Navarro Regional 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 | $155,904 – $302,195 · median $187,679 | 24 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $102,410 – $198,483 · median $123,268 | 24 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,491 – $80,375 · median $49,326 | 24 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,509 – $62,961 · median $38,691 | 24 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,830 – $44,195 · median $27,454 | 24 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,009 – $154,982 · median $71,009 | 24 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,328 – $111,716 · median $48,517 | 24 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,975 – $90,538 · median $30,035 | 24 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,495 – $92,133 · median $52,329 | 24 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,303 – $63,828 · median $36,448 | 24 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,908 – $67,612 · median $41,991 | 24 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,480 – $47,394 · median $29,440 | 24 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,226 – $39,147 · median $24,320 | 24 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,512 – $88,169 · median $54,758 | 24 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,674 – $51,647 · median $32,080 | 24 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,849 – $34,538 · median $20,296 | 24 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,428 – $66,681 · median $38,693 | 24 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,383 – $33,635 · median $20,899 | 24 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,988 – $27,051 · median $16,811 | 24 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,004 – $74,550 · median $36,089 | 24 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,266 – $37,285 · median $23,164 | 24 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,018 – $30,988 · median $19,255 | 24 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,807 – $49,966 · median $31,037 | 24 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,695 – $26,485 · median $16,460 | 24 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,452 – $20,196 · median $12,556 | 24 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,935 – $57,970 · median $36,006 | 24 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,875 – $34,587 · median $21,490 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,458 – $27,963 · median $17,377 | 24 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,064 – $29,139 · median $18,107 | 24 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,028 – $17,435 · median $10,842 | 24 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,001 – $25,139 · median $15,624 | 24 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,321 – $18,003 · median $11,194 | 24 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,777 – $38,359 · median $22,576 | 24 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,323 – $21,885 · median $13,604 | 24 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,326 – $32,234 · median $17,218 | 24 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,926 – $21,116 · median $13,127 | 24 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,597 – $16,600 · median $10,323 | 24 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,925 – $45,225 · median $26,365 | 24 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,672 – $34,561 · median $17,635 | 24 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,108 – $28,323 · median $14,549 | 24 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,513 – $31,947 · median $19,851 | 24 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,253 – $20,423 · median $11,113 | 24 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,889 – $16,150 · median $8,268 | 24 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,579 – $26,897 · median $15,116 | 24 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,195 – $17,436 · median $9,839 | 24 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,719 – $14,898 · median $9,267 | 24 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,001 – $28,994 · median $16,828 | 24 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,367 – $18,377 · median $11,250 | 24 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,410 – $14,299 · median $8,895 | 24 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,562 – $26,227 · median $16,300 | 24 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,402 – $18,161 · median $11,292 | 24 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,835 – $30,632 · median $17,876 | 24 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,910 – $15,269 · median $9,497 | 24 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,142 – $29,562 · median $15,793 | 24 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,163 – $17,698 · median $11,005 | 24 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,761 – $13,040 · median $8,113 | 24 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,055 – $29,120 · median $18,096 | 24 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,421 – $16,259 · median $10,112 | 24 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,505 – $36,057 · median $22,248 | 24 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,050 – $23,295 · median $14,479 | 24 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,858 – $17,106 · median $10,637 | 24 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,406 – $35,617 · median $22,129 | 24 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,374 – $21,985 · median $13,666 | 24 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,560 – $16,528 · median $10,043 | 24 plans |
| 088 | CONCUSSION WITH MCC | $11,731 – $22,676 · median $14,095 | 24 plans |
| 089 | CONCUSSION WITH CC | $9,894 – $19,114 · median $11,884 | 24 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,896 – $15,241 · median $9,480 | 24 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,664 – $28,364 · median $17,626 | 24 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,345 – $18,051 · median $11,224 | 24 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,701 – $14,863 · median $9,245 | 24 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,456 – $59,526 · median $33,021 | 24 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,635 – $47,134 · median $24,812 | 24 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,635 – $41,471 · median $24,812 | 24 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,126 – $55,587 · median $33,828 | 24 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,572 – $35,940 · median $22,330 | 24 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,808 – $22,825 · median $14,188 | 24 plans |
| 100 | SEIZURES WITH MCC | $15,975 – $30,904 · median $18,145 | 24 plans |
| 101 | SEIZURES WITHOUT MCC | $8,472 – $16,358 · median $10,173 | 24 plans |
| 102 | HEADACHES WITH MCC | $10,056 – $19,428 · median $12,079 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $7,991 – $15,425 · median $9,594 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,980 – $36,731 · median $22,041 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,739 – $22,693 · median $14,106 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,059 – $25,251 · median $14,999 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,041 – $43,253 · median $18,079 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,794 – $18,922 · median $11,765 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,363 – $20,024 · median $11,894 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,860 – $14,715 · median $8,005 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,717 – $14,895 · median $9,265 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,522 – $34,035 · median $13,844 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,494 – $14,462 · median $8,751 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,666 – $35,724 · median $21,239 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,289 – $20,477 · median $11,157 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,756 – $24,665 · median $15,290 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,353 – $16,127 · median $10,030 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,888 – $21,043 · median $13,081 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,129 – $63,654 · median $34,509 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,747 – $34,340 · median $21,336 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,505 – $26,116 · median $16,231 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,407 – $56,359 · median $30,558 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,495 – $28,036 · median $17,423 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,646 – $20,573 · median $12,430 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,285 – $39,142 · median $20,780 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,148 – $21,546 · median $13,394 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,707 – $14,874 · median $9,252 | 24 plans |
