Longview Regional Medical Center (Acute Care) — 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,708 – $16,446 · median $8,671 | 32 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,056 – $35,763 · median $18,836 | 32 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,056 – $16,285 · median $8,587 | 32 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,973 – $14,857 · median $7,835 | 32 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,056 – $24,515 · median $12,917 | 32 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,056 – $17,077 · median $9,004 | 32 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,973 – $14,871 · median $7,843 | 32 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,708 – $17,778 · median $9,372 | 32 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,708 – $15,452 · median $8,148 | 32 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,708 – $14,847 · median $7,830 | 32 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,708 – $16,552 · median $8,727 | 32 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,708 – $12,011 · median $6,338 | 32 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,708 – $10,897 · median $5,752 | 32 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,090 – $138,078 · median $72,679 | 31 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,090 – $93,293 · median $49,117 | 31 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,090 – $93,293 · median $49,117 | 31 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,090 – $108,694 · median $57,219 | 31 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,090 – $75,944 · median $39,989 | 31 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,090 – $71,859 · median $37,840 | 31 plans |
| 795 | NORMAL NEWBORN | $475 – $4,675 · median $2,283 | 31 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $79,679 – $297,846 · median $158,283 | 30 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $49,279 – $194,887 · median $103,574 | 30 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $18,380 – $77,638 · median $41,280 | 30 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $13,725 – $60,351 · median $32,092 | 30 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,928 – $41,721 · median $22,191 | 30 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,637 – $116,253 · median $59,193 | 30 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,038 – $87,619 · median $40,090 | 30 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,683 – $66,469 · median $24,865 | 30 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $29,403 – $81,494 · median $43,329 | 30 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,386 – $56,104 · median $29,835 | 30 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $18,324 – $64,968 · median $34,546 | 30 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $12,161 – $44,897 · median $23,879 | 30 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,377 – $36,710 · median $19,528 | 30 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $24,678 – $85,376 · median $45,392 | 30 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,618 – $49,119 · median $26,123 | 30 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,394 – $32,135 · median $17,096 | 30 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $14,028 – $64,044 · median $34,055 | 30 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $8,130 – $210,350 · median $16,620 | 30 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,726 – $24,702 · median $13,146 | 30 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,352 – $55,529 · median $29,530 | 30 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,518 – $34,861 · median $18,545 | 30 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,604 – $28,610 · median $15,223 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $15,785 – $47,450 · median $25,236 | 30 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,417 – $24,139 · median $12,847 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,328 – $17,897 · median $9,529 | 30 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,811 – $55,396 · median $29,459 | 30 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,297 – $32,183 · median $16,967 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,313 – $25,607 · median $13,627 | 30 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,528 – $26,774 · median $14,247 | 30 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,970 – $15,156 · median $8,072 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,186 – $22,803 · median $12,137 | 30 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,889 – $15,720 · median $8,372 | 30 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,253 – $33,920 · median $18,045 | 30 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,452 – $19,574 · median $10,420 | 30 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,408 – $25,353 · median $13,492 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,726 – $18,810 · median $10,014 | 30 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,305 – $14,326 · median $7,631 | 30 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,908 – $39,980 · median $21,266 | 30 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,893 – $26,019 · median $13,846 | 30 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,751 – $21,084 · median $11,223 | 30 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,214 – $29,563 · median $15,729 | 30 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,502 – $15,590 · median $8,303 | 30 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,157 – $11,040 · median $5,885 | 30 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,006 – $21,991 · median $11,705 | 30 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,514 – $13,553 · median $7,220 | 30 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,442 – $12,637 · median $6,734 | 30 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,583 – $24,729 · median $13,160 | 30 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,021 – $15,809 · median $8,420 | 30 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,439 – $12,042 · median $6,417 | 30 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,183 – $23,884 · median $12,711 | 30 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,249 – $15,876 · median $8,455 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $6,044 – $28,257 · median $15,035 | 30 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,524 – $13,006 · median $6,929 | 30 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,584 – $23,074 · median $12,281 | 30 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,562 – $15,417 · median $8,211 | 30 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,465 – $10,792 · median $5,753 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $7,968 – $26,756 · median $14,238 | 30 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,182 – $13,989 · median $7,394 | 30 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $10,673 – $33,397 · median $17,767 | 30 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,660 – $20,973 · median $11,164 | 30 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,338 – $14,829 · median $7,899 | 30 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,554 – $33,205 · median $17,665 | 30 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,781 – $19,673 · median $10,473 | 30 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,736 – $14,255 · median $7,594 | 30 plans |
| 088 | CONCUSSION WITH MCC | $7,238 – $20,358 · median $10,837 | 30 plans |
| 089 | CONCUSSION WITH CC | $5,512 – $16,823 · median $8,958 | 30 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,986 – $12,978 · median $6,915 | 30 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,413 – $26,005 · median $13,838 | 30 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,187 – $15,767 · median $8,397 | 30 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,783 – $12,602 · median $6,715 | 30 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $18,149 – $50,624 · median $26,923 | 30 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,464 – $37,496 · median $19,946 | 30 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,003 – $37,496 · median $19,946 | 30 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,560 – $51,914 · median $27,608 | 30 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,293 – $33,527 · median $17,797 | 30 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,113 – $20,506 · median $10,916 | 30 plans |
