Lake Granbury Medical Center — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $155,764 – $435,406 · median $174,558 | 25 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $102,281 – $285,873 · median $114,546 | 25 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,375 – $115,583 · median $46,204 | 25 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,395 – $90,476 · median $36,128 | 25 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,718 – $63,420 · median $25,269 | 25 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $58,889 – $213,923 · median $65,856 | 25 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,212 – $154,203 · median $44,900 | 25 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,862 – $124,970 · median $27,675 | 25 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,378 – $127,171 · median $48,452 | 25 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,189 – $88,103 · median $33,653 | 25 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,793 – $97,182 · median $38,819 | 25 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,367 – $68,031 · median $27,120 | 25 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,115 – $56,142 · median $22,348 | 25 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,394 – $126,822 · median $50,714 | 25 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,560 – $74,164 · median $29,581 | 25 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,738 – $49,496 · median $19,681 | 25 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,313 – $95,840 · median $38,280 | 25 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,272 – $48,194 · median $19,159 | 25 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,877 – $38,702 · median $15,349 | 25 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,890 – $102,902 · median $33,318 | 25 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,154 – $53,457 · median $21,271 | 25 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,907 – $44,378 · median $17,627 | 25 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,694 – $71,740 · median $28,609 | 25 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,585 – $37,884 · median $15,021 | 25 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,342 – $28,818 · median $11,383 | 25 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,821 – $83,281 · median $33,240 | 25 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,763 – $49,567 · median $19,710 | 25 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,347 – $40,016 · median $15,877 | 25 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,953 – $41,711 · median $16,557 | 25 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,918 – $24,837 · median $9,785 | 25 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,890 – $35,944 · median $14,242 | 25 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,211 – $25,656 · median $10,114 | 25 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,665 – $52,947 · median $20,722 | 25 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,213 – $31,253 · median $12,360 | 25 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,215 – $44,492 · median $15,729 | 25 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,816 – $30,144 · median $11,915 | 25 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,487 – $23,632 · median $9,302 | 25 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,813 – $62,424 · median $24,255 | 25 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,561 – $47,705 · median $16,117 | 25 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,998 – $39,095 · median $13,241 | 25 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,402 – $45,761 · median $18,182 | 25 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,144 – $28,190 · median $10,038 | 25 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,780 – $22,292 · median $7,386 | 25 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,468 – $37,126 · median $13,769 | 25 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,085 – $24,067 · median $8,851 | 25 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,610 – $21,179 · median $8,317 | 25 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,891 – $40,021 · median $15,365 | 25 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,257 – $25,786 · median $10,166 | 25 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,301 – $20,315 · median $7,970 | 25 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,452 – $37,513 · median $14,872 | 25 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,292 – $25,883 · median $10,205 | 25 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,724 – $43,865 · median $17,421 | 25 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,801 – $21,714 · median $8,532 | 25 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,031 – $40,805 · median $14,400 | 25 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,054 – $25,216 · median $9,937 | 25 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,651 – $18,500 · median $7,242 | 25 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,944 – $41,685 · median $16,546 | 25 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,312 – $23,142 · median $9,105 | 25 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,393 – $51,329 · median $20,417 | 25 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,940 – $33,285 · median $13,176 | 25 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,748 – $24,362 · median $9,595 | 25 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,294 – $51,052 · median $20,306 | 25 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,264 – $31,397 · median $12,418 | 25 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,450 – $23,529 · median $9,260 | 25 plans |
| 088 | CONCUSSION WITH MCC | $11,620 – $32,393 · median $12,817 | 25 plans |
| 089 | CONCUSSION WITH CC | $9,784 – $27,258 · median $10,757 | 25 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,787 – $21,673 · median $8,515 | 25 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,554 – $40,594 · median $16,109 | 25 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,236 – $25,725 · median $10,141 | 25 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,591 – $21,128 · median $8,296 | 25 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,342 – $82,165 · median $30,459 | 25 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,523 – $65,060 · median $22,807 | 25 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,523 – $57,283 · median $22,807 | 25 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,012 – $78,223 · median $31,210 | 25 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,461 – $51,518 · median $20,493 | 25 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,697 – $32,608 · median $12,904 | 25 plans |
| 100 | SEIZURES WITH MCC | $15,864 – $44,256 · median $17,578 | 25 plans |
| 101 | SEIZURES WITHOUT MCC | $8,362 – $23,283 · median $9,162 | 25 plans |
| 102 | HEADACHES WITH MCC | $9,946 – $27,710 · median $10,938 | 25 plans |
| 103 | HEADACHES WITHOUT MCC | $7,881 – $21,939 · median $8,622 | 25 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,868 – $52,658 · median $20,950 | 25 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,629 – $32,417 · median $12,827 | 25 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,948 – $36,106 · median $14,308 | 25 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,930 – $59,702 · median $16,531 | 25 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,685 – $26,980 · median $10,645 | 25 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,253 – $28,570 · median $11,283 | 25 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,515 – $20,915 · median $8,211 | 25 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,608 – $21,174 · median $8,315 | 25 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,412 – $46,979 · median $12,584 | 25 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,385 – $20,550 · median $8,065 | 25 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,555 – $49,310 · median $19,476 | 25 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,180 – $28,265 · median $10,079 | 25 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,646 – $35,260 · median $13,968 | 25 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,243 – $22,951 · median $9,028 | 25 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,778 – $30,038 · median $11,873 | 25 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,752 – $91,476 · median $36,529 | 25 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,635 – $49,210 · median $19,567 | 25 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,395 – $37,353 · median $14,808 | 25 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,990 – $80,957 · median $30,438 | 25 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,385 – $40,121 · median $15,919 | 25 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,536 – $29,361 · median $11,601 | 25 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,173 – $54,028 · median $19,048 | 25 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,038 – $30,764 · median $12,164 | 25 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,597 – $21,144 · median $8,303 | 25 plans |