| 149 | DYSEQUILIBRIUM | $7,376 – $14,234 · median $8,854 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $11,583 – $22,466 · median $13,918 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,249 – $13,986 · median $8,511 | 24 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,500 – $20,290 · median $11,996 | 24 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,857 – $14,045 · median $7,642 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,266 – $26,540 · median $15,944 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,573 – $16,553 · median $10,294 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,938 – $13,383 · median $7,545 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,379 – $27,809 · median $17,282 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,524 – $16,459 · median $10,236 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,064 – $13,628 · median $8,055 | 24 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,437 – $66,699 · median $41,424 | 24 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,234 – $39,163 · median $24,330 | 24 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,811 – $30,586 · median $19,006 | 24 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,039 – $56,233 · median $34,927 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,007 – $30,735 · median $18,038 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,837 – $22,881 · median $14,223 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,889 – $22,982 · median $14,285 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,764 – $14,985 · median $9,321 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,261 – $37,187 · median $15,937 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,004 – $23,774 · median $10,814 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,401 – $16,393 · median $8,884 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,735 – $28,501 · median $17,712 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,694 – $18,726 · median $11,643 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,392 – $14,265 · median $8,874 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,023 – $25,181 · median $15,650 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,643 – $18,629 · median $11,583 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,630 – $14,725 · median $9,159 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,230 – $25,583 · median $15,900 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,099 – $17,574 · median $10,928 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,127 – $13,750 · median $8,554 | 24 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,886 – $25,776 · median $13,079 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,960 – $19,242 · median $11,964 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,039 – $15,519 · median $9,653 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,581 – $12,692 · median $7,898 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,459 – $23,755 · median $13,769 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,770 – $14,998 · median $9,329 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,483 – $12,503 · median $7,668 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,615 – $30,206 · median $18,770 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,809 – $17,386 · median $10,579 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,120 – $13,736 · median $8,545 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,722 – $28,475 · median $17,695 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,899 – $19,124 · median $11,890 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,112 – $13,721 · median $8,327 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,970 – $17,323 · median $10,772 | 24 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,784 – $13,086 · median $7,123 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,781 – $15,019 · median $9,342 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,207 – $29,416 · median $18,279 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,751 – $16,899 · median $10,509 | 24 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,605 – $104,673 · median $58,482 | 24 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,865 – $42,323 · median $26,292 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $74,158 – $277,575 · median $89,250 | 24 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $72,894 – $149,547 · median $87,728 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,625 – $98,054 · median $59,711 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,625 – $96,144 · median $59,711 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,627 – $111,658 · median $69,345 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,611 – $78,668 · median $48,857 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,488 – $74,553 · median $46,301 | 24 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,815 – $111,213 · median $45,491 | 24 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,772 – $57,620 · median $29,792 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $63,079 – $133,818 · median $75,911 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,905 – $99,758 · median $55,232 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $57,387 – $111,192 · median $69,056 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,553 – $80,495 · median $49,992 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,498 – $86,204 · median $53,538 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,312 – $62,578 · median $38,866 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,629 – $78,848 · median $45,266 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,603 – $45,643 · median $27,181 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,967 – $23,302 · median $14,380 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,086 – $54,488 · median $30,170 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,383 – $41,305 · median $20,898 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,037 – $33,456 · median $18,074 | 24 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,022 – $67,833 · median $42,128 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,757 – $49,934 · median $21,348 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,766 – $40,163 · median $15,341 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,230 – $52,726 · median $32,750 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,754 – $40,170 · median $24,955 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,849 – $28,722 · median $17,849 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,492 – $41,602 · median $25,844 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,241 – $27,544 · median $17,117 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,847 – $19,024 · median $11,828 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,718 – $47,856 · median $29,727 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,593 – $33,970 · median $19,948 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,522 – $49,413 · median $30,693 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,639 – $30,253 · median $18,799 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,748 – $26,587 · median $16,523 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,398 – $46,665 · median $25,308 | 24 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,159 – $50,648 · median $30,107 | 24 plans |
