Maury Regional Medical Center (Acute Care — Columbia) — Pricing
877 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 877 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 877 procedures
Procedures with negotiated rates only
These 877 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 – $151,354 · median $60,987 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $26,428 – $97,037 · median $40,808 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,026 – $88,216 · median $37,594 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,136 – $167,457 · median $48,894 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $23,778 – $87,307 · median $33,471 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $18,065 – $72,000 · median $29,021 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $22,629 – $112,713 · median $32,114 | 30 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $14,106 – $74,189 · median $20,018 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $25,461 – $113,838 · median $53,548 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $19,147 – $82,064 · median $38,602 | 30 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $10,502 – $73,742 · median $14,903 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,096 – $39,522 · median $10,070 | 30 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $9,441 – $34,666 · median $13,848 | 30 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,948 – $19,399 · median $6,886 | 30 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $69,910 – $287,912 · median $134,088 | 29 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $45,070 – $189,822 · median $89,855 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $17,389 – $72,489 · median $33,760 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $13,612 – $55,129 · median $25,675 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $11,218 – $41,189 · median $16,580 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $32,309 – $118,631 · median $51,666 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $25,099 – $103,159 · median $35,619 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,032 – $86,326 · median $22,751 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $25,907 – $110,992 · median $35,694 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,264 – $68,804 · median $23,786 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $19,954 – $73,267 · median $27,981 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $13,404 – $49,216 · median $19,136 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,202 – $37,458 · median $15,440 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $12,985 – $81,672 · median $38,037 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,775 – $46,906 · median $21,001 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,703 – $29,896 · median $14,175 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $18,965 – $112,234 · median $26,743 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $9,698 – $48,657 · median $13,362 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,245 – $35,837 · median $9,982 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $10,664 – $52,241 · median $24,330 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,963 – $30,560 · median $14,232 | 29 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,117 – $26,131 · median $11,469 | 29 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,469 – $44,613 · median $20,777 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $6,897 – $25,324 · median $10,081 | 29 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,677 – $17,173 · median $7,121 | 29 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,129 – $71,447 · median $23,600 | 29 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,392 – $30,337 · median $14,129 | 29 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,250 – $26,622 · median $10,997 | 29 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,296 – $33,856 · median $12,591 | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,687 – $13,539 · median $5,880 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,732 – $25,640 · median $9,379 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,954 – $22,668 · median $6,826 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,482 – $33,640 · median $15,667 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,344 – $17,926 · median $8,349 | 29 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $4,508 – $24,798 · median $11,549 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,268 – $16,438 · median $7,656 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,659 – $11,989 · median $5,583 | 29 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,707 – $39,313 · median $17,132 | 29 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,087 – $32,148 · median $11,365 | 29 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $6,379 – $28,694 · median $8,965 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,543 – $26,723 · median $12,446 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,779 – $13,874 · median $6,362 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,960 – $10,868 · median $4,306 | 29 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,607 – $27,473 · median $9,103 | 29 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,635 – $13,346 · median $5,515 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,281 – $10,749 · median $5,006 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,931 – $23,359 · median $10,938 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,570 – $14,158 · median $6,594 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,903 – $10,657 · median $4,786 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,523 – $20,764 · median $9,670 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,711 – $14,004 · median $6,522 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,055 – $23,139 · median $10,776 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,916 – $12,318 · median $5,737 | 29 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,235 – $20,773 · median $9,675 | 29 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,142 – $13,406 · median $6,243 | 29 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,831 – $10,396 · median $4,255 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,528 – $26,704 · median $12,437 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,993 – $12,155 · median $5,661 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,979 – $36,641 · median $14,517 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,149 – $18,906 · median $8,699 | 29 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,492 – $12,844 · median $5,982 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,348 – $30,441 · median $14,177 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,721 – $17,620 · median $8,206 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,540 – $11,876 · median $5,531 | 29 plans |
| 088 | CONCUSSION WITH MCC | $5,339 – $19,602 · median $9,003 | 29 plans |
| 089 | CONCUSSION WITH CC | $3,302 – $14,403 · median $6,842 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,171 – $11,517 · median $5,471 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,361 – $24,489 · median $11,405 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,876 – $14,230 · median $6,624 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,584 – $13,847 · median $4,938 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $16,569 – $62,758 · median $22,828 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,567 – $32,204 · median $14,998 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,297 – $32,204 · median $14,998 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,318 – $48,156 · median $22,427 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,689 – $29,142 · median $13,572 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,943 – $18,718 · median $8,717 | 29 plans |
| 100 | SEIZURES WITH MCC | $4,069 – $26,671 · median $12,421 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $2,195 – $12,382 · median $5,767 | 29 plans |
| 102 | HEADACHES WITH MCC | $3,204 – $15,577 · median $7,255 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $2,091 – $11,422 · median $5,319 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $5,928 – $30,315 · median $14,401 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,314 – $15,880 · median $7,529 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,862 – $20,567 · median $9,579 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,577 – $57,080 · median $10,753 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,497 – $14,490 · median $6,883 | 29 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,014 – $15,626 · median $7,278 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,596 – $9,112 · median $4,244 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,226 – $10,790 · median $5,025 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,266 – $17,517 · median $8,158 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,926 – $11,092 · median $5,166 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,849 – $32,391 · median $15,387 | 29 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,606 – $13,242 · median $6,243 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,193 – $22,740 · median $8,925 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,694 – $19,437 · median $5,242 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,554 – $18,445 · median $8,590 | 29 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $9,834 – $47,928 · median $14,353 | 29 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $5,510 – $20,230 · median $7,788 | 29 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,229 – $11,856 · median $5,110 | 29 plans |