| 100 | SEIZURES WITH MCC | $6,097 – $28,527 · median $15,178 | 30 plans |
| 101 | SEIZURES WITHOUT MCC | $3,921 – $14,086 · median $7,504 | 30 plans |
| 102 | HEADACHES WITH MCC | $5,468 – $17,134 · median $9,124 | 30 plans |
| 103 | HEADACHES WITHOUT MCC | $3,538 – $13,161 · median $7,012 | 30 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,702 – $34,311 · median $18,253 | 30 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,540 – $20,375 · median $10,846 | 30 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,647 – $22,915 · median $12,196 | 30 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,822 – $26,730 · median $14,501 | 30 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,201 – $16,632 · median $8,857 | 30 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,659 – $17,726 · median $9,397 | 30 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,096 – $12,455 · median $6,637 | 30 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,168 – $12,634 · median $6,732 | 30 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,759 – $19,958 · median $10,624 | 30 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,907 – $12,204 · median $6,504 | 30 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,122 – $31,783 · median $16,909 | 30 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,980 – $15,660 · median $8,340 | 30 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,015 – $22,333 · median $11,887 | 30 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,974 – $13,857 · median $7,382 | 30 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,994 – $18,737 · median $9,976 | 30 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $9,329 – $73,848 · median $32,458 | 30 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,329 – $31,938 · median $16,991 | 30 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,535 – $23,774 · median $12,652 | 30 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $7,396 – $53,796 · median $28,609 | 30 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,396 – $25,680 · median $13,665 | 30 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,339 – $29,567 · median $9,728 | 30 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,049 – $31,048 · median $16,850 | 30 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,951 – $19,237 · median $10,241 | 30 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,912 – $12,613 · median $6,721 | 30 plans |
| 149 | DYSEQUILIBRIUM | $3,793 – $11,978 · median $6,383 | 30 plans |
| 150 | EPISTAXIS WITH MCC | $7,678 – $20,075 · median $10,687 | 30 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,925 – $11,732 · median $6,253 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,951 – $17,990 · median $9,579 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,193 – $11,791 · median $6,284 | 30 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,617 – $23,314 · median $12,408 | 30 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,113 – $14,280 · median $7,607 | 30 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,729 – $11,133 · median $5,934 | 30 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,690 – $25,455 · median $13,546 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,996 – $14,187 · median $7,557 | 30 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,922 – $11,376 · median $6,063 | 30 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $19,915 – $64,062 · median $34,065 | 30 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $11,112 – $36,725 · median $19,536 | 30 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $8,021 – $28,211 · median $15,011 | 30 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $18,758 – $53,672 · median $28,543 | 30 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,010 – $26,664 · median $14,189 | 30 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,130 – $20,562 · median $10,946 | 30 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,318 – $20,663 · median $10,999 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,103 – $12,723 · median $6,780 | 30 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,928 – $23,303 · median $12,523 | 30 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,829 – $15,111 · median $8,126 | 30 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,103 – $12,025 · median $6,409 | 30 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,450 – $26,142 · median $13,911 | 30 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,165 – $16,438 · median $8,754 | 30 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,010 – $12,009 · median $6,400 | 30 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,103 – $22,845 · median $12,159 | 30 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,543 – $16,341 · median $8,702 | 30 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,594 – $12,465 · median $6,642 | 30 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,503 – $23,244 · median $12,371 | 30 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,211 – $15,294 · median $8,146 | 30 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,563 – $57,644 · median $6,128 | 30 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,700 – $18,733 · median $9,974 | 30 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,994 – $16,950 · median $9,026 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,636 – $13,254 · median $7,062 | 30 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,463 – $10,448 · median $5,570 | 30 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,816 – $19,836 · median $10,560 | 30 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,227 – $12,736 · median $6,786 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,720 – $10,259 · median $5,470 | 30 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,098 – $27,834 · median $14,810 | 30 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,892 – $14,736 · median $7,849 | 30 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,194 – $11,484 · median $6,121 | 30 plans |
| 199 | PNEUMOTHORAX WITH MCC | $6,952 – $26,115 · median $13,897 | 30 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,560 – $16,833 · median $8,964 | 30 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,975 – $11,468 · median $6,112 | 30 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,749 – $15,044 · median $8,013 | 30 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,305 – $10,839 · median $5,778 | 30 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,566 – $12,757 · median $6,797 | 30 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,268 – $27,049 · median $14,273 | 30 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,725 – $14,624 · median $7,790 | 30 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $31,834 – $91,330 · median $48,555 | 30 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $11,132 – $39,863 · median $21,203 | 30 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $72,509 – $149,818 · median $76,152 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,344 – $76,692 · median $37,884 | 30 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,496 – $53,297 · median $24,178 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $41,905 – $119,188 · median $63,355 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $30,807 – $86,134 · median $45,795 | 30 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $32,981 – $108,232 · median $57,534 | 30 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $25,213 – $77,758 · median $41,344 | 30 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,070 – $83,425 · median $44,356 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $19,433 – $59,971 · median $31,890 | 30 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,285 – $70,204 · median $37,329 | 30 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $11,632 – $41,284 · median $21,959 | 30 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,937 – $20,814 · median $11,079 | 30 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,724 – $46,064 · median $24,499 | 30 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,453 – $31,237 · median $16,619 | 30 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,622 – $26,721 · median $14,219 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $20,937 – $65,187 · median $34,663 | 30 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,376 – $31,957 · median $17,002 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,563 – $22,351 · median $12,139 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $15,666 – $50,190 · median $26,692 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,083 – $37,725 · median $20,067 | 30 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,310 – $26,361 · median $14,028 | 30 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $12,673 – $39,147 · median $20,823 | 30 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,247 – $25,191 · median $13,406 | 30 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,480 – $16,734 · median $8,911 | 30 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,610 – $45,356 · median $24,123 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,312 – $29,718 · median $15,811 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,944 – $46,902 · median $24,944 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,232 – $27,880 · median $14,835 | 30 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,279 – $24,241 · median $12,901 | 30 plans |