| 265 | AICD LEAD PROCEDURES | $28,172 – $54,553 · median $33,884 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,383 – $129,592 · median $55,807 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,461 – $74,406 · median $43,861 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,820 – $100,400 · median $62,354 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,561 – $63,062 · median $39,166 | 24 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,201 – $77,874 · median $48,364 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,723 – $53,682 · median $33,343 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,445 – $39,571 · median $24,583 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,853 – $61,688 · median $38,313 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,804 – $49,960 · median $31,033 | 24 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,561 – $30,415 · median $16,298 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,592 – $20,128 · median $10,317 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,170 – $17,843 · median $8,606 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,294 – $41,723 · median $19,587 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,945 – $17,593 · median $8,336 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,269 – $13,593 · median $7,521 | 24 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,977 – $34,786 · median $21,613 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,687 – $19,849 · median $11,635 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,556 – $71,341 · median $25,921 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,307 – $30,105 · median $17,196 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,668 – $24,605 · median $10,410 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,237 – $21,719 · median $13,501 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,083 – $15,604 · median $9,705 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,030 – $11,623 · median $7,234 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,833 – $20,934 · median $11,929 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,296 – $14,771 · median $8,035 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,255 – $28,131 · median $15,930 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,523 – $13,992 · median $7,828 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,225 – $10,064 · median $6,266 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,768 – $26,627 · median $15,554 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,668 – $18,677 · median $11,377 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,145 – $13,785 · median $7,954 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,605 – $20,493 · median $12,740 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,808 – $13,131 · median $8,170 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $10,557 – $20,400 · median $12,682 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,402 – $14,283 · median $8,885 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,356 – $53,971 · median $16,051 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,549 – $16,507 · median $10,265 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,658 – $20,597 · median $12,805 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,261 – $14,010 · median $8,716 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,031 – $11,625 · median $7,235 | 24 plans |
| 311 | ANGINA PECTORIS | $7,016 – $13,535 · median $8,353 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,247 – $15,922 · median $9,902 | 24 plans |
| 313 | CHEST PAIN | $7,147 – $13,789 · median $8,579 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,051 – $32,991 · median $20,499 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,912 – $17,211 · median $10,703 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,872 – $13,256 · median $8,248 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,105 – $73,810 · median $45,840 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,656 – $38,040 · median $23,633 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,548 – $26,199 · median $16,282 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,270 – $68,312 · median $42,426 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,315 – $37,379 · median $23,223 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,133 – $27,333 · median $16,986 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,191 – $54,588 · median $33,906 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $18,916 – $36,606 · median $22,743 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,806 – $26,700 · median $16,593 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,829 – $56,706 · median $33,471 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,222 – $33,322 · median $20,704 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,060 – $25,252 · median $15,695 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,661 – $39,990 · median $24,843 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,840 – $24,826 · median $15,430 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,529 – $20,347 · median $12,649 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,577 – $35,950 · median $22,336 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,419 – $22,071 · median $13,720 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,240 – $15,908 · median $9,894 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,002 – $38,711 · median $24,050 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,983 – $25,105 · median $15,603 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,396 – $20,088 · median $12,488 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,977 – $47,638 · median $27,630 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,129 – $27,326 · median $16,982 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,681 – $22,580 · median $14,036 | 24 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,792 – $65,447 · median $40,361 | 24 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,794 – $36,371 · median $22,554 | 24 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,065 – $23,324 · median $14,498 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,472 – $29,911 · median $16,191 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,180 – $17,730 · median $11,025 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,008 – $13,519 · median $8,411 | 24 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,787 – $28,601 · median $17,774 | 24 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,331 – $18,023 · median $11,207 | 24 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,201 – $13,894 · median $8,643 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,439 – $33,743 · median $20,966 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,699 – $20,676 · median $12,853 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,629 – $16,663 · median $10,362 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,185 – $29,373 · median $18,253 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,038 – $17,456 · median $10,855 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,497 – $12,529 · median $7,796 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,159 – $31,261 · median $19,425 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,784 – $18,902 · median $11,752 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,732 – $14,923 · median $9,282 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,940 – $23,082 · median $14,347 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,125 – $15,685 · median $9,756 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,403 – $25,918 · median $16,108 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,007 – $17,394 · median $10,816 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,866 – $13,245 · median $8,241 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,637 – $24,434 · median $15,186 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,654 – $14,771 · median $9,188 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,870 – $11,314 · median $7,042 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,125 – $21,501 · median $13,366 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,580 – $14,628 · median $9,099 | 24 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,526 – $26,157 · median $16,256 | 24 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,712 – $16,823 · median $10,462 | 24 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,632 – $12,791 · median $7,959 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,610 – $80,605 · median $49,242 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,964 – $44,454 · median $27,615 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,026 – $34,881 · median $21,672 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,791 – $61,851 · median $33,425 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,719 – $35,352 · median $21,303 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,442 – $25,994 · median $16,155 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,888 – $50,124 · median $31,134 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,177 – $39,647 · median $20,650 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,970 – $27,018 · median $16,790 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,769 – $53,771 · median $33,398 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,917 – $32,731 · median $20,337 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,814 – $22,837 · median $14,195 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,236 – $37,227 · median $23,129 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,196 – $27,455 · median $17,062 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,832 – $22,873 · median $14,217 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,641 – $51,583 · median $32,041 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,529 – $28,101 · median $17,463 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,077 – $23,347 · median $14,512 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,052 – $66,198 · median $38,553 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,796 – $38,635 · median $21,395 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,808 – $25,947 · median $15,392 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,202 – $31,345 · median $19,477 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,586 – $18,518 · median $11,514 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,093 – $13,684 · median $8,513 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,248 – $29,496 · median $18,329 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,130 – $19,572 · median $12,168 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,114 – $15,664 · median $9,742 | 24 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,750 – $28,287 · median $16,526 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,026 – $15,494 · median $9,637 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,432 – $12,403 · median $7,718 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,944 – $29,730 · median $17,962 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,927 – $17,240 · median $10,720 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,000 – $13,504 · median $8,401 | 24 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,046 – $27,164 · median $16,881 | 24 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,863 – $19,055 · median $11,848 | 24 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,926 – $15,299 · median $9,515 | 24 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $66,210 – $138,907 · median $79,680 | 24 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $46,295 – $93,647 · median $55,701 | 24 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $35,336 – $71,227 · median $42,505 | 24 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $62,887 – $140,345 · median $75,679 | 24 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,184 – $95,358 · median $54,363 | 24 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,194 – $75,864 · median $38,725 | 24 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $50,038 – $96,946 · median $60,209 | 24 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,460 – $55,111 · median $34,231 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,991 – $81,344 · median $50,519 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,221 – $49,283 · median $25,518 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,271 – $83,826 · median $52,060 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,520 – $47,559 · median $29,488 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,154 – $29,313 · median $18,215 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,687 – $76,877 · median $47,744 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,508 – $53,264 · median $33,084 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,859 – $42,313 · median $26,286 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,928 – $46,325 · median $28,776 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,917 – $31,241 · median $19,134 | 24 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,954 – $71,578 · median $44,454 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,297 – $45,100 · median $28,016 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,634 – $38,000 · median $23,608 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,067 – $64,042 · median $39,775 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,433 – $35,670 · median $22,162 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,486 – $20,262 · median $12,597 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,986 – $52,252 · median $32,455 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,764 – $38,251 · median $23,764 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,409 – $29,808 · median $18,523 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,051 – $45,058 · median $27,720 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,119 – $33,122 · median $20,580 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,756 – $26,603 · median $16,533 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,033 – $42,649 · median $26,495 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,335 – $49,052 · median $30,469 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,094 – $33,074 · median $20,550 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,286 – $25,691 · median $15,967 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,757 – $28,542 · median $17,737 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,026 – $21,785 · median $12,043 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,560 – $55,304 · median $34,350 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,322 – $39,333 · median $24,436 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,480 – $31,884 · median $19,206 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,227 – $54,658 · median $33,949 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,010 – $29,035 · median $18,043 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,690 – $20,657 · median $12,842 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,809 – $46,094 · median $26,851 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,511 – $32,001 · median $17,367 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,883 – $49,188 · median $29,925 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,606 – $28,250 · median $17,555 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,688 – $22,593 · median $14,044 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,172 – $43,017 · median $26,662 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,484 – $29,953 · median $18,613 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,930 – $28,878 · median $16,446 | 24 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,712 – $22,639 · median $14,072 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,029 – $29,070 · median $18,064 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,910 – $24,963 · median $15,515 | 24 plans |
