Maury Regional Medical Center (Critical Access) — Pricing
878 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 878 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 878 procedures
Procedures with negotiated rates only
These 878 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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $41,221 – $154,383 · median $72,000 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $26,428 – $98,979 · median $71,161 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,026 – $89,981 · median $49,718 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,607 – $170,808 · median $64,662 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $23,778 – $89,054 · median $44,265 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $18,065 – $72,000 · median $38,380 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,697 – $114,968 · median $45,793 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,224 – $75,674 · median $30,431 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $25,461 – $114,567 · median $70,816 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $19,147 – $82,590 · median $54,528 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,312 – $75,217 · median $20,083 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,671 – $40,313 · median $14,928 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $9,441 – $35,360 · median $13,900 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,283 – $19,787 · median $9,107 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $69,910 – $289,755 · median $175,676 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $45,070 – $191,038 · median $119,598 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $17,389 – $72,953 · median $43,364 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $13,612 – $55,482 · median $30,033 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $11,218 – $42,013 · median $21,702 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $32,309 – $121,005 · median $75,018 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $28,095 – $105,223 · median $55,529 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,849 – $88,053 · median $30,483 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,229 – $113,213 · median $45,997 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $18,739 – $70,181 · median $32,143 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $19,954 – $74,734 · median $35,037 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $13,404 – $50,201 · median $23,157 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,202 – $38,208 · median $19,976 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $12,985 – $82,195 · median $41,461 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,775 – $47,844 · median $24,566 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,703 – $30,087 · median $16,287 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,260 – $114,480 · median $32,816 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,217 – $49,631 · median $16,538 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,760 – $36,554 · median $11,951 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $10,664 – $52,575 · median $28,459 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,963 – $30,755 · median $18,009 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,117 – $26,654 · median $15,517 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,469 – $44,899 · median $27,236 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $6,897 – $25,831 · median $13,510 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,677 – $17,516 · median $10,535 | 10 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,458 – $72,876 · median $28,074 | 10 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,392 – $30,531 · median $17,882 | 10 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,250 – $27,155 · median $13,350 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,397 – $31,450 · median $21,908 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,687 – $13,810 · median $7,744 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,983 – $26,153 · median $10,971 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,174 – $23,121 · median $7,984 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,482 – $33,855 · median $16,256 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,344 – $18,041 · median $11,337 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $4,508 – $24,957 · median $13,900 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,268 – $16,543 · median $10,044 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,659 – $12,065 · median $7,543 | 10 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,707 – $40,099 · median $21,027 | 10 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,755 – $32,791 · median $13,725 | 10 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,815 – $29,268 · median $11,457 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,543 – $26,894 · median $16,247 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,779 – $14,152 · median $8,546 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,960 – $11,086 · median $6,172 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,023 – $28,023 · median $10,648 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,635 – $13,613 · median $7,163 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,281 – $10,817 · median $6,501 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,931 – $23,509 · median $12,666 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,570 – $14,249 · median $8,121 | 10 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,903 – $10,871 · median $6,263 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,523 – $20,897 · median $13,770 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,711 – $14,093 · median $7,777 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,055 – $23,287 · median $10,738 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,916 – $12,396 · median $6,180 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,235 – $20,906 · median $12,441 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,142 – $13,492 · median $7,303 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,831 – $10,604 · median $5,718 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,528 – $26,875 · median $12,393 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,993 – $12,233 · median $6,274 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,979 – $37,374 · median $18,068 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,149 – $19,284 · median $10,338 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,492 – $13,077 · median $7,117 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,348 – $30,636 · median $17,216 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,721 – $17,733 · median $11,446 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,540 – $11,952 · median $7,339 | 10 plans |
| 088 | CONCUSSION WITH MCC | $5,339 – $19,994 · median $11,965 | 10 plans |
| 089 | CONCUSSION WITH CC | $3,302 – $14,495 · median $9,678 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,171 – $11,591 · median $7,323 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,361 – $24,646 · median $13,921 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,876 – $14,515 · median $8,217 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,771 – $14,124 · median $5,776 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,092 – $64,014 · median $26,714 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,567 – $32,410 · median $17,892 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,297 – $32,410 · median $17,872 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,318 – $48,464 · median $28,477 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,689 – $29,329 · median $17,372 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,943 – $18,837 · median $10,142 | 10 plans |
| 100 | SEIZURES WITH MCC | $4,069 – $26,841 · median $13,259 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $2,195 – $12,461 · median $6,676 | 10 plans |
| 102 | HEADACHES WITH MCC | $3,204 – $15,676 · median $8,486 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $2,091 – $11,495 · median $6,758 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $5,928 – $30,509 · median $16,515 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,314 – $16,158 · median $10,402 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,862 – $20,699 · median $12,589 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,327 – $58,222 · median $15,557 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,497 – $14,583 · median $8,171 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,014 – $15,726 · median $7,252 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,596 – $9,171 · median $4,879 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,226 – $10,859 · median $6,392 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,266 – $17,629 · median $10,680 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,926 – $11,163 · median $5,910 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,849 – $32,598 · median $17,434 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,606 – $13,507 · median $8,221 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,193 – $23,195 · median $10,614 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,035 – $19,826 · median $6,119 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,554 – $18,563 · median $10,438 | 10 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $10,678 – $48,887 · median $16,789 | 10 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $5,510 – $20,635 · median $10,092 | 10 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,229 – $12,094 · median $6,867 | 10 plans |
