Medical Center Hospital — 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 | $100,976 – $228,345 · median $162,083 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $63,070 – $263,171 · median $138,514 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $26,672 – $62,840 · median $43,338 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $20,374 – $49,847 · median $33,958 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $14,465 – $35,846 · median $24,262 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $198,478 – $884,659 · median $431,828 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,872 – $91,457 · median $62,614 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,353 – $75,717 · median $52,219 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,420 – $68,347 · median $43,066 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,106 – $65,739 · median $45,337 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,909 – $46,656 · median $32,177 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,882 – $53,318 · median $36,771 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,259 – $38,232 · median $26,367 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,355 – $32,080 · median $22,124 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,945 – $68,656 · median $47,349 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,520 – $41,406 · median $28,556 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,533 – $28,641 · median $19,752 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,215 – $52,623 · median $36,292 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,762 – $27,967 · median $19,288 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,149 – $23,055 · median $15,616 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,133 – $46,224 · median $31,878 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,426 – $30,690 · median $20,777 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,843 – $25,992 · median $17,602 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,412 – $40,152 · median $27,691 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,812 – $22,632 · median $15,331 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,056 – $17,940 · median $11,755 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $21,044 – $46,124 · median $31,810 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,499 – $28,677 · median $19,778 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,022 – $23,735 · median $16,237 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,810 – $24,612 · median $16,669 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,041 – $15,880 · median $10,068 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,262 – $21,627 · median $14,652 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,548 – $16,304 · median $10,196 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $11,630 – $29,983 · median $20,299 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,722 – $19,200 · median $12,956 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,234 – $23,544 · median $15,947 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,990 – $18,626 · median $12,409 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,868 – $15,256 · median $9,198 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,357 – $34,537 · median $23,819 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,566 – $24,044 · median $16,448 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,092 – $20,336 · median $13,917 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,171 – $26,708 · median $18,085 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,414 – $16,206 · median $10,103 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,780 – $12,786 · median $6,844 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,575 – $21,017 · median $14,239 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,725 – $14,675 · median $8,644 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,180 – $13,987 · median $7,988 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $8,913 – $23,075 · median $15,630 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,374 – $16,371 · median $10,260 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,100 – $13,540 · median $7,562 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,706 – $22,440 · median $15,201 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,415 – $16,421 · median $10,308 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,645 – $25,726 · median $17,422 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,215 – $14,264 · median $8,693 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,123 – $24,598 · median $16,878 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,105 – $15,002 · median $8,956 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,006 – $29,589 · median $20,033 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,134 – $20,252 · median $13,722 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,808 – $15,634 · median $9,558 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,263 – $29,446 · median $20,307 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,768 – $19,275 · median $13,027 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,586 – $15,203 · median $9,147 | 21 plans |
| 088 | CONCUSSION WITH MCC | $7,759 – $19,790 · median $13,410 | 21 plans |
| 089 | CONCUSSION WITH CC | $5,642 – $17,133 · median $10,986 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,545 – $14,243 · median $8,232 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,767 – $24,034 · median $16,278 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,243 – $16,339 · median $10,230 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,154 – $13,960 · median $7,963 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,317 – $42,537 · median $29,336 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,335 – $32,670 · median $22,226 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,397 – $32,670 · median $22,115 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,953 – $43,507 · median $30,005 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,224 – $29,687 · median $20,099 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,429 – $19,901 · median $13,485 | 21 plans |
| 100 | SEIZURES WITH MCC | $9,962 – $25,929 · median $17,559 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $4,716 – $15,076 · median $9,026 | 21 plans |
| 102 | HEADACHES WITH MCC | $6,124 – $17,367 · median $11,209 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $4,404 – $14,380 · median $8,363 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,654 – $30,277 · median $20,498 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,686 – $19,802 · median $13,418 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,727 – $21,711 · median $14,709 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,981 – $24,578 · median $16,646 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,524 – $16,989 · median $10,849 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,320 – $17,812 · median $11,633 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,423 – $13,850 · median $7,858 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,069 – $13,984 · median $7,986 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,437 – $19,489 · median $13,206 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,442 – $13,661 · median $7,678 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,382 – $28,376 · median $19,213 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,675 – $16,259 · median $11,023 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,809 – $21,274 · median $14,413 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,483 – $14,904 · median $8,862 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,523 – $18,571 · median $12,357 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,165 – $50,365 · median $34,734 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,737 – $28,493 · median $19,563 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,554 – $22,357 · median $15,145 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $15,759 – $44,921 · median $30,395 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,307 – $23,789 · median $16,113 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,452 – $18,221 · median $12,023 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,810 – $27,824 · median $18,840 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,918 – $18,947 · median $12,715 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,181 – $13,969 · median $7,971 | 21 plans |