| 149 | DYSEQUILIBRIUM | $7,267 – $20,221 · median $7,933 | 25 plans |
| 150 | EPISTAXIS WITH MCC | $11,473 – $31,981 · median $12,652 | 25 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,140 – $19,864 · median $7,789 | 25 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,390 – $28,953 · median $11,437 | 25 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,170 – $19,950 · median $7,824 | 25 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,156 – $36,686 · median $14,540 | 25 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,463 – $23,565 · median $9,275 | 25 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,828 – $18,994 · median $7,440 | 25 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,268 – $39,795 · median $15,788 | 25 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,415 – $23,429 · median $9,220 | 25 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,955 – $19,347 · median $7,582 | 25 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,323 – $95,866 · median $38,291 | 25 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,123 – $56,164 · median $22,357 | 25 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,700 – $43,798 · median $17,395 | 25 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,926 – $80,777 · median $32,235 | 25 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,896 – $42,423 · median $16,493 | 25 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,726 – $32,689 · median $12,936 | 25 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,779 – $32,835 · median $12,995 | 25 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,654 – $21,304 · median $8,367 | 25 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,150 – $51,330 · median $14,534 | 25 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,895 – $32,815 · median $9,759 | 25 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,292 – $22,627 · median $7,960 | 25 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,625 – $40,792 · median $16,188 | 25 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,584 – $26,698 · median $10,532 | 25 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,283 – $20,266 · median $7,951 | 25 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,912 – $36,005 · median $14,267 | 25 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,534 – $26,559 · median $10,476 | 25 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,520 – $20,929 · median $8,217 | 25 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,120 – $36,584 · median $14,500 | 25 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,990 – $25,038 · median $9,866 | 25 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,018 – $19,524 · median $7,653 | 25 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,776 – $35,579 · median $11,870 | 25 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,850 – $27,443 · median $10,831 | 25 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,930 – $22,075 · median $8,677 | 25 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,472 – $17,999 · median $7,041 | 25 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,349 – $32,789 · median $12,513 | 25 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,661 – $21,322 · median $8,375 | 25 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,374 – $17,725 · median $6,931 | 25 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,504 – $43,250 · median $17,175 | 25 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,700 – $24,226 · median $9,540 | 25 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,010 – $19,503 · median $7,645 | 25 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,611 – $40,754 · median $16,173 | 25 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,789 – $27,272 · median $10,762 | 25 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,002 – $19,481 · median $7,636 | 25 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,860 – $24,675 · median $9,720 | 25 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,675 – $18,567 · median $7,269 | 25 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,672 – $21,353 · median $8,387 | 25 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,096 – $42,111 · median $16,717 | 25 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,642 – $24,064 · median $9,475 | 25 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,487 – $144,481 · median $54,185 | 25 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,752 – $60,721 · median $24,186 | 25 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $74,035 – $383,138 · median $82,851 | 25 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $72,771 – $206,421 · median $81,433 | 25 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,507 – $138,320 · median $55,329 | 25 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,507 – $138,320 · median $55,329 | 25 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,507 – $160,688 · median $64,306 | 25 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,495 – $113,124 · median $45,217 | 25 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,373 – $107,190 · median $42,836 | 25 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,700 – $153,508 · median $42,080 | 25 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,659 – $79,533 · median $27,448 | 25 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $62,959 – $184,711 · median $70,423 | 25 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,788 – $137,696 · median $51,156 | 25 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $57,267 – $160,017 · median $64,036 | 25 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,437 – $115,758 · median $46,274 | 25 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,381 – $123,989 · median $49,578 | 25 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,197 – $89,924 · median $35,906 | 25 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,513 – $108,835 · median $41,871 | 25 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,491 – $63,002 · median $25,015 | 25 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,857 – $33,054 · median $13,083 | 25 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,973 – $75,210 · median $27,800 | 25 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,271 – $57,013 · median $19,158 | 25 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,926 – $46,179 · median $16,526 | 25 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,907 – $97,501 · median $38,947 | 25 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,646 – $68,925 · median $19,578 | 25 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,655 – $55,437 · median $13,979 | 25 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,117 – $75,719 · median $30,205 | 25 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,642 – $57,616 · median $22,940 | 25 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,739 – $41,111 · median $16,316 | 25 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,380 – $59,680 · median $23,769 | 25 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,131 – $39,411 · median $15,634 | 25 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,738 – $27,128 · median $10,705 | 25 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,606 – $68,698 · median $27,388 | 25 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,482 – $46,889 · median $18,273 | 25 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,409 – $70,943 · median $28,289 | 25 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,528 – $43,317 · median $17,202 | 25 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,638 – $38,032 · median $15,081 | 25 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,991 – $66,981 · median $25,508 | 25 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,045 – $72,724 · median $29,003 | 25 plans |