| 149 | DYSEQUILIBRIUM | $1,839 – $10,106 · median $6,137 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $4,331 – $18,687 · median $10,978 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,841 – $10,248 · median $6,338 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,294 – $15,343 · median $8,305 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,388 – $9,622 · median $4,627 | 10 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $4,615 – $21,988 · median $11,902 | 10 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $3,151 – $12,622 · median $6,833 | 10 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,370 – $9,091 · median $5,170 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,402 – $23,979 · median $13,967 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,465 – $12,978 · median $6,884 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,013 – $11,285 · median $5,601 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,015 – $63,726 · median $33,732 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,124 – $34,171 · median $19,727 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,786 – $25,414 · median $15,522 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $14,619 – $54,751 · median $35,348 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,152 – $30,532 · median $14,172 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,252 – $23,413 · median $10,837 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,356 – $20,058 · median $10,313 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,429 – $12,841 · median $5,961 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,660 – $24,944 · median $11,830 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,198 – $15,722 · median $7,261 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,001 – $11,241 · median $5,666 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,749 – $25,275 · median $13,363 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,544 – $17,019 · median $8,261 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,488 – $16,807 · median $6,661 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,756 – $21,460 · median $11,746 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,859 – $14,441 · median $7,817 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,823 – $10,515 · median $5,717 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,754 – $21,551 · median $12,785 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,364 – $13,574 · median $7,367 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,957 – $11,076 · median $5,700 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,596 – $20,960 · median $9,056 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,820 – $15,183 · median $8,219 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,721 – $11,615 · median $6,287 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,025 – $8,750 · median $4,737 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,642 – $17,815 · median $9,644 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,568 – $11,086 · median $6,167 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,803 – $8,419 · median $4,557 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,631 – $25,473 · median $13,789 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,299 – $16,100 · median $7,921 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,681 – $13,785 · median $6,007 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,126 – $23,867 · median $12,919 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,139 – $14,973 · median $8,105 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,435 – $9,154 · median $4,955 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,078 – $13,070 · median $6,616 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,407 – $9,418 · median $4,611 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,971 – $10,965 · median $5,935 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,086 – $25,523 · median $12,968 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,737 – $12,246 · median $6,629 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $25,104 – $94,019 · median $50,590 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $10,760 – $40,297 · median $19,641 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $50,311 – $188,425 · median $81,233 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $21,868 – $105,678 · median $59,513 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $14,824 – $71,929 · median $43,982 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $20,077 – $79,554 · median $46,624 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $13,422 – $55,596 · median $34,086 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $29,317 – $109,800 · median $36,863 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,569 – $47,073 · median $25,166 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,345 – $38,793 · median $11,826 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,993 – $78,801 · median $27,103 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,942 – $64,381 · median $18,405 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,169 – $42,542 · median $15,358 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $19,034 – $71,286 · median $38,354 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,522 – $69,367 · median $31,321 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,617 – $39,762 · median $21,123 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,546 – $28,260 · median $14,716 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,193 – $72,324 · median $21,807 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,482 – $44,379 · median $13,567 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,520 – $32,287 · median $8,627 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,611 – $37,930 · median $22,443 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,511 – $31,874 · median $14,732 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,080 – $87,744 · median $25,964 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,744 – $57,129 · median $15,567 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,393 – $46,780 · median $14,550 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,274 – $36,262 · median $22,389 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,104 – $49,077 · median $28,917 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $9,262 – $48,229 · median $28,893 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $36,910 – $141,174 · median $43,907 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,056 – $106,002 · median $34,431 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $11,874 – $98,607 · median $48,797 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,230 – $61,294 · median $30,450 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,225 – $74,338 · median $37,566 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,705 – $49,339 · median $25,208 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,435 – $35,338 · median $19,712 | 10 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $14,881 – $55,733 · median $32,932 | 10 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $10,143 – $42,196 · median $25,804 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $8,227 – $30,813 · median $12,094 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $5,705 – $23,354 · median $7,848 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,488 – $22,580 · median $6,159 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $6,306 – $26,437 · median $16,408 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $2,752 – $10,309 · median $6,024 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $2,553 – $9,561 · median $4,280 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,170 – $36,930 · median $21,676 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,318 – $21,317 · median $12,437 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,114 – $15,406 · median $8,385 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,436 – $17,641 · median $9,549 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,845 – $11,643 · median $6,424 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,101 – $7,869 · median $4,016 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,805 – $17,995 · median $9,460 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,634 – $10,678 · median $5,875 | 10 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $4,013 – $22,151 · median $13,759 | 10 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $3,057 – $11,448 · median $5,827 | 10 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,734 – $11,315 · median $3,586 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,788 – $25,423 · median $11,838 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,353 – $16,303 · median $7,835 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,244 – $15,895 · median $5,269 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,199 – $31,150 · median $9,298 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,161 – $20,036 · median $5,488 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $3,990 – $15,883 · median $8,598 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,741 – $10,149 · median $5,621 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,118 – $54,473 · median $14,555 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,733 – $44,830 · median $11,978 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,824 – $21,810 · median $9,199 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,419 – $12,806 · median $5,411 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,482 – $9,296 · median $4,095 | 10 plans |
