Texas Health Hospital Frisco — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,229 – $390,857 · median $59,355 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,324 – $297,256 · median $45,141 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,728 – $191,955 · median $29,150 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,789 – $117,477 · median $24,479 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,028 – $145,777 · median $22,138 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,043 – $66,743 · median $10,135 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,982 – $108,589 · median $16,490 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,334 – $79,028 · median $12,001 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,709 – $181,387 · median $27,545 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,319 – $96,659 · median $14,678 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,296 – $133,710 · median $20,305 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,925 – $88,633 · median $13,460 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,616 – $64,642 · median $9,816 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,831 – $195,823 · median $29,737 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,639 – $129,001 · median $19,590 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,097 – $101,758 · median $15,453 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,464 – $144,090 · median $21,881 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,267 – $73,660 · median $11,186 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,923 – $49,858 · median $7,571 | 21 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,564 – $105,387 · median $16,004 | 21 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,217 – $63,852 · median $9,697 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,745 – $57,956 · median $8,801 | 21 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,974 – $125,952 · median $19,127 | 21 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,380 – $76,340 · median $11,593 | 21 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,439 – $54,341 · median $8,252 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,539 – $111,957 · median $17,002 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,414 – $75,507 · median $11,466 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,792 – $120,403 · median $18,284 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,935 – $66,417 · median $10,086 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,019 – $142,626 · median $21,659 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,442 – $65,540 · median $9,953 | 21 plans |
| 088 | CONCUSSION WITH MCC | $9,723 – $102,185 · median $15,518 | 21 plans |
| 089 | CONCUSSION WITH CC | $7,902 – $77,659 · median $11,793 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,921 – $62,099 · median $9,430 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,632 – $132,044 · median $20,052 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,358 – $76,688 · median $11,646 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,727 – $57,174 · median $8,682 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,313 – $264,297 · median $40,136 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,551 – $173,644 · median $26,369 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,551 – $173,644 · median $26,369 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,978 – $259,654 · median $39,431 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,506 – $157,135 · median $23,862 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,799 – $100,925 · median $15,326 | 21 plans |
| 100 | SEIZURES WITH MCC | $13,931 – $143,807 · median $21,838 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $6,492 – $66,764 · median $10,139 | 21 plans |
| 102 | HEADACHES WITH MCC | $8,062 – $83,990 · median $12,755 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $6,015 – $61,585 · median $9,352 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,910 – $162,054 · median $24,609 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,732 – $85,627 · median $13,003 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,040 – $110,900 · median $16,841 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,005 – $120,867 · median $18,355 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,803 – $73,320 · median $11,134 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,367 – $84,258 · median $12,795 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,652 – $49,133 · median $7,461 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,744 – $58,181 · median $8,835 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,516 – $94,449 · median $14,343 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,522 – $59,810 · median $9,083 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,608 – $174,650 · median $26,522 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,303 – $70,857 · median $10,760 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,740 – $101,309 · median $15,385 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,374 – $58,927 · median $8,949 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,888 – $99,455 · median $15,103 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,678 – $306,346 · median $46,521 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,688 – $155,629 · median $23,634 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,482 – $113,898 · median $17,296 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,948 – $239,176 · median $36,321 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,464 – $127,248 · median $19,324 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,648 – $85,822 · median $13,033 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,230 – $166,175 · median $25,235 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,145 – $90,168 · median $13,693 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,733 – $55,290 · median $8,396 | 21 plans |
| 149 | DYSEQUILIBRIUM | $5,406 – $54,146 · median $8,223 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $9,577 – $100,121 · median $15,204 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,279 – $54,906 · median $8,338 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,503 – $82,200 · median $12,483 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,310 – $51,553 · median $7,829 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,246 – $117,803 · median $17,889 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,592 – $67,626 · median $10,270 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,971 – $48,706 · median $7,396 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,348 – $118,614 · median $18,013 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,544 – $68,133 · median $10,347 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,096 – $47,779 · median $7,256 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,236 – $333,872 · median $50,701 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,154 – $182,321 · median $27,687 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,768 – $135,021 · median $20,504 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,884 – $278,900 · median $42,353 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,971 – $132,355 · median $20,099 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,828 – $98,071 · median $14,893 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,880 – $102,070 · median $15,500 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,790 – $58,999 · median $8,960 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,240 – $117,093 · median $17,782 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,020 – $71,864 · median $10,913 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,430 – $55,754 · median $8,467 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,702 – $126,604 · median $19,226 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,703 – $80,426 · median $12,213 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,422 – $60,665 · median $9,213 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,210 – $114,449 · median $17,380 