University Health University Hospital — Pricing
782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 782 procedures
Procedures with negotiated rates only
These 782 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 |
|---|---|---|---|
| 005 | Liver Transplant - Live Donor | $80,300 – $223,203 · median $124,514 | 37 plans |
| 006 | Liver Transplant - Cadaveric Donor | $54,311 – $226,354 · median $65,276 | 37 plans |
| 007 | Single Lung Transplant | $57,000 – $286,139 · median $149,224 | 37 plans |
| 650 | Kidney Transplant - Adult Live Donor | $41,250 – $99,918 · median $62,806 | 37 plans |
| 651 | Kidney Transplant - Pediatric Cadaveric Donor | $28,000 – $106,389 · median $51,216 | 37 plans |
| 652 | Kidney Transplant - Pediatric Cadaveric Donor | $28,000 – $98,325 · median $47,119 | 37 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,850 – $42,871 · median $24,620 | 36 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,200 – $54,988 · median $31,579 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,200 – $42,654 · median $24,496 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,200 – $39,250 · median $22,541 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,200 – $51,313 · median $29,468 | 36 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,200 – $42,310 · median $24,298 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,200 – $39,757 · median $22,832 | 36 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,850 – $45,800 · median $26,302 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,850 – $40,789 · median $23,425 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,850 – $40,789 · median $23,425 | 36 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,850 – $41,273 · median $23,703 | 36 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,850 – $36,815 · median $21,142 | 36 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,850 – $35,413 · median $20,337 | 36 plans |
| 008 | Simultaneous Pancreas and Kidney Transplant | $42,549 – $196,477 · median $66,783 | 35 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $24,000 – $181,871 · median $106,005 | 35 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $24,000 – $129,987 · median $76,507 | 35 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,000 – $150,778 · median $87,021 | 35 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $24,000 – $111,120 · median $65,402 | 35 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $24,000 – $106,027 · median $61,193 | 35 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,000 – $75,529 · median $44,023 | 35 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $24,000 – $162,743 · median $94,856 | 35 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $24,000 – $124,313 · median $71,746 | 35 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $24,000 – $152,060 · median $87,760 | 35 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $24,000 – $111,501 · median $64,352 | 35 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,000 – $120,665 · median $69,641 | 35 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,000 – $91,872 · median $53,754 | 35 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $14,500 – $80,172 · median $46,270 | 35 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,500 – $61,662 · median $35,588 | 35 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,880 – $54,381 · median $31,696 | 35 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,500 – $70,642 · median $40,771 | 35 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,284 – $53,617 · median $30,945 | 35 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,500 – $80,402 · median $46,404 | 35 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,034 – $55,890 · median $32,257 | 35 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,448 – $49,719 · median $28,695 | 35 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,400 – $61,020 · median $35,217 | 35 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,400 – $42,763 · median $24,681 | 35 plans |
| 010 | Pancreas Transplant | $50,861 – $169,605 · median $90,996 | 34 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,000 – $121,723 · median $71,643 | 34 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,000 – $99,679 · median $58,668 | 34 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,085 – $62,633 · median $36,685 | 34 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,220 – $50,447 · median $29,548 | 34 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $46,075 – $133,394 · median $77,369 | 34 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,925 – $92,662 · median $53,744 | 34 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,140 – $108,460 · median $62,907 | 34 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,855 – $81,023 · median $46,993 | 34 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,405 – $65,714 · median $38,490 | 34 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,132 – $88,593 · median $51,384 | 34 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $16,450 – $75,768 · median $43,946 | 34 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,949 – $139,884 · median $82,332 | 34 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $31,269 – $125,706 · median $73,987 | 34 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $25,102 – $113,411 · median $59,235 | 34 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,355 – $76,246 · median $41,769 | 34 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,148 – $76,311 · median $31,894 | 34 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,510 – $69,358 · median $40,030 | 34 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,489 – $51,006 · median $29,438 | 34 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,431 – $48,809 · median $28,170 | 34 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $71,000 – $482,742 · median $284,128 | 33 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,536 – $204,108 · median $120,132 | 33 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $85,190 – $202,064 · median $118,929 | 33 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,309 – $94,265 · median $55,482 | 33 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,986 – $76,972 · median $45,304 | 33 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,382 – $71,562 · median $42,119 | 33 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,506 – $63,672 · median $36,748 | 33 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,969 – $52,004 · median $30,014 | 33 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,304 – $46,466 · median $26,818 | 33 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $96,000 – $237,938 · median $140,044 | 32 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,201 – $123,130 · median $72,119 | 32 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $47,201 – $123,130 · median $72,119 | 32 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $82,851 – $197,204 · median $116,069 | 32 plans |