| 149 | DYSEQUILIBRIUM | $3,911 – $13,491 · median $7,516 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $7,043 – $19,577 · median $13,266 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,919 – $13,307 · median $7,340 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,726 – $18,010 · median $11,822 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,778 – $13,351 · median $7,382 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,201 – $22,011 · median $14,911 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,821 – $15,222 · median $9,165 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,496 – $12,856 · median $6,911 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,360 – $23,620 · median $15,999 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,727 – $15,151 · median $9,098 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,487 – $13,039 · median $7,085 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $26,370 – $101,248 · median $44,818 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,015 – $32,091 · median $22,132 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,148 – $25,692 · median $17,399 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,150 – $44,828 · median $30,916 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,895 – $24,529 · median $16,613 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,281 – $19,943 · median $13,513 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | — | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,211 – $20,019 · median $13,685 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,715 – $14,052 · median $8,050 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,811 – $22,003 · median $15,055 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,412 – $15,846 · median $10,687 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,632 – $13,527 · median $7,720 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,240 – $24,137 · median $16,348 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,960 – $16,843 · median $10,710 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,187 – $13,514 · median $7,538 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,271 – $21,659 · median $14,673 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,526 – $16,771 · median $10,641 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,113 – $13,858 · median $7,865 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,205 – $21,959 · median $14,876 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,488 – $15,984 · median $9,891 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,871 – $13,130 · median $7,172 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,512 – $18,568 · median $12,354 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,976 – $17,228 · median $11,077 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,695 – $14,450 · median $8,430 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,695 – $12,341 · median $6,420 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,969 – $19,397 · median $13,144 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,589 – $14,061 · median $8,059 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,536 – $12,199 · median $6,285 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,231 – $25,408 · median $17,207 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,347 – $46,422 · median $9,491 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,947 – $13,120 · median $7,162 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,505 – $24,117 · median $16,334 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,716 – $17,140 · median $10,993 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,772 – $13,108 · median $7,151 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,134 – $15,796 · median $9,712 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,751 – $12,635 · median $6,700 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,214 – $14,077 · median $8,074 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,945 – $24,819 · median $16,809 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,701 – $15,480 · median $9,411 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $30,447 – $133,792 · median $64,347 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,517 – $34,449 · median $23,318 | 21 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $14,887 – $119,719 · median $82,565 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $59,327 – $110,094 · median $78,166 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $55,457 – $108,266 · median $75,328 | 21 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $34,522 – $74,606 · median $51,453 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,346 – $74,606 · median $50,630 | 21 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,829 – $86,181 · median $59,435 | 21 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $28,711 – $61,567 · median $42,460 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,205 – $58,497 · median $40,342 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,047 – $57,523 · median $40,858 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,204 – $38,655 · median $27,468 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $45,142 – $94,069 · median $64,910 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $31,361 – $69,226 · median $47,742 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $41,434 – $85,834 · median $59,196 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $28,273 – $62,930 · median $43,400 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,063 – $67,190 · median $46,338 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,698 – $49,562 · median $34,181 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $25,568 – $57,253 · median $39,485 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $14,834 – $35,517 · median $24,495 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,461 – $20,132 · median $13,778 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,793 – $39,110 · median $26,972 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,466 – $27,966 · median $19,287 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,983 – $24,572 · median $16,855 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,786 – $53,482 · median $37,991 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,414 – $28,507 · median $19,660 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,825 – $21,287 · median $14,566 | 21 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,656 – $42,211 · median $29,111 | 21 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,110 – $32,843 · median $22,650 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,621 – $24,301 · median $16,459 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,521 – $33,911 · median $22,954 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,736 – $23,422 · median $15,865 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,173 – $17,066 · median $10,922 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,021 – $38,578 · median $26,605 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,273 – $26,824 · median $18,499 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,057 – $39,739 · median $27,406 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,588 – $25,443 · median $17,547 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,082 – $22,708 · median $15,382 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,257 – $37,689 · median $25,507 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,269 – $40,661 · median $28,042 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $17,879 – $43,574 · median $29,800 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,736 – $69,916 · median $49,653 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,780 – $55,565 · median $39,468 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $36,978 – $129,260 · median $68,779 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,941 – $49,923 · median $34,430 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,551 – $60,974 · median $42,051 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,953 – $42,924 · median $29,603 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,296 – $32,395 · median $22,342 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $20,402 – $48,898 · median $33,722 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,468 – $40,148 · median $27,688 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $14,902 – $80,432 · median $55,470 | 21 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $7,032 – $68,638 · median $46,425 | 21 plans |