| 265 | AICD LEAD PROCEDURES | $28,059 – $78,353 · median $31,263 | 25 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,266 – $178,877 · median $51,692 | 25 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,346 – $102,704 · median $40,562 | 25 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,702 – $144,457 · median $57,792 | 25 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,447 – $90,622 · median $36,186 | 25 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,085 – $111,978 · median $44,757 | 25 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,610 – $77,098 · median $30,759 | 25 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,333 – $56,752 · median $22,593 | 25 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,738 – $88,641 · median $35,391 | 25 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,691 – $71,732 · median $28,605 | 25 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,450 – $41,982 · median $14,871 | 25 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,482 – $27,783 · median $9,296 | 25 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,060 – $24,629 · median $7,701 | 25 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,183 – $57,591 · median $17,937 | 25 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,836 – $24,284 · median $7,449 | 25 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,160 – $18,762 · median $6,690 | 25 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,865 – $49,853 · median $19,825 | 25 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,577 – $27,398 · median $10,525 | 25 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,444 – $98,473 · median $23,840 | 25 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,196 – $41,554 · median $15,707 | 25 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,559 – $33,962 · median $9,382 | 25 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,127 – $31,014 · median $12,264 | 25 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,974 – $22,197 · median $8,725 | 25 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,921 – $16,458 · median $6,422 | 25 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,723 – $29,882 · median $11,810 | 25 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,544 – $20,996 · median $8,244 | 25 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,144 – $38,829 · median $14,527 | 25 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,414 – $19,314 · median $6,976 | 25 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,117 – $14,209 · median $5,520 | 25 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,658 – $38,089 · median $15,104 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,558 – $26,627 · median $10,504 | 25 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,036 – $19,574 · median $7,673 | 25 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,495 – $29,245 · median $11,554 | 25 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,699 – $18,631 · median $7,295 | 25 plans |
| 304 | HYPERTENSION WITH MCC | $10,447 – $29,112 · median $11,501 | 25 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,293 – $20,292 · median $7,961 | 25 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,245 – $74,496 · median $14,640 | 25 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,439 – $23,498 · median $9,248 | 25 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,548 – $29,396 · median $11,615 | 25 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,152 – $19,899 · median $7,803 | 25 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,922 – $16,460 · median $6,423 | 25 plans |
| 311 | ANGINA PECTORIS | $6,907 – $19,213 · median $7,528 | 25 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,138 – $22,655 · median $8,909 | 25 plans |
| 313 | CHEST PAIN | $7,038 – $19,581 · median $7,675 | 25 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,940 – $47,265 · median $18,786 | 25 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,803 – $24,514 · median $9,656 | 25 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,763 – $18,812 · median $7,367 | 25 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,990 – $106,119 · median $42,406 | 25 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,544 – $54,546 · median $21,708 | 25 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,437 – $37,473 · median $14,856 | 25 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,155 – $98,192 · median $39,225 | 25 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,203 – $53,593 · median $21,325 | 25 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,022 – $39,107 · median $15,512 | 25 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,077 – $78,404 · median $31,283 | 25 plans |
| 333 | RECTAL RESECTION WITH CC | $18,804 – $52,477 · median $20,878 | 25 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,696 – $38,195 · median $15,146 | 25 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,716 – $78,272 · median $30,878 | 25 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,110 – $47,742 · median $18,977 | 25 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,949 – $36,108 · median $14,308 | 25 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,549 – $57,356 · median $22,836 | 25 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,729 – $35,493 · median $14,062 | 25 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,419 – $29,035 · median $11,470 | 25 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,466 – $51,532 · median $20,499 | 25 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,309 – $31,521 · median $12,467 | 25 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,130 – $22,635 · median $8,901 | 25 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,890 – $55,513 · median $22,096 | 25 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,873 – $35,895 · median $14,223 | 25 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,286 – $28,662 · median $11,320 | 25 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,864 – $65,755 · median $25,434 | 25 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,018 – $39,097 · median $15,508 | 25 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,571 – $32,255 · median $12,762 | 25 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,677 – $94,061 · median $37,567 | 25 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,683 – $52,138 · median $20,742 | 25 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,955 – $33,328 · median $13,193 | 25 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,362 – $41,286 · median $14,771 | 25 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,070 – $25,263 · median $9,956 | 25 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,899 – $19,191 · median $7,519 | 25 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,676 – $40,936 · median $16,246 | 25 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,221 – $25,685 · median $10,125 | 25 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,092 – $19,731 · median $7,736 | 25 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,328 – $48,350 · median $19,222 | 25 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,589 – $29,509 · median $11,660 | 25 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,520 – $23,723 · median $9,338 | 25 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,074 – $42,050 · median $16,693 | 25 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,929 – $24,867 · median $9,797 | 25 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,388 – $17,764 · median $6,946 | 25 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,048 – $44,771 · median $17,785 | 25 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,674 – $26,952 · median $10,634 | 25 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,623 – $21,215 · median $8,331 | 25 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,830 – $32,979 · median $13,053 | 25 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,016 – $22,314 · median $8,773 | 25 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,292 – $37,067 · median $14,693 | 25 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,897 – $24,778 · median $9,761 | 25 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,757 – $18,796 · median $7,361 | 25 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,527 – $34,928 · median $13,835 | 25 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,544 – $20,996 · median $8,244 | 25 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,761 – $16,011 · median $6,243 | 25 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,015 – $30,700 · median $12,138 | 25 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,470 – $20,789 · median $8,161 | 25 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,416 – $37,412 · median $14,832 | 25 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,602 – $23,955 · median $9,431 | 25 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,523 – $18,141 · median $7,098 | 25 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,494 – $115,916 · median $46,338 | 25 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,851 – $63,793 · median $25,419 | 25 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,915 – $49,991 · median $19,880 | 25 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,677 – $85,373 · median $30,834 | 25 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,608 – $49,133 · median $19,536 | 25 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,331 – $37,177 · median $14,737 | 25 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,775 – $71,967 · median $28,700 | 25 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,065 – $54,725 · median $18,927 | 25 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,860 – $38,653 · median $15,330 | 25 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,656 – $77,226 · median $30,810 | 25 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,806 – $46,890 · median $18,636 | 25 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,704 – $32,626 · median $12,911 | 25 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,125 – $53,374 · median $21,238 | 25 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,085 – $39,284 · median $15,583 | 25 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,722 – $32,677 · median $12,931 | 25 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,528 – $74,072 · median $29,545 | 25 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,418 – $40,214 · median $15,956 | 25 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,966 – $33,360 · median $13,206 | 25 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,938 – $91,374 · median $35,615 | 25 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,685 – $53,328 · median $19,622 | 25 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,698 – $35,815 · median $14,026 | 25 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,091 – $44,893 · median $17,834 | 25 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,476 – $26,398 · median $10,412 | 25 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,984 – $19,428 · median $7,614 | 25 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,137 – $42,226 · median $16,764 | 25 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,020 – $27,917 · median $11,021 | 25 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,005 – $22,284 · median $8,760 | 25 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,640 – $39,045 · median $15,083 | 25 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,917 – $22,038 · median $8,662 | 25 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,323 – $17,581 · median $6,873 | 25 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,833 – $41,374 · median $16,422 | 25 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,817 – $24,555 · median $9,672 | 25 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,891 – $19,169 · median $7,510 | 25 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,935 – $38,864 · median $15,414 | 25 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,754 – $27,173 · median $10,723 | 25 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,816 – $21,756 · median $8,549 | 25 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $66,088 – $191,735 · median $73,935 | 25 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $46,178 – $129,262 · median $51,593 | 25 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $35,221 – $98,377 · median $39,299 | 25 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $62,766 – $193,720 · median $70,207 | 25 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,067 – $131,624 · median $50,347 | 25 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,080 – $104,715 · median $35,775 | 25 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $49,920 – $139,476 · median $55,793 | 25 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,347 – $79,158 · median $31,586 | 25 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,875 – $116,981 · median $46,765 | 25 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,109 – $68,025 · median $23,464 | 25 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,155 – $120,560 · median $48,201 | 25 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,407 – $68,143 · median $27,165 | 25 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,043 – $41,962 · median $16,658 | 25 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,571 – $110,540 · median $44,180 | 25 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,394 – $76,496 · median $30,517 | 25 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,747 – $60,706 · median $24,180 | 25 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,816 – $66,490 · median $26,502 | 25 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,806 – $44,096 · median $17,514 | 25 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,839 – $102,901 · median $41,114 | 25 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,184 – $64,724 · median $25,793 | 25 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,523 – $54,487 · median $21,684 | 25 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,953 – $92,035 · median $36,754 | 25 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,322 – $51,129 · median $20,337 | 25 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,376 – $28,913 · median $11,421 | 25 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,872 – $75,036 · median $29,931 | 25 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,653 – $54,850 · median $21,830 | 25 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,298 – $42,676 · median $16,944 | 25 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,939 – $64,038 · median $25,518 | 25 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,007 – $47,454 · median $18,862 | 25 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,646 – $38,055 · median $15,090 | 25 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,921 – $61,191 · median $24,375 | 25 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,222 – $70,422 · median $28,080 | 25 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,983 – $47,385 · median $18,834 | 25 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,176 – $36,741 · median $14,562 | 25 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,646 – $40,851 · median $16,212 | 25 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,916 – $30,071 · median $10,905 | 25 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,446 – $79,436 · median $31,697 | 25 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,210 – $56,409 · median $22,456 | 25 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,369 – $45,669 · median $18,146 | 25 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,113 – $78,505 · median $31,324 | 25 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,900 – $41,561 · median $16,497 | 25 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,580 – $29,483 · median $11,650 | 25 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,697 – $66,157 · median $26,368 | 25 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,429 – $45,838 · median $18,213 | 25 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,770 – $69,159 · median $27,573 | 25 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,495 – $40,429 · median $16,043 | 25 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,578 – $32,273 · median $12,769 | 25 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,060 – $61,580 · median $24,531 | 25 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,373 – $42,885 · median $17,028 | 25 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,819 – $41,336 · median $16,407 | 25 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,602 – $32,340 · median $12,796 | 25 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,918 – $41,612 · median $16,517 | 25 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,800 – $35,690 · median $14,141 | 25 plans |