| 245 | AICD GENERATOR PROCEDURES | $14,500 – $104,459 · median $61,183 | 32 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,736 – $80,796 · median $46,861 | 32 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,964 – $66,539 · median $38,593 | 32 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,848 – $122,397 · median $71,690 | 32 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,791 – $101,501 · median $59,450 | 32 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $21,736 – $106,352 · median $62,292 | 32 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,175 – $77,123 · median $44,732 | 32 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,076 – $96,433 · median $56,482 | 32 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,102 – $62,669 · median $36,348 | 32 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $167,595 – $373,283 · median $219,703 | 31 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $110,497 – $254,645 · median $149,877 | 31 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,196 – $112,731 · median $66,350 | 31 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,091 – $91,735 · median $53,993 | 31 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,723 – $68,115 · median $39,702 | 31 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $294,914 – $637,823 · median $375,404 | 31 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $61,991 – $153,862 · median $90,559 | 31 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $63,038 – $156,036 · median $91,838 | 31 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,223 – $114,866 · median $67,607 | 31 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,608 – $82,420 · median $48,039 | 31 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,614 – $117,755 · median $69,307 | 31 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,729 – $86,828 · median $51,069 | 31 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,973 – $97,724 · median $57,518 | 31 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,918 – $74,754 · median $43,571 | 31 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,298 – $65,155 · median $37,976 | 31 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,542 – $123,839 · median $72,888 | 31 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,249 – $79,598 · median $46,394 | 31 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,403 – $61,216 · median $35,680 | 31 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,770 – $93,147 · median $54,824 | 31 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,700 – $59,757 · median $34,830 | 31 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,477 – $50,982 · median $29,715 | 31 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,410 – $88,242 · median $51,937 | 31 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,789 – $62,019 · median $36,148 | 31 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,335 – $54,842 · median $31,965 | 31 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,969 – $79,016 · median $46,055 | 31 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,600 – $51,238 · median $29,865 | 31 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,901 – $43,551 · median $25,384 | 31 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,498 – $86,348 · median $50,671 | 31 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,659 – $61,749 · median $35,991 | 31 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,744 – $53,616 · median $31,250 | 31 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,738 – $57,757 · median $33,664 | 31 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,205 – $40,029 · median $23,331 | 31 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,723 – $49,415 · median $28,802 | 31 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,532 – $42,784 · median $24,937 | 31 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,582 – $65,745 · median $38,320 | 31 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,435 – $46,739 · median $27,242 | 31 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,435 – $55,050 · median $32,086 | 31 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,569 – $44,939 · median $26,193 | 31 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,979 – $39,558 · median $23,056 | 31 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,141 – $68,983 · median $40,207 | 31 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,927 – $53,994 · median $31,471 | 31 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,986 – $47,883 · median $27,909 | 31 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,556 – $57,379 · median $33,444 | 31 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,952 – $41,580 · median $24,235 | 31 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,383 – $36,241 · median $21,124 | 31 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,377 – $48,697 · median $28,384 | 31 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,893 – $39,380 · median $22,953 | 31 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,257 – $38,058 · median $22,182 | 31 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,597 – $53,310 · median $31,072 | 31 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,242 – $42,182 · median $24,586 | 31 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,867 – $37,247 · median $21,710 | 31 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,087 – $50,171 · median $29,242 | 31 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,152 – $41,995 · median $24,477 | 31 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,469 – $53,044 · median $30,917 | 31 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,170 – $39,956 · median $23,288 | 31 plans |