| 277 | CELLULITIS AGE >17 W CC | $23,291 – $100,152 · median $37,290 | 21 plans |
| 278 | CELLULITIS AGE >17 W/O CC | — | 21 plans |
| 279 | CELLULITIS AGE 0-17 | $2,113 – $43,450 · median $29,401 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,647 – $22,438 · median $15,199 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,956 – $15,249 · median $9,191 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,857 – $13,192 · median $7,231 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $9,914 – $26,391 · median $17,871 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,904 – $12,868 · median $6,922 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,639 – $11,889 · median $5,989 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $11,772 – $28,825 · median $19,621 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,115 – $16,834 · median $10,701 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,255 – $34,003 · median $23,450 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,734 – $23,516 · median $15,929 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,442 – $15,360 · median $9,297 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,130 – $19,076 · median $12,838 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,759 – $14,513 · median $8,490 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,470 – $11,544 · median $5,783 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,480 – $21,995 · median $14,900 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,746 – $12,257 · median $6,340 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,596 – $10,380 · median $4,551 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,142 – $22,738 · median $15,402 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,541 – $16,806 · median $10,675 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,948 – $13,156 · median $7,197 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,814 – $18,161 · median $11,966 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,596 – $12,669 · median $6,732 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $5,825 – $18,092 · median $11,900 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,927 – $13,528 · median $7,551 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,995 – $22,141 · median $14,999 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,617 – $15,187 · median $9,132 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,377 – $18,239 · median $12,040 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,985 – $13,324 · median $7,357 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,969 – $11,545 · median $5,661 | 21 plans |
| 311 | ANGINA PECTORIS | $3,706 – $12,970 · median $7,019 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,451 – $14,751 · median $8,716 | 21 plans |
| 313 | CHEST PAIN | $3,832 – $13,160 · median $7,200 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,077 – $27,486 · median $18,612 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,185 – $15,713 · median $9,633 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,985 – $12,762 · median $6,821 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $22,947 – $52,438 · median $36,164 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,993 – $30,845 · median $21,273 | 21 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $3,901 – $34,156 · median $23,120 | 21 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $1,758 – $24,105 · median $16,326 | 21 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $5,316 – $51,016 · median $34,515 | 21 plans |
| 324 | URINARY STONES W/O CC | $2,106 – $38,671 · median $26,171 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $6,302 – $39,294 · median $27,097 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,593 – $78,399 · median $49,874 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,875 – $31,254 · median $21,554 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,855 – $22,419 · median $15,187 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,789 – $53,840 · median $37,131 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,500 – $30,760 · median $21,214 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,093 – $23,265 · median $15,758 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,117 – $43,600 · median $30,069 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $11,384 – $30,183 · median $20,434 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,556 – $22,792 · median $15,439 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,685 – $43,078 · median $29,709 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,138 – $27,733 · median $19,126 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,681 – $21,712 · median $14,709 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,892 – $32,708 · median $22,557 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,389 – $21,394 · median $14,494 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,779 – $18,052 · median $11,862 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,088 – $48,103 · median $22,956 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,138 – $19,339 · median $13,088 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,207 – $14,740 · median $8,706 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,039 – $31,754 · median $21,733 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,924 – $21,602 · median $14,635 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,865 – $17,859 · median $11,678 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,995 – $36,058 · median $24,868 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,480 – $23,259 · median $15,801 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,227 – $19,719 · median $13,362 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,817 – $62,468 · median $42,255 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,983 – $30,008 · median $20,316 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,119 – $20,274 · median $13,737 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,327 – $22,310 · median $15,264 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,725 – $16,100 · median $10,002 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,975 – $12,958 · median $7,008 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,189 – $24,211 · median $16,398 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,464 – $16,318 · median $10,210 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,953 – $13,237 · median $7,274 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,995 – $28,048 · median $18,991 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,406 – $18,298 · median $12,096 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,760 – $15,304 · median $9,243 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,565 – $24,787 · median $16,787 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,281 – $15,895 · median $9,807 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,387 – $12,219 · median $6,304 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,012 – $26,196 · median $17,739 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,634 – $16,974 · median $10,835 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,085 – $14,005 · median $8,006 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,970 – $20,093 · median $13,615 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,745 – $14,574 · median $8,548 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,609 – $22,209 · median $15,045 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,282 – $15,849 · median $9,763 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,794 – $12,754 · median $6,813 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,038 – $21,102 · median $14,297 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,370 – $13,892 · median $7,898 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,098 – $11,313 · median $5,440 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,616 – $18,914 · median $12,683 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,064 – $13,785 · median $7,796 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,792 – $22,387 · median $15,165 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,991 – $15,423 · median $9,357 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,454 – $12,415 · median $6,490 | 21 plans |
| 397 | COAGULATION DISORDERS | $5,818 – $30,736 · median $21,197 | 21 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,246 – $35,456 · median $14,703 | 21 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,077 – $77,565 · median $12,149 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $30,469 – $63,012 · median $43,457 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $15,297 – $36,039 · median $24,855 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,251 – $28,897 · median $19,565 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,936 – $43,022 · median $29,670 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,242 – $28,453 · median $19,265 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,325 – $22,265 · median $15,083 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,952 – $40,269 · median $27,772 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,100 – $27,668 · median $19,081 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,206 – $23,029 · median $15,599 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,277 – $42,990 · median $29,649 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,804 – $27,292 · median $18,480 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,562 – $19,911 · median $13,492 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,886 – $30,647 · median $21,136 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,976 – $23,356 · median $15,820 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,993 – $19,937 · median $13,509 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,684 – $41,359 · median $28,523 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,150 – $23,837 · median $16,307 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,717 – $20,290 · median $13,748 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,220 – $49,186 · median $33,921 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,131 – $28,564 · median $19,699 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,206 – $21,348 · median $14,463 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,007 – $31,034 · median $19,682 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,469 – $16,688 · median $10,562 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,294 – $13,081 · median $7,125 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,320 – $24,878 · median $16,849 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,956 – $17,474 · median $11,311 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,756 – $14,559 · median $8,533 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,488 – $22,711 · median $15,385 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,490 – $14,432 · median $8,412 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,222 – $12,125 · median $6,214 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,016 – $24,438 · median $16,693 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,953 – $15,734 · median $9,653 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,524 – $12,947 · median $6,997 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,873 – $23,139 · median $15,673 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,725 – $17,089 · median $10,944 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,340 – $14,286 · median $8,273 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $45,716 – $93,791 · median $64,706 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,571 – $68,182 · median $47,022 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,678 – $49,392 · median $35,088 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $32,307 – $77,527 · median $52,957 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,718 – $33,518 · median $23,116 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,528 – $65,415 · median $45,114 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,815 – $38,290 · median $26,360 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,802 – $24,742 · median $16,757 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,419 – $60,230 · median $41,538 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,015 – $42,613 · median $29,388 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $14,909 – $34,442 · median $23,753 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $16,400 – $37,435 · median $25,817 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,102 – $25,846 · median $17,503 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,674 – $80,430 · median $48,287 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,234 – $36,521 · median $25,187 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,506 – $31,223 · median $21,533 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $21,655 – $50,654 · median $34,934 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,663 – $29,485 · median $19,963 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,167 – $17,989 · median $11,802 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,849 – $41,857 · median $28,867 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,532 – $31,411 · median $21,264 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,620 – $25,111 · median $17,007 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,081 – $36,166 · median $24,942 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $11,142 – $27,584 · median $18,678 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,756 – $22,720 · median $15,390 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,688 – $34,693 · median $23,482 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,118 – $39,470 · median $27,220 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,423 – $27,548 · median $18,999 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,721 – $22,040 · median $14,931 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,499 – $24,167 · median $16,532 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,903 – $17,324 · median $11,505 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $18,440 – $44,134 · median $30,437 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,363 – $32,218 · median $21,810 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,847 – $26,660 · median $18,053 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,323 – $43,653 · median $30,105 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,557 – $24,534 · median $16,821 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,756 – $18,284 · median $12,392 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,741 – $37,263 · median $25,219 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,373 – $26,747 · median $18,112 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,769 – $38,816 · median $26,770 