| 509 | ARTHROSCOPY | $14,557 – $40,604 · median $16,113 | 25 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,724 – $66,232 · median $26,398 | 25 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,898 – $47,148 · median $18,739 | 25 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,823 – $38,550 · median $15,288 | 25 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,234 – $36,905 · median $14,628 | 25 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,231 – $25,711 · median $10,136 | 25 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,931 – $71,750 · median $27,752 | 25 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,888 – $48,876 · median $18,728 | 25 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,962 – $36,142 · median $14,322 | 25 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,923 – $80,768 · median $32,232 | 25 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,323 – $45,542 · median $18,094 | 25 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,651 – $35,274 · median $13,974 | 25 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,634 – $63,184 · median $25,175 | 25 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,176 – $47,924 · median $19,051 | 25 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,186 – $38,058 · median $14,575 | 25 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,662 – $21,327 · median $8,376 | 25 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,114 – $30,977 · median $12,249 | 25 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,673 – $21,357 · median $8,388 | 25 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,737 – $27,800 · median $9,582 | 25 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,040 – $19,587 · median $7,678 | 25 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,102 – $82,011 · median $17,846 | 25 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,218 – $32,809 · median $12,366 | 25 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,527 – $20,947 · median $8,224 | 25 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,628 – $44,798 · median $16,192 | 25 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,272 – $29,292 · median $10,182 | 25 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,289 – $20,282 · median $7,957 | 25 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,816 – $55,306 · median $22,013 | 25 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,181 – $28,369 · median $11,203 | 25 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,881 – $22,577 · median $8,621 | 25 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,821 – $58,780 · median $17,530 | 25 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,572 – $29,460 · median $11,641 | 25 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,156 – $22,706 · median $8,930 | 25 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,973 – $38,969 · median $15,457 | 25 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,788 – $24,474 · median $9,639 | 25 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,218 – $57,202 · median $12,366 | 25 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,837 – $21,813 · median $8,572 | 25 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,403 – $31,784 · median $12,573 | 25 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,840 – $21,823 · median $8,576 | 25 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,600 – $35,133 · median $13,917 | 25 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,294 – $23,093 · median $9,085 | 25 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,342 – $69,330 · median $16,993 | 25 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,983 – $27,848 · median $10,981 | 25 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,647 – $21,282 · median $8,358 | 25 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,150 – $33,873 · median $13,412 | 25 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,311 – $23,140 · median $9,104 | 25 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,012 – $50,846 · median $14,378 | 25 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,883 – $24,740 · median $9,746 | 25 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,251 – $20,175 · median $7,914 | 25 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,483 – $68,355 · median $27,087 | 25 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,070 – $39,241 · median $15,566 | 25 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,130 – $28,225 · median $11,145 | 25 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,334 – $137,836 · median $55,135 | 25 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,994 – $75,376 · median $30,068 | 25 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,850 – $41,421 · median $16,441 | 25 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,365 – $104,371 · median $41,704 | 25 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,042 – $58,733 · median $23,389 | 25 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,467 – $37,725 · median $14,889 | 25 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,305 – $70,653 · median $28,172 | 25 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,349 – $40,022 · median $15,879 | 25 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,283 – $34,244 · median $13,560 | 25 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,790 – $44,049 · median $17,495 | 25 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,323 – $39,949 · median $15,850 | 25 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,342 – $48,391 · median $19,238 | 25 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,808 – $44,100 · median $17,516 | 25 plans |
| 592 | SKIN ULCERS WITH MCC | $15,853 – $44,226 · median $17,566 | 25 plans |
| 593 | SKIN ULCERS WITH CC | $10,420 – $30,439 · median $11,471 | 25 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,103 – $22,557 · median $8,870 | 25 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,197 – $47,985 · median $19,075 | 25 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,667 – $26,932 · median $10,626 | 25 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,907 – $41,340 · median $15,384 | 25 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,021 – $28,840 · median $11,023 | 25 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,396 – $20,582 · median $8,078 | 25 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,371 – $26,102 · median $10,293 | 25 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,204 – $17,248 · median $6,740 | 25 plans |
| 602 | CELLULITIS WITH MCC | $12,125 – $33,802 · median $13,383 | 25 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,132 – $22,641 · median $8,904 | 25 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,493 – $34,832 · median $13,796 | 25 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,460 – $23,555 · median $9,271 | 25 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,791 – $35,666 · median $14,131 | 25 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,390 – $23,361 · median $9,193 | 25 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,713 – $49,427 · median $19,654 | 25 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,965 – $33,356 · median $13,204 | 25 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,110 – $75,701 · median $30,198 | 25 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,381 – $42,907 · median $17,037 | 25 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,103 – $33,741 · median $13,359 | 25 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,758 – $64,162 · median $25,315 | 25 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,423 – $52,430 · median $14,840 | 25 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,756 – $40,735 · median $14,092 | 25 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,631 – $101,225 · median $30,782 | 25 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,827 – $43,938 · median $16,415 | 25 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,896 – $30,367 · median $12,004 | 25 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,721 – $66,224 · median $26,395 | 25 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,691 – $35,386 · median $14,019 | 25 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,450 – $31,916 · median $12,626 | 25 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,847 – $80,555 · median $32,146 | 25 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,619 – $49,164 · median $19,548 | 25 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,402 – $34,577 · median $13,694 | 25 plans |