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,114 – $72,726 · median $11,044 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,159 – $53,183 · median $8,076 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,886 – $89,632 · median $13,611 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,967 – $81,346 · median $12,353 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,063 – $62,230 · median $9,450 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,618 – $46,881 · median $7,119 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,454 – $95,449 · median $14,495 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,796 – $59,398 · median $9,020 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,521 – $45,106 · median $6,850 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,574 – $136,477 · median $20,725 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,826 – $71,712 · median $10,890 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,151 – $48,749 · median $7,403 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,688 – $127,871 · median $19,418 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,907 – $80,223 · median $12,183 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,143 – $49,046 · median $7,448 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,985 – $70,024 · median $10,634 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,819 – $50,459 · median $7,663 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,807 – $58,746 · median $8,921 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,170 – $136,745 · median $20,766 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,769 – $65,613 · median $9,964 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,282 – $468,458 · median $71,139 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,770 – $194,404 · median $29,522 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,538 – $118,896 · median $18,055 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,611 – $66,772 · median $10,140 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,201 – $52,523 · median $7,976 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,247 – $141,641 · median $21,509 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,979 – $53,675 · median $8,151 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,308 – $40,666 · median $6,175 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,916 – $160,323 · median $24,346 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,697 – $78,934 · median $11,987 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,464 – $197,859 · median $30,047 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,277 – $114,210 · median $17,344 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,687 – $70,915 · median $10,769 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,234 – $94,514 · median $14,353 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,106 – $62,382 · median $9,473 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,071 – $39,746 · median $6,036 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,234 – $118,679 · median $18,022 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,560 – $51,024 · median $7,748 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,273 – $31,995 · median $4,859 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,743 – $117,172 · median $17,794 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,678 – $77,550 · median $11,777 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,176 – $51,676 · median $7,847 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,607 – $84,265 · median $12,796 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,842 – $48,706 · median $7,396 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $8,559 – $85,098 · median $12,923 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,431 – $54,378 · median $8,258 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,334 – $108,466 · median $16,471 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,568 – $67,105 · median $10,190 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,660 – $87,351 · median $13,265 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,292 – $53,552 · median $8,132 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,072 – $40,528 · median $6,155 | 21 plans |
| 311 | ANGINA PECTORIS | $5,048 – $50,582 · median $7,681 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,269 – $63,113 · median $9,584 | 21 plans |
| 313 | CHEST PAIN | $5,179 – $51,676 · median $7,847 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,998 – $155,991 · median $23,689 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,929 – $69,705 · median $10,585 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,906 – $49,452 · median $7,510 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,100 – $318,197 · median $48,321 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,300 – $167,675 · median $25,463 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,872 – $367,902 · median $55,869 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,580 – $175,882 · median $26,709 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,525 – $115,427 · median $17,529 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,061 – $332,619 · median $50,511 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,242 – $171,217 · median $26,001 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,104 – $119,592 · median $18,161 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,042 – $251,259 · median $38,156 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $16,846 – $153,948 · median $23,378 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,781 – $120,142 · median $18,245 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,684 – $262,465 · median $39,857 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,167 – $153,007 · median $23,235 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,041 – $111,197 · median $16,886 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,577 – $195,179 · median $29,640 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,823 – $107,835 · median $16,376 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,532 – $90,205 · median $13,698 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,511 – $171,442 · median $26,035 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,414 – $91,190 · median $13,848 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,262 – $63,809 · median $9,690 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,923 – $175,201 · median $26,606 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,965 – $108,980 · median $16,550 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,399 – $79,868 · median $12,129 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,873 – $212,455 · median $32,263 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,101 – $123,221 · median $18,712 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,674 – $96,572 · median $14,665 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,595 – $308,990 · median $46,923 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,726 – $163,126 · median $24,772 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,054 – $98,158 · median $14,906 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,450 – $120,968 · median $18,370 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,194 – $73,711 · median $11,194 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,041 – $50,560 · median $7,678 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,753 – $126,618 · median $19,228 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,344 – $74,558 · median $11,322 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,232 – $52,545 · median $7,979 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,383 – $152,941 · median $23,225 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,700 – $89,002 · median $13,516 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,648 – $63,961 · median $9,713 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,148 – $131,703 · median $20,000 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,054 – $71,415 · median $10,845 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,534 – $46,120 · median $7,004 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,113 – $139,389 · median $21,167 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,793 – $78,890 · median $11,980 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,758 – $54,276 · median $8,242 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,931 – $91,574 · median $13,906 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,148 – $62,990 · median $9,566 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,381 – $117,694 · median $17,873 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,022 – $71,893 · median $10,918 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,900 – $48,554 · median $7,373 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,622 – $106,474 · median $16,169 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,681 – $58,065 · median $8,818 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,913 – $39,637 · median $6,019 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,122 – $93,044 · median $14,130 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,607 – $56,522 · median $8,583 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,503 – $119,954 · median $18,216 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,730 – $68,184 · median $10,354 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,668 – $46,098 · median $7,000 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,225 – $179,482 · median $27,256 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,887 – $109,610 · median $16,645 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,233 – $81,404 · median $12,362 | 21 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,918 – $206,521 · median $43,034 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,347 – $393,233 · median $59,716 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,860 – $203,429 · median $30,892 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,965 – $154,709 · median $23,494 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,646 – $253,620 · median $38,514 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,660 – $151,862 · median $23,062 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,420 – $112,355 · median $17,062 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,759 – $196,548 · median $29,847 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,122 – $154,405 · median $23,448 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,943 – $120,425 · median $18,288 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,624 – $253,801 · median $38,542 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,865 – $143,286 · median $21,759 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,806 – $99,252 · median $15,072 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,164 – $172,144 · median $26,142 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,167 – $120,128 · median $18,242 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,824 – $95,442 · median $14,494 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,506 – $255,663 · median $38,825 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,497 – $118,621 · median $18,014 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,066 – $106,437 · median $16,163 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,871 – $294,626 · median $44,741 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,737 – $165,393 · median $25,116 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,791 – $111,972 · median $17,004 | 21 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,271 – $552,986 · median $115,229 | 21 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,920 – $374,944 · median $78,130 | 21 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,437 – $290,556 · median $60,545 | 21 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,802 – $440,292 · median $91,747 | 21 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,480 – $288,782 · median $60,176 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,156 – $141,909 · median $21,550 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,597 – $77,492 · median $11,768 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,125 – $50,452 · median $7,662 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,211 – $132,167 · median $20,071 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,136 – $81,686 · median $12,405 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,137 – $56,877 · median $8,637 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,725 – $120,512 · median $18,301 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,050 – $62,309 · median $9,462 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,469 – $44,555 · median $6,766 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,908 – $136,933 · median $20,794 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,943 – $69,988 · median $10,628 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,033 – $50,901 · median $7,730 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,018 – $122,011 · median $18,528 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,872 – $78,557 · median $11,930 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,950 – $57,753 · median $8,770 | 21 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,502 – $215,564 · median $44,919 | 21 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,235 – $162,907 · median $33,946 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,442 – $447,081 · median $93,161 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,890 – $302,977 · median $63,133 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,012 – $227,943 · median $47,498 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,731 – $256,412 · median $53,430 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,190 – $152,940 · median $31,869 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,559 – $124,973 · median $26,041 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,881 – $189,196 · median $39,424 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,387 – $104,095 · median $21,691 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,745 – $75,657 · median $15,765 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,644 – $211,129 · median $32,062 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,232 – $152,702 · median $23,189 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,276 – $110,458 · median $16,774 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,798 – $58,963 · median $8,954 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,221 – $96,333 · median $14,629 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,864 – $66,569 · median $10,109 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,181 – $48,641 · median $7,387 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,167 – $146,495 · median $22,246 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,324 – $93,739 · median $14,235 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,663 – $63,374 · median $9,624 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,706 – $135,100 · median $20,516 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,394 – $76,847 · median $11,670 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,428 – $54,740 · median $8,313 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,850 – $183,039 · median $27,796 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,296 – $83,859 · median $12,735 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,014 – $54,052 · median $8,208 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,888 – $145,930 · median $22,161 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,683 – $87,293 · median $13,256 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,287 – $62,447 · median $9,483 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,055 – $123,605 · median $18,770 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,324 – $94,601 · median $14,366 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,971 – $60,455 · median $9,181 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,507 – $97,542 · median $14,813 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,974 – $59,144 · median $8,982 