| 509 | ARTHROSCOPY | $14,668 – $28,371 · median $15,967 | 24 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,836 – $46,146 · median $28,665 | 24 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,009 – $32,909 · median $20,448 | 24 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,933 – $26,946 · median $16,746 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,345 – $25,805 · median $16,038 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,340 – $18,041 · median $11,218 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,043 – $51,981 · median $30,118 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,000 – $35,410 · median $20,437 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,072 – $25,964 · median $15,710 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,036 – $56,228 · median $31,841 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,434 – $31,795 · median $19,757 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,761 – $24,674 · median $14,911 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,746 – $44,187 · median $27,353 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,287 – $33,448 · median $20,782 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,297 – $27,572 · median $15,980 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,772 – $15,000 · median $8,956 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,224 – $21,694 · median $13,486 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,783 – $15,022 · median $9,343 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,847 – $20,140 · median $10,624 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,149 – $13,794 · median $8,581 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,213 – $59,415 · median $19,490 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,328 – $23,770 · median $13,610 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,636 – $14,737 · median $9,167 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,739 – $32,455 · median $17,716 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,382 – $21,221 · median $11,268 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,398 – $14,276 · median $8,881 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,928 – $38,568 · median $23,961 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,291 – $19,923 · median $12,363 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,990 – $16,357 · median $9,593 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,932 – $42,585 · median $19,151 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,682 – $20,642 · median $12,833 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,265 – $15,957 · median $9,924 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,083 – $27,237 · median $16,927 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,898 – $17,183 · median $10,685 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,328 – $41,441 · median $13,610 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,946 – $15,338 · median $8,522 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,513 – $22,254 · median $13,833 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,950 – $15,345 · median $9,544 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,711 – $24,576 · median $15,275 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,404 – $16,226 · median $8,863 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,453 – $50,228 · median $18,575 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,093 – $20,175 · median $12,124 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,756 – $14,969 · median $9,288 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,260 – $23,702 · median $14,732 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,420 – $16,258 · median $9,378 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,122 – $36,837 · median $15,770 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,993 – $17,368 · median $10,800 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,360 – $14,202 · median $8,834 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $29,584 – $57,289 · median $35,583 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,180 – $27,425 · median $17,044 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,240 – $19,785 · median $12,301 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,551 – $95,808 · median $51,931 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,107 – $52,488 · median $32,602 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,960 – $28,937 · median $17,982 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,480 – $72,598 · median $45,087 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,154 – $40,945 · median $25,436 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,578 – $27,331 · median $16,318 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,418 – $49,212 · median $29,532 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,460 – $27,967 · median $17,380 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,393 – $23,960 · median $14,892 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,901 – $30,760 · median $19,114 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,434 – $28,698 · median $17,348 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,454 – $33,772 · median $20,983 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,919 – $30,795 · median $19,136 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $15,964 – $30,883 · median $19,190 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $10,530 – $22,052 · median $12,650 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,212 – $15,854 · median $9,860 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,309 – $33,490 · median $20,809 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,777 – $18,888 · median $10,542 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,018 – $29,950 · median $16,848 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,131 – $20,894 · median $12,170 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,506 – $14,484 · median $9,010 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,480 – $18,313 · median $10,823 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,313 – $12,172 · median $6,979 | 24 plans |
| 602 | CELLULITIS WITH MCC | $12,235 – $23,653 · median $14,702 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,242 – $15,912 · median $8,995 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,603 – $24,368 · median $15,145 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,569 – $16,546 · median $10,290 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,902 – $24,946 · median $15,504 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,187 – $16,411 · median $8,924 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,824 – $34,490 · median $21,429 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,075 – $23,344 · median $14,510 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,223 – $53,835 · median $32,742 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,492 – $29,968 · median $18,622 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,213 – $23,611 · median $14,676 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,871 – $46,484 · median $27,503 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,533 – $37,984 · median $16,265 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,867 – $29,511 · median $15,462 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,744 – $73,335 · median $33,369 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,938 – $31,832 · median $17,955 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,006 – $21,271 · median $13,223 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,833 – $46,140 · median $28,662 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,801 – $24,752 · median $15,384 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,560 – $22,345 · median $13,492 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,960 – $56,080 · median $34,832 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,730 – $34,307 · median $21,316 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,512 – $24,764 · median $15,035 | 24 plans |