| 637 | DIABETES WITH MCC | $12,236 – $34,115 · median $13,508 | 25 plans |
| 638 | DIABETES WITH CC | $8,316 – $23,154 · median $9,109 | 25 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,321 – $17,577 · median $6,871 | 25 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,503 – $32,064 · median $12,686 | 25 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,460 – $20,761 · median $8,149 | 25 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,130 – $33,818 · median $13,390 | 25 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,755 – $38,361 · median $15,213 | 25 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,250 – $25,766 · median $10,158 | 25 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,388 – $20,560 · median $8,069 | 25 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,506 – $110,358 · median $44,107 | 25 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,119 – $61,747 · median $24,598 | 25 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,168 – $47,902 · median $19,042 | 25 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,908 – $72,812 · median $27,727 | 25 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,089 – $42,090 · median $16,709 | 25 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,071 – $36,449 · median $14,445 | 25 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,245 – $56,507 · median $22,495 | 25 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,402 – $31,782 · median $12,572 | 25 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,326 – $26,814 · median $10,242 | 25 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,021 – $67,064 · median $26,732 | 25 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,842 – $35,808 · median $14,188 | 25 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,409 – $26,210 · median $10,336 | 25 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,454 – $68,274 · median $27,218 | 25 plans |
| 666 | PROSTATECTOMY WITH CC | $14,504 – $40,454 · median $16,052 | 25 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,839 – $27,412 · median $10,819 | 25 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,995 – $64,194 · median $25,580 | 25 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,073 – $36,453 · median $14,447 | 25 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,904 – $24,798 · median $9,770 | 25 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,835 – $41,380 · median $16,424 | 25 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,645 – $26,871 · median $10,601 | 25 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,290 – $90,184 · median $36,011 | 25 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,778 – $52,404 · median $20,849 | 25 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,721 – $38,266 · median $15,174 | 25 plans |
| 682 | RENAL FAILURE WITH MCC | $12,558 – $35,013 · median $13,869 | 25 plans |
| 683 | RENAL FAILURE WITH CC | $8,168 – $22,740 · median $8,943 | 25 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,170 – $17,153 · median $6,701 | 25 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,898 – $43,893 · median $16,495 | 25 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,416 – $26,228 · median $10,343 | 25 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,548 – $21,006 · median $8,248 | 25 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,231 – $28,509 · median $11,259 | 25 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,687 – $21,396 · median $8,404 | 25 plans |
| 693 | URINARY STONES WITH MCC | $11,568 – $32,245 · median $12,758 | 25 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,485 – $20,832 · median $8,178 | 25 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,112 – $28,175 · median $11,125 | 25 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,813 – $18,952 · median $7,423 | 25 plans |
| 697 | URETHRAL STRICTURE | $9,633 – $26,836 · median $10,587 | 25 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,815 – $38,529 · median $15,280 | 25 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,178 – $25,563 · median $10,076 | 25 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,820 – $18,970 · median $7,431 | 25 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,324 – $45,544 · median $18,095 | 25 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,943 – $36,092 · median $14,302 | 25 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,694 – $52,171 · median $20,755 | 25 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,979 – $33,395 · median $13,219 | 25 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,930 – $47,237 · median $18,775 | 25 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,792 – $27,280 · median $10,766 | 25 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,720 – $35,467 · median $14,051 | 25 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,485 – $26,423 · median $10,421 | 25 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,043 – $50,350 · median $20,024 | 25 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,485 – $34,810 · median $13,788 | 25 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,528 – $50,201 · median $17,202 | 25 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,557 – $32,216 · median $12,747 | 25 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,942 – $56,868 · median $16,544 | 25 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,104 – $28,152 · median $11,116 | 25 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,572 – $24,481 · median $7,152 | 25 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,303 – $28,710 · median $11,339 | 25 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,052 – $19,621 · median $7,692 | 25 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,571 – $35,051 · median $13,884 | 25 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,699 – $21,430 · median $8,418 | 25 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,495 – $36,163 · median $10,432 | 25 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,690 – $18,607 · median $7,285 | 25 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,265 – $48,997 · median $19,151 | 25 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,575 – $32,265 · median $12,766 | 25 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,742 – $83,612 · median $30,907 | 25 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,761 – $46,767 · median $18,586 | 25 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,467 – $34,759 · median $13,767 | 25 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,802 – $77,635 · median $30,975 | 25 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,941 – $41,677 · median $16,543 | 25 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,159 – $33,900 · median $13,422 | 25 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,124 – $42,188 · median $16,748 | 25 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,815 – $30,140 · median $11,913 | 25 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,678 – $46,533 · median $18,492 | 25 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,066 – $28,047 · median $11,073 | 25 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,415 – $40,206 · median $15,953 | 25 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,051 – $22,413 · median $8,812 | 25 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,878 – $33,113 · median $13,106 | 25 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,439 – $57,048 · median $22,712 | 25 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,520 – $34,907 · median $13,827 | 25 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,174 – $42,328 · median $16,804 | 25 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,706 – $27,039 · median $10,669 | 25 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,782 – $24,458 · median $9,633 | 25 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,201 – $36,695 · median $13,469 | 25 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,917 – $24,833 · median $9,783 | 25 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,629 – $18,437 · median $7,216 | 25 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,123 – $25,411 · median $10,015 | 25 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,954 – $16,549 · median $6,459 | 25 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,588 – $26,711 · median $10,537 | 25 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,072 – $39,247 · median $15,568 | 25 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,088 – $25,313 · median $9,976 | 25 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,564 – $18,256 · median $7,144 | 25 plans |