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,278 – $23,949 · median $16,221 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,076 – $19,728 · median $13,368 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,977 – $34,894 · median $23,618 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,432 – $25,220 · median $17,080 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,432 – $24,418 · median $16,538 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,846 – $19,763 · median $13,392 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,753 – $24,561 · median $16,845 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,518 – $21,496 · median $14,563 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $14,519 – $37,302 · median $25,245 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,467 – $27,425 · median $18,571 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,274 – $22,976 · median $15,563 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,289 – $22,125 · median $14,988 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,286 – $16,332 · median $10,223 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,679 – $39,048 · median $26,929 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,427 – $27,412 · median $18,561 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,426 – $21,730 · median $14,721 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,058 – $44,824 · median $30,913 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,409 – $26,594 · median $18,009 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,536 – $21,281 · median $14,418 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,288 – $35,724 · median $24,637 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,639 – $27,827 · median $19,191 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,511 – $22,056 · median $14,941 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,193 – $14,063 · median $8,061 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,560 – $19,057 · median $12,820 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,103 – $14,079 · median $8,076 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,962 – $15,618 · median $9,543 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,836 – $13,163 · median $7,203 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,321 – $26,274 · median $17,792 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,887 – $19,207 · median $12,963 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,469 – $13,867 · median $7,874 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,599 – $24,142 · median $16,351 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,547 – $16,392 · median $10,280 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,127 – $13,523 · median $7,546 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,290 – $31,647 · median $21,826 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,415 – $17,708 · median $11,534 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,429 – $14,379 · median $8,362 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,791 – $25,867 · median $17,839 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,630 – $18,272 · median $12,072 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,693 – $14,777 · median $8,741 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,630 – $23,193 · median $15,710 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,009 – $15,692 · median $9,613 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,744 – $19,207 · median $12,963 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,203 – $14,315 · median $8,301 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,246 – $19,475 · median $13,197 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,287 – $14,320 · median $8,306 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,411 – $21,208 · median $14,368 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,564 – $14,977 · median $8,932 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,932 – $25,174 · median $17,049 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,723 – $17,421 · median $11,261 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,206 – $14,040 · median $8,039 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,486 – $20,556 · median $13,928 | 21 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,630 – $15,001 · median $8,955 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,049 – $21,803 · median $14,770 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,351 – $15,829 · median $9,744 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,996 – $13,467 · median $7,493 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,081 – $129,654 · median $29,411 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,682 – $23,334 · median $15,805 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,863 – $17,633 · median $11,463 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,442 – $74,355 · median $50,446 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,271 – $42,033 · median $28,786 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,366 – $24,462 · median $16,568 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,856 – $57,038 · median $39,336 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,579 – $33,421 · median $22,632 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,670 – $22,462 · median $15,216 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $15,567 – $39,589 · median $26,792 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,509 – $23,738 · median $16,078 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,657 – $20,748 · median $14,057 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,698 – $25,822 · median $17,487 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,177 – $23,700 · median $16,053 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,700 – $28,069 · median $19,005 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,234 – $25,848 · median $17,505 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $8,968 – $25,913 · median $17,548 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $6,044 – $18,053 · median $11,863 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,353 – $14,700 · median $8,668 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,698 – $27,859 · median $18,863 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,260 – $16,964 · median $10,825 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,702 – $23,099 · median $15,646 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,908 – $17,476 · median $11,313 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,569 – $13,678 · median $7,694 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,294 – $16,535 · median $10,416 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,656 – $11,953 · median $6,094 | 21 plans |
| 602 | CELLULITIS WITH MCC | $7,638 – $20,519 · median $13,903 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,492 – $14,743 · median $8,709 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,929 – $21,052 · median $14,263 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,834 – $15,216 · median $9,160 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,034 – $21,484 · median $14,555 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,390 – $15,116 · median $9,064 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,691 – $28,605 · median $19,728 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,369 – $20,288 · median $13,884 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,208 – $42,201 · median $29,104 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,815 – $25,231 · median $17,401 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,928 – $20,488 · median $13,882 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,276 – $35,905 · median $24,762 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,364 – $22,398 · median $15,324 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,488 – $21,433 · median $14,521 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,209 – $42,955 · median $29,624 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,958 – $24,429 · median $16,598 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,818 – $18,741 · median $12,519 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $15,107 – $37,297 · median $25,243 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,785 – $21,339 · median $14,601 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,284 – $19,543 · median $13,243 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $19,663 – $44,714 · median $30,837 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,478 – $28,469 · median $19,633 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,480 – $20,920 · median $14,174 | 21 plans |