| 149 | DYSEQUILIBRIUM | $1,839 – $10,042 · median $4,677 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $4,331 – $18,568 · median $8,648 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,841 – $10,183 · median $4,742 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,294 – $15,245 · median $7,100 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,388 – $9,561 · median $4,453 | 29 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $4,615 – $21,848 · median $10,175 | 29 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $3,151 – $12,542 · median $5,841 | 29 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,370 – $9,033 · median $4,207 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,402 – $23,508 · median $10,434 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,465 – $12,723 · median $5,885 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,995 – $11,064 · median $4,127 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,015 – $62,476 · median $28,838 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,124 – $33,813 · median $15,748 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,786 – $25,041 · median $11,662 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $14,619 – $53,677 · median $24,571 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,152 – $29,933 · median $11,432 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,148 – $22,954 · median $8,471 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,356 – $19,665 · median $8,816 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,429 – $12,589 · median $5,096 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,660 – $24,455 · median $10,131 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,198 – $15,414 · median $6,331 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,001 – $11,021 · median $4,881 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,749 – $24,780 · median $10,935 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,544 – $16,685 · median $6,947 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,803 – $16,477 · median $5,240 | 29 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,756 – $21,324 · median $9,931 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,859 – $14,349 · median $6,683 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,823 – $10,448 · median $4,866 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,754 – $21,226 · median $9,885 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,364 – $13,488 · median $6,282 | 29 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,957 – $10,859 · median $4,594 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,596 – $20,548 · median $7,742 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,820 – $15,086 · median $7,026 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,721 – $11,541 · median $5,375 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,025 – $8,694 · median $4,049 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,642 – $17,702 · median $8,244 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,568 – $11,016 · median $5,130 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,803 – $8,365 · median $3,896 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,631 – $25,311 · median $11,788 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,299 – $15,785 · median $6,194 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,181 – $13,514 · median $4,470 | 29 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,126 – $23,715 · median $11,045 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,139 – $14,878 · median $6,929 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,435 – $9,096 · median $4,316 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,078 – $12,987 · median $6,048 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,407 – $9,358 · median $4,358 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,971 – $10,895 · median $5,074 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,086 – $25,361 · median $11,811 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,737 – $12,169 · median $5,667 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $25,104 – $92,175 · median $41,272 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $10,760 – $39,507 · median $16,791 | 29 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $48,111 – $184,729 · median $67,613 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $21,868 – $105,006 · median $48,904 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $14,824 – $71,472 · median $33,286 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $20,077 – $79,048 · median $36,815 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $13,422 – $55,242 · median $25,728 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,873 – $107,645 · median $31,514 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,569 – $46,150 · median $18,220 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,856 – $38,032 · median $9,730 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $15,403 – $77,256 · median $21,222 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,230 – $63,118 · median $14,518 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,195 – $41,708 · median $11,375 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $19,034 – $69,887 · median $30,575 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $15,577 – $68,006 · median $21,463 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,617 – $38,982 · median $15,973 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,546 – $27,706 · median $10,945 | 29 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,882 – $70,905 · median $16,861 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,691 – $43,509 · median $10,915 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,050 – $31,654 · median $5,748 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,611 – $37,689 · median $17,553 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,982 – $31,249 · median $11,217 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,468 – $86,023 · median $21,950 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,617 – $56,008 · median $12,229 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,892 – $45,862 · median $9,781 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,274 – $36,031 · median $17,116 | 29 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,104 – $48,114 · median $21,867 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $9,262 – $47,922 · median $22,318 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $27,204 – $138,405 · median $38,232 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,358 – $103,922 · median $29,904 | 29 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $13,047 – $96,673 · median $41,716 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,549 – $60,092 · median $26,032 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,544 – $72,880 · median $32,115 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,072 – $48,371 · median $21,550 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,435 – $34,644 · median $15,655 | 29 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $14,881 – $54,640 · median $24,465 | 29 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $10,143 – $41,928 · median $19,810 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $7,454 – $30,208 · median $10,270 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $4,186 – $22,896 · median $5,940 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $3,293 – $22,137 · median $4,673 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $6,306 – $26,269 · median $12,234 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $2,752 – $10,106 · median $4,636 | 29 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $2,549 – $9,374 · median $3,512 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,170 – $36,695 · median $17,090 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,318 – $21,181 · median $9,865 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,114 – $15,104 · median $6,309 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,436 – $17,529 · median $8,164 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,845 – $11,569 · median $5,388 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,101 – $7,714 · median $3,433 | 29 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,805 – $17,642 · median $7,683 | 29 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,634 – $10,610 · median $4,941 | 29 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $4,013 – $22,010 · median $10,251 | 29 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $3,057 – $11,224 · median $4,454 | 29 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,006 – $11,093 · median $2,846 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,788 – $24,924 · median $10,121 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,353 – $15,983 · median $6,698 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,240 – $15,583 · median $4,463 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,283 – $30,539 · median $7,497 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,053 – $19,643 · median $4,333 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $3,990 – $15,782 · median $7,350 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,741 – $10,085 · median $4,697 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,800 – $53,404 · median $9,556 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,207 – $43,950 · median $5,970 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,476 – $21,383 · median $7,545 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,357 – $12,555 · median $4,625 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,482 – $9,114 · median $3,501 | 29 plans |