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,695 – $112,254 · median $17,047 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,424 – $62,570 · median $9,502 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,413 – $134,463 · median $20,419 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,100 – $82,483 · median $12,526 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,782 – $59,224 · median $8,994 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,248 – $106,010 · median $16,099 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,102 – $113,667 · median $17,261 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,008 – $73,863 · median $11,217 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,389 – $54,189 · median $8,229 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,154 – $218,047 · median $33,112 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,152 – $121,280 · median $18,417 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,245 – $82,751 · median $12,566 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,121 – $446,075 · median $67,740 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,968 – $250,984 · median $38,114 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,925 – $144,633 · median $21,964 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,252 – $390,814 · median $59,348 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,065 – $192,883 · median $29,291 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,554 – $122,446 · median $18,594 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,293 – $236,098 · median $35,853 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,429 – $128,429 · median $19,503 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,380 – $104,250 · median $15,831 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,857 – $126,850 · median $19,263 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,403 – $118,991 · median $18,070 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,397 – $148,305 · median $22,521 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,875 – $143,793 · median $21,836 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $13,920 – $148,950 · median $22,619 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $8,533 – $88,568 · median $13,450 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,235 – $61,476 · median $9,336 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,253 – $153,209 · median $23,266 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,786 – $78,311 · median $11,892 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,991 – $127,248 · median $19,324 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,137 – $76,840 · median $11,669 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,534 – $61,926 · median $9,404 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,492 – $69,292 · median $10,523 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,351 – $43,425 · median $6,595 | 21 plans |
| 602 | CELLULITIS WITH MCC | $10,223 – $106,423 · median $16,161 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,264 – $63,802 · median $9,689 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,884 – $116,644 · median $17,713 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,519 – $62,599 · median $9,506 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,765 – $165,082 · median $25,069 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,065 – $103,801 · median $15,763 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,083 – $279,965 · median $42,515 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,452 – $139,917 · median $21,248 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,201 – $90,190 · median $13,696 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,544 – $115,409 · median $23,052 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,510 – $67,597 · median $17,567 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,849 – $61,874 · median $16,080 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,600 – $271,056 · median $41,162 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,903 – $138,556 · median $21,041 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,004 – $72,139 · median $10,955 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,722 – $207,681 · median $31,538 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,785 – $109,328 · median $16,602 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,554 – $91,769 · median $13,936 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,805 – $285,811 · median $43,403 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,671 – $162,916 · median $24,740 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,498 – $101,505 · median $15,414 | 21 plans |
| 637 | DIABETES WITH MCC | $10,334 – $105,489 · median $16,019 | 21 plans |
| 638 | DIABETES WITH CC | $6,446 – $66,438 · median $10,089 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,468 – $45,388 · median $6,893 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,606 – $96,195 · median $14,608 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,597 – $56,601 · median $8,595 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,229 – $89,900 · median $13,652 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,840 – $120,048 · median $18,230 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,372 – $74,855 · median $11,367 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,526 – $56,406 · median $8,566 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,375 – $403,802 · median $61,321 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,134 – $204,422 · median $31,043 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,224 – $150,471 · median $22,850 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,900 – $235,996 · median $35,838 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,162 – $132,420 · median $20,109 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,161 – $108,944 · median $16,544 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,276 – $187,196 · median $28,427 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,506 – $97,064 · median $14,740 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,447 – $74,363 · median $11,293 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,020 – $225,971 · median $34,316 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,934 – $110,639 · median $16,801 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,530 – $78,216 · median $11,878 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,449 – $248,716 · median $37,770 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $12,582 – $119,324 · median $18,120 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,956 – $74,450 · median $11,306 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,002 – $211,245 · median $32,079 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,163 – $112,095 · median $17,023 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,029 – $69,227 · median $10,513 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,911 – $124,858 · median $18,961 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,764 – $79,274 · median $12,038 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,220 – $303,478 · median $46,086 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,821 – $167,211 · median $25,392 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,806 – $113,384 · median $17,218 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $10,652 – $108,792 · median $16,521 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $6,299 – $64,388 · median $9,778 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,318 – $43,998 · median $6,681 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,973 – $136,593 · median $20,743 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,536 – $76,253 · median $11,580 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,684 – $52,458 · median $7,966 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,346 – $84,772 · median $12,873 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,822 – $58,137 · median $8,829 | 21 plans |