| 637 | DIABETES WITH MCC | $7,309 – $20,681 · median $14,012 | 21 plans |
| 638 | DIABETES WITH CC | $4,676 – $15,009 · median $8,962 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,240 – $12,123 · median $6,212 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,528 – $19,620 · median $13,295 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,004 – $13,770 · median $7,782 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,846 – $20,528 · median $13,909 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,844 – $22,878 · median $15,497 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,414 – $16,360 · median $10,250 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,082 – $13,666 · median $7,683 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $28,973 – $94,060 · median $51,964 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,420 – $34,980 · median $24,124 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,060 – $27,816 · median $18,834 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,449 – $39,015 · median $26,907 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,284 – $24,808 · median $17,065 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,396 – $21,889 · median $14,828 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,169 – $32,268 · median $22,254 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,675 – $19,474 · median $13,196 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,659 – $16,469 · median $10,354 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $15,578 – $37,732 · median $25,964 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,480 – $21,557 · median $14,604 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,296 – $16,590 · median $10,494 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $16,146 – $38,358 · median $26,454 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $9,221 – $23,961 · median $16,229 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,290 – $17,212 · median $11,062 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,649 – $36,247 · median $24,533 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,145 – $21,891 · median $14,830 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,192 – $15,860 · median $9,773 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,447 – $24,441 · median $16,553 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,119 – $16,932 · median $10,795 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $18,413 – $49,696 · median $33,623 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,657 – $30,146 · median $20,790 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,315 – $22,829 · median $15,526 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $7,817 – $21,146 · median $14,326 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $4,669 – $14,795 · median $8,758 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,230 – $11,903 · median $6,003 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,960 – $24,532 · median $16,615 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,571 – $16,600 · median $10,478 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,644 – $13,897 · median $7,903 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,909 – $17,780 · median $11,603 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,212 – $14,099 · median $8,095 | 21 plans |
| 693 | URINARY STONES WITH MCC | $6,746 – $19,713 · median $13,358 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,878 – $13,807 · median $7,817 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,042 – $17,607 · median $11,438 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,667 – $12,834 · median $6,890 | 21 plans |
| 697 | URETHRAL STRICTURE | $5,301 – $16,914 · median $10,778 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,543 – $22,965 · median $15,556 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,451 – $16,255 · median $10,150 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,960 – $12,844 · median $6,899 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,212 – $26,595 · median $18,009 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,930 – $21,704 · median $14,704 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,292 – $30,025 · median $20,488 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,507 – $20,308 · median $13,898 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,327 – $27,472 · median $18,879 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,623 – $17,144 · median $10,997 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,931 – $21,381 · median $14,485 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,937 – $16,700 · median $10,574 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,734 – $29,082 · median $19,690 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,787 – $21,041 · median $14,255 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,563 – $25,443 · median $17,231 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,573 – $19,699 · median $13,348 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,087 – $24,595 · median $16,658 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,791 – $17,596 · median $11,427 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,453 – $12,485 · median $6,557 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,816 – $17,884 · median $11,702 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,952 – $13,181 · median $7,220 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,540 – $21,166 · median $14,340 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,272 – $14,117 · median $8,112 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,343 – $16,714 · median $10,587 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,008 – $12,656 · median $6,720 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,819 – $27,956 · median $19,280 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,516 – $19,724 · median $13,365 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,641 – $43,115 · median $30,191 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,943 – $27,228 · median $18,437 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,851 – $21,015 · median $14,238 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,320 – $43,202 · median $29,795 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,571 – $24,594 · median $16,657 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,803 – $20,570 · median $13,937 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,129 – $24,859 · median $16,836 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,020 – $18,624 · median $12,407 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,539 – $27,107 · median $18,356 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,224 – $30,719 · median $11,375 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,557 – $23,833 · median $16,143 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,987 – $14,626 · median $8,597 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,169 – $20,162 · median $13,662 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,395 – $32,549 · median $22,447 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,794 – $21,091 · median $14,289 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,682 – $24,931 · median $16,885 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,995 – $17,019 · median $10,878 