| 077 | DRG Base | $12,092 – $50,182 · median $29,249 | 31 plans |
| 078 | DRG Base | $7,804 – $41,272 · median $24,056 | 31 plans |
| 079 | DRG Base | $5,214 – $35,890 · median $20,919 | 31 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,545 – $57,356 · median $33,430 | 31 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,076 – $39,759 · median $23,174 | 31 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,144 – $62,757 · median $36,578 | 31 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,873 – $47,649 · median $27,773 | 31 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,477 – $40,593 · median $23,660 | 31 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,720 – $61,876 · median $36,065 | 31 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,257 – $46,369 · median $27,026 | 31 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,913 – $39,421 · median $22,977 | 31 plans |
| 088 | CONCUSSION WITH MCC | $11,032 – $47,979 · median $27,965 | 31 plans |
| 089 | CONCUSSION WITH CC | $8,384 – $42,477 · median $24,758 | 31 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,704 – $38,987 · median $22,724 | 31 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,255 – $54,676 · median $31,869 | 31 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,279 – $42,260 · median $24,631 | 31 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,172 – $37,882 · median $22,080 | 31 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,533 – $84,342 · median $49,160 | 31 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,746 – $64,008 · median $37,307 | 31 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,746 – $64,008 · median $37,307 | 31 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,032 – $83,301 · median $48,553 | 31 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,964 – $60,305 · median $35,149 | 31 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,896 – $47,696 · median $27,800 | 31 plans |
| 100 | SEIZURES WITH MCC | $15,525 – $57,315 · median $33,407 | 31 plans |
| 101 | SEIZURES WITHOUT MCC | $7,208 – $40,034 · median $23,334 | 31 plans |
| 102 | HEADACHES WITH MCC | $9,067 – $43,897 · median $25,586 | 31 plans |
| 103 | HEADACHES WITHOUT MCC | $6,649 – $38,872 · median $22,657 | 31 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,647 – $61,723 · median $35,976 | 31 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,244 – $44,265 · median $25,800 | 31 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,972 – $49,934 · median $29,104 | 31 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,048 – $52,169 · median $30,407 | 31 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,435 – $42,583 · median $24,820 | 31 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,096 – $43,958 · median $25,621 | 31 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,304 – $36,079 · median $21,029 | 31 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,281 – $38,108 · median $22,212 | 31 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,197 – $46,244 · median $26,953 | 31 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,457 – $38,474 · median $22,425 | 31 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,855 – $64,234 · median $37,439 | 31 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,650 – $40,952 · median $23,869 | 31 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,937 – $47,782 · median $27,850 | 31 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,362 – $38,276 · median $22,309 | 31 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,737 – $47,366 · median $27,608 | 31 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,072 – $93,775 · median $55,193 | 31 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,801 – $59,967 · median $34,952 | 31 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,296 – $50,606 · median $29,496 | 31 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,821 – $78,708 · median $45,875 | 31 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,737 – $53,601 · median $31,242 | 31 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,265 – $44,309 · median $25,826 | 31 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,940 – $62,333 · median $36,331 | 31 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,734 – $45,283 · median $26,394 | 31 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,261 – $38,068 · median $22,188 | 31 plans |
| 149 | DYSEQUILIBRIUM | $5,845 – $37,203 · median $21,684 | 31 plans |
| 150 | EPISTAXIS WITH MCC | $10,809 – $47,516 · median $27,695 | 31 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,928 – $37,374 · median $21,784 | 31 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,874 – $43,496 · median $25,352 | 31 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,565 – $36,622 · median $21,345 | 31 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,718 – $51,482 · median $30,007 | 31 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,301 – $40,227 · median $23,447 | 31 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,258 – $35,983 · median $20,973 | 31 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,805 – $51,664 · median $30,113 | 31 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,355 – $40,341 · median $23,513 | 31 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,158 – $35,775 · median $20,852 | 31 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,044 – $99,949 · median $58,827 | 31 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,683 – $65,954 · median $38,442 | 31 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,576 – $55,344 · median $32,258 | 31 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,109 – $87,618 · median $51,570 | 31 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,289 – $54,746 · median $31,909 | 31 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,588 – $47,056 · median $27,427 | 31 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,996 – $74,917 · median $43,666 | 31 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,019 – $47,953 · median $27,950 | 31 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,369 – $38,292 · median $22,319 | 31 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,641 – $51,323 · median $29,914 | 31 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,758 – $41,178 · median $24,001 | 31 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,019 – $37,564 · median $21,894 | 31 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,668 – $53,456 · median $31,157 | 31 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,683 – $43,098 · median $25,120 | 31 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,549 – $38,666 · median $22,536 | 31 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,413 – $50,848 · median $29,637 | 31 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,353 – $42,412 · median $24,720 | 31 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,082 – $37,694 · median $21,970 | 31 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,356 – $50,730 · median $29,568 | 31 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,851 – $41,371 · median $24,113 | 31 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,741 – $36,987 · median $21,558 | 31 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,676 – $45,163 · median $26,324 | 31 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,782 – $43,304 · median $25,240 | 31 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,718 – $39,017 · median $22,741 | 31 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,061 – $35,574 · median $20,734 | 31 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,304 – $46,468 · median $27,084 | 31 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,412 – $38,381 · median $22,371 | 31 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,870 – $35,175 · median $20,502 | 31 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,734 – $55,671 · median $32,448 | 31 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,742 – $41,143 · median $23,981 | 31 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,477 – $36,438 · median $21,238 | 31 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,805 – $53,741 · median $31,323 | 31 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,661 – $43,053 · median $25,093 | 31 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,295 – $36,059 · median $21,017 | 31 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,560 – $40,765 · median $23,760 | 31 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,447 – $36,376 · median $21,202 | 31 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,342 – $38,235 · median $22,286 | 31 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,763 – $55,731 · median $32,483 | 31 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,083 – $39,775 · median $23,183 | 31 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,574 – $130,138 · median $76,596 | 31 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,987 – $68,665 · median $40,022 | 31 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,389 – $106,898 · median $62,917 | 31 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,773 – $72,376 · median $42,185 | 31 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,807 – $49,591 · median $28,904 | 31 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,680 – $53,482 · median $31,173 | 31 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,461 – $67,571 · median $39,384 | 31 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,245 – $52,577 · median $30,645 | 31 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,975 – $39,549 · median $23,052 | 31 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,974 – $68,637 · median $40,006 | 31 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,332 – $81,847 · median $47,705 | 31 plans |
| 265 | AICD LEAD PROCEDURES | $27,896 – $83,018 · median $48,388 | 31 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,836 – $51,727 · median $30,150 | 31 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,208 – $40,035 · median $23,335 | 31 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,670 – $36,839 · median $21,472 | 31 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,291 – $56,829 · median $33,123 | 31 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,795 – $37,098 · median $21,623 | 31 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,390 – $34,179 · median $19,922 | 31 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,360 – $69,440 · median $40,473 | 31 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,330 – $50,676 · median $29,537 | 31 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,656 – $40,965 · median $23,877 | 31 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,204 – $46,258 · median $26,962 | 31 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,735 – $39,051 · median $22,761 | 31 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,291 – $33,973 · median $19,801 | 31 plans |
| 294 | DRG Base | $9,603 – $45,010 · median $26,235 | 31 plans |
| 295 | DRG Base | $6,176 – $37,890 · median $22,085 | 31 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,812 – $51,679 · median $30,121 | 31 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,508 – $36,503 · median $21,276 | 31 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,454 – $32,234 · median $18,788 | 31 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,650 – $51,341 · median $29,924 | 31 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,372 – $42,453 · median $24,744 | 31 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,579 – $36,649 · median $21,361 | 31 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,097 – $43,959 · median $25,622 | 31 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,258 – $35,983 · median $20,973 | 31 plans |
| 304 | HYPERTENSION WITH MCC | $9,187 – $44,146 · median $25,731 | 31 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,870 – $37,255 · median $21,714 | 31 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,710 – $49,388 · median $28,786 | 31 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,244 – $40,110 · median $23,378 | 31 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,430 – $44,651 · median $26,025 | 31 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,781 – $37,070 · median $21,607 | 31 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,375 – $34,149 · median $19,904 | 31 plans |
| 311 | ANGINA PECTORIS | $5,461 – $36,404 · median $21,218 | 31 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,814 – $39,215 · median $22,857 | 31 plans |