| 693 | URINARY STONES WITH MCC | $9,670 – $106,510 · median $16,174 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,622 – $56,601 · median $8,595 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,227 – $81,693 · median $12,406 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,956 – $50,111 · median $7,610 | 21 plans |
| 697 | URETHRAL STRICTURE | $7,752 – $70,466 · median $10,701 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,899 – $121,758 · median $18,490 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,300 – $73,877 · median $11,219 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,962 – $50,285 · median $7,636 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,387 – $140,569 · median $21,347 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,035 – $107,386 · median $16,308 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,738 – $162,771 · median $24,718 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,078 – $108,755 · median $16,515 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,988 – $138,179 · median $20,984 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,910 – $64,186 · median $9,747 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,813 – $104,742 · median $15,906 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,605 – $68,068 · median $10,337 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,092 – $163,582 · median $24,841 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,580 – $102,808 · median $15,612 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,598 – $134,405 · median $20,411 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,660 – $89,234 · median $13,551 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,016 – $125,235 · median $19,018 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,219 – $81,338 · median $12,352 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,716 – $47,583 · median $7,226 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,417 – $91,458 · median $13,889 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,193 – $53,921 · median $8,188 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,666 – $106,437 · median $16,163 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,835 – $59,187 · median $8,988 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,615 – $79,745 · median $12,110 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,833 – $43,961 · median $6,676 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,320 – $152,318 · median $23,131 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,678 – $87,930 · median $13,353 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,710 – $285,224 · median $43,314 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,821 – $144,756 · median $21,982 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,562 – $109,878 · median $16,686 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,769 – $288,360 · median $43,790 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,016 – $131,710 · median $20,001 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,257 – $99,498 · median $15,110 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,197 – $132,319 · median $20,094 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,924 – $86,829 · median $13,186 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,738 – $141,540 · median $21,494 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,182 – $74,232 · median $11,273 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,494 – $121,301 · median $18,421 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,183 – $69,191 · median $10,507 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,978 – $98,680 · median $14,985 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,468 – $187,508 · median $28,475 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,615 – $93,406 · median $14,185 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,247 – $131,058 · median $19,902 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,824 – $80,411 · median $12,211 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,908 – $69,176 · median $10,505 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,299 – $102,519 · median $15,568 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,042 – $73,834 · median $11,212 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,773 – $46,359 · median $7,040 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,247 – $71,393 · median $10,842 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,103 – $45,917 · median $6,973 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,200 – $35,989 · median $8,555 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,302 – $65,560 · median $18,541 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,625 – $38,544 · median $9,302 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,889 – $31,088 · median $8,195 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,302 – $57,510 · median $13,051 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,033 – $37,789 · median $9,302 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,896 – $32,198 · median $8,488 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,200 – $37,761 · median $9,317 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,195 – $34,458 · median $8,008 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,884 – $34,458 · median $7,779 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,574 – $344,419 · median $52,303 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,207 – $211,064 · median $32,052 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,730 – $118,918 · median $18,059 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,656 – $259,669 · median $39,433 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,370 – $128,936 · median $19,580 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,753 – $80,085 · median $12,162 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,200 – $35,519 · median $8,616 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,423 – $25,753 · median $6,789 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,849 – $22,682 · median $5,979 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,880 – $165,900 · median $25,193 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,105 – $89,712 · median $13,624 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,528 – $68,945 · median $10,470 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,101 – $101,910 · median $15,476 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,604 – $66,851 · median $10,152 | 21 plans |
| 813 | COAGULATION DISORDERS | $10,971 – $112,131 · median $17,028 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,296 – $151,427 · median $22,996 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,293 – $73,602 · median $11,177 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,546 – $47,764 · median $7,253 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,183 – $421,744 · median $64,045 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,101 – $161,706 · median $24,556 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,660 – $82,845 · median $12,581 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,976 – $338,964 · median $51,475 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,295 – $159,316 · median $24,193 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,706 – $89,154 · median $13,539 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,645 – $345,918 · median $52,531 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,623 – $170,942 · median $25,959 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,255 – $116,108 · median $17,632 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,728 – $223,378 · median $33,922 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,825 – $105,938 · median $16,088 | 21 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,486 – $400,376 · median $60,800 | 21 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,002 – $154,716 · median $23,495 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,771 – $89,994 · median $13,666 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,555 – $362,702 · median $55,079 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,014 – $146,915 · median $22,310 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,385 – $99,266 · median $15,074 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,267 – $230,998 · median $35,079 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,734 – $113,580 · median $17,248 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,267 – $76,195 · median $11,571 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,348 – $137,143 · median $20,826 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,756 – $86,576 · median $13,147 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,125 – $60,614 · median $9,205 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,647 – $184,987 · median $28,092 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,409 – $92,044 · median $13,978 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,109 – $59,318 · median $9,008 | 21 plans |