| 311 | ANGINA PECTORIS | $1,501 – $9,441 · median $4,778 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,140 – $11,780 · median $6,439 | 10 plans |
| 313 | CHEST PAIN | $1,793 – $9,645 · median $5,338 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,841 – $29,115 · median $15,788 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,256 – $15,940 · median $7,793 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,438 – $12,877 · median $5,324 | 10 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $20,400 – $76,401 · median $37,171 | 10 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,154 – $34,284 · median $19,861 | 10 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,110 – $22,883 · median $13,917 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,238 – $62,082 · median $35,404 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,295 – $31,957 · median $18,076 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,660 – $22,322 · median $13,856 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $12,481 – $46,897 · median $28,957 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $8,319 – $31,158 · median $21,296 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $5,715 – $22,424 · median $15,356 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $16,670 – $62,433 · median $26,518 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,044 – $30,128 · median $15,642 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,229 – $20,755 · median $12,050 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,726 – $58,897 · median $19,724 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,116 – $26,649 · median $11,785 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,146 – $19,272 · median $9,114 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,917 – $33,397 · median $17,321 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,755 – $17,810 · median $9,502 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,634 – $13,609 · median $7,720 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,015 – $37,509 · median $19,605 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,987 – $22,424 · median $12,706 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,846 – $14,907 · median $10,525 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,771 – $39,654 · median $23,985 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,022 – $22,999 · median $13,861 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,909 – $18,386 · median $11,262 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,860 – $57,672 · median $31,377 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,409 – $30,447 · median $16,481 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,754 – $18,321 · median $10,974 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,245 – $22,578 · median $12,222 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,064 – $13,758 · median $7,447 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,039 – $9,437 · median $5,147 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,172 – $23,633 · median $12,793 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,879 – $14,527 · median $7,533 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,217 – $12,048 · median $5,309 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,867 – $33,207 · median $17,986 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,461 – $20,452 · median $8,992 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,014 – $18,779 · median $6,462 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,765 – $24,582 · median $13,307 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,863 – $13,329 · median $7,258 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,248 – $8,608 · median $4,781 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,394 – $27,692 · median $14,083 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,797 – $14,725 · median $7,971 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,822 – $10,568 · median $5,770 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,245 – $19,645 · median $10,816 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,045 – $11,757 · median $7,126 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,677 – $21,967 · median $12,459 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,094 – $13,419 · median $7,511 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,323 – $9,062 · median $5,213 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,882 – $22,030 · median $10,847 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,937 – $10,999 · median $5,867 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,020 – $7,566 · median $4,005 | 10 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,065 – $17,366 · median $9,314 | 10 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,907 – $10,550 · median $5,711 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,538 – $22,389 · median $12,462 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,589 – $13,442 · median $7,045 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,957 – $11,076 · median $5,067 | 10 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $12,660 – $73,396 · median $44,495 | 10 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $9,068 – $37,970 · median $22,073 | 10 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,725 – $28,932 · median $18,624 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,669 – $127,891 · median $38,136 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,798 – $40,442 · median $16,111 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,048 – $22,652 · median $15,322 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,306 – $53,581 · median $23,467 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,059 – $41,420 · median $17,084 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,138 – $30,477 · median $12,922 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,684 – $86,141 · median $28,593 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,493 – $35,553 · median $19,912 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,627 – $28,566 · median $10,792 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,282 – $34,763 · median $17,895 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,735 – $28,970 · median $13,250 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,458 – $17,814 · median $10,823 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $6,027 – $47,719 · median $22,369 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,258 – $22,140 · median $13,609 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,928 – $19,866 · median $11,724 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $12,728 – $59,038 · median $38,923 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,019 – $30,870 · median $19,002 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,066 – $20,899 · median $12,799 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,577 – $26,487 · median $15,611 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,845 – $14,464 · median $8,178 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,913 – $9,417 · median $5,097 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,363 – $24,669 · median $14,000 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,917 – $15,247 · median $8,608 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,313 – $12,408 · median $6,570 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,374 – $22,493 · median $13,258 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,148 – $11,791 · median $6,422 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,050 – $8,316 · median $4,502 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,610 – $25,558 · median $14,439 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,765 – $13,063 · median $7,242 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,945 – $9,501 · median $5,291 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,087 – $22,773 · median $12,327 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,099 – $15,353 · median $7,944 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,113 – $11,657 · median $6,075 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $43,646 – $194,115 · median $61,982 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $32,488 – $121,673 · median $47,047 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,723 – $102,019 · median $35,493 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $16,074 – $82,968 · median $52,628 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $12,992 – $48,659 · median $22,468 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,746 – $73,022 · median $42,158 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,779 – $44,114 · median $25,537 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,384 – $35,146 · median $15,437 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $14,843 – $68,879 · median $46,859 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $12,824 – $48,029 · median $27,685 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,554 – $43,271 · median $21,023 | 10 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $13,321 – $49,890 · median $25,435 | 10 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $11,209 – $41,979 · median $15,265 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,476 – $95,412 · median $35,548 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,437 – $57,815 · median $22,530 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,238 – $38,344 · median $18,145 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $22,198 – $83,136 · median $35,769 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,786 – $50,293 · median $15,788 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,042 – $26,374 · median $9,518 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,811 – $66,708 · median $25,782 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,305 – $49,829 · median $18,744 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,434 – $27,841 · median $12,996 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $11,535 – $43,200 · median $26,810 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,255 – $38,407 · median $18,416 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,750 – $29,026 · median $13,079 | 10 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $10,147 – $38,002 · median $18,995 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $10,588 – $43,525 · median $26,489 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,106 – $28,675 · median $15,522 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,817 – $21,364 · median $11,565 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,293 – $31,059 · median $17,341 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,846 – $21,894 · median $10,958 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $13,158 – $49,279 · median $28,077 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $8,721 – $32,664 · median $20,750 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $5,953 – $25,491 · median $15,576 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,374 – $65,069 · median $28,884 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,165 – $34,325 · median $16,735 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,261 – $30,940 · median $10,477 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $9,797 – $36,691 · median $20,884 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,184 – $28,185 · median $11,506 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,720 – $47,640 · median $23,190 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $5,860 – $24,129 · median $14,906 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,703 – $18,890 · median $11,834 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,780 – $35,782 · median $21,673 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,236 – $23,728 · median $15,184 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,847 – $23,728 · median $13,830 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,450 – $24,156 · median $10,971 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,150 – $30,522 · median $16,536 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,248 – $19,653 · median $11,068 | 10 plans |
| 509 | ARTHROSCOPY | $5,320 – $23,751 · median $12,856 | 10 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $6,436 – $38,642 · median $21,855 | 10 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $4,846 – $26,515 · median $16,544 | 10 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $4,307 – $21,737 · median $13,472 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,773 – $20,356 · median $12,076 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,857 – $14,447 · median $8,089 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,138 – $73,722 · median $24,776 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,030 – $33,821 · median $17,556 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,732 – $25,213 · median $13,514 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,839 – $48,456 · median $27,785 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $6,903 – $26,660 · median $16,154 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,777 – $19,377 · median $12,419 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,437 – $40,459 · median $12,829 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,103 – $19,300 · median $5,982 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,231 – $31,543 · median $10,689 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,873 – $19,479 · median $5,993 | 10 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $3,111 – $12,425 · median $7,667 | 10 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $1,834 – $9,079 · median $5,612 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,990 – $27,343 · median $15,383 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,108 – $17,496 · median $9,477 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,687 – $11,829 · median $6,403 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,112 – $34,127 · median $17,007 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,653 – $17,427 · median $8,506 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,665 – $13,728 · median $5,977 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,236 – $34,164 · median $20,822 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,828 – $15,652 · median $9,313 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,621 – $13,563 · median $5,944 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,839 – $27,237 · median $16,135 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,503 – $16,293 · median $9,254 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,881 – $11,656 · median $6,309 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,503 – $24,354 · median $12,488 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,112 – $15,400 · median $7,054 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,083 – $37,661 · median $10,806 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,702 – $27,817 · median $7,433 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,201 – $18,206 · median $9,855 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,907 – $11,039 · median $5,949 | 10 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $4,508 – $20,952 · median $11,341 | 10 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $2,618 – $11,679 · median $6,322 | 10 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,848 – $36,882 · median $17,557 | 10 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,047 – $32,943 · median $10,484 | 10 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,060 – $26,020 · median $7,081 | 10 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $6,607 – $24,745 · median $10,711 | 10 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $3,539 – $13,254 · median $6,541 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,135 – $30,469 · median $14,644 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,703 – $17,612 · median $7,921 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,069 – $15,238 · median $5,516 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,546 – $40,698 · median $24,143 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,467 – $24,220 · median $12,253 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,138 – $15,499 · median $9,410 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,104 – $83,259 · median $50,342 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $6,490 – $46,845 · median $22,060 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,390 – $26,995 · median $16,441 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,382 – $72,944 · median $37,327 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,879 – $36,001 · median $22,733 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,908 – $22,854 · median $12,922 | 10 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,907 – $44,067 · median $23,854 | 10 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,641 – $23,971 · median $14,936 | 10 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,022 – $19,458 · median $12,942 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,868 – $24,366 · median $15,704 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,635 – $22,209 · median $14,849 | 10 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,304 – $27,681 · median $19,416 | 10 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,912 – $26,839 · median $16,757 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $4,445 – $27,801 · median $15,930 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $2,853 – $16,531 · median $9,703 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,700 – $11,474 · median $6,663 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $6,001 – $28,596 · median $17,446 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,035 – $14,616 · median $6,900 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,538 – $23,751 · median $12,856 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,883 – $14,587 · median $8,334 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,412 – $11,558 · median $6,257 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,263 – $12,933 · median $7,001 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,086 – $8,105 · median $4,387 | 10 plans |