| 637 | DIABETES WITH MCC | $12,347 – $23,870 · median $14,836 | 24 plans |
| 638 | DIABETES WITH CC | $8,425 – $16,268 · median $10,117 | 24 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,430 – $12,400 · median $7,606 | 24 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,613 – $22,448 · median $13,954 | 24 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,569 – $14,608 · median $7,954 | 24 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,241 – $23,664 · median $14,709 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,866 – $26,815 · median $16,665 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,360 – $18,079 · median $11,242 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,498 – $14,469 · median $8,056 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,622 – $76,750 · median $47,666 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,232 – $43,035 · median $26,734 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,279 – $33,433 · median $20,773 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,021 – $52,751 · median $30,091 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,200 – $29,402 · median $18,270 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,182 – $25,489 · median $15,841 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,357 – $39,400 · median $24,478 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,512 – $22,585 · median $13,832 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,435 – $19,426 · median $11,332 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,134 – $46,723 · median $29,023 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,952 – $25,044 · median $15,565 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,519 – $18,387 · median $11,433 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,567 – $47,562 · median $29,544 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $14,614 – $28,267 · median $17,566 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,949 – $19,221 · median $11,951 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,107 – $44,732 · median $27,424 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,183 – $25,492 · median $15,316 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,014 – $17,408 · median $10,825 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,946 – $28,909 · median $17,965 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,755 – $18,846 · median $11,266 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,405 – $62,758 · median $38,978 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,889 – $36,555 · median $22,711 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,832 – $26,749 · median $16,624 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $12,668 – $24,493 · median $15,223 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $8,277 – $15,981 · median $9,939 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,279 – $12,106 · median $7,533 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,009 – $31,799 · median $18,041 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,525 – $18,400 · median $11,441 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,657 – $14,778 · median $8,735 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,341 – $19,982 · median $12,423 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,796 – $15,048 · median $8,873 | 24 plans |
| 693 | URINARY STONES WITH MCC | $11,678 – $22,573 · median $14,031 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,595 – $14,657 · median $9,054 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,222 – $19,750 · median $12,279 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,922 – $13,353 · median $8,044 | 24 plans |
| 697 | URETHRAL STRICTURE | $9,743 – $18,822 · median $11,018 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,926 – $26,932 · median $16,737 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,287 – $17,939 · median $11,154 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,929 – $13,366 · median $8,316 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,435 – $31,797 · median $19,757 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,054 – $25,241 · median $15,688 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,806 – $36,393 · median $22,611 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,089 – $23,371 · median $14,185 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,041 – $32,971 · median $20,486 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,902 – $19,130 · median $11,894 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,830 – $24,808 · median $14,207 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,595 – $18,535 · median $10,954 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,155 – $35,130 · median $21,827 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,595 – $24,352 · median $15,136 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,639 – $36,370 · median $18,799 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,668 – $22,553 · median $13,382 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,052 – $41,200 · median $18,093 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,214 – $19,735 · median $12,269 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,681 – $17,736 · median $8,017 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,413 – $20,568 · median $12,509 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,162 – $13,818 · median $7,529 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,682 – $24,520 · median $15,240 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,809 – $15,072 · median $8,832 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,604 – $26,199 · median $11,536 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,799 – $13,114 · median $7,138 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,376 – $35,497 · median $20,890 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,685 – $22,587 · median $14,040 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,855 – $60,575 · median $33,502 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,873 – $32,645 · median $20,284 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,577 – $24,317 · median $15,114 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,916 – $54,055 · median $32,805 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,052 – $29,115 · median $18,092 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,270 – $23,721 · median $14,744 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,235 – $29,469 · median $18,147 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,925 – $21,113 · median $13,125 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,789 – $32,483 · median $18,184 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,176 – $19,662 · median $12,090 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,526 – $28,095 · median $17,160 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,161 – $15,754 · median $9,798 | 24 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,988 – $23,175 · median $13,835 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,551 – $39,776 · median $24,711 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,630 – $24,420 · median $15,178 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,285 – $29,566 · median $18,373 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,815 – $18,963 · median $11,790 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,639 – $17,172 · median $9,336 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,312 – $26,585 · median $14,794 | 24 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,026 – $17,432 · median $10,840 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,738 – $12,996 · median $8,086 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,233 – $17,833 · median $9,891 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,063 – $11,687 · median $6,583 | 24 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,865 – $18,735 · median $10,182 | 24 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,183 – $27,430 · median $15,718 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,198 – $17,766 · median $9,719 | 24 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,673 – $12,871 · median $7,006 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $5,954 – $15,496 · median $8,428 | 24 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,057 – $38,194 · median $20,720 | 24 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,614 – $18,573 · median $10,576 | 24 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,872 – $17,134 · median $9,315 | 24 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,057 – $26,863 · median $14,584 | 24 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,026 – $19,370 · median $10,792 | 24 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,880 – $17,148 · median $9,323 | 24 plans |