| 313 | CHEST PAIN | $5,579 – $36,649 · median $21,361 | 31 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,840 – $60,048 · median $34,999 | 31 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,525 – $40,693 · median $23,718 | 31 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,339 – $36,150 · median $21,070 | 31 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,378 – $125,576 · median $73,910 | 31 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,718 – $107,582 · median $63,320 | 31 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,988 – $64,510 · median $37,600 | 31 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,461 – $50,949 · median $29,696 | 31 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,909 – $99,668 · median $58,662 | 31 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,484 – $63,464 · median $36,990 | 31 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,911 – $51,883 · median $30,241 | 31 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,125 – $81,418 · median $47,455 | 31 plans |
| 333 | RECTAL RESECTION WITH CC | $16,620 – $59,590 · median $34,732 | 31 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,970 – $52,007 · median $30,313 | 31 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,335 – $83,931 · median $48,920 | 31 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,518 – $59,379 · median $34,609 | 31 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,004 – $50,000 · median $29,143 | 31 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,071 – $68,838 · median $40,123 | 31 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,642 – $49,246 · median $28,704 | 31 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,738 – $45,292 · median $26,399 | 31 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,508 – $63,514 · median $37,020 | 31 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,845 – $45,513 · median $26,527 | 31 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,889 – $39,371 · median $22,948 | 31 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,914 – $64,357 · median $37,511 | 31 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,765 – $49,503 · median $28,853 | 31 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,622 – $42,973 · median $25,047 | 31 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,936 – $72,714 · median $42,382 | 31 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,303 – $52,697 · median $30,715 | 31 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,426 – $46,720 · median $27,231 | 31 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,358 – $94,368 · median $55,542 | 31 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,611 – $61,649 · median $35,932 | 31 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,597 – $47,076 · median $27,438 | 31 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,059 – $52,192 · median $30,421 | 31 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,958 – $41,592 · median $24,242 | 31 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,458 – $36,399 · median $21,215 | 31 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,669 – $53,460 · median $31,159 | 31 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,049 – $41,782 · median $24,353 | 31 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,673 – $36,844 · median $21,475 | 31 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,511 – $59,364 · median $34,601 | 31 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,608 – $45,022 · median $26,241 | 31 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,905 – $39,405 · median $22,967 | 31 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,218 – $54,600 · median $31,824 | 31 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,710 – $41,077 · median $23,942 | 31 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,979 – $35,403 · median $20,635 | 31 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,048 – $56,324 · median $32,829 | 31 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,517 – $42,754 · median $24,919 | 31 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,860 – $37,232 · median $21,701 | 31 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,886 – $45,599 · median $26,578 | 31 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,800 – $39,187 · median $22,840 | 31 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,706 – $51,458 · median $29,993 | 31 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,761 – $41,184 · median $24,004 | 31 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,242 – $35,949 · median $20,953 | 31 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,495 – $48,941 · median $28,526 | 31 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,269 – $38,082 · median $22,197 | 31 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,279 – $33,949 · median $19,787 | 31 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,045 – $45,928 · median $26,770 | 31 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,102 – $37,736 · median $21,995 | 31 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,950 – $51,965 · median $30,288 | 31 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,361 – $40,352 · median $23,520 | 31 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,977 – $35,398 · median $20,632 | 31 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,376 – $65,317 · median $38,071 | 31 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,833 – $49,644 · median $28,936 | 31 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,788 – $43,317 · median $25,248 | 31 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,593 – $88,624 · median $52,161 | 31 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,452 – $113,264 · median $66,664 | 31 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,962 – $70,689 · median $41,202 | 31 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,702 – $59,761 · median $34,832 | 31 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,380 – $81,948 · median $47,764 | 31 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,395 – $59,122 · median $34,460 | 31 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,130 – $50,260 · median $29,295 | 31 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,399 – $69,519 · median $40,520 | 31 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,669 – $59,692 · median $34,792 | 31 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,001 – $52,070 · median $30,350 | 31 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,400 – $81,988 · median $47,787 | 31 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,469 – $57,198 · median $33,338 | 31 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,715 – $47,321 · median $27,581 | 31 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,601 – $82,406 · median $48,031 | 31 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,806 – $51,666 · median $30,114 | 31 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,491 – $48,933 · median $28,521 | 31 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,807 – $91,146 · median $53,646 | 31 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,855 – $62,157 · median $36,229 | 31 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,088 – $50,174 · median $29,244 | 31 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,918 – $195,264 · median $114,927 | 31 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,543 – $140,464 · median $82,673 | 31 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,042 – $114,489 · median $67,385 | 31 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $65,223 – $160,577 · median $94,511 | 31 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,779 – $113,943 · median $67,064 | 31 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,320 – $56,890 · median $33,158 | 31 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,366 – $42,440 · median $24,736 | 31 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,447 – $36,375 · median $21,201 | 31 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,268 – $54,704 · median $31,885 | 31 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,819 – $43,381 · median $25,285 | 31 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,140 – $37,816 · median $22,041 | 31 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,010 – $52,090 · median $30,361 | 31 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,727 – $39,034 · median $22,751 | 31 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,810 – $35,052 · median $20,430 | 31 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,783 – $55,773 · median $32,508 | 31 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,556 – $40,757 · median $23,755 | 31 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,495 – $36,475 · median $21,260 | 31 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,172 – $52,426 · median $30,557 | 31 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,481 – $42,679 · median $24,876 | 31 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,235 – $38,012 · median $22,156 | 31 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,431 – $133,997 · median $78,867 | 31 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,933 – $91,407 · median $53,800 | 31 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,274 – $108,737 · median $64,000 | 31 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,133 – $75,200 · median $43,831 | 31 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $66,229 – $162,667 · median $95,741 | 31 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,882 – $118,313 · median $69,635 | 31 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,767 – $95,217 · median $56,042 | 31 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,989 – $124,768 · median $73,435 | 31 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,395 – $71,589 · median $41,726 | 31 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,236 – $112,814 · median $66,399 | 31 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,058 – $72,967 · median $42,529 | 31 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,576 – $53,266 · median $31,047 | 31 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,840 – $107,836 · median $63,469 | 31 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,785 – $80,711 · median $47,043 | 31 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,514 – $67,682 · median $39,449 | 31 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,561 – $78,168 · median $45,561 | 31 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,745 – $55,694 · median $32,461 | 31 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,984 – $103,980 · median $61,200 | 31 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,656 – $72,132 · median $42,043 | 31 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,513 – $63,524 · median $37,025 | 31 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,070 – $97,926 · median $57,636 | 31 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,870 – $60,110 · median $35,035 | 31 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,095 – $43,956 · median $25,620 | 31 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,893 – $80,935 · median $47,174 | 31 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,288 – $63,056 · median $36,752 | 31 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,887 – $53,911 · median $31,423 | 31 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,999 – $72,844 · median $42,457 | 31 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,226 – $58,771 · median $34,255 | 31 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,406 – $50,834 · median $29,629 | 31 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,927 – $66,461 · median $38,737 | 31 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,175 – $77,366 · median $45,093 | 31 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,585 – $59,518 · median $34,691 | 31 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,357 – $50,733 · median $29,570 | 31 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,369 – $56,992 · median $33,218 | 31 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,684 – $45,179 · median $26,333 | 31 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,770 – $82,758 · median $48,236 | 31 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,776 – $64,070 · median $37,343 | 31 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,744 – $55,692 · median $32,461 | 31 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,531 – $82,261 · median $47,946 | 31 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,429 – $57,115 · median $33,290 | 31 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,499 – $46,872 · median $27,320 | 31 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,745 – $66,083 · median $38,517 | 31 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,077 – $43,919 · median $25,598 | 31 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,779 – $76,543 · median $44,614 | 31 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,956 – $54,056 · median $31,507 | 31 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,926 – $47,760 · median $27,837 | 31 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,696 – $68,060 · median $39,669 | 31 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,724 – $53,573 · median $31,226 | 31 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,724 – $53,573 · median $31,226 | 31 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,723 – $49,415 · median $28,802 | 31 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,157 – $56,550 · median $32,961 | 31 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,092 – $46,028 · median $26,828 | 31 plans |