| 602 | CELLULITIS WITH MCC | $3,784 – $19,864 · median $10,752 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,957 – $11,908 · median $6,138 | 10 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,085 – $22,790 · median $10,893 | 10 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,051 – $12,488 · median $6,433 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,899 – $21,771 · median $10,051 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,901 – $11,684 · median $5,989 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,213 – $34,505 · median $18,462 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,918 – $25,908 · median $12,289 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,183 – $52,255 · median $34,931 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,252 – $34,651 · median $14,412 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,359 – $27,560 · median $9,800 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,580 – $43,371 · median $24,106 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,378 – $31,378 · median $13,506 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,167 – $26,842 · median $12,428 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,754 – $85,220 · median $30,777 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,136 – $26,728 · median $14,923 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,208 – $25,208 · median $8,602 | 10 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,686 – $51,259 · median $20,983 | 10 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,271 – $20,406 · median $12,700 | 10 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,045 – $17,128 · median $10,539 | 10 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,225 – $90,727 · median $32,376 | 10 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,680 – $30,408 · median $16,485 | 10 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,138 – $19,242 · median $11,382 | 10 plans |
| 637 | DIABETES WITH MCC | $3,642 – $19,689 · median $10,658 | 10 plans |
| 638 | DIABETES WITH CC | $2,457 – $12,401 · median $6,713 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,699 – $8,472 · median $4,586 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $3,075 – $17,955 · median $9,938 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,902 – $10,565 · median $5,719 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,505 – $16,780 · median $8,866 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,991 – $22,407 · median $12,129 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,559 – $13,972 · median $7,563 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,894 – $10,839 · median $5,699 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $19,162 – $75,369 · median $44,719 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,335 – $38,707 · median $20,654 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,734 – $28,085 · median $18,885 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,313 – $67,152 · median $23,844 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,624 – $32,298 · median $15,387 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,336 – $27,473 · median $13,259 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,808 – $47,970 · median $18,913 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,590 – $20,934 · median $10,502 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,144 – $15,519 · median $8,461 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $8,541 – $42,177 · median $24,895 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,585 – $20,919 · median $12,157 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,398 – $16,472 · median $8,714 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $8,968 – $46,422 · median $26,573 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $6,158 – $23,065 · median $13,680 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,475 – $13,896 · median $8,417 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,992 – $39,428 · median $23,339 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,449 – $20,922 · median $11,325 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,156 – $12,921 · median $7,803 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,798 – $23,304 · median $13,978 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,667 – $14,796 · median $8,283 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $14,629 – $56,643 · median $30,807 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,086 – $31,210 · median $18,500 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,374 – $21,163 · median $12,820 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $5,761 – $21,577 · median $11,063 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $3,486 – $13,056 · median $6,505 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,423 – $9,075 · median $4,571 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,572 – $25,495 · median $15,194 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,518 – $16,920 · median $7,704 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,116 – $15,416 · median $6,117 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,001 – $15,822 · median $8,817 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,801 – $10,851 · median $5,623 | 10 plans |
| 693 | URINARY STONES WITH MCC | $4,498 – $19,880 · median $10,761 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,506 – $10,565 · median $5,719 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,936 – $22,233 · median $9,446 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,087 – $9,353 · median $5,256 | 10 plans |
| 697 | URETHRAL STRICTURE | $2,349 – $13,544 · median $8,233 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,658 – $22,726 · median $12,302 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,663 – $13,789 · median $7,464 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,290 – $12,323 · median $5,658 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,917 – $26,237 · median $15,841 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,401 – $20,043 · median $13,470 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $6,763 – $30,381 · median $17,981 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,444 – $20,388 · median $11,754 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,729 – $25,831 · median $16,385 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,014 – $14,461 · median $8,067 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,129 – $19,550 · median $11,784 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,586 – $12,705 · median $7,720 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $5,662 – $30,532 · median $18,173 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,494 – $19,189 · median $11,559 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,495 – $25,086 · median $16,844 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,575 – $16,655 · median $9,090 | 10 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $7,331 – $27,455 · median $14,644 | 10 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $6,060 – $22,694 · median $9,102 | 10 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,375 – $16,385 · median $6,248 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,208 – $17,070 · median $10,187 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,118 – $10,064 · median $6,003 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,562 – $19,866 · median $9,411 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,841 – $11,047 · median $5,738 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,118 – $14,884 · median $8,573 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,115 – $11,668 · median $4,442 | 10 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $6,421 – $28,430 · median $16,700 | 10 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,236 – $19,611 · median $11,282 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $9,894 – $53,236 · median $31,838 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $5,935 – $27,018 · median $16,611 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,870 – $20,508 · median $12,006 | 10 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $6,253 – $53,822 · median $24,819 | 10 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $4,039 – $24,583 · median $14,520 | 10 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $3,329 – $18,571 · median $11,142 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,800 – $24,697 · median $12,971 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,972 – $16,206 · median $9,377 | 10 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,247 – $26,418 · median $15,271 | 10 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,004 – $13,855 · median $9,458 | 10 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,265 – $22,641 · median $12,555 | 10 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,631 – $13,599 · median $9,065 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,538 – $18,418 · median $11,787 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,817 – $34,998 · median $16,428 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,035 – $17,434 · median $10,146 | 10 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,432 – $27,835 · median $13,241 | 10 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,812 – $15,009 · median $8,124 | 10 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,802 – $12,912 · median $7,908 | 10 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,838 – $19,135 · median $10,358 | 10 