| 263 | VEIN LIGATION AND STRIPPING | $6,012 – $44,173 · median $23,275 | 30 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $11,152 – $48,127 · median $25,596 | 30 plans |
| 265 | AICD LEAD PROCEDURES | $11,484 – $52,004 · median $27,656 | 30 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $22,178 – $90,133 · median $46,283 | 30 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $12,185 – $70,998 · median $36,135 | 30 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $22,178 – $97,518 · median $51,842 | 30 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $12,185 – $60,451 · median $32,145 | 30 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $22,178 – $75,155 · median $39,960 | 30 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,178 – $51,139 · median $27,197 | 30 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,185 – $37,130 · median $19,751 | 30 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $22,178 – $59,087 · median $31,420 | 30 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $12,185 – $47,445 · median $25,233 | 30 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,450 – $23,881 · median $12,710 | 30 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,508 – $14,317 · median $7,626 | 30 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,771 – $11,580 · median $6,211 | 30 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,865 – $29,141 · median $15,505 | 30 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,785 – $11,149 · median $6,010 | 30 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,238 – $9,846 · median $5,250 | 30 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,741 – $32,380 · median $17,227 | 30 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,407 – $16,425 · median $8,747 | 30 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,773 – $39,270 · median $21,091 | 30 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,655 – $25,317 · median $13,472 | 30 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,214 – $14,465 · median $7,761 | 30 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,113 – $19,409 · median $10,333 | 30 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,529 – $13,338 · median $7,106 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,354 – $9,386 · median $5,006 | 30 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,872 – $18,630 · median $9,836 | 30 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,276 – $12,511 · median $6,667 | 30 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,643 – $23,292 · median $12,396 | 30 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,731 – $10,336 · median $5,511 | 30 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,437 – $7,838 · median $4,183 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,408 – $24,280 · median $12,922 | 30 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,108 – $16,389 · median $8,728 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,635 – $11,533 · median $6,147 | 30 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,401 – $18,191 · median $9,686 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,240 – $10,883 · median $5,802 | 30 plans |
| 304 | HYPERTENSION WITH MCC | $5,728 – $18,099 · median $9,637 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,405 – $12,027 · median $6,409 | 30 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,149 – $23,486 · median $12,754 | 30 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,859 – $14,234 · median $7,583 | 30 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,341 – $18,295 · median $9,740 | 30 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,633 – $11,756 · median $6,265 | 30 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,738 – $9,388 · median $5,007 | 30 plans |
| 311 | ANGINA PECTORIS | $3,056 – $11,284 · median $6,014 | 30 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,070 – $13,653 · median $7,274 | 30 plans |
| 313 | CHEST PAIN | $3,246 – $11,537 · median $6,149 | 30 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,369 – $30,599 · median $16,280 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,096 – $14,934 · median $7,954 | 30 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,186 – $11,007 · median $5,868 | 30 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $21,905 – $71,121 · median $37,817 | 30 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,075 – $35,611 · median $18,944 | 30 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,265 – $23,856 · median $12,696 | 30 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,226 – $65,663 · median $34,916 | 30 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,929 – $34,955 · median $18,595 | 30 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,727 – $24,981 · median $13,294 | 30 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,042 – $52,038 · median $27,674 | 30 plans |
| 333 | RECTAL RESECTION WITH CC | $10,192 – $34,187 · median $18,187 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,537 – $24,353 · median $12,847 | 30 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,766 – $51,343 · median $27,305 | 30 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,891 – $30,927 · median $16,454 | 30 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,654 – $22,916 · median $12,197 | 30 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $12,447 – $37,546 · median $19,972 | 30 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,679 – $22,493 · median $11,972 | 30 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,644 – $18,046 · median $9,608 | 30 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,888 – $33,536 · median $17,841 | 30 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,265 – $19,758 · median $10,518 | 30 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,794 – $13,639 · median $7,266 | 30 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,903 – $36,277 · median $19,298 | 30 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,202 – $22,770 · median $12,119 | 30 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,775 – $17,789 · median $9,472 | 30 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,625 – $42,003 · median $22,341 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,753 – $24,974 · median $13,291 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,843 – $20,263 · median $10,787 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $14,561 – $62,819 · median $33,404 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,468 – $33,954 · median $18,063 | 30 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,284 – $21,002 · median $11,179 | 30 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,618 – $23,711 · median $12,619 | 30 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,753 – $15,449 · median $8,228 | 30 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,428 – $11,269 · median $6,006 | 30 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,838 – $26,241 · median $13,964 | 30 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,036 – $15,739 · median $8,382 | 30 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,434 – $11,640 · median $6,204 | 30 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,574 – $31,346 · median $16,677 | 30 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,926 – $18,373 · median $9,782 | 30 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,254 – $14,389 · median $7,665 | 30 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,265 – $27,007 · median $14,371 | 30 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,526 – $15,177 · median $8,083 | 30 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,385 – $10,286 · median $5,484 | 30 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,611 – $28,881 · median $15,367 | 30 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,863 – $16,612 · median $8,846 | 30 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,858 – $12,662 · median $6,747 | 30 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,139 – $20,762 · median $11,052 | 30 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,133 – $13,419 · median $7,149 | 30 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,067 – $23,577 · median $12,548 | 30 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,032 – $15,115 · median $8,051 | 30 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,055 – $10,996 · median $5,862 | 30 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,585 – $22,104 · median $11,765 | 30 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,791 – $12,511 · median $6,667 | 30 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,846 – $9,079 · median $4,843 | 30 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,159 – $19,192 · median $10,218 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,298 – $12,369 · median $6,591 | 30 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,241 – $23,814 · median $12,674 | 30 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,291 – $14,548 · median $7,749 | 30 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,365 – $10,545 · median $5,622 | 30 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $18,056 – $77,867 · median $41,402 | 30 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $9,726 – $41,978 · median $22,328 | 30 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,964 – $32,475 · median $17,277 | 30 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $16,198 – $51,269 · median $27,266 | 30 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $9,442 – $31,885 · median $16,963 | 30 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,377 – $23,652 · median $12,588 | 30 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,310 – $47,607 · median $25,319 | 30 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,399 – $30,840 · median $16,408 | 30 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,692 – $24,669 · median $13,128 | 30 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,718 – $51,227 · median $27,243 | 30 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,580 – $30,340 · median $16,142 | 30 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,563 – $20,519 · median $10,923 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,340 – $34,804 · median $18,515 | 30 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,496 – $25,103 · median $13,359 | 30 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,856 – $20,554 · median $10,941 | 30 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $16,274 – $49,056 · median $26,089 | 30 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,805 – $25,744 · median $13,700 | 30 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,167 – $21,024 · median $11,191 | 30 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $20,655 – $59,471 · median $31,625 | 30 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,313 – $32,033 · median $17,042 | 30 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,684 – $22,432 · median $11,939 | 30 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,094 – $28,965 · median $15,411 | 30 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,618 – $16,231 · median $8,644 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,026 – $11,432 · median $6,049 | 30 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,706 – $27,129 · median $14,436 | 30 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,926 – $17,277 · median $9,200 | 30 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,571 – $13,398 · median $7,138 | 30 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,484 – $24,246 · median $12,903 | 30 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,724 – $13,229 · median $7,048 | 30 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,476 – $10,160 · median $5,417 | 30 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,630 – $26,542 · median $14,124 | 30 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,658 – $14,962 · median $7,969 | 30 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,797 – $11,253 · median $5,998 | 30 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,884 – $24,814 · median $13,205 | 30 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,145 – $16,764 · median $8,927 | 30 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,561 – $13,035 · median $6,945 | 30 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $47,234 – $125,213 · median $66,556 | 30 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $17,306 – $86,884 · median $46,193 | 30 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $17,306 – $65,790 · median $34,983 | 30 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $41,265 – $118,818 · median $63,158 | 30 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,558 – $84,745 · median $45,057 | 30 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,108 – $62,384 · median $31,770 | 30 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $26,644 – $94,089 · median $50,021 | 30 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,306 – $52,558 · median $27,950 | 30 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $20,635 – $78,600 · median $41,791 | 30 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,616 – $38,624 · median $20,545 | 30 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,745 – $81,064 · median $43,101 | 30 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,064 – $44,973 · median $23,919 | 30 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,271 – $26,947 · median $14,339 | 30 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $19,294 – $74,165 · median $39,434 | 30 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $15,875 – $50,725 · median $26,976 | 30 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,163 – $39,853 · median $21,198 | 30 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $14,634 – $43,835 · median $23,315 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,404 – $28,416 · median $15,120 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $18,177 – $68,905 · median $36,639 | 30 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $11,117 – $42,619 · median $22,668 | 30 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $9,387 – $35,571 · median $18,922 | 30 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,984 – $61,424 · median $32,663 | 30 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,386 – $33,259 · median $17,693 | 30 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,834 – $17,962 · median $9,564 | 30 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,365 – $49,719 · median $26,442 | 30 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,069 – $35,821 · median $19,055 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,066 – $27,439 · median $14,600 | 30 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,550 – $42,147 · median $22,418 | 30 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,466 – $30,728 · median $16,349 | 30 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,106 – $24,257 · median $12,909 | 30 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,078 – $40,187 · median $21,376 | 30 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $15,090 – $46,543 · median $24,754 | 30 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $9,295 – $30,681 · median $16,324 | 30 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,719 – $23,352 · median $12,428 | 30 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,783 – $26,182 · median $13,933 | 30 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,532 – $17,077 · median $9,093 | 30 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $15,987 – $52,749 · median $28,052 | 30 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $9,737 – $36,894 · median $19,626 | 30 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $6,524 – $29,500 · median $15,696 | 30 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,333 – $52,108 · median $27,712 | 30 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,577 – $26,671 · median $14,192 | 30 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,464 – $18,355 · median $9,772 | 30 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $8,918 – $43,606 · median $23,105 | 30 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,741 – $29,616 · median $15,616 | 30 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $15,941 – $45,673 · median $24,291 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,707 – $25,892 · median $13,778 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,225 – $20,276 · median $10,794 | 30 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,867 – $40,455 · median $21,518 | 30 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,034 – $27,583 · median $14,677 | 30 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $5,243 – $26,516 · median $14,110 | 30 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $5,059 – $20,322 · median $10,818 | 30 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,379 – $26,706 · median $14,211 | 30 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,617 – $22,629 · median $12,044 | 30 plans |
| 509 | ARTHROSCOPY | $4,566 – $26,012 · median $13,842 | 30 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $14,570 – $43,658 · median $23,220 | 30 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $8,710 – $30,518 · median $16,237 | 30 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $5,597 – $24,597 · median $13,090 | 30 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,068 – $23,465 · median $12,488 | 30 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,323 – $15,758 · median $8,392 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,050 – $45,981 · median $24,455 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,547 – $30,500 · median $16,227 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,363 – $22,940 · median $12,209 | 30 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $8,285 – $53,667 · median $28,269 | 30 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,285 – $29,412 · median $15,649 | 30 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $5,180 – $22,342 · median $11,892 | 30 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,634 – $41,559 · median $22,105 | 30 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,404 – $31,430 · median $16,521 | 30 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,385 – $23,373 · median $12,439 | 30 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,072 – $12,739 · median $6,788 | 30 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,796 – $19,384 · median $10,319 | 30 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,696 – $12,760 · median $6,799 | 30 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,515 – $14,808 · median $7,888 | 30 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,268 – $11,541 · median $6,151 | 30 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,985 – $28,986 · median $15,733 | 30 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,949 – $19,583 · median $10,425 | 30 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,478 – $12,478 · median $6,649 | 30 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,202 – $26,149 · median $13,915 | 30 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,693 – $15,837 · median $8,434 | 30 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,200 – $12,020 · median $6,406 | 30 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $11,356 – $36,135 · median $19,222 | 30 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,444 – $17,588 · median $9,365 | 30 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,202 – $13,159 · median $7,011 | 30 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,097 – $28,444 · median $15,135 | 30 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,476 – $18,339 · median $9,764 | 30 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,967 – $13,688 · median $7,292 | 30 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,113 – $24,886 · median $13,244 | 30 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,999 – $14,906 · median $7,939 | 30 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,181 – $19,583 · median $10,425 | 30 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,892 – $13,074 · median $6,966 | 30 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,999 – $19,939 · median $10,615 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,657 – $13,081 · median $6,970 | 30 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,545 – $22,245 · median $11,840 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,961 – $13,955 · median $7,434 | 30 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,231 – $27,523 · median $14,940 | 30 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,588 – $17,207 · median $9,162 | 30 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,383 – $12,708 · median $6,771 | 30 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,084 – $21,378 · median $11,379 | 30 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,290 – $13,987 · median $7,451 | 30 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,917 – $23,036 · median $12,453 | 30 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,906 – $15,089 · median $8,037 | 30 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,290 – $11,946 · median $6,366 | 30 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,031 – $42,549 · median $22,631 | 30 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,631 – $25,074 · median $13,343 | 30 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,401 – $17,489 · median $9,312 | 30 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $16,117 – $92,959 · median $48,941 | 30 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,403 – $49,954 · median $26,567 | 30 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,545 – $26,575 · median $14,141 | 30 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,764 – $69,918 · median $37,177 | 30 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,602 – $38,495 · median $20,476 | 30 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,602 – $23,913 · median $12,727 | 30 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,804 – $46,702 · median $24,838 | 30 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,185 – $25,611 · median $13,629 | 30 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,780 – $21,633 · median $11,515 | 30 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,202 – $28,384 · median $14,968 | 30 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,845 – $25,561 · median $13,482 | 30 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,956 – $31,374 · median $16,692 | 30 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,113 – $28,419 · median $15,108 | 30 plans |
| 592 | SKIN ULCERS WITH MCC | $14,173 – $28,506 · median $15,167 | 30 plans |
| 593 | SKIN ULCERS WITH CC | $4,224 – $18,047 · median $9,609 | 30 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,976 – $13,586 · median $7,218 | 30 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,967 – $31,094 · median $16,543 | 30 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,236 – $16,598 · median $8,839 | 30 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,479 – $24,761 · median $13,177 | 30 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,883 – $17,280 · median $9,201 | 30 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,948 – $12,226 · median $6,515 | 30 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,261 – $16,027 · median $8,535 | 30 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,592 – $9,931 · median $5,295 | 30 plans |