| 509 | DRG Base | $13,737 – $53,601 · median $31,242 | 31 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,350 – $71,497 · median $41,672 | 31 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,337 – $56,924 · median $33,178 | 31 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,573 – $51,182 · median $29,832 | 31 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,774 – $49,521 · median $28,864 | 31 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,973 – $41,624 · median $24,261 | 31 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,183 – $75,304 · median $43,891 | 31 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,731 – $57,744 · median $33,657 | 31 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,673 – $49,311 · median $28,741 | 31 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,027 – $83,291 · median $48,547 | 31 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,420 – $57,098 · median $33,280 | 31 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,208 – $48,345 · median $28,178 | 31 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,793 – $72,416 · median $42,208 | 31 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,485 – $59,310 · median $34,570 | 31 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,925 – $49,835 · median $29,046 | 31 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,365 – $38,284 · median $22,314 | 31 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,400 – $46,666 · median $27,200 | 31 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,341 – $38,233 · median $22,285 | 31 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,187 – $39,990 · median $23,308 | 31 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,251 – $35,968 · median $20,964 | 31 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,815 – $57,918 · median $33,758 | 31 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,120 – $46,084 · median $26,861 | 31 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,842 – $39,273 · median $22,891 | 31 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,585 – $55,362 · median $32,268 | 31 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,296 – $42,295 · median $24,652 | 31 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,910 – $37,336 · median $21,762 | 31 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,760 – $66,115 · median $38,536 | 31 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,053 – $43,868 · median $25,569 | 31 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,835 – $37,182 · median $21,672 | 31 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,754 – $57,791 · median $33,684 | 31 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,424 – $44,638 · median $26,018 | 31 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,742 – $39,065 · median $22,769 | 31 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,344 – $52,784 · median $30,765 | 31 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,537 – $40,718 · median $23,733 | 31 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,213 – $46,278 · median $26,973 | 31 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,527 – $38,618 · median $22,509 | 31 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,530 – $46,937 · median $27,358 | 31 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,385 – $38,324 · median $22,338 | 31 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,119 – $50,238 · median $29,281 | 31 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,755 – $39,093 · median $22,786 | 31 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,516 – $55,219 · median $32,185 | 31 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,905 – $43,559 · median $25,389 | 31 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,394 – $38,342 · median $22,348 | 31 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,445 – $48,837 · median $28,465 | 31 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,990 – $39,580 · median $23,070 | 31 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,271 – $50,554 · median $29,466 | 31 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,974 – $41,626 · median $24,262 | 31 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,850 – $37,213 · median $21,690 | 31 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,540 – $73,968 · median $43,113 | 31 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,093 – $52,262 · median $30,461 | 31 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,934 – $43,620 · median $25,424 | 31 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,157 – $125,117 · median $73,640 | 31 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,096 – $81,356 · median $47,419 | 31 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,614 – $57,500 · median $33,515 | 31 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,191 – $112,722 · median $66,345 | 31 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,823 – $68,323 · median $39,823 | 31 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,219 – $52,524 · median $30,614 | 31 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,489 – $78,017 · median $45,473 | 31 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,865 – $53,866 · median $31,396 | 31 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,255 – $48,442 · median $28,235 | 31 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,694 – $53,512 · median $31,190 | 31 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,846 – $51,749 · median $30,162 | 31 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,011 – $58,324 · median $33,995 | 31 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,523 – $57,312 · median $33,405 | 31 plans |