| 311 | ANGINA PECTORIS | $1,501 – $9,381 · median $4,369 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,140 – $11,705 · median $5,451 | 29 plans |
| 313 | CHEST PAIN | $1,793 – $9,584 · median $4,463 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,841 – $28,930 · median $13,474 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,256 – $15,628 · median $6,021 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,100 – $12,625 · median $4,271 | 29 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $20,400 – $74,902 · median $31,777 | 29 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,154 – $33,612 · median $15,266 | 29 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,110 – $22,434 · median $9,970 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,238 – $61,688 · median $28,730 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,295 – $31,754 · median $14,789 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,660 – $22,180 · median $10,330 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $12,481 – $46,599 · median $22,337 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $8,319 – $30,547 · median $13,297 | 29 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $5,715 – $22,282 · median $10,377 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $16,454 – $61,208 · median $22,670 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,044 – $29,537 · median $13,216 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,229 – $20,623 · median $9,604 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $12,236 – $57,742 · median $16,858 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,760 – $26,126 · median $9,417 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,146 – $18,894 · median $7,791 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,917 – $32,742 · median $14,825 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,755 – $17,461 · median $7,955 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,634 – $13,342 · median $5,622 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,015 – $36,773 · median $15,133 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,987 – $21,984 · median $9,413 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,846 – $14,812 · median $6,899 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,771 – $39,402 · median $18,351 | 29 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,022 – $22,853 · median $10,643 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,909 – $18,026 · median $8,341 | 29 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,860 – $57,305 · median $26,689 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,409 – $30,253 · median $14,090 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,754 – $18,204 · median $8,478 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,245 – $22,435 · median $10,448 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,064 – $13,670 · median $6,367 | 29 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,039 – $9,377 · median $4,454 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,172 – $23,483 · median $10,936 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,879 – $14,242 · median $6,440 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,217 – $11,812 · median $4,539 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,867 – $32,556 · median $13,210 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,461 – $20,051 · median $7,687 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,010 – $18,410 · median $5,525 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,765 – $24,426 · median $11,376 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,863 – $13,245 · median $6,168 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,248 – $8,553 · median $3,984 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,394 – $27,148 · median $12,040 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,797 – $14,631 · median $6,814 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,822 – $10,360 · median $4,688 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,245 – $19,260 · median $8,068 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,045 – $11,682 · median $5,441 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,677 – $21,828 · median $10,166 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,094 – $13,333 · median $6,210 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,323 – $9,005 · median $4,194 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,882 – $21,598 · median $9,197 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,937 – $10,784 · median $5,015 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,020 – $7,417 · median $3,424 | 29 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,065 – $17,256 · median $8,037 | 29 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,907 – $10,483 · median $4,882 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,538 – $22,247 · median $10,361 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,589 – $13,179 · median $5,889 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,890 – $10,859 · median $3,982 | 29 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $12,660 – $72,929 · median $33,965 | 29 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $9,068 – $37,728 · median $17,649 | 29 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,725 – $28,692 · median $13,363 | 29 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $15,899 – $125,382 · median $22,563 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $9,520 – $39,648 · median $13,117 | 29 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,048 – $22,208 · median $9,705 | 29 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $12,426 – $52,530 · median $17,634 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,680 – $40,607 · median $13,337 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,549 – $29,879 · median $10,402 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $15,911 – $84,451 · median $22,579 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,983 – $34,855 · median $12,376 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,222 – $28,006 · median $8,573 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,282 – $34,081 · median $14,869 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,531 – $28,401 · median $10,376 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,458 – $17,701 · median $8,244 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $6,027 – $47,415 · median $22,083 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,258 – $22,000 · median $10,450 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,928 – $19,740 · median $9,193 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $12,728 – $64,872 · median $25,448 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,019 – $30,674 · median $14,286 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,066 – $20,766 · median $9,792 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,577 – $26,319 · median $12,257 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,845 – $14,372 · median $6,693 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,913 – $9,357 · median $4,358 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,363 – $24,512 · median $11,416 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,917 – $15,150 · median $7,056 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,313 – $12,164 · median $5,011 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,374 – $22,350 · median $10,409 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,148 – $11,559 · median $5,382 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,050 – $8,263 · median $3,848 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,610 – $25,396 · median $11,827 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,765 – $12,980 · median $6,045 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,945 – $9,440 · median $4,396 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,087 – $22,628 · median $10,539 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,099 – $15,052 · median $6,785 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,113 – $11,429 · median $4,988 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $38,459 – $190,307 · median $52,988 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $26,063 – $119,286 · median $36,916 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $19,608 – $100,017 · median $27,696 | 29 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $16,074 – $82,440 · median $39,163 | 29 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $12,992 – $47,704 · median $17,918 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,746 – $72,557 · median $34,468 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,779 – $43,248 · median $18,448 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,884 – $34,457 · median $11,079 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $14,843 – $68,441 · median $31,875 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $12,824 – $47,087 · median $21,430 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,554 – $42,422 · median $16,413 | 29 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $13,321 – $48,911 · median $20,451 | 29 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $8,562 – $41,155 · median $11,797 | 29 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,057 – $93,540 · median $30,390 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $13,156 – $56,681 · median $18,127 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,238 – $37,592 · median $15,041 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,406 – $81,505 · median $28,059 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,796 – $49,307 · median $13,497 | 29 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,282 – $25,857 · median $7,277 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,617 – $65,399 · median $21,516 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,620 – $48,851 · median $14,632 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,434 – $27,295 · median $11,333 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $11,535 – $42,353 · median $18,401 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,422 – $37,653 · median $12,982 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,204 – $28,457 · median $9,925 | 29 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $10,147 – $37,256 · median $15,943 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $10,588 – $43,248 · median $20,142 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,106 – $28,492 · median $13,270 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,817 – $21,228 · median $9,887 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,293 – $30,450 · median $12,543 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,624 – $21,464 · median $7,748 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $13,158 – $48,312 · median $22,218 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $8,721 – $32,255 · median $15,022 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $5,953 – $25,328 · median $11,796 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $15,987 – $63,792 · median $22,027 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,959 – $33,652 · median $12,344 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,097 – $30,333 · median $8,568 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $9,797 – $35,971 · median $15,960 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,271 – $27,632 · median $7,481 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,720 – $46,705 · median $19,825 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $5,860 – $23,976 · median $11,166 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,703 – $18,770 · median $8,742 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,780 – $35,554 · median $16,559 | 29 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,236 – $23,577 · median $10,980 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,847 – $23,577 · median $10,980 | 29 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,450 – $23,682 · median $9,379 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,150 – $29,924 · median $12,369 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,248 – $19,268 · median $8,317 | 29 plans |
| 509 | ARTHROSCOPY | $5,320 – $23,600 · median $10,991 | 29 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $6,436 – $38,396 · median $17,882 | 29 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $4,846 – $26,347 · median $12,270 | 29 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $4,307 – $21,599 · median $10,059 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,773 – $20,226 · median $9,608 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,857 – $14,164 · median $6,379 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $14,043 – $72,276 · median $19,713 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,030 – $33,157 · median $12,586 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,732 – $24,718 · median $9,397 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,839 – $48,147 · median $22,424 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $6,903 – $26,491 · median $12,337 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,777 – $19,254 · median $8,967 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,925 – $39,665 · median $9,827 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,696 – $18,921 · median $5,153 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,039 – $30,924 · median $8,434 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,682 – $19,097 · median $5,201 | 29 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $3,111 – $12,346 · median $5,865 | 29 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $1,834 – $9,021 · median $4,285 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,990 – $27,169 · median $12,653 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,108 – $17,385 · median $8,097 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,687 – $11,753 · median $5,474 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,469 – $33,458 · median $11,669 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,653 – $17,085 · median $6,667 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,432 – $13,459 · median $4,728 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,236 – $33,946 · median $15,810 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,828 – $15,553 · median $7,331 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,388 – $13,297 · median $4,762 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,839 – $27,064 · median $12,604 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,503 – $16,189 · median $7,540 | 29 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,881 – $11,581 · median $5,394 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,503 – $23,876 · median $10,676 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,112 – $15,098 · median $6,030 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,931 – $36,922 · median $8,416 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,790 – $27,272 · median $5,326 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,201 – $18,090 · median $8,425 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,907 – $10,969 · median $5,108 | 29 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $4,508 – $20,819 · median $9,696 | 29 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $2,618 – $11,604 · median $5,404 | 29 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,429 – $36,159 · median $11,614 | 29 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,171 – $32,297 · median $7,338 | 29 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,713 – $25,509 · median $5,269 | 29 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $6,607 – $24,259 · median $9,278 | 29 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $3,539 – $12,994 · median $5,592 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,126 – $29,871 · median $9,818 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,630 – $17,267 · median $6,380 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,397 – $14,939 · median $4,681 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,546 – $40,439 · median $18,834 | 29 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,467 – $23,745 · median $10,475 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,138 – $15,347 · median $7,148 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,104 – $82,729 · median $38,529 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $6,490 – $46,547 · median $21,678 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,390 – $26,824 · median $12,506 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,382 – $72,480 · median $34,431 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,879 – $35,772 · median $16,660 | 29 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,908 – $22,709 · median $10,576 | 29 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,907 – $43,787 · median $20,429 | 29 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,641 – $23,818 · median $11,093 | 29 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,022 – $19,334 · median $9,004 | 29 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,868 – $26,774 · median $10,957 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,635 – $22,147 · median $10,278 | 29 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,304 – $28,491 · median $12,810 | 29 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,912 – $26,668 · median $12,420 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $4,445 – $27,624 · median $12,865 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $2,853 – $16,426 · median $7,650 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,700 – $11,401 · median $5,310 | 29 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $6,001 – $28,414 · median $13,295 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,035 – $14,524 · median $6,764 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,538 – $23,600 · median $10,991 | 29 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,883 – $14,494 · median $6,885 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,412 – $11,485 · median $5,349 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,263 – $12,851 · median $5,985 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,086 – $8,054 · median $3,751 | 29 plans |