| 795 | NORMAL NEWBORN | $1,462 – $6,473 · median $3,541 | 24 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,467 – $20,077 · median $10,909 | 24 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,181 – $17,733 · median $9,640 | 24 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,867 – $17,124 · median $9,389 | 24 plans |
| 799 | SPLENECTOMY WITH MCC | $34,779 – $92,849 · median $41,836 | 24 plans |
| 800 | SPLENECTOMY WITH CC | $22,305 – $43,177 · median $26,822 | 24 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,772 – $30,511 · median $18,959 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,827 – $59,699 · median $37,079 | 24 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,409 – $29,808 · median $18,523 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,761 – $22,735 · median $14,132 | 24 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,000 – $18,842 · median $10,240 | 24 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,000 – $14,268 · median $7,763 | 24 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,747 – $13,145 · median $7,155 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,941 – $41,327 · median $21,570 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,107 – $21,468 · median $13,345 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,517 – $18,383 · median $11,077 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,111 – $23,414 · median $14,553 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,585 – $16,577 · median $9,529 | 24 plans |
| 813 | COAGULATION DISORDERS | $12,989 – $25,116 · median $15,610 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,352 – $33,575 · median $20,861 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,280 – $17,925 · median $11,146 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,509 – $12,552 · median $7,810 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,554 – $35,753 · median $19,399 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,554 – $19,967 · median $10,849 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,437 – $15,757 · median $8,569 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,471 – $93,953 · median $53,504 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,164 – $35,149 · median $21,838 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,658 – $20,597 · median $12,805 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,185 – $79,697 · median $42,324 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,360 – $36,182 · median $22,074 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,713 – $24,221 · median $14,074 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,859 – $83,152 · median $43,136 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,691 – $36,170 · median $22,472 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,284 – $27,627 · median $17,169 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,848 – $48,108 · median $29,883 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,842 – $24,830 · median $15,433 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,554 – $20,576 · median $11,179 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,554 – $13,812 · median $7,516 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,437 – $11,017 · median $6,002 | 24 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,751 – $108,425 · median $50,230 | 24 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,055 – $56,656 · median $20,504 | 24 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,771 – $34,149 · median $12,940 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,777 – $71,235 · median $44,241 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,067 – $35,857 · median $20,518 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,399 – $23,971 · median $14,899 | 24 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,392 – $62,052 · median $30,537 | 24 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,759 – $32,412 · median $16,536 | 24 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,254 – $21,873 · median $11,114 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,395 – $31,719 · median $19,709 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,756 – $20,785 · median $12,922 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,102 – $15,640 · median $9,728 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,731 – $40,126 · median $24,928 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,414 – $22,062 · median $13,714 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,086 – $15,609 · median $9,708 | 24 plans |
| 849 | RADIOTHERAPY | $14,103 – $41,772 · median $22,658 | 24 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,751 – $73,526 · median $45,414 | 24 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,419 – $31,766 · median $19,738 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,785 – $24,721 · median $15,365 | 24 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,923 – $67,640 · median $42,008 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,460 – $33,783 · median $20,990 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,029 – $23,254 · median $14,454 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,154 – $29,313 · median $18,215 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,163 – $17,698 · median $10,984 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,364 – $16,148 · median $9,435 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,793 – $24,736 · median $15,374 | 24 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,232 – $15,894 · median $8,964 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,109 – $58,063 · median $20,569 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,404 – $18,165 · median $11,295 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,218 – $13,926 · median $8,663 | 24 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,066 – $107,027 · median $62,650 | 24 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,016 – $30,984 · median $19,253 | 24 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,347 – $18,055 · median $11,227 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,368 – $70,759 · median $38,934 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,813 – $30,590 · median $19,008 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,409 – $20,113 · median $12,504 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,571 – $55,325 · median $34,363 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,685 – $24,527 · median $15,244 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,174 – $31,291 · median $18,645 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,776 – $57,662 · median $35,814 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,398 – $31,725 · median $19,713 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,447 – $22,126 · median $13,754 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,782 – $31,030 · median $16,564 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,348 – $16,117 · median $9,764 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,123 – $27,314 · median $16,975 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,392 – $13,034 · median $7,095 | 24 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,302 – $25,722 · median $15,986 | 24 