| 779 | ABORTION WITHOUT D&C | $7,829 – $22,040 · median $8,285 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,540 – $54,767 · median $20,587 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,505 – $26,477 · median $10,443 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,763 – $24,403 · median $9,611 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,780 – $38,430 · median $14,540 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,916 – $27,627 · median $10,905 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,770 – $24,423 · median $9,619 | 25 plans |
| 795 | NORMAL NEWBORN | $1,923 – $9,031 · median $3,395 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,280 – $28,645 · median $11,313 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,072 – $25,267 · median $9,958 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,758 – $24,389 · median $9,605 | 25 plans |
| 799 | SPLENECTOMY WITH MCC | $34,664 – $128,160 · median $38,674 | 25 plans |
| 800 | SPLENECTOMY WITH CC | $22,193 – $61,952 · median $24,680 | 25 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,661 – $43,690 · median $17,351 | 25 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,713 – $85,773 · median $34,240 | 25 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,298 – $42,676 · median $16,944 | 25 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,651 – $32,478 · median $12,852 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,205 – $26,865 · median $10,099 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,285 – $20,270 · median $7,952 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,706 – $18,652 · median $7,303 | 25 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,830 – $57,045 · median $19,785 | 25 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,997 – $30,651 · median $12,118 | 25 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,407 – $26,204 · median $10,334 | 25 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,001 – $33,457 · median $13,245 | 25 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,476 – $23,600 · median $9,289 | 25 plans |
| 813 | COAGULATION DISORDERS | $12,879 – $35,911 · median $14,229 | 25 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,241 – $48,107 · median $19,124 | 25 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,170 – $25,543 · median $10,068 | 25 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,400 – $17,796 · median $6,959 | 25 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $8,618 – $51,248 · median $19,265 | 25 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,618 – $28,487 · median $10,709 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,150 – $22,418 · median $8,427 | 25 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,354 – $129,683 · median $49,547 | 25 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,053 – $50,376 · median $20,035 | 25 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,548 – $29,396 · median $11,615 | 25 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,070 – $110,006 · median $39,129 | 25 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,248 – $50,924 · median $20,254 | 25 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,603 – $33,433 · median $12,798 | 25 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,744 – $114,776 · median $39,886 | 25 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,579 – $51,849 · median $20,626 | 25 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,174 – $39,531 · median $15,682 | 25 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,735 – $69,061 · median $27,534 | 25 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,732 – $35,500 · median $14,064 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,618 – $29,365 · median $11,039 | 25 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,050 – $19,613 · median $7,689 | 25 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,608 – $15,584 · median $6,071 | 25 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,634 – $149,659 · median $46,495 | 25 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,944 – $78,203 · median $18,791 | 25 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,661 – $47,136 · median $11,741 | 25 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,662 – $102,406 · median $40,916 | 25 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,956 – $49,494 · median $18,804 | 25 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,288 – $34,260 · median $13,567 | 25 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,279 – $85,651 · median $28,143 | 25 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,648 – $44,739 · median $15,093 | 25 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,144 – $30,191 · median $10,039 | 25 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,284 – $45,432 · median $18,050 | 25 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,646 – $29,667 · median $11,724 | 25 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,992 – $22,249 · median $8,747 | 25 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,619 – $57,553 · median $22,915 | 25 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,304 – $31,509 · median $12,463 | 25 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,977 – $22,205 · median $8,729 | 25 plans |
| 849 | RADIOTHERAPY | $18,546 – $59,926 · median $22,527 | 25 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,636 – $105,130 · median $42,009 | 25 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,308 – $45,499 · median $18,077 | 25 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,675 – $35,341 · median $14,001 | 25 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,808 – $97,223 · median $38,835 | 25 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,348 – $48,407 · median $19,244 | 25 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,919 – $33,226 · median $13,152 | 25 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,043 – $41,962 · median $16,658 | 25 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,054 – $25,216 · median $9,937 | 25 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,254 – $22,981 · median $9,040 | 25 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,683 – $35,364 · median $14,010 | 25 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,123 – $22,614 · median $8,893 | 25 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,998 – $80,145 · median $18,851 | 25 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,294 – $25,889 · median $10,207 | 25 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,108 – $19,777 · median $7,754 | 25 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,948 – $147,731 · median $58,068 | 25 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,905 – $44,372 · median $17,625 | 25 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,238 – $25,731 · median $10,144 | 25 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,254 – $97,670 · median $35,970 | 25 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,702 – $43,804 · median $17,397 | 25 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,299 – $28,698 · median $11,335 | 25 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,457 – $79,467 · median $31,709 | 25 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,575 – $35,062 · median $13,888 | 25 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,063 – $44,814 · median $17,802 | 25 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,663 – $82,837 · median $33,062 | 25 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,287 – $45,440 · median $18,054 | 25 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,337 – $31,600 · median $12,499 | 25 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,672 – $42,830 · median $15,119 | 25 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,238 – $22,937 · median $9,022 | 25 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,013 – $39,081 · median $15,502 | 25 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,648 – $18,492 · median $7,238 | 25 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,191 – $36,785 · median $14,580 | 25 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,032 – $22,361 · median $8,791 | 25 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,095 – $42,106 · median $16,716 | 25 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,086 – $25,305 · median $9,973 | 25 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,809 – $18,940 · median $7,418 | 25 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,504 – $40,456 · median $16,053 | 25 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,197 – $25,618 · median $9,698 | 25 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,134 – $92,469 · median $31,346 | 25 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,765 – $52,370 · median $20,835 | 25 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,523 – $46,099 · median $18,318 | 25 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,023 – $30,722 · median $12,147 | 25 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,622 – $21,213 · median $8,331 | 25 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,445 – $38,969 · median $11,498 | 25 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,369 – $17,709 · median $6,924 | 25 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,659 – $16,255 · median $6,110 | 25 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,637 – $141,480 · median $56,597 | 25 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,109 – $117,606 · median $32,441 | 25 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,084 – $159,504 · median $63,831 | 25 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,380 – $90,433 · median $36,111 | 25 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,170 – $64,683 · median $25,776 | 25 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,644 – $64,521 · median $24,065 | 25 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,932 – $36,059 · median $14,289 | 25 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,637 – $24,052 · median $9,470 | 25 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,214 – $129,114 · median $51,634 | 25 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,945 – $90,853 · median $23,280 | 25 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,748 – $70,849 · median $25,304 | 25 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,208 – $32,248 · median $12,355 | 25 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,363 – $23,285 · median $9,162 | 25 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,228 – $31,296 · median $12,377 | 25 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,846 – $100,125 · median $40,000 | 25 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,647 – $54,836 · median $21,824 | 25 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,248 – $39,738 · median $15,765 | 25 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,682 – $74,504 · median $29,718 | 25 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,737 – $38,310 · median $15,192 | 25 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,514 – $29,298 · median $11,575 | 25 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,404 – $65,338 · median $24,572 | 22 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $80,687 – $225,496 · median $84,743 | 22 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,533 – $149,577 · median $56,218 | 22 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $45,382 – $126,788 · median $47,655 | 22 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,314 – $98,638 · median $37,079 | 22 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $42,188 – $117,857 · median $44,300 | 22 plans |
| 279 | CELLULITIS AGE 0-17 | $27,973 – $78,114 · median $29,370 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,186 – $95,483 · median $35,893 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,262 – $53,757 · median $20,223 | 22 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,550 – $60,155 · median $22,626 | 22 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $14,603 – $40,732 · median $15,331 | 22 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $33,203 – $92,735 · median $34,861 | 22 plans |
| 324 | URINARY STONES W/O CC | $24,670 – $68,879 · median $25,902 | 22 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,101 – $70,083 · median $26,354 | 22 plans |
| 397 | COAGULATION DISORDERS | $19,186 – $53,546 · median $20,144 | 22 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $12,794 – $35,674 · median $13,432 | 22 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $10,118 – $28,193 · median $10,623 | 22 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,887 – $41,527 · median $15,630 | 22 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $44,924 – $125,508 · median $47,174 | 22 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,256 – $87,292 · median $32,817 | 22 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,580 – $54,647 · median $20,557 | 22 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,058 – $89,535 · median $33,659 | 22 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,521 – $34,909 · median $13,145 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,077 – $44,854 · median $16,880 | 22 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,083 – $33,687 · median $12,686 | 22 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $156,673 – $437,947 · median $164,567 | 22 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,840 – $150,435 · median $56,540 | 22 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,176 – $70,294 · median $26,434 | 22 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,061 – $83,950 · median $31,562 | 22 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,849 – $49,808 · median $18,740 | 22 plans |
| 935 | NON-EXTENSIVE BURNS | $16,757 – $46,754 · median $17,593 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,048 – $36,384 · median $13,699 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,134 – $28,236 · median $10,639 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $205,075 – $573,277 · median $215,502 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,006 – $234,777 · median $88,256 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,848 – $83,356 · median $31,339 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,780 – $24,452 · median $9,217 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $8,640 – $24,060 · median $9,070 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,604 – $26,755 · median $10,083 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,485 – $37,607 · median $14,158 | 21 plans |
| 885 | PSYCHOSES | $11,947 – $33,305 · median $12,542 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,868 – $47,065 · median $17,710 | 21 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,583 – $26,696 · median $10,060 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,290 – $17,490 · median $6,603 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,473 – $40,369 · median $15,195 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,219 – $22,882 · median $8,628 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $88,983 – $248,691 · median $93,458 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $315,024 – $880,685 · median $330,917 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,599 – $214,067 · median $80,470 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,448 – $99,013 · median $37,220 | 19 plans |
| 007 | LUNG TRANSPLANT | $184,656 – $516,187 · median $193,887 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,466 – $118,635 · median $44,597 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $53,862 – $150,496 · median $56,573 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,824 – $125,228 · median $47,075 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,217 – $115,141 · median $43,283 | 19 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,564 – $149,662 · median $56,260 | 19 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,915 – $100,319 · median $37,711 | 19 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,694 – $80,130 · median $30,127 | 19 plans |
| 652 | KIDNEY TRANSPLANT | $25,240 – $70,471 · median $26,500 | 19 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $10,240 · median $7,932 | 5 plans |
| 999 | UNGROUPABLE | $1,676 – $19,589 · median $10,632 | 2 plans |
No procedures match that keyword.