| 602 | CELLULITIS WITH MCC | $3,784 – $19,737 · median $9,192 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,957 – $11,833 · median $5,511 | 29 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,085 – $22,343 · median $9,295 | 29 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,051 – $12,409 · median $5,779 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,899 – $21,633 · median $10,075 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,901 – $11,610 · median $5,407 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,213 – $33,829 · median $14,259 | 29 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,507 – $25,400 · median $8,992 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,183 – $51,922 · median $24,192 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,771 – $33,972 · median $12,130 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,654 – $27,019 · median $7,790 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,580 – $42,520 · median $17,059 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,252 – $30,762 · median $9,992 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,638 – $26,316 · median $9,275 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,992 – $83,548 · median $23,412 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,136 – $26,203 · median $11,968 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,555 – $24,713 · median $6,464 | 29 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,020 – $50,253 · median $17,938 | 29 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,271 – $20,276 · median $9,443 | 29 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,045 – $17,020 · median $7,926 | 29 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,535 – $88,947 · median $24,687 | 29 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,680 – $30,214 · median $14,072 | 29 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,138 – $18,864 · median $8,767 | 29 plans |
| 637 | DIABETES WITH MCC | $3,642 – $19,564 · median $9,111 | 29 plans |
| 638 | DIABETES WITH CC | $2,457 – $12,322 · median $5,739 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,699 – $8,418 · median $3,920 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $3,075 – $17,840 · median $8,309 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,902 – $10,497 · median $4,889 | 29 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,505 – $16,673 · median $7,920 | 29 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,991 – $22,264 · median $10,369 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,559 – $13,883 · median $6,490 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,894 – $10,627 · median $4,872 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $19,162 – $74,889 · median $34,878 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,335 – $37,947 · median $17,657 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,734 – $27,906 · median $12,997 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $14,795 – $65,835 · median $20,384 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,301 – $31,664 · median $11,438 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,830 – $26,934 · median $9,410 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $11,735 – $47,029 · median $16,169 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,590 – $20,524 · median $8,551 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,144 – $15,215 · median $6,551 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $8,541 – $41,909 · median $19,518 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,585 – $20,519 · median $9,556 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,398 – $16,149 · median $6,756 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $8,968 – $46,127 · median $21,483 | 29 plans |
| 666 | PROSTATECTOMY WITH CC | $6,158 – $22,612 · median $10,498 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,475 – $13,807 · median $6,431 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,992 – $39,178 · median $18,246 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,449 – $20,789 · median $9,682 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,156 – $12,839 · median $5,979 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,798 – $23,156 · median $10,784 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,667 – $14,702 · median $6,847 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $14,629 – $56,283 · median $26,213 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,086 – $31,011 · median $14,561 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,374 – $21,028 · median $9,793 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $5,761 – $21,153 · median $9,397 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $3,486 – $12,800 · median $5,561 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,423 – $8,897 · median $3,800 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,572 – $25,332 · median $11,798 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,518 – $16,588 · median $6,586 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,289 – $15,113 · median $4,622 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,001 – $15,722 · median $7,322 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,801 – $10,782 · median $5,022 | 29 plans |
| 693 | URINARY STONES WITH MCC | $4,498 – $19,753 · median $9,200 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,506 – $10,497 · median $4,889 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,121 – $21,797 · median $7,197 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,087 – $9,294 · median $4,328 | 29 plans |
| 697 | URETHRAL STRICTURE | $2,349 – $13,458 · median $6,393 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,658 – $22,581 · median $10,517 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,663 – $13,701 · median $6,381 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,152 – $12,081 · median $4,343 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,917 – $26,070 · median $12,142 | 29 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,401 – $19,916 · median $9,275 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $6,763 – $30,188 · median $14,059 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,444 – $20,170 · median $9,394 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,729 – $25,667 · median $12,193 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,014 – $14,369 · median $6,826 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,129 – $19,426 · median $9,047 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,586 – $12,624 · median $5,879 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $5,662 – $30,338 · median $14,129 | 29 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,494 – $19,067 · median $8,880 | 29 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,495 – $24,927 · median $11,609 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,575 – $16,549 · median $7,707 | 29 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $7,331 – $26,916 · median $11,033 | 29 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $5,099 – $22,249 · median $7,026 | 29 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,309 – $16,063 · median $4,650 | 29 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,208 – $16,962 · median $7,900 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,118 – $10,000 · median $4,657 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,562 – $19,740 · median $9,193 | 29 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,841 – $10,977 · median $5,112 | 29 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,118 – $14,789 · median $6,888 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,756 – $11,439 · median $3,800 | 29 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $6,421 – $28,249 · median $13,419 | 29 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,236 – $19,226 · median $7,703 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $9,894 – $52,898 · median $24,636 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $5,935 – $26,847 · median $12,503 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,870 – $20,378 · median $9,491 | 29 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $6,253 – $53,479 · median $24,907 | 29 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $4,039 – $24,427 · median $11,376 | 29 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $3,329 – $18,453 · median $8,594 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,800 – $24,540 · median $11,429 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,972 – $16,103 · median $7,500 | 29 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,247 – $26,250 · median $12,225 | 29 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,004 – $13,767 · median $6,412 | 29 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,265 – $22,497 · median $10,477 | 29 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,631 – $13,333 · median $5,976 | 29 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,538 – $18,301 · median $8,588 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,817 – $34,775 · median $16,196 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,035 – $17,323 · median $8,229 | 29 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,432 – $27,288 · median $11,320 | 29 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,812 – $14,913 · median $6,945 | 29 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,802 – $12,829 · median $6,050 | 29 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,838 – $19,013 · median $9,032 | 29 