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,142 – $15,718 · median $8,723 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,206 – $29,413 · median $18,277 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,195 – $17,760 · median $11,043 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,918 – $13,345 · median $8,303 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,615 – $28,268 · median $17,567 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,375 – $17,977 · median $9,771 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,247 – $66,992 · median $33,974 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,877 – $36,531 · median $22,570 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,634 – $32,182 · median $19,997 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,133 – $21,517 · median $13,376 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,731 – $14,922 · median $9,281 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,555 – $28,232 · median $12,680 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,478 – $12,491 · median $7,115 | 24 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,543 – $11,483 · median $6,254 | 24 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,755 – $98,336 · median $61,072 | 24 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,223 – $85,202 · median $35,148 | 24 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,203 – $110,837 · median $68,835 | 24 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,494 – $62,931 · median $39,085 | 24 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,282 – $45,071 · median $27,998 | 24 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,756 – $46,744 · median $26,162 | 24 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,042 – $25,219 · median $15,674 | 24 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,747 – $17,366 · median $10,504 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $51,793 – $100,348 · median $62,321 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,057 – $65,821 · median $25,320 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,861 – $51,329 · median $27,491 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,319 – $23,363 · median $13,599 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,473 – $16,573 · median $10,174 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,338 – $21,915 · median $13,623 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,961 – $69,653 · median $43,258 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,759 – $38,241 · median $23,758 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,358 – $27,770 · median $16,417 | 24 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,795 – $51,883 · median $32,227 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,848 – $26,780 · median $16,643 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,624 – $20,529 · median $12,763 | 24 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,516 – $45,526 · median $24,692 | 23 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $80,811 – $156,607 · median $84,897 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,652 – $103,952 · median $56,353 | 23 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $45,499 – $88,145 · median $47,784 | 23 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,429 – $68,622 · median $37,201 | 23 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $42,304 – $81,951 · median $44,426 | 23 plans |
| 279 | CELLULITIS AGE 0-17 | $28,087 – $54,387 · median $29,491 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,300 – $66,433 · median $36,015 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,373 – $37,493 · median $20,342 | 23 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,662 – $41,931 · median $22,745 | 23 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $14,714 – $28,459 · median $15,449 | 23 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $33,317 – $64,528 · median $34,983 | 23 plans |
| 324 | URINARY STONES W/O CC | $24,783 – $47,981 · median $26,022 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,214 – $48,817 · median $26,475 | 23 plans |
| 397 | COAGULATION DISORDERS | $19,298 – $37,347 · median $20,263 | 23 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $12,904 – $24,951 · median $13,550 | 23 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $10,228 – $19,763 · median $10,740 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,998 – $29,011 · median $15,748 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,041 – $87,258 · median $47,303 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,370 – $60,752 · median $32,939 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,692 – $38,111 · median $20,676 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,173 – $62,308 · median $33,781 | 23 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,631 – $24,421 · median $13,262 | 23 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,399 – $12,339 · median $6,719 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,193 – $23,573 · median $12,803 | 23 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,584 – $28,207 · median $15,313 | 23 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,328 – $16,079 · median $8,745 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $156,813 – $303,957 · median $164,777 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,959 – $104,547 · median $56,675 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,289 – $48,963 · median $26,554 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,175 – $58,435 · median $31,683 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,961 – $34,755 · median $18,859 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $16,868 – $32,637 · median $17,712 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,158 – $25,444 · median $13,816 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,243 – $19,792 · median $10,756 | 23 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $205,225 – $397,819 · median $247,066 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,131 – $163,044 · median $101,259 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,962 – $58,022 · median $36,038 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,890 – $17,168 · median $10,676 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $8,750 – $16,896 · median $10,507 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,714 – $18,766 · median $11,668 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,189 – $31,319 · median $19,461 | 22 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,596 – $26,292 · median $16,340 | 22 plans |
| 885 | PSYCHOSES | $12,057 – $23,309 · median $14,488 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,979 – $32,852 · median $20,412 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,693 – $18,725 · median $11,642 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $89,109 – $159,061 · median $93,619 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $315,197 – $562,789 · median $331,242 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,682 – $95,799 · median $56,385 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,031 – $64,278 · median $37,832 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,808 – $51,381 · median $30,248 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,722 – $136,942 · median $92,338 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,984 – $65,980 · median $44,490 | 20 plans |
| 007 | LUNG TRANSPLANT | $171,138 – $363,477 · median $213,847 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,583 – $75,979 · median $51,231 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $53,981 – $96,332 · median $64,955 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,941 – $80,190 · median $54,071 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,333 – $73,747 · median $49,726 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $25,353 – $45,210 · median $30,490 | 20 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $10,240 · median $4,580 | 4 plans |
| 999 | UNGROUPABLE | $1,676 – $19,589 · median $6,530 | 3 plans |
No procedures match that keyword.