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,880 – $13,781 · median $7,460 | 10 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,912 – $8,653 · median $4,684 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,975 – $13,325 · median $7,213 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,523 – $9,448 · median $4,639 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,174 – $24,924 · median $6,534 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,955 – $18,786 · median $10,322 | 10 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,075 – $14,548 · median $7,875 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,576 – $9,647 · median $4,956 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $1,722 – $12,639 · median $5,901 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $16,564 – $64,285 · median $37,769 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $11,577 – $43,359 · median $21,668 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,747 – $36,506 · median $13,943 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $11,712 – $48,467 · median $34,821 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $5,186 – $24,066 · median $13,036 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,396 – $16,465 · median $10,800 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,081 – $30,965 · median $17,328 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,704 – $16,745 · median $9,064 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,737 – $12,868 · median $6,966 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,304 – $19,021 · median $10,110 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,294 – $12,478 · median $6,754 | 10 plans |
| 813 | COAGULATION DISORDERS | $3,540 – $20,929 · median $10,960 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,402 – $28,264 · median $15,299 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,466 – $13,738 · median $7,436 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,642 – $9,894 · median $4,826 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $18,851 – $78,718 · median $46,687 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,174 – $34,358 · median $16,353 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,703 – $25,103 · median $10,113 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,383 – $87,576 · median $36,350 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,230 – $29,736 · median $19,031 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,534 – $16,983 · median $10,228 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,332 – $109,856 · median $39,190 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,613 – $39,748 · median $18,407 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,055 – $21,671 · median $14,177 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $9,369 – $41,693 · median $22,569 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,201 – $19,773 · median $10,703 | 10 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $23,766 – $89,008 · median $53,305 | 10 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,219 – $55,609 · median $17,792 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,652 – $18,252 · median $11,602 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $28,162 – $105,474 · median $37,414 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,352 – $27,533 · median $14,843 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,103 – $18,528 · median $9,649 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,276 – $43,115 · median $28,217 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,362 – $21,199 · median $13,973 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,996 – $14,965 · median $8,180 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,347 – $27,516 · median $15,332 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,656 – $16,159 · median $10,080 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,031 – $11,351 · median $6,920 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,966 – $34,527 · median $18,690 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,234 – $17,180 · median $9,300 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,815 – $14,287 · median $5,993 | 10 plans |
| 849 | RADIOTHERAPY | $3,726 – $36,113 · median $16,653 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $21,963 – $82,255 · median $38,807 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,576 – $62,343 · median $16,684 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,061 – $52,849 · median $14,121 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,577 – $62,084 · median $33,018 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $6,511 – $29,459 · median $15,946 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,066 – $18,975 · median $9,759 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,665 – $24,859 · median $13,457 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,751 – $13,519 · median $7,318 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,900 – $12,141 · median $6,093 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,969 – $19,954 · median $10,674 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,492 – $11,963 · median $5,516 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,305 – $28,991 · median $20,928 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,139 – $14,197 · median $7,823 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,766 – $9,729 · median $5,266 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $31,440 – $117,748 · median $55,826 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,701 – $26,528 · median $14,360 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,948 – $13,939 · median $7,545 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $11,961 – $59,900 · median $35,642 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,360 – $31,309 · median $14,873 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,788 – $17,931 · median $10,961 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,979 – $52,202 · median $27,962 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,730 – $22,284 · median $13,155 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,792 – $29,507 · median $15,973 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $11,364 – $53,860 · median $30,025 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,831 – $33,075 · median $15,395 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,475 – $17,147 · median $9,366 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,264 – $21,879 · median $12,677 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,088 – $12,390 · median $6,474 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,426 – $23,496 · median $9,921 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,314 – $8,979 · median $4,349 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,272 – $22,169 · median $12,000 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,569 – $11,960 · median $5,515 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,259 – $24,655 · median $13,346 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,079 – $13,735 · median $7,435 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,109 – $9,298 · median $5,033 | 10 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,551 – $22,841 · median $12,769 | 10 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,903 – $13,789 · median $6,481 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $36,532 – $320,732 · median $147,898 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $16,800 – $90,299 · median $48,880 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $5,078 – $42,999 · median $19,350 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $11,162 – $58,500 · median $31,666 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,623 – $29,011 · median $15,704 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $2,563 – $29,695 · median $12,564 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $9,085 – $42,912 · median $25,988 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $6,675 – $28,546 · median $18,985 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,080 – $26,422 · median $14,668 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,698 – $17,389 · median $9,702 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,902 – $10,742 · median $6,596 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,620 – $14,588 · median $9,022 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,278 – $9,642 · median $6,373 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,237 – $8,379 · median $4,150 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $26,280 – $98,425 · median $73,381 | 10 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,656 – $133,706 · median $43,514 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,724 – $100,916 · median $61,955 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,023 – $67,499 · median $33,597 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,052 – $45,139 · median $23,706 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,300 – $57,300 · median $20,427 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,134 – $26,718 · median $13,001 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,452 – $20,418 · median $8,183 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $21,545 – $85,505 · median $53,627 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,447 – $57,853 · median $22,088 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $9,022 – $40,373 · median $23,263 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,732 – $19,217 · median $11,051 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,593 – $13,561 · median $7,537 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,638 – $19,494 · median $11,630 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $16,694 – $64,273 · median $38,438 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,536 – $33,101 · median $19,716 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,604 – $22,554 · median $12,209 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,332 – $47,357 · median $28,811 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $5,718 – $23,200 · median $13,838 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,937 – $15,622 · median $8,457 | 10 plans |