| 849 | RADIOTHERAPY | $19,488 – $193,484 · median $29,382 | 21 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $62,284 – $667,273 · median $101,331 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,521 – $362,274 · median $55,014 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,371 – $144,734 · median $21,979 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,769 – $117,752 · median $17,882 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,717 – $326,802 · median $49,628 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,403 – $157,831 · median $23,968 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,019 – $93,327 · median $14,172 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,117 – $133,188 · median $20,226 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,177 – $72,429 · median $10,999 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,385 – $65,048 · median $9,878 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,777 – $105,068 · median $15,956 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,255 – $64,091 · median $9,733 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,055 – $155,325 · median $23,587 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,416 – $76,065 · median $11,551 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,248 – $52,125 · median $7,916 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,714 – $503,901 · median $76,522 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,972 – $142,127 · median $21,583 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,360 – $74,682 · median $11,341 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,184 – $320,928 · median $48,736 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,770 – $137,455 · median $20,874 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,412 – $88,307 · median $13,410 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,419 – $279,683 · median $42,472 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,669 – $119,389 · median $18,130 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,128 – $158,092 · median $24,008 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,614 – $288,563 · median $43,821 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,351 – $146,111 · median $22,188 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,442 – $91,871 · median $13,951 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,095 – $125,887 · median $19,117 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,792 – $48,105 · median $7,305 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,168 – $132,094 · median $20,060 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,209 – $73,588 · median $11,175 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,951 – $49,814 · median $7,565 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,583 – $122,373 · median $18,583 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,320 – $73,877 · median $11,219 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,098 – $229,912 · median $34,914 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,808 – $152,941 · median $23,225 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,584 – $141,562 · median $21,497 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,130 – $93,167 · median $14,148 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,758 – $57,550 · median $8,740 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,557 – $78,158 · median $11,869 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,515 – $42,455 · median $6,447 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,999 – $41,071 · median $6,237 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,028 – $458,107 · median $69,567 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,970 – $192,194 · median $29,186 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,758 – $216,308 · median $32,848 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,314 – $102,961 · median $15,635 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,493 – $72,653 · median $11,033 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,334 – $104,445 · median $15,861 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,746 – $344,354 · median $52,293 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,683 – $177,345 · median $26,931 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,328 – $120,838 · median $18,350 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,659 – $253,722 · median $38,530 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,822 – $124,300 · median $18,876 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,625 – $83,700 · median $12,711 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,597 – $379,541 · median $100,509 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,076 – $251,466 · median $66,919 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,854 – $130,043 · median $36,393 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,840 – $183,092 · median $48,790 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,194 – $107,104 · median $29,054 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,974 – $86,308 · median $23,479 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,679 – $156,358 · median $41,611 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,671 – $75,865 · median $20,292 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,455 – $53,590 · median $14,453 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,772 – $177,602 · median $47,760 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,814 – $106,323 · median $28,133 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,427 – $82,753 · median $21,963 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,408 – $170,504 · median $38,183 | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $78,213 – $605,309 · median $136,805 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,616 – $588,689 · median $130,535 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,363 – $536,254 · median $121,804 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,293 – $358,827 · median $81,622 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,293 – $330,567 · median $77,299 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,227 – $429,926 · median $96,983 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,356 – $294,306 · median $66,701 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,252 – $255,183 · median $59,526 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,584 – $276,892 · median $62,471 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,653 – $172,598 · median $39,207 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,633 – $470,844 · median $106,298 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,606 – $339,424 · median $76,570 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,989 – $434,310 · median $97,520 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,291 – $295,612 · median $67,429 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,210 – $326,950 · median $73,873 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,128 – $228,485 · median $51,981 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,400 – $279,870 · median $62,822 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,502 – $161,813 · median $36,342 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,957 – $83,896 · median $18,462 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,964 – $188,473 · median $41,812 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,327 – $125,175 · median $27,812 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,001 – $100,276 · median $22,688 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,815 – $271,530 · median $60,086 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,698 – $128,497 · median $28,530 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,749 – $86,824 · median $19,358 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,090 – $190,607 · median $43,339 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,669 – $141,855 · median $32,252 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,815 – $97,204 · median $22,113 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,401 – $145,383 · median $33,206 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,212 – $94,109 · median $21,299 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,856 – $44,040 · median $11,177 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,600 – $155,885 · median $36,620 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,544 – $97,665 · median $23,160 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,396 – $189,262 · median $42,177 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,598 – $105,438 · median $23,815 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,723 – $84,335 · median $19,527 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,991 – $149,028 · median $35,227 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,027 – $194,202 · median $43,289 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $26,024 – $198,208 · median $45,030 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,079 – $332,873 · median $75,835 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,242 – $261,412 · median $59,344 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,470 – $370,479 · median $84,635 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,376 – $231,185 · median $52,534 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,950 – $285,210 · median $65,080 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,579 – $191,385 · median $43,735 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,363 – $139,032 · median $31,647 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,673 – $217,272 · median $50,009 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,676 – $173,415 · median $39,910 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,286 – $392,671 · median $89,057 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,203 – $344,186 · median $77,071 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,219 – $258,478 · median $58,317 | 20 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $40,035 – $278,003 · median $65,155 | 20 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,939 – $178,049 · median $41,898 | 20 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,093 – $343,741 · median $79,766 | 20 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,570 – $158,180 · median $35,259 | 20 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,680 – $100,526 · median $22,545 | 20 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,125 – $236,669 · median $53,797 | 20 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,664 – $177,533 · median $39,968 | 20 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,091 – $159,030 · median $37,379 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,724 – $497,644 · median $73,375 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,132 – $237,890 · median $35,156 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,994 – $448,650 · median $69,078 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,403 – $244,934 · median $37,725 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,117 – $144,214 · median $22,171 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,440 – $423,198 · median $64,465 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,365 – $284,525 · median $43,451 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,765 – $217,912 · median $33,469 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,816 – $271,524 · median $40,115 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,874 – $156,625 · median $23,868 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,877 – $372,535 · median $55,572 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,368 – $179,203 · median $27,588 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,489 – $96,616 · median $14,684 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,847 – $285,671 · median $43,275 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,688 – $194,263 · median $29,875 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,370 – $147,512 · median $22,651 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,947 – $244,303 · median $36,838 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,937 – $211,674 · median $32,928 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,211 – $267,421 · median $40,483 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,040 – $176,179 · median $26,529 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,265 – $131,264 · median $19,799 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,723 – $163,262 · median $23,897 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,033 – $102,871 · median $15,067 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,408 – $294,991 · median $45,111 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,078 – $292,449 · median $44,664 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,975 – $163,893 · median $24,104 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,691 – $111,527 · median $16,324 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,699 – $209,738 · median $33,725 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,492 – $91,267 · median $17,528 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,763 – $263,218 · median $39,800 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,573 – $148,251 · median $22,277 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,680 – $116,063 · median $17,348 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,075 – $219,848 · median $33,843 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,444 – $145,784 · median $22,516 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,704 – $124,527 · median $18,227 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,993 – $161,002 · median $23,818 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,892 – $103,129 · median $16,709 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,725 – $237,417 · median $36,573 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,956 – $162,913 · median $25,123 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,323 – $125,067 · median $19,197 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,353 – $84,696 · median $12,823 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,922 – $256,879 · median $39,241 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,947 – $167,108 · median $25,547 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,053 – $123,996 · median $18,935 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,154 – $99,694 · median $13,612 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,212 – $77,941 · median $8,077 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,709 – $51,683 · median $5,274 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $6,051 – $67,713 · median $6,777 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,411 – $158,338 · median $18,380 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,338 – $71,668 · median $9,338 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,185 – $48,923 · median $6,927 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,649 – $83,374 · median $9,687 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,190 – $54,139 · median $5,813 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,761 – $37,652 · median $4,212 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $310,595 – $2,731,764 · median $344,760 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,215 – $211,790 · median $47,969 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,538 – $116,937 · median $27,237 | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,058 – $233,568 · median $53,344 | 17 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,333 – $179,410 · median $42,550 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,065 – $72,287 · median $16,722 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,731 – $55,269 · median $13,021 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,241 – $83,648 · median $20,248 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,432 – $65,689 · median $16,019 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,895 – $61,163 · median $14,313 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,907 – $56,011 · median $13,216 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,809 – $28,251 · median $6,448 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,914 – $33,578 · median $7,675 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,441 – $31,136 · median $7,149 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,281 – $69,404 · median $12,522 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,165 – $37,437 · median $6,843 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,799 – $166,332 · median $30,578 | 15 plans |
| 795 | NORMAL NEWBORN | $1,437 – $7,111 · median $1,545 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,815 – $104,447 · median $35,506 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,654 – $78,722 · median $27,987 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $23,228 – $69,629 · median $24,390 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $201,563 – $638,575 · median $211,642 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,505 – $213,200 · median $85,580 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,159 – $241,422 · median $77,867 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $33,352 – $109,931 · median $35,019 | 12 plans |
| 007 | LUNG TRANSPLANT | $93,145 – $296,270 · median $97,802 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,311 – $123,350 · median $42,327 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $51,612 – $180,748 · median $54,192 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,439 – $297,018 · median $90,761 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,650 – $136,834 · median $44,782 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,072 – $136,834 · median $41,026 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,316 – $179,712 · median $53,882 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,906 – $21,731 · median $7,252 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $6,767 – $20,723 · median $7,106 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,723 – $21,809 · median $8,110 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,143 – $42,028 · median $14,850 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,572 – $37,863 · median $12,151 | 12 plans |
| 885 | PSYCHOSES | $10,047 – $31,956 · median $10,549 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,927 – $40,727 · median $15,673 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,703 – $26,964 · median $8,088 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,437 – $14,148 · median $4,659 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,182 – $31,813 · median $10,691 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,552 – $40,371 · median $13,179 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,350 – $19,999 · median $6,667 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,138 – $53,178 · median $11,695 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,248 – $38,894 · median $8,661 | 12 plans |
| 077 | Other Inpatient MS-DRG | $17,009 – $112,008 · median $35,003 | 11 plans |
| 078 | Other Inpatient MS-DRG | $10,977 – $72,284 · median $22,588 | 11 plans |
| 079 | Other Inpatient MS-DRG | $7,278 – $47,924 · median $14,977 | 11 plans |
| 294 | Other Inpatient MS-DRG | $13,508 – $88,951 · median $27,839 | 11 plans |
| 295 | Other Inpatient MS-DRG | $8,688 – $57,210 · median $17,905 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,663 – $172,510 · median $160,297 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,627 – $112,578 · median $104,608 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,215 – $46,574 · median $43,276 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,137 – $31,794 · median $29,543 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,702 – $36,954 · median $34,338 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,363 – $25,270 · median $23,481 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,146 – $20,505 · median $19,053 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,226 – $36,416 · median $33,838 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,327 – $17,320 · median $16,094 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,961 – $13,515 · median $12,559 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,439 – $18,576 · median $17,261 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,039 – $11,344 · median $10,541 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,875 – $7,768 · median $7,218 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,341 – $18,465 · median $17,158 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,370 – $10,588 · median $9,838 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,579 – $7,434 · median $6,908 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,004 – $12,434 · median $11,554 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,654 – $8,649 · median $8,036 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,657 – $6,392 · median $5,940 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $81,411 – $91,995 · median $85,482 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,047 – $46,383 · median $43,100 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,422 – $19,687 · median $18,293 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,732 – $27,948 · median $25,969 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,365 – $19,622 · median $18,233 | 10 plans |
| 509 | Other Inpatient MS-DRG | $29,869 – $145,926 · median $45,797 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,588 – $11,965 · median $11,118 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,588 – $7,445 · median $6,918 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,962 – $14,648 · median $13,611 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,749 – $48,306 · median $44,886 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,195 – $32,990 · median $30,654 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,616 – $19,906 · median $18,497 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,990 – $33,889 · median $31,490 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,615 – $11,996 · median $11,146 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,757 – $13,285 · median $12,345 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,369 – $7,197 · median $6,687 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,565 – $173,528 · median $161,243 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,590 – $58,297 · median $54,170 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,166 – $26,177 · median $24,324 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,009 – $31,650 · median $29,410 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,900 – $17,967 · median $16,695 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $14,817 – $16,743 · median $15,558 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,414 – $54,708 · median $50,834 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,066 – $30,584 · median $28,419 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,807 – $61,931 · median $57,547 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,309 – $34,249 · median $31,824 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,176 – $23,928 · median $22,234 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,663 – $22,219 · median $20,646 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,023 – $12,456 · median $11,574 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,765 – $7,644 · median $7,103 | 10 plans |
No procedures match that keyword.