · median $35,295 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,950 – $51,748 · median $23,977 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,950 – $51,748 · median $29,673 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $24,713 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $12,950 – $80,173 · median $46,741 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,950 – $51,748 · median $34,170 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $26,792 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,950 – $51,748 · median $32,045 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,670 – $51,748 · median $16,129 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,950 – $51,748 · median $29,434 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,950 – $51,748 · median $21,532 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,763 – $51,748 · median $20,465 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,667 – $51,748 · median $16,095 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,950 – $51,748 · median $21,390 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $12,950 – $285,343 · median $83,252 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $12,950 – $184,751 · median $65,477 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $12,950 – $139,430 · median $55,695 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $12,950 – $238,132 · median $80,454 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $12,950 – $177,174 · median $65,212 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $12,950 – $156,120 · median $55,212 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $12,950 – $139,779 · median $59,526 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $12,950 – $76,494 · median $41,249 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $12,950 – $172,721 · median $62,546 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,950 – $51,748 · median $31,661 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $12,950 – $94,917 · median $51,428 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,950 – $57,394 · median $36,107 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,445 – $51,748 · median $20,878 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,950 – $90,214 · median $46,102 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,950 – $51,748 · median $36,089 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,950 – $51,748 · median $30,062 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $12,950 – $110,843 · median $47,203 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,950 – $63,022 · median $37,552 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,950 – $51,748 · median $26,085 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,950 – $51,748 · median $34,295 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,950 – $51,748 · median $22,936 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $12,950 – $98,911 · median $49,062 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,950 – $51,748 · median $31,374 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,950 – $51,748 · median $24,881 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,950 – $53,526 · median $34,290 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,950 – $51,748 · median $23,470 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,950 – $94,696 · median $46,492 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $12,950 – $63,426 · median $38,020 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,950 – $51,748 · median $28,886 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $25,968 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,813 – $51,748 · median $22,148 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $34,458 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $24,949 | 10 plans |
| 509 | ARTHROSCOPY | $12,950 – $51,748 · median $23,844 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $12,950 – $55,772 · median $38,271 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,950 – $51,748 · median $33,346 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $23,053 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,864 – $51,748 · median $22,441 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,102 – $51,748 · median $19,595 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $12,950 – $89,653 · median $44,792 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $27,242 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,950 – $51,748 · median $27,285 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,695 – $51,748 · median $16,148 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,950 – $55,833 · median $35,372 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,823 – $51,748 · median $18,244 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,950 – $55,218 · median $33,559 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,711 – $51,748 · median $18,034 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,950 – $70,375 · median $39,602 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,950 – $51,748 · median $22,543 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,950 – $51,748 · median $33,891 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,950 – $51,748 · median $22,614 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,325 – $51,748 · median $17,169 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,257 – $51,748 · median $18,965 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,207 – $51,748 · median $15,115 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,950 – $51,748 · median $24,112 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,950 – $51,748 · median $31,602 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,950 – $51,748 · median $26,465 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $12,950 – $64,751 · median $39,576 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,950 – $51,748 · median $21,931 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,950 – $127,471 · median $46,529 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,950 – $69,819 · median $42,089 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,882 – $51,748 · median $22,066 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,950 – $116,504 · median $46,529 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,950 – $62,668 · median $37,808 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,950 – $51,748 · median $29,145 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $12,950 – $80,408 · median $43,289 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $24,054 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,950 – $51,748 · median $27,882 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,950 – $51,748 · median $25,849 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $32,758 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $28,165 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $12,950 – $51,748 · median $34,188 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $12,950 – $51,748 · median $22,426 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,197 – $51,748 · median $20,394 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,720 – $51,748 · median $23,624 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,740 – $51,748 · median $20,188 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,950 – $51,748 · median $28,305 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,950 – $51,748 · median $22,538 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,047 – $51,748 · median $19,180 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,950 – $51,748 · median $20,761 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,902 – $51,748 · median $12,884 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,950 – $51,748 · median $25,689 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,950 – $51,748 · median $26,523 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,411 – $51,748 · median $15,633 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,950 – $54,347 · median $35,286 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $25,875 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $12,950 – $81,133 · median $46,281 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,950 – $51,748 · median $22,155 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,950 – $51,748 · median $32,336 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,710 – $51,748 · median $20,160 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,950 – $59,885 · median $39,570 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,950 – $51,748 · median $25,542 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,355 – $51,748 · median $21,723 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $22,506 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,950 – $51,748 · median $23,609 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,890 – $51,748 · median $15,126 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $12,950 – $74,601 · median $40,739 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $21,131 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $12,950 – $70,403 · median $40,657 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,198 – $51,748 · median $19,684 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $12,950 – $57,769 · median $38,896 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $28,632 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,949 – $51,748 · median $20,465 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,950 – $52,497 · median $36,080 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $10,113 – $51,748 · median $20,465 | 10 plans |
| 693 | URINARY STONES WITH MCC | $12,950 – $51,748 · median $23,845 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,950 – $51,748 · median $22,509 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,740 – $51,748 · median $14,447 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $32,813 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $25,200 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,950 – $51,914 · median $34,632 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,950 – $55,288 · median $35,540 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,962 – $51,748 · median $18,536 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,426 – $51,748 · median $21,789 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,637 – $51,748 · median $18,773 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,950 – $51,748 · median $34,949 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,950 – $51,748 · median $26,570 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,572 – $51,748 · median $20,995 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,950 – $51,748 · median $31,356 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,072 – $51,748 · median $19,567 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,173 – $51,748 · median $15,887 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,950 – $51,748 · median $20,540 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,079 – $51,748 · median $12,846 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,950 – $51,748 · median $34,729 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,950 – $51,748 · median $23,167 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $12,950 – $79,688 · median $45,825 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,950 – $52,694 · median $34,418 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,950 – $51,748 · median $24,237 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $12,950 – $82,693 · median $45,679 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,950 – $51,748 · median $29,888 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,950 – $51,748 · median $23,568 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,950 – $51,748 · median $25,196 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,969 – $51,748 · median $20,868 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,950 – $51,748 · median $24,398 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,489 – $51,748 · median $20,465 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,950 – $51,748 · median $24,066 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,950 – $61,234 · median $37,141 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $22,940 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,950 – $59,561 · median $35,024 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,950 – $51,748 · median $21,368 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,695 – $51,748 · median $18,218 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,640 – $51,748 · median $14,189 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,689 – $51,748 · median $12,686 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,172 – $51,748 · median $15,775 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $5,472 – $51,748 · median $16,614 | 10 plans |
| 799 | SPLENECTOMY WITH MCC | $12,950 – $131,037 · median $57,955 | 10 plans |
| 800 | SPLENECTOMY WITH CC | $12,950 – $70,519 · median $39,640 | 10 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $12,950 – $51,748 · median $30,496 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $12,950 – $84,475 · median $44,695 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,950 – $60,771 · median $35,408 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,950 – $51,748 · median $22,657 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,950 – $51,748 · median $34,434 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,095 – $51,748 · median $20,465 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,641 – $51,748 · median $16,048 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,192 – $51,748 · median $20,785 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,162 – $51,748 · median $16,878 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $12,950 – $213,494 · median $65,026 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,950 – $51,748 · median $35,108 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $22,948 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $12,950 – $104,271 · median $53,946 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,950 – $64,925 · median $38,135 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $23,642 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $12,950 – $126,650 · median $54,291 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,950 – $69,330 · median $39,321 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $27,436 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $12,950 – $166,036 · median $46,529 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $26,457 | 10 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $12,950 – $278,598 · median $62,128 | 10 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,950 – $135,148 · median $43,569 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $25,859 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $12,950 – $225,912 · median $56,673 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,950 – $70,311 · median $38,942 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,950 – $51,748 · median $23,607 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $12,950 – $80,228 · median $42,255 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $12,950 – $51,748 · median $21,181 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,950 – $51,748 · median $31,798 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,950 – $51,748 · median $22,111 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,251 – $51,748 · median $15,599 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,950 – $57,548 · median $36,480 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,950 – $51,748 · median $22,679 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,836 – $51,748 · median $20,465 | 10 plans |