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,880 – $13,693 · median $6,377 | 29 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,912 – $8,598 · median $4,004 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,975 – $13,241 · median $6,166 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,523 – $9,263 · median $3,966 | 29 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,131 – $24,435 · median $6,859 | 29 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,955 – $18,667 · median $8,954 | 29 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,075 – $14,455 · median $6,732 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,576 – $9,585 · median $4,464 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $1,722 – $12,558 · median $5,849 | 29 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $16,564 – $63,876 · median $30,285 | 29 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $11,577 – $42,508 · median $18,230 | 29 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,455 – $35,789 · median $10,477 | 29 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $11,712 – $48,158 · median $22,429 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $5,186 – $23,913 · median $11,358 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,396 – $16,142 · median $7,056 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,081 – $30,768 · median $14,329 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,704 – $16,638 · median $7,749 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,737 – $12,786 · median $5,955 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,304 – $18,900 · median $8,802 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,294 – $12,398 · median $5,774 | 29 plans |
| 813 | COAGULATION DISORDERS | $3,540 – $20,796 · median $9,685 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,402 – $28,084 · median $13,079 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,466 – $13,650 · median $6,357 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,642 – $9,700 · median $4,126 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $18,851 – $78,217 · median $36,961 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,174 – $33,684 · median $13,967 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,194 – $24,610 · median $7,299 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $21,250 – $85,858 · median $29,278 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,230 – $29,547 · median $13,761 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,534 – $16,650 · median $7,855 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $21,686 – $107,701 · median $29,878 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,613 – $38,968 · median $14,765 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,055 – $21,533 · median $10,029 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $9,369 – $41,428 · median $19,294 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,201 – $19,647 · median $9,333 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $23,766 – $87,262 · median $34,582 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $9,699 – $54,518 · median $13,764 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,652 – $20,055 · median $8,109 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $22,738 – $103,405 · median $31,443 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,352 – $27,247 · median $12,690 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,103 – $18,410 · median $8,574 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,276 – $42,841 · median $19,952 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,362 – $21,065 · median $9,810 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,996 – $14,672 · median $6,581 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,347 – $26,976 · median $11,846 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,656 – $16,056 · median $7,478 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,031 – $11,242 · median $5,287 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,966 – $34,308 · median $15,978 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,234 – $17,071 · median $7,950 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,719 – $14,007 · median $5,124 | 29 plans |
| 849 | RADIOTHERAPY | $3,726 – $35,884 · median $16,712 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $21,963 – $80,642 · median $31,291 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,073 – $61,120 · median $12,751 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,382 – $51,813 · median $10,476 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,577 – $60,866 · median $28,227 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $6,511 – $29,271 · median $13,632 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,066 – $18,603 · median $8,061 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,665 – $24,701 · median $11,504 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,751 – $13,433 · median $6,256 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,900 – $12,064 · median $5,618 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,969 – $19,827 · median $9,419 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,492 – $11,886 · median $5,536 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,305 – $28,807 · median $13,684 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,139 – $14,107 · median $6,635 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,766 – $9,667 · median $4,502 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $30,864 – $115,438 · median $43,524 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,701 – $26,359 · median $12,276 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,948 – $13,850 · median $6,451 | 29 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $11,961 – $59,519 · median $27,720 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,360 – $30,695 · median $11,872 | 29 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,788 – $17,579 · median $7,627 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,979 – $51,870 · median $24,157 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,730 – $22,142 · median $10,312 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,792 – $29,320 · median $13,655 | 29 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $11,364 – $53,517 · median $24,924 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,831 – $32,426 · median $12,620 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,475 – $17,038 · median $8,094 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,264 – $21,740 · median $10,125 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,088 – $12,311 · median $5,734 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,426 – $23,347 · median $10,873 | 29 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,314 – $8,922 · median $4,155 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,272 – $22,028 · median $10,259 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,569 – $11,884 · median $5,535 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,259 – $24,498 · median $11,409 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,079 – $13,648 · median $6,356 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,109 – $9,239 · median $4,303 | 29 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,551 – $22,695 · median $10,666 | 29 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,903 – $13,701 · median $6,381 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $36,532 – $318,692 · median $148,423 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $16,800 – $89,724 · median $41,787 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $5,078 – $42,725 · median $19,898 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $11,162 – $58,128 · median $27,072 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,080 – $28,827 · median $13,425 | 29 plans |
| 935 | NON-EXTENSIVE BURNS | $2,563 – $29,506 · median $13,742 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $9,085 – $42,640 · median $19,858 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $6,675 – $28,365 · median $13,243 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,080 – $26,254 · median $12,227 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,698 – $17,279 · median $8,047 | 29 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,902 – $10,673 · median $4,971 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,620 – $14,495 · median $6,751 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,278 – $10,595 · median $3,777 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,237 – $8,215 · median $3,618 | 29 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $26,280 – $98,562 · median $42,722 | 29 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,358 – $131,083 · median $24,633 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,724 – $100,274 · median $46,700 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,023 – $66,175 · median $25,713 | 29 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,006 – $44,254 · median $16,542 | 29 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,337 – $56,176 · median $16,997 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,812 – $26,194 · median $9,385 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,144 – $20,017 · median $5,824 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $21,545 – $84,961 · median $40,360 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $12,049 – $56,718 · median $16,933 | 29 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $9,022 – $40,117 · median $18,683 | 29 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,732 – $19,095 · median $8,893 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,593 – $13,474 · median $6,275 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,638 – $19,370 · median $9,021 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $16,694 – $63,864 · median $29,743 | 29 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,536 – $32,890 · median $15,318 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,604 – $22,411 · median $10,437 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,332 – $47,055 · median $21,915 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $5,718 – $23,053 · median $10,736 | 29 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,937 – $15,523 · median $7,229 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,034 – $26,867 · median $11,525 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,034 – $16,964 · median $6,844 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,034 – $13,014 · median $5,520 | 28 plans |