| 140 | SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 | $3,657 – $62,495 · median $35,343 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,935 – $34,658 · median $17,955 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,744 – $25,258 · median $18,117 | 9 plans |
| 143 | STOMACH-- ESOPHAGEAL & DUODENAL PROC AGE 0-17 | $9,788 – $46,532 · median $27,594 | 9 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,338 – $27,483 · median $14,681 | 9 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,530 – $19,052 · median $9,901 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,190 – $64,381 · median $36,711 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,842 – $36,859 · median $19,345 | 9 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $36,373 – $163,153 · median $55,426 | 9 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,866 – $59,423 · median $30,569 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,842 – $48,095 · median $24,358 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $9,177 – $34,369 · median $17,617 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,671 – $27,404 · median $9,809 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,671 – $17,303 · median $7,117 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,671 – $13,274 · median $7,006 | 9 plans |
| 787 | NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB | $3,280 – $16,973 · median $7,117 | 9 plans |
| 788 | NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE | $2,517 – $14,141 · median $7,006 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,671 – $23,051 · median $6,414 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,671 – $13,296 · median $6,059 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,280 – $16,064 · median $6,059 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,280 – $11,106 · median $4,651 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,517 – $9,640 · median $4,328 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $8,718 – $39,748 · median $21,186 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,695 – $21,328 · median $10,764 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,517 – $13,172 · median $6,823 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,211 – $16,141 · median $9,619 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,013 – $11,285 · median $6,246 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,013 – $7,541 · median $4,344 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,899 – $29,584 · median $11,948 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,358 – $20,066 · median $8,016 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $156,483 – $586,065 · median $274,282 | 8 plans |
| 650 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W OTHER PROB | $15,240 – $70,856 · median $33,508 | 8 plans |
| 651 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $15,484 – $109,591 · median $37,984 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $12,850 – $48,127 · median $26,812 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,280 – $24,410 · median $9,870 | 8 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,489 – $24,371 · median $8,366 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $4,972 – $80,374 · median $41,417 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,156 – $54,890 · median $28,810 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,468 – $33,120 · median $5,436 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,611 – $56,385 · median $17,794 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $665 – $22,171 · median $5,813 | 8 plans |
| 795 | NORMAL NEWBORN | $487 – $2,701 · median $1,457 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,671 – $13,296 · median $6,026 | 8 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $106,275 – $380,835 · median $176,897 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $64,028 – $148,986 · median $69,204 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $43,687 – $143,980 · median $72,788 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $19,970 – $65,561 · median $35,268 | 6 plans |
| 007 | LUNG TRANSPLANT | $38,537 – $176,690 · median $88,988 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $21,600 – $73,564 · median $37,662 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $17,419 – $107,795 · median $43,723 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $44,501 – $177,136 · median $95,288 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $25,279 – $81,605 · median $37,858 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,986 – $81,605 · median $43,125 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $27,927 – $107,177 · median $56,167 | 6 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $33,634 – $125,967 · median $78,402 | 6 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $28,845 – $108,030 · median $55,506 | 6 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $30,676 – $114,889 · median $70,974 | 6 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $26,391 – $98,841 · median $51,966 | 6 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,784 – $92,823 · median $64,042 | 6 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,132 – $79,145 · median $50,911 | 6 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $17,712 – $66,336 · median $30,329 | 6 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $13,286 – $50,606 · median $19,674 | 6 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $14,266 – $53,429 · median $29,916 | 6 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $10,753 – $40,274 · median $18,425 | 6 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC | $38,287 – $83,640 · median $45,795 | 6 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $12,579 – $47,113 · median $26,637 | 6 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $9,808 – $36,733 · median $16,362 | 6 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,088 – $22,800 · median $11,879 | 6 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $7,253 – $30,542 · median $20,308 | 6 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $7,193 – $26,941 · median $14,497 | 6 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,492 – $16,824 · median $10,702 | 6 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $9,337 – $52,893 · median $28,631 | 6 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $10,836 – $141,627 · median $76,664 | 6 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $10,430 – $96,029 · median $51,981 | 6 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $8,251 – $74,415 · median $40,282 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,320 – $53,128 · median $29,573 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,175 – $12,960 · median $7,016 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $3,163 – $12,359 · median $6,690 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,954 – $13,006 · median $8,999 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,473 – $25,065 · median $13,871 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,337 – $22,581 · median $13,273 | 6 plans |
| 885 | PSYCHOSES | $4,446 – $19,058 · median $10,316 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,941 – $24,289 · median $13,148 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,361 – $16,081 · median $12,468 | 6 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $3,107 – $8,438 · median $4,567 | 6 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $4,503 – $19,576 · median $10,596 | 6 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $8,455 – $24,076 · median $13,033 | 6 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $18,991 – $41,487 · median $25,644 | 5 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $6,544 – $147,286 · median $91,040 | 5 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,175 – $95,546 · median $59,059 | 5 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $28,560 – $83,748 · median $51,767 | 5 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $28,790 – $62,894 · median $38,876 | 5 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $26,708 – $67,645 · median $41,813 | 5 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $18,739 – $43,323 · median $26,779 | 5 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,618 – $38,489 · median $24,400 | 5 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,197 – $24,460 · median $17,886 | 5 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,361 – $57,587 · median $45,758 | 5 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,774 – $43,198 · median $26,701 | 5 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,713 – $38,696 · median $23,919 | 5 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,335 – $33,500 · median $20,707 | 5 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,365 – $20,458 · median $16,191 | 5 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $6,955 – $17,978 · median $15,076 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $51,619 – $112,765 · median $69,702 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $33,856 – $73,961 · median $45,717 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,494 – $90,648 · median $56,031 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,272 – $55,209 · median $34,126 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,873 – $69,629 · median $43,039 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,099 – $41,723 · median $25,790 | 5 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $35,344 – $132,371 · median $79,486 | 5 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $27,588 – $103,322 · median $43,512 | 5 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $23,904 – $89,526 · median $31,672 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,011 – $124,545 · median $76,984 | 5 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,460 – $11,927 · median $7,373 | 5 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $10,037 – $29,651 · median $19,844 | 2 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $7,473 – $23,181 · median $15,327 | 2 plans |
| 104 | CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 | $20,241 – $20,241 · median $20,241 | 1 plans |
| 105 | TRAUMATIC STUPOR AND COMA COMA <1 HR AGE 0-17 | $3,931 – $3,931 · median $3,931 | 1 plans |
| 106 | CONCUSSION AGE 0-17 | $4,717 – $4,717 · median $4,717 | 1 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $3,909 – $3,909 · median $3,909 | 1 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $7,086 – $7,086 · median $7,086 | 1 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $7,894 – $7,894 · median $7,894 | 1 plans |
| 111 | SINUS AND MASTOID PROCEDURES AGE 0-17 | $13,135 – $13,135 · median $13,135 | 1 plans |
| 112 | OTITIS MEDIA AND URI AGE 0-17 | $2,502 – $2,502 · median $2,502 | 1 plans |
| 118 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 | $4,716 – $4,716 · median $4,716 | 1 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $4,479 – $4,479 · median $4,479 | 1 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $4,901 – $4,901 · median $4,901 | 1 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $14,396 – $14,396 · median $14,396 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $9,030 – $9,030 · median $9,030 | 1 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $16,147 – $16,147 · median $16,147 | 1 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $9,769 – $9,769 · median $9,769 | 1 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $12,470 – $12,470 · median $12,470 | 1 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $7,289 – $7,289 · median $7,289 | 1 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $5,744 – $5,744 · median $5,744 | 1 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $13,205 – $13,205 · median $13,205 | 1 plans |
| 162 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 | $9,072 – $9,072 · median $9,072 | 1 plans |
| 169 | FX-- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH AGE 0-17 | $4,013 – $4,013 · median $4,013 | 1 plans |
| 170 | CELLULITIS AGE 0-17 | $2,957 – $2,957 · median $2,957 | 1 plans |
| 171 | TRAUMA TO THE SKIN-SUBCUT TISS & BREAST AGE 0-17 | $3,248 – $3,248 · median $3,248 | 1 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 | $3,832 – $3,832 · median $3,832 | 1 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $3,131 – $3,131 · median $3,131 | 1 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $4,917 – $4,917 · median $4,917 | 1 plans |
| 211 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 | $5,635 – $5,635 · median $5,635 | 1 plans |
| 213 | SPLENECTOMY AGE 0-17 | $12,455 – $12,455 · median $12,455 | 1 plans |
| 214 | RED BLOOD CELL DISORDERS AGE 0-17 | $3,799 – $3,799 · median $3,799 | 1 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $27,015 – $27,015 · median $27,015 | 1 plans |
| 318 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MCC | $30,109 – $30,109 · median $30,109 | 1 plans |
| 359 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $102,250 – $102,250 · median $102,250 | 1 plans |
| 360 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $46,184 – $46,184 · median $46,184 | 1 plans |
| 361 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $47,755 – $47,755 · median $47,755 | 1 plans |
| 362 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,485 – $29,485 · median $29,485 | 1 plans |
| 363 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $26,793 – $26,793 · median $26,793 | 1 plans |
| 364 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,813 – $22,813 · median $22,813 | 1 plans |
| 396 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,714 – $28,714 · median $28,714 | 1 plans |
| 400 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 | $7,282 – $7,282 · median $7,282 | 1 plans |
| 401 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC | $15,144 – $15,144 · median $15,144 | 1 plans |
| 608 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $33,742 – $33,742 · median $33,742 | 1 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $17,612 – $17,612 · median $17,612 | 1 plans |
| 610 | NEONATE- DIED WITHIN ONE DAY OF BIRTH | $2,473 – $2,473 · median $2,473 | 1 plans |
| 611 | NEONATE- TRANSFERRED <5 DAYS OLD | $1,781 – $1,781 · median $1,781 | 1 plans |
| 612 | NEONATE- BIRTHWT <750G-- DISCHARGED ALIVE | $197,746 – $197,746 · median $197,746 | 1 plans |
| 613 | NEONATE- BIRTHWT <750G- DIED | $70,136 – $70,136 · median $70,136 | 1 plans |
| 631 | NEONATE- BIRTHWT 750-999G- DISCHARGED ALIVE | $158,817 – $158,817 · median $158,817 | 1 plans |
| 632 | NEONATE- BIRTHWT 750-999G- DIED | $58,948 – $58,948 · median $58,948 | 1 plans |
| 633 | NEONATE- BIRTHWT 1000-1499G- W SIGNIF O.R. PRO- DISCHARGED ALIVE | $163,028 – $163,028 · median $163,028 | 1 plans |
| 634 | NEONATE- BIRTHWT 1000-1499G- W/O SIGNIF O.R. PROC- DISCHARGED ALIVE | $73,402 – $73,402 · median $73,402 | 1 plans |
| 635 | NEONATE- BIRTHWT 1000-1499G- DIED | $77,333 – $77,333 · median $77,333 | 1 plans |
| 636 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC W MULT MAJOR PROB | $181,458 – $181,458 · median $181,458 | 1 plans |
| 646 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $42,518 – $42,518 · median $42,518 | 1 plans |
| 647 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $47,411 – $47,411 · median $47,411 | 1 plans |
| 648 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $32,597 – $32,597 · median $32,597 | 1 plans |
| 649 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MINOR PROB | $23,950 – $23,950 · median $23,950 | 1 plans |
| 676 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $22,703 – $22,703 · median $22,703 | 1 plans |
| 677 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $29,684 – $29,684 · median $29,684 | 1 plans |
| 678 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $16,960 – $16,960 · median $16,960 | 1 plans |
| 679 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MINOR PROB | $9,204 – $9,204 · median $9,204 | 1 plans |
| 680 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W OTHER PROB | $6,179 – $6,179 · median $6,179 | 1 plans |
| 681 | NEONATE- BIRTHWT >2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $93,573 – $93,573 · median $93,573 | 1 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $6,625 – $6,625 · median $6,625 | 1 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH MCC | $7,667 – $7,667 · median $7,667 | 1 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH CC | $5,331 – $5,331 · median $5,331 | 1 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT CC/MCC | $5,301 – $5,301 · median $5,301 | 1 plans |
| 765 | MATERNITY | $2,075 – $2,075 · median $2,075 | 1 plans |
| 766 | MATERNITY | $2,075 – $2,075 · median $2,075 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $2,174 – $2,174 · median $2,174 | 1 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,620 – $7,620 · median $7,620 | 1 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,326 – $6,326 · median $6,326 | 1 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,362 – $5,362 · median $5,362 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $2,075 – $2,075 · median $2,075 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $2,075 – $2,075 · median $2,075 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $5,514 – $5,514 · median $5,514 | 1 plans |
| 778 | THREATENED ABORTION | $3,822 – $3,822 · median $3,822 | 1 plans |
| 780 | FALSE LABOR | $3,064 – $3,064 · median $3,064 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $5,410 – $5,410 · median $5,410 | 1 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $3,840 – $3,840 · median $3,840 | 1 plans |
| 898 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC | $6,325 – $6,325 · median $6,325 | 1 plans |
| 899 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC | $6,561 – $6,561 · median $6,561 | 1 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $21,420 – $21,420 · median $21,420 | 1 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $11,350 – $11,350 · median $11,350 | 1 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $6,988 – $6,988 · median $6,988 | 1 plans |
No procedures match that keyword.