| 849 | RADIOTHERAPY | $12,950 – $57,408 · median $38,082 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $28,978 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,950 – $51,748 · median $30,807 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,980 – $51,748 · median $20,411 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,793 – $51,748 · median $20,465 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,028 – $51,748 · median $15,881 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,950 – $59,439 · median $36,657 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,318 – $51,748 · median $13,875 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $12,950 – $192,479 · median $70,972 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $12,950 – $109,774 · median $53,897 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,950 – $52,764 · median $33,524 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,950 – $51,748 · median $22,975 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $12,950 – $83,531 · median $43,573 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,950 – $51,748 · median $22,539 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,950 – $51,748 · median $25,675 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,950 – $51,748 · median $33,883 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,950 – $51,748 · median $24,152 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,950 – $51,748 · median $25,569 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,721 – $51,748 · median $16,473 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,950 – $51,748 · median $26,007 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,251 – $51,748 · median $13,228 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,953 – $51,748 · median $13,627 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $12,950 – $88,970 · median $44,772 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,950 – $54,413 · median $35,305 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,950 – $51,748 · median $31,042 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $12,950 – $51,748 · median $20,870 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $8,135 – $51,748 · median $15,453 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $12,950 – $160,938 · median $65,308 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,950 – $159,446 · median $68,801 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,950 – $128,064 · median $52,064 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,950 – $93,344 · median $45,786 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,950 – $60,097 · median $38,360 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,950 – $51,748 · median $25,635 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,379 – $51,748 · median $20,465 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $12,950 – $255,129 · median $70,374 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $12,950 – $69,909 · median $39,476 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,950 – $78,056 · median $41,670 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,950 – $51,748 · median $25,377 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,947 – $51,748 · median $20,465 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,950 – $51,748 · median $22,433 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,950 – $76,000 · median $41,116 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,950 – $51,748 · median $28,105 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,950 – $51,748 · median $28,653 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,950 – $51,748 · median $21,323 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $12,950 – $555,521 · median $41,310 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $12,950 – $251,004 · median $41,310 | 7 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $12,950 – $437,066 · median $41,310 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $12,950 – $212,175 · median $41,310 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $12,950 – $99,156 · median $41,310 | 7 plans |
| 007 | LUNG TRANSPLANT | $12,950 – $251,461 · median $41,310 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $12,950 – $107,865 · median $41,310 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $12,950 – $98,679 · median $41,310 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $12,950 – $234,948 · median $41,310 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $12,950 – $126,629 · median $41,310 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $12,950 – $126,629 · median $41,310 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $12,950 – $755,275 · median $41,310 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $12,950 – $163,867 · median $41,310 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $12,950 – $209,403 · median $41,310 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,950 – $51,748 · median $20,500 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $12,207 – $51,748 · median $20,429 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,798 – $51,748 · median $20,429 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $9,631 – $51,748 · median $20,429 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,279 – $51,748 · median $20,429 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $12,950 – $92,199 · median $41,310 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $12,950 – $70,897 · median $41,310 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $12,950 – $61,590 · median $38,907 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,950 – $51,748 · median $27,296 | 7 plans |
| 697 | URETHRAL STRICTURE | $12,950 – $51,748 · median $20,500 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,950 – $51,748 · median $20,500 | 7 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,950 – $51,748 · median $23,561 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,950 – $51,748 · median $28,362 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,950 – $51,748 · median $20,500 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $12,950 – $76,496 · median $41,310 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $12,362 – $51,748 · median $20,429 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $11,739 – $51,748 · median $20,429 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $12,164 – $51,748 · median $20,429 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,950 – $51,748 · median $24,286 | 7 plans |
| 885 | PSYCHOSES | $12,950 – $51,748 · median $20,500 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,950 – $51,748 · median $21,778 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,950 – $51,748 · median $20,500 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,950 – $51,748 · median $20,834 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $12,950 – $540,353 · median $41,310 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $12,950 – $141,854 · median $41,310 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $12,950 – $65,918 · median $41,310 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $12,950 – $62,156 · median $39,264 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,950 – $51,748 · median $27,098 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $12,950 – $51,748 · median $26,432 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,950 – $51,748 · median $20,500 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,950 – $51,748 · median $20,500 | 7 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $12,950 – $51,748 · median $20,500 | 5 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $12,950 – $51,748 · median $20,500 | 5 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,950 – $51,748 · median $20,500 | 5 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $12,950 – $51,748 · median $20,500 | 5 plans |
| 999 | UNGROUPABLE | $12,950 – $51,748 · median $20,500 | 5 plans |
No procedures match that keyword.