| 787 | NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB | $2,034 – $16,640 · median $6,710 | 28 plans |
| 788 | NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE | $2,034 – $13,864 · median $5,717 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,131 – $22,599 · median $7,987 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,131 – $13,035 · median $6,073 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,034 – $15,749 · median $6,244 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,034 – $10,888 · median $4,546 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,034 – $9,451 · median $3,993 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $9,579 – $38,968 · median $16,020 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,695 – $20,910 · median $8,260 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,517 – $12,914 · median $5,236 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,310 – $15,825 · median $7,201 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,013 – $11,064 · median $4,676 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,013 – $7,393 · median $3,252 | 28 plans |
| 945 | REHABILITATION WITH CC/MCC | $6,404 – $29,003 · median $9,551 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,070 – $19,673 · median $6,985 | 28 plans |
| 140 | SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 | $4,018 – $61,269 · median $26,460 | 27 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,225 – $33,978 · median $13,442 | 27 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,744 – $24,763 · median $10,035 | 27 plans |
| 143 | STOMACH-- ESOPHAGEAL & DUODENAL PROC AGE 0-17 | $10,755 – $45,619 · median $20,659 | 27 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,338 – $26,944 · median $10,991 | 27 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,879 – $18,678 · median $7,464 | 27 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,190 – $63,118 · median $28,034 | 27 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,842 – $36,136 · median $14,772 | 27 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,842 – $47,152 · median $18,601 | 27 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $9,177 – $33,695 · median $13,453 | 27 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,034 – $23,931 · median $10,110 | 27 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,489 – $24,216 · median $11,278 | 27 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,131 – $13,035 · median $6,058 | 27 plans |
| 650 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W OTHER PROB | $16,746 – $69,466 · median $28,826 | 26 plans |
| 651 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $15,484 – $120,421 · median $21,943 | 26 plans |
| 652 | KIDNEY TRANSPLANT | $12,850 – $47,183 · median $19,216 | 26 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $5,463 – $79,862 · median $37,194 | 26 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,370 – $54,541 · median $25,401 | 26 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,440 – $32,909 · median $15,327 | 26 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,611 – $56,027 · median $26,093 | 26 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $633 – $24,362 · median $9,236 | 26 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $106,275 – $313,702 · median $176,237 | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $50,040 – $122,723 · median $68,946 | 25 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $156,483 – $574,568 · median $235,953 | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $43,687 – $118,599 · median $66,629 | 24 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $19,970 – $57,117 · median $30,339 | 24 plans |
| 007 | LUNG TRANSPLANT | $38,537 – $145,543 · median $81,766 | 24 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $21,600 – $60,596 · median $34,043 | 24 plans |
| 010 | PANCREAS TRANSPLANT | $17,419 – $88,793 · median $49,884 | 24 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $44,501 – $145,911 · median $81,972 | 24 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $25,279 – $67,220 · median $37,764 | 24 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,986 – $67,220 · median $37,764 | 24 plans |
| 795 | NORMAL NEWBORN | $464 – $2,405 · median $1,250 | 24 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $27,927 – $88,284 · median $49,598 | 23 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $13,935 – $41,224 · median $19,583 | 23 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $7,191 – $146,349 · median $68,158 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $32,091 – $94,938 · median $44,215 | 23 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $28,129 – $83,216 · median $38,756 | 23 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $21,124 – $62,494 · median $29,687 | 23 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $22,720 – $67,214 · median $31,304 | 23 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $14,551 – $43,048 · median $20,450 | 23 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $12,927 – $38,244 · median $18,167 | 23 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,216 – $24,305 · median $11,546 | 23 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $19,342 – $57,221 · median $27,182 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,509 – $42,923 · median $20,390 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $12,997 – $38,449 · median $18,265 | 23 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,252 – $33,287 · median $15,813 | 23 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,871 – $20,328 · median $9,657 | 23 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $5,103 – $19,754 · median $7,172 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $16,882 – $52,790 · median $25,078 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,876 – $12,878 · median $5,998 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $3,476 – $12,280 · median $5,719 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,825 – $12,924 · median $6,139 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,727 – $24,905 · median $11,831 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,152 – $22,437 · median $10,739 | 23 plans |
| 885 | PSYCHOSES | $4,886 – $18,937 · median $8,819 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,365 – $24,134 · median $11,240 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,275 – $16,477 · median $7,665 | 23 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $2,540 – $8,384 · median $3,905 | 23 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $4,948 – $19,451 · median $9,240 | 23 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $8,087 – $23,923 · median $11,142 | 23 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $3,916 – $11,851 · median $5,575 | 22 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC | $28,092 – $83,108 · median $39,867 | 21 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $10,259 – $52,556 · median $24,967 | 21 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $11,907 – $140,727 · median $66,851 | 21 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $11,461 – $95,418 · median $45,327 | 21 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $9,067 – $73,942 · median $35,126 | 21 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $37,875 – $112,048 · median $53,488 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $24,842 – $73,491 · median $35,082 | 20 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $30,446 – $90,071 · median $42,997 | 20 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,543 – $54,858 · median $26,187 | 20 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,387 – $69,186 · median $33,028 | 20 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,014 – $41,457 · median $19,790 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $41,831 – $123,753 · median $59,076 | 20 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $30,117 – $159,952 · median $42,052 | 14 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,866 – $58,257 · median $21,621 | 14 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $35,344 – $129,775 · median $51,364 | 10 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $27,588 – $101,295 · median $35,281 | 10 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $23,904 – $87,770 · median $26,860 | 10 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $33,634 – $123,496 · median $42,813 | 8 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $27,259 – $105,911 · median $33,295 | 8 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $30,676 – $112,636 · median $38,836 | 8 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $25,651 – $96,902 · median $29,597 | 8 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,784 – $91,002 · median $35,478 | 8 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,132 – $77,593 · median $27,874 | 8 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $14,408 – $65,034 · median $17,725 | 8 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $9,240 – $49,613 · median $13,522 | 8 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $14,061 – $52,381 · median $16,080 | 8 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $8,703 – $39,484 · median $10,761 | 8 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $12,579 – $46,188 · median $14,822 | 8 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $7,793 – $36,013 · median $9,815 | 8 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,619 – $22,352 · median $6,216 | 8 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $7,253 – $26,631 · median $11,655 | 8 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $7,069 – $26,413 · median $7,284 | 8 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,492 – $16,494 · median $5,444 | 8 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $8,305 – $32,581 · median $13,573 | 5 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $5,781 – $25,472 · median $9,448 | 5 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $10,396 – $50,035 · median $12,315 | 4 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $6,564 – $42,431 · median $7,633 | 4 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $12,212 – $26,951 · median $13,457 | 4 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $7,218 – $21,402 · median $7,683 | 4 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $9,749 – $21,591 · median $10,377 | 4 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $5,491 – $11,643 · median $5,817 | 4 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $5,459 – $10,051 · median $7,755 | 2 plans |
| 104 | CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 | $22,241 – $22,241 · median $22,241 | 1 plans |
| 105 | TRAUMATIC STUPOR AND COMA COMA <1 HR AGE 0-17 | $4,319 – $4,319 · median $4,319 | 1 plans |
| 106 | CONCUSSION AGE 0-17 | $5,183 – $5,183 · median $5,183 | 1 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $4,295 – $4,295 · median $4,295 | 1 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $7,786 – $7,786 · median $7,786 | 1 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $8,674 – $8,674 · median $8,674 | 1 plans |
| 111 | SINUS AND MASTOID PROCEDURES AGE 0-17 | $14,433 – $14,433 · median $14,433 | 1 plans |
| 112 | OTITIS MEDIA AND URI AGE 0-17 | $2,750 – $2,750 · median $2,750 | 1 plans |
| 118 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 | $5,182 – $5,182 · median $5,182 | 1 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $4,922 – $4,922 · median $4,922 | 1 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $5,386 – $5,386 · median $5,386 | 1 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $6,312 – $6,312 · median $6,312 | 1 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $14,510 – $14,510 · median $14,510 | 1 plans |
| 162 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 | $9,969 – $9,969 · median $9,969 | 1 plans |
| 169 | FX-- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH AGE 0-17 | $4,410 – $4,410 · median $4,410 | 1 plans |
| 170 | CELLULITIS AGE 0-17 | $3,249 – $3,249 · median $3,249 | 1 plans |
| 171 | TRAUMA TO THE SKIN-SUBCUT TISS & BREAST AGE 0-17 | $3,568 – $3,568 · median $3,568 | 1 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 | $4,211 – $4,211 · median $4,211 | 1 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $3,440 – $3,440 · median $3,440 | 1 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $5,403 – $5,403 · median $5,403 | 1 plans |
| 211 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 | $6,192 – $6,192 · median $6,192 | 1 plans |
| 213 | SPLENECTOMY AGE 0-17 | $13,686 – $13,686 · median $13,686 | 1 plans |
| 214 | RED BLOOD CELL DISORDERS AGE 0-17 | $4,175 – $4,175 · median $4,175 | 1 plans |
| 318 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MCC | $33,085 – $33,085 · median $33,085 | 1 plans |
| 359 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $112,354 – $112,354 · median $112,354 | 1 plans |
| 360 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,748 – $50,748 · median $50,748 | 1 plans |
| 361 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $52,474 – $52,474 · median $52,474 | 1 plans |
| 362 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,398 – $32,398 · median $32,398 | 1 plans |
| 363 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $29,440 – $29,440 · median $29,440 | 1 plans |
| 364 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,067 – $25,067 · median $25,067 | 1 plans |
| 396 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,551 – $31,551 · median $31,551 | 1 plans |
| 400 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 | $8,002 – $8,002 · median $8,002 | 1 plans |
| 401 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC | $16,640 – $16,640 · median $16,640 | 1 plans |
| 608 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $37,076 – $37,076 · median $37,076 | 1 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $19,352 – $19,352 · median $19,352 | 1 plans |
| 610 | NEONATE- DIED WITHIN ONE DAY OF BIRTH | $2,717 – $2,717 · median $2,717 | 1 plans |
| 611 | NEONATE- TRANSFERRED <5 DAYS OLD | $1,957 – $1,957 · median $1,957 | 1 plans |
| 612 | NEONATE- BIRTHWT <750G-- DISCHARGED ALIVE | $217,287 – $217,287 · median $217,287 | 1 plans |
| 613 | NEONATE- BIRTHWT <750G- DIED | $77,067 – $77,067 · median $77,067 | 1 plans |
| 631 | NEONATE- BIRTHWT 750-999G- DISCHARGED ALIVE | $174,511 – $174,511 · median $174,511 | 1 plans |
| 632 | NEONATE- BIRTHWT 750-999G- DIED | $64,773 – $64,773 · median $64,773 | 1 plans |
| 633 | NEONATE- BIRTHWT 1000-1499G- W SIGNIF O.R. PRO- DISCHARGED ALIVE | $179,139 – $179,139 · median $179,139 | 1 plans |
| 634 | NEONATE- BIRTHWT 1000-1499G- W/O SIGNIF O.R. PROC- DISCHARGED ALIVE | $80,655 – $80,655 · median $80,655 | 1 plans |
| 635 | NEONATE- BIRTHWT 1000-1499G- DIED | $84,974 – $84,974 · median $84,974 | 1 plans |
| 636 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC W MULT MAJOR PROB | $199,389 – $199,389 · median $199,389 | 1 plans |
| 646 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $46,720 – $46,720 · median $46,720 | 1 plans |
| 647 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $52,096 – $52,096 · median $52,096 | 1 plans |
| 648 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $35,818 – $35,818 · median $35,818 | 1 plans |
| 649 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MINOR PROB | $26,317 – $26,317 · median $26,317 | 1 plans |
| 676 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $24,946 – $24,946 · median $24,946 | 1 plans |
| 677 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $32,618 – $32,618 · median $32,618 | 1 plans |
| 678 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $18,636 – $18,636 · median $18,636 | 1 plans |
| 679 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MINOR PROB | $10,114 – $10,114 · median $10,114 | 1 plans |
| 680 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W OTHER PROB | $6,790 – $6,790 · median $6,790 | 1 plans |
| 681 | NEONATE- BIRTHWT >2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $102,820 – $102,820 · median $102,820 | 1 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH MCC | $8,425 – $8,425 · median $8,425 | 1 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH CC | $5,857 – $5,857 · median $5,857 | 1 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT CC/MCC | $5,824 – $5,824 · median $5,824 | 1 plans |
| 765 | MATERNITY | $5,946 – $5,946 · median $5,946 | 1 plans |
| 766 | MATERNITY | $4,240 – $4,240 · median $4,240 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $4,661 – $4,661 · median $4,661 | 1 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,373 – $8,373 · median $8,373 | 1 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,951 – $6,951 · median $6,951 | 1 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,892 – $5,892 · median $5,892 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $4,168 – $4,168 · median $4,168 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $3,190 – $3,190 · median $3,190 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $5,181 – $5,181 · median $5,181 | 1 plans |
| 778 | THREATENED ABORTION | $3,183 – $3,183 · median $3,183 | 1 plans |
| 780 | FALSE LABOR | $3,193 – $3,193 · median $3,193 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $4,282 – $4,282 · median $4,282 | 1 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $2,466 – $2,466 · median $2,466 | 1 plans |
| 898 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC | $6,950 – $6,950 · median $6,950 | 1 plans |
| 899 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC | $7,209 – $7,209 · median $7,209 | 1 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $17,855 – $17,855 · median $17,855 | 1 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $9,461 – $9,461 · median $9,461 | 1 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $5,825 – $5,825 · median $5,825 | 1 plans |
No procedures match that keyword.