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,871 – $15,683 · median $9,605 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,093 – $20,630 · median $13,978 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,142 – $15,878 · median $9,790 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,633 – $12,568 · median $6,636 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,905 – $16,177 · median $10,075 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,137 – $11,591 · median $5,705 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | — | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,616 – $23,337 · median $15,807 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,722 – $16,126 · median $10,027 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,088 – $12,474 · median $6,813 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $5,532 – $14,433 · median $9,220 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,308 – $31,368 · median $21,235 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,308 – $16,729 · median $10,601 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,308 – $15,655 · median $9,578 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,308 – $22,914 · median $15,521 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,308 – $17,324 · median $11,168 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,308 – $15,666 · median $9,588 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,425 – $17,851 · median $11,670 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,425 – $16,102 · median $10,004 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,425 – $15,648 · median $9,571 | 21 plans |
| 799 | SPLENECTOMY WITH MCC | $27,350 – $53,131 · median $36,642 | 21 plans |
| 800 | SPLENECTOMY WITH CC | $15,693 – $35,086 · median $24,197 | 21 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $8,951 – $25,636 · median $17,361 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $19,719 – $47,414 · median $32,699 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,021 – $25,111 · median $17,007 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,253 – $19,834 · median $13,440 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,425 – $16,929 · median $10,792 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,425 – $13,516 · median $7,540 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,409 – $12,679 · median $6,742 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,580 – $28,774 · median $19,482 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,496 – $18,888 · median $12,659 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,108 – $16,587 · median $10,466 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,325 – $20,341 · median $13,782 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,677 – $15,240 · median $9,182 | 21 plans |
| 813 | COAGULATION DISORDERS | $8,213 – $21,611 · median $14,641 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,053 – $27,922 · median $18,906 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,277 – $16,245 · median $10,140 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,514 – $12,236 · median $6,320 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,239 – $29,547 · median $20,377 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,000 – $17,769 · median $11,667 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,306 – $14,628 · median $8,843 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $30,239 – $67,150 · median $46,310 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,459 – $29,096 · median $19,700 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,655 – $18,239 · median $12,040 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,911 – $53,718 · median $37,047 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,562 – $29,379 · median $20,262 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,448 – $19,765 · median $13,393 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,781 – $54,694 · median $37,720 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,280 – $29,858 · median $20,592 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,920 – $23,484 · median $15,907 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,045 – $38,765 · median $26,735 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,851 – $21,398 · median $14,497 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,961 – $18,223 · median $12,025 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,146 – $13,176 · median $7,216 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,850 – $11,091 · median $5,229 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $32,168 – $63,216 · median $43,597 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $11,239 – $27,493 · median $18,732 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,219 – $18,401 · median $12,195 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,303 – $104,244 · median $50,506 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,010 – $27,509 · median $18,972 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,903 – $20,756 · median $14,063 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,098 – $39,551 · median $27,277 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,618 – $22,724 · median $15,393 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,824 – $16,207 · median $10,104 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,118 – $26,538 · median $17,970 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,277 – $18,379 · median $12,174 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,506 – $14,541 · median $8,516 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,196 – $32,810 · median $22,628 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,099 – $19,332 · median $13,082 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,471 – $14,518 · median $9,119 | 21 plans |
| 849 | RADIOTHERAPY | $13,226 – $40,261 · median $27,095 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $26,290 – $57,430 · median $39,607 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,136 – $26,572 · median $18,326 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,949 – $21,316 · median $14,441 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $24,169 – $53,339 · median $36,785 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,819 – $28,077 · median $19,011 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,169 – $20,221 · median $13,701 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,990 – $24,742 · median $16,757 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,197 – $16,076 · median $9,979 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,652 – $14,920 · median $8,877 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,863 – $21,327 · median $14,449 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,451 – $14,730 · median $8,696 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,854 – $27,570 · median $19,014 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,628 – $16,424 · median $10,311 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,860 – $13,261 · median $7,297 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $34,161 – $78,138 · median $53,888 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,933 – $25,989 · median $17,600 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,432 – $16,343 · median $10,233 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,662 – $49,644 · median $34,237 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,434 – $25,695 · median $17,401 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,032 – $17,878 · median $11,696 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,787 – $44,150 · median $30,448 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,730 – $21,171 · median $14,487 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,538 – $26,218 · median $17,754 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,040 – $45,894 · median $31,651 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,849 – $26,542 · median $18,082 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,310 – $19,380 · median $13,127 | 21 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,701 – $22,758 · median $15,416 | 21 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,725 – $14,896 · median $8,855 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,026 – $23,251 · median $15,749 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,495 – $12,596 · median $6,663 | 21 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,856 – $22,063 · median $14,946 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,206 – $14,598 · median $8,571 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,754 – $24,817 · median $16,807 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,462 – $16,122 · median $10,023 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,676 – $12,828 · median $6,884 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,441 – $23,962 · median $16,230 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,947 – $16,284 · median $10,177 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $18,004 – $43,682 · median $30,009 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,791 – $30,128 · median $20,397 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,234 – $26,883 · median $18,204 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,328 – $18,925 · median $12,694 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,177 – $14,004 · median $8,005 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,886 – $18,089 · median $11,897 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,929 – $12,191 · median $6,548 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,968 – $11,439 · median $5,560 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $33,433 – $76,241 · median $52,580 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,464 – $45,093 · median $31,099 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $39,456 – $85,568 · median $59,013 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,360 – $49,825 · median $34,362 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,538 – $36,500 · median $24,704 | 21 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,485 – $34,293 · median $23,650 | 21 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,914 – $21,687 · median $14,692 | 21 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,854 – $15,474 · median $9,405 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $30,772 – $188,561 · median $61,213 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,659 – $47,209 · median $26,374 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,280 – $35,890 · median $24,291 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,801 – $19,194 · median $12,950 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,046 – $15,077 · median $9,027 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,023 – $19,222 · median $12,977 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,500 – $54,840 · median $37,821 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,513 – $31,404 · median $21,658 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,799 – $23,591 · median $15,979 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,345 – $41,582 · median $28,677 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,936 – $22,852 · median $15,480 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,933 – $18,188 · median $11,992 | 21 plans |
| 795 | NORMAL NEWBORN | $1,013 – $7,701 · median $5,239 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,145 – $31,235 · median $15,024 | 18 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,046 – $16,076 · median $11,048 | 18 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,864 – $13,561 · median $8,663 | 18 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,817 – $18,491 · median $12,705 | 18 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,441 – $13,892 · median $9,549 | 18 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $48,882 – $273,656 · median $76,034 | 18 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $32,424 – $89,597 · median $49,563 | 18 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $25,474 – $146,158 · median $40,492 | 18 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $35,793 – $176,974 · median $56,727 | 18 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,910 – $79,729 · median $33,118 | 18 plans |
| 509 | ARTHROSCOPY | $8,900 – $136,253 · median $17,077 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $84,798 – $131,722 · median $92,538 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $41,840 – $67,831 · median $46,780 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,330 – $62,611 · median $43,180 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,342 – $80,476 · median $55,500 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,173 – $54,941 · median $37,890 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,148 – $44,493 · median $30,685 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,716 – $24,516 · median $16,806 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $41,937 – $67,976 · median $46,880 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,640 – $48,200 · median $33,241 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,282 – $31,306 · median $21,590 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,421 – $49,360 · median $34,042 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,414 – $21,092 · median $14,433 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,271 – $46,163 · median $31,836 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,775 – $15,680 · median $10,632 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $6,639 – $15,478 · median $10,496 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,577 – $16,872 · median $11,438 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,874 – $26,239 · median $18,096 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,352 – $22,488 · median $15,386 | 17 plans |
| 885 | PSYCHOSES | $9,856 – $20,262 · median $13,866 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,643 – $27,382 · median $18,884 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,556 – $16,842 · median $11,418 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,353 – $12,078 · median $8,198 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,988 – $31,923 · median $21,610 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,313 – $23,917 · median $16,361 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,229 – $14,868 · median $10,084 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $150,649 – $229,660 · median $163,016 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,611 – $80,875 · median $55,776 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,726 – $39,403 · median $27,175 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,477 – $46,470 · median $32,048 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,598 – $28,802 · median $19,864 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $14,535 – $27,222 · median $18,774 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $197,737 – $299,692 · median $212,714 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $79,957 – $200,065 · median $135,927 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $72,751 – $116,734 · median $80,113 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,719 – $147,693 · median $100,354 | 16 plans |
| 007 | LUNG TRANSPLANT | $91,377 – $628,362 · median $426,844 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,546 – $142,794 · median $97,026 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $50,632 – $80,907 · median $55,531 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $22,787 – $39,495 · median $27,116 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,927 – $21,855 · median $15,013 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,092 – $17,639 · median $12,016 | 16 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,138 – $11,378 · median $5,006 | 8 plans |
| 999 | UNGROUPABLE | $2,177 – $21,765 · median $9,577 | 8 plans |
No procedures match that keyword.