| 602 | CELLULITIS WITH MCC | $7,757 – $21,329 · median $11,353 | 30 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,975 – $13,644 · median $7,269 | 30 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,882 – $22,038 · median $11,730 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,801 – $14,273 · median $7,603 | 30 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,113 – $22,612 · median $12,035 | 30 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,554 – $14,139 · median $7,514 | 30 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,240 – $32,087 · median $17,071 | 30 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,230 – $21,022 · median $11,190 | 30 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,203 – $50,177 · median $26,685 | 30 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,420 – $27,598 · median $14,685 | 30 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,460 – $21,287 · median $11,253 | 30 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,814 – $41,800 · median $22,233 | 30 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,307 – $23,828 · median $12,681 | 30 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,482 – $22,545 · median $11,999 | 30 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,680 – $51,180 · median $27,218 | 30 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,239 – $26,531 · median $14,118 | 30 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,536 – $18,963 · median $10,096 | 30 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $11,796 – $43,652 · median $23,217 | 30 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,189 – $22,419 · median $11,933 | 30 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,572 – $20,030 · median $10,573 | 30 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $19,441 – $53,520 · median $28,462 | 30 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $9,228 – $31,906 · median $16,974 | 30 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,797 – $21,862 · median $11,637 | 30 plans |
| 637 | DIABETES WITH MCC | $7,260 – $21,544 · median $11,467 | 30 plans |
| 638 | DIABETES WITH CC | $3,690 – $13,997 · median $7,456 | 30 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,689 – $10,157 · median $5,416 | 30 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,322 – $20,132 · median $10,717 | 30 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,567 – $12,349 · median $6,581 | 30 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,223 – $21,340 · median $11,359 | 30 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,256 – $24,468 · median $13,021 | 30 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,159 – $15,795 · median $8,412 | 30 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,647 – $12,211 · median $6,507 | 30 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,355 – $74,040 · median $39,367 | 30 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,099 – $40,569 · median $21,579 | 30 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,081 – $31,037 · median $16,513 | 30 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,235 – $45,938 · median $24,432 | 30 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,792 – $27,035 · median $14,386 | 30 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,838 – $23,151 · median $12,321 | 30 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,541 – $39,679 · median $19,661 | 30 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,100 – $20,845 · median $10,614 | 30 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,178 – $16,905 · median $8,489 | 30 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $14,442 – $44,230 · median $23,525 | 30 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,032 – $22,710 · median $12,087 | 30 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,177 – $16,101 · median $8,575 | 30 plans |
| 665 | PROSTATECTOMY WITH MCC | $14,501 – $45,064 · median $23,968 | 30 plans |
| 666 | PROSTATECTOMY WITH CC | $7,700 – $25,909 · median $13,787 | 30 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,340 – $16,929 · median $9,015 | 30 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,850 – $42,255 · median $22,475 | 30 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,352 – $23,154 · median $12,323 | 30 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,384 – $15,129 · median $8,058 | 30 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,806 – $26,547 · median $14,126 | 30 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,577 – $16,556 · median $8,817 | 30 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $14,585 – $60,149 · median $31,985 | 30 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,483 – $34,137 · median $18,160 | 30 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,504 – $24,402 · median $12,986 | 30 plans |
| 682 | RENAL FAILURE WITH MCC | $7,187 – $22,162 · median $11,796 | 30 plans |
| 683 | RENAL FAILURE WITH CC | $4,315 – $13,712 · median $7,305 | 30 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,891 – $9,865 · median $5,261 | 30 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,266 – $26,668 · median $14,191 | 30 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,134 – $16,114 · median $8,581 | 30 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,378 – $12,518 · median $6,670 | 30 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,535 – $17,684 · median $9,416 | 30 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,099 – $12,786 · median $6,813 | 30 plans |
| 693 | URINARY STONES WITH MCC | $5,749 – $20,256 · median $10,783 | 30 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,141 – $12,398 · median $6,607 | 30 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,802 – $17,454 · median $9,294 | 30 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,983 – $11,104 · median $5,919 | 30 plans |
| 697 | URETHRAL STRICTURE | $3,579 – $16,533 · median $8,804 | 30 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,141 – $24,583 · median $13,083 | 30 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,730 – $15,656 · median $8,338 | 30 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,197 – $11,116 · median $5,925 | 30 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $8,109 – $29,413 · median $15,650 | 30 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $6,761 – $22,905 · median $12,191 | 30 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,804 – $33,976 · median $18,075 | 30 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,934 – $21,048 · median $11,204 | 30 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,064 – $30,579 · median $16,269 | 30 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,909 – $16,838 · median $8,894 | 30 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,735 – $22,475 · median $11,962 | 30 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,395 – $16,248 · median $8,583 | 30 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,539 – $32,722 · median $17,408 | 30 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,259 – $22,023 · median $11,722 | 30 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,609 – $27,880 · median $14,835 | 30 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,305 – $20,237 · median $10,773 | 30 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,833 – $26,752 · median $14,523 | 30 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,597 – $17,439 · median $9,286 | 30 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,388 – $10,639 · median $5,727 | 30 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,354 – $17,823 · median $9,490 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,435 – $11,565 · median $6,164 | 30 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,456 – $22,189 · median $11,810 | 30 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,944 – $12,810 · median $6,826 | 30 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,424 – $16,266 · median $8,844 | 30 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,390 – $10,866 · median $5,793 | 30 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,398 – $31,224 · median $16,612 | 30 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,934 – $20,270 · median $10,791 | 30 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,882 – $51,393 · median $27,332 | 30 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,274 – $30,255 · median $16,097 | 30 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,722 – $21,988 · median $11,703 | 30 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $11,386 – $51,509 · median $27,393 | 30 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,608 – $26,751 · median $14,235 | 30 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,409 – $21,396 · median $11,389 | 30 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $6,393 – $27,102 · median $14,422 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,949 – $18,807 · median $10,013 | 30 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,936 – $30,095 · median $16,012 | 30 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,970 – $17,366 · median $9,247 | 30 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $5,772 – $25,738 · median $13,697 | 30 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,812 – $13,487 · median $7,185 | 30 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,673 – $20,854 · median $11,101 | 30 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $8,100 – $37,334 · median $19,860 | 30 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,214 – $22,090 · median $11,757 | 30 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,470 – $27,199 · median $14,473 | 30 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,959 – $16,672 · median $8,878 | 30 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,454 – $14,895 · median $7,871 | 30 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,002 – $21,477 · median $11,432 | 30 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,025 – $15,153 · median $8,071 | 30 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,940 – $10,749 · median $5,730 | 30 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,210 – $15,551 · median $8,216 | 30 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,250 – $9,449 · median $5,039 | 30 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,718 – $25,078 · median $13,346 | 30 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,995 – $15,484 · median $8,181 | 30 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,174 – $10,625 · median $5,664 | 30 plans |
| 779 | ABORTION WITHOUT D&C | $1,947 – $13,230 · median $6,995 | 30 plans |
| 799 | SPLENECTOMY WITH MCC | $23,446 – $64,719 · median $34,414 | 30 plans |
| 800 | SPLENECTOMY WITH CC | $12,081 – $40,710 · median $21,654 | 30 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $7,434 – $28,137 · median $14,971 | 30 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $16,584 – $57,113 · median $30,371 | 30 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,144 – $27,439 · median $14,600 | 30 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,065 – $20,417 · median $10,868 | 30 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,965 – $32,312 · median $17,190 | 30 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,948 – $19,159 · median $10,200 | 30 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,931 – $16,097 · median $8,572 | 30 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,478 – $21,091 · median $11,227 | 30 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,157 – $14,304 · median $7,620 | 30 plans |
| 813 | COAGULATION DISORDERS | $6,310 – $22,781 · median $12,125 | 30 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,568 – $31,178 · median $16,588 | 30 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,004 – $15,642 · median $8,331 | 30 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,013 – $10,308 · median $5,496 | 30 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,095 – $33,341 · median $17,737 | 30 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,095 – $17,669 · median $9,408 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,694 – $13,490 · median $7,187 | 30 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $34,627 – $83,372 · median $44,327 | 30 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,222 – $32,741 · median $17,418 | 30 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,449 – $18,295 · median $9,740 | 30 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $27,989 – $65,500 · median $34,829 | 30 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,756 – $33,118 · median $17,618 | 30 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,268 – $20,325 · median $10,819 | 30 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,814 – $66,798 · median $35,519 | 30 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,764 – $33,754 · median $17,957 | 30 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,292 – $25,273 · median $13,449 | 30 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $15,361 – $45,606 · median $24,256 | 30 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,663 – $22,497 · median $11,974 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,095 – $18,274 · median $9,729 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,095 – $11,559 · median $6,161 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,694 – $8,785 · median $4,656 | 30 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,830 – $78,138 · median $41,545 | 30 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,821 – $30,607 · median $16,611 | 30 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,583 – $18,511 · median $10,060 | 30 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,869 – $68,565 · median $36,458 | 30 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,761 – $30,629 · median $16,296 | 30 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,726 – $21,644 · median $11,521 | 30 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,986 – $46,652 · median $24,811 | 30 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,795 – $24,262 · median $12,912 | 30 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,653 – $15,591 · median $8,304 | 30 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $8,506 – $29,336 · median $15,609 | 30 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,565 – $18,482 · median $9,840 | 30 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,338 – $13,374 · median $7,125 | 30 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,120 – $37,682 · median $20,044 | 30 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,386 – $19,750 · median $10,514 | 30 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,646 – $13,343 · median $7,109 | 30 plans |
| 849 | RADIOTHERAPY | $4,160 – $39,316 · median $20,719 | 30 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $25,118 – $70,440 · median $37,454 | 30 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,085 – $29,382 · median $15,633 | 30 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,212 – $22,389 · median $11,916 | 30 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,905 – $64,996 · median $34,561 | 30 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $8,315 – $31,385 · median $16,698 | 30 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,883 – $20,932 · median $11,142 | 30 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,306 – $26,947 · median $14,339 | 30 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,889 – $15,417 · median $8,211 | 30 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,270 – $13,878 · median $7,393 | 30 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,426 – $22,404 · median $11,924 | 30 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,014 – $13,625 · median $7,259 | 30 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,875 – $30,710 · median $16,667 | 30 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,061 – $15,880 · median $8,457 | 30 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,559 – $11,672 · median $6,221 | 30 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $33,499 – $97,991 · median $52,094 | 30 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,511 – $28,606 · median $15,221 | 30 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,490 – $15,772 · median $8,400 | 30 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,219 – $60,080 · median $31,948 | 30 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,083 – $28,215 · median $15,013 | 30 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,197 – $17,814 · median $9,485 | 30 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,282 – $52,770 · median $28,063 | 30 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,678 – $22,196 · median $11,814 | 30 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,082 – $28,911 · median $15,383 | 30 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $16,892 – $55,091 · median $29,297 | 30 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,214 – $29,342 · median $15,612 | 30 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,488 – $19,812 · median $10,547 | 30 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,308 – $24,307 · median $12,936 | 30 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,423 – $13,848 · median $7,377 | 30 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $6,587 – $24,963 · median $13,285 | 30 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,008 – $10,787 · median $5,725 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $6,661 – $23,383 · median $12,445 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,861 – $13,451 · median $7,144 | 30 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,038 – $27,047 · median $14,392 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,902 – $15,478 · median $8,244 | 30 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,816 – $11,095 · median $5,914 | 30 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,744 – $25,910 · median $13,788 | 30 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,155 – $15,693 · median $8,291 | 30 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,140 – $52,147 · median $27,732 | 30 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,185 – $34,113 · median $18,148 | 30 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,604 – $29,796 · median $15,853 | 30 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,162 – $19,208 · median $10,226 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,430 – $12,661 · median $6,746 | 30 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,368 – $18,095 · median $9,799 | 30 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,580 – $10,248 · median $5,464 | 30 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,964 – $9,247 · median $4,932 | 30 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $32,830 – $95,468 · median $50,753 | 30 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,521 – $54,025 · median $28,759 | 30 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $33,836 – $107,878 · median $57,347 | 30 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,408 – $60,321 · median $32,076 | 30 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,711 – $42,591 · median $22,653 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,009 – $39,655 · median $21,093 | 30 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,412 – $22,883 · median $12,179 | 30 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,495 – $14,615 · median $7,785 | 30 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $26,958 – $86,954 · median $46,230 | 30 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,398 – $38,309 · median $20,378 | 30 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,090 – $41,780 · median $22,222 | 30 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,753 – $19,565 · median $10,416 | 30 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,962 – $14,088 · median $7,505 | 30 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,372 – $19,603 · median $10,436 | 30 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,910 – $66,994 · median $35,623 | 30 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,788 – $35,811 · median $19,050 | 30 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,435 – $25,416 · median $13,525 | 30 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,899 – $49,353 · median $26,247 | 30 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $6,641 – $24,433 · median $13,003 | 30 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,809 – $18,228 · median $9,705 | 30 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $6,577 – $43,042 · median $22,893 | 26 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $59,547 – $153,316 · median $81,486 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,152 – $101,044 · median $54,501 | 26 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $28,127 – $85,352 · median $45,379 | 26 plans |
| 277 | CELLULITIS AGE >17 W CC | $34,062 – $93,165 · median $35,593 | 26 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $5,772 – $79,203 · median $42,112 | 26 plans |
| 279 | CELLULITIS AGE 0-17 | $8,454 – $51,839 · median $27,568 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,941 – $63,798 · median $34,421 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,122 – $35,068 · median $18,928 | 26 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $15,604 – $39,473 · median $20,996 | 26 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $7,034 – $26,100 · median $13,889 | 26 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $21,265 – $61,906 · median $32,919 | 26 plans |
| 324 | URINARY STONES W/O CC | $8,424 – $45,480 · median $24,189 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,921 – $46,310 · median $24,990 | 26 plans |
| 397 | COAGULATION DISORDERS | $18,048 – $34,923 · median $18,850 | 26 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,701 – $32,983 · median $12,214 | 26 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $9,044 – $72,153 · median $9,436 | 26 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,779 – $26,647 · median $14,387 | 26 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,604 – $84,471 · median $45,565 | 26 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,032 – $58,158 · median $31,380 | 26 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,439 – $35,681 · median $19,259 | 26 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,829 – $59,703 · median $32,213 | 26 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,429 – $22,091 · median $11,930 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,256 – $28,938 · median $15,397 | 26 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,995 – $21,249 · median $11,476 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $154,563 – $299,595 · median $161,423 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,457 – $101,634 · median $54,557 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,996 – $46,455 · median $25,069 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,845 – $55,857 · median $30,139 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,674 – $32,350 · median $17,377 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $15,636 – $30,247 · median $16,249 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,953 – $23,106 · median $12,417 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,059 – $17,496 · median $9,452 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,634 – $55,448 · median $30,062 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,715 – $14,891 · median $8,047 | 24 plans |
| 881 | DEPRESSIVE NEUROSES | $7,133 – $14,621 · median $7,902 | 24 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,452 – $16,477 · median $8,903 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,805 – $23,948 · median $12,932 | 24 plans |
| 885 | PSYCHOSES | $10,859 – $20,987 · median $11,335 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,211 – $30,460 · median $16,363 | 24 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,512 – $16,436 · median $8,923 | 24 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,015 – $10,097 · median $5,462 | 24 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,368 – $25,850 · median $14,024 | 24 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,158 – $13,810 · median $7,500 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $202,624 – $392,775 · median $212,753 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $82,410 – $177,257 · median $86,529 | 23 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $311,796 – $1,144,024 · median $327,384 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $87,351 – $155,922 · median $91,717 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $75,055 – $133,964 · median $78,806 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,195 – $61,000 · median $35,903 | 21 plans |
| 007 | LUNG TRANSPLANT | $93,661 – $222,981 · median $138,185 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,163 – $73,444 · median $43,220 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $41,820 – $93,649 · median $54,584 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,505 – $77,625 · median $45,678 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,922 – $71,228 · median $41,917 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $6,548 – $93,120 · median $54,790 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,659 – $94,659 · median $36,390 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,488 – $87,659 · median $28,861 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $24,058 – $42,899 · median $25,259 | 21 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $10,240 · median $1,959 | 8 plans |
| 999 | UNGROUPABLE | $1,676 – $19,589 · median $8,706 | 4 plans |
No procedures match that keyword.