| 592 | SKIN ULCERS WITH MCC | $16,080 – $58,469 · median $34,079 | 31 plans |
| 593 | SKIN ULCERS WITH CC | $9,562 – $44,924 · median $26,184 | 31 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,637 – $38,848 · median $22,643 | 31 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,540 – $59,424 · median $34,636 | 31 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,454 – $42,624 · median $24,843 | 31 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,737 – $53,601 · median $31,242 | 31 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,437 – $42,588 · median $24,823 | 31 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,685 – $38,948 · median $22,701 | 31 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,481 – $40,601 · median $23,664 | 31 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,688 – $34,798 · median $20,283 | 31 plans |
| 602 | CELLULITIS WITH MCC | $11,489 – $48,930 · median $28,519 | 31 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,888 – $39,369 · median $22,947 | 31 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,618 – $49,198 · median $28,675 | 31 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,223 – $40,066 · median $23,353 | 31 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,593 – $51,222 · median $29,855 | 31 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,758 – $39,099 · median $22,789 | 31 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,822 – $62,087 · median $36,188 | 31 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,206 – $48,341 · median $28,176 | 31 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,224 – $87,857 · median $51,710 | 31 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,105 – $56,443 · median $32,898 | 31 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,737 – $45,288 · median $26,397 | 31 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,262 – $85,858 · median $50,267 | 31 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,958 – $56,137 · median $32,720 | 31 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,844 – $41,356 · median $24,105 | 31 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,421 – $71,643 · median $41,758 | 31 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,803 – $49,581 · median $28,899 | 31 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,907 – $45,642 · median $26,603 | 31 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,855 – $89,168 · median $52,482 | 31 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,588 – $61,602 · median $35,905 | 31 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,958 – $47,826 · median $27,876 | 31 plans |
| 637 | DIABETES WITH MCC | $11,388 – $48,720 · median $28,397 | 31 plans |
| 638 | DIABETES WITH CC | $7,173 – $39,961 · median $23,291 | 31 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,900 – $35,239 · median $20,539 | 31 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,385 – $46,635 · median $27,182 | 31 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,111 – $37,754 · median $22,005 | 31 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,705 – $45,223 · median $26,359 | 31 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,960 – $51,986 · median $30,300 | 31 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,081 – $41,849 · median $24,392 | 31 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,089 – $37,710 · median $21,980 | 31 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,593 – $115,635 · median $68,059 | 31 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,069 – $70,912 · median $41,331 | 31 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,244 – $58,810 · median $34,278 | 31 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,478 – $77,994 · median $45,460 | 31 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,296 – $54,761 · median $31,918 | 31 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,761 – $49,495 · median $28,848 | 31 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,209 – $67,048 · median $39,079 | 31 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,479 – $46,830 · median $27,295 | 31 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,028 – $41,738 · median $24,327 | 31 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,395 – $75,746 · median $44,149 | 31 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,944 – $49,875 · median $29,070 | 31 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,444 – $42,603 · median $24,831 | 31 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,851 – $80,848 · median $47,123 | 31 plans |
| 666 | PROSTATECTOMY WITH CC | $12,882 – $51,823 · median $30,206 | 31 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,037 – $41,758 · median $24,339 | 31 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,805 – $72,442 · median $42,224 | 31 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,101 – $50,202 · median $29,260 | 31 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,474 – $40,586 · median $23,656 | 31 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,479 – $53,065 · median $30,929 | 31 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,558 – $42,840 · median $24,969 | 31 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,763 – $93,131 · median $54,814 | 31 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,052 – $62,565 · median $36,466 | 31 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,241 – $50,491 · median $29,429 | 31 plans |
| 682 | RENAL FAILURE WITH MCC | $11,745 – $49,461 · median $28,829 | 31 plans |
| 683 | RENAL FAILURE WITH CC | $6,951 – $39,501 · median $23,023 | 31 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,750 – $34,927 · median $20,357 | 31 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,746 – $55,697 · median $32,463 | 31 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,232 – $42,162 · median $24,575 | 31 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,663 – $36,825 · median $21,463 | 31 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,152 – $44,073 · median $25,688 | 31 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,276 – $38,098 · median $22,206 | 31 plans |
| 693 | URINARY STONES WITH MCC | $11,499 – $48,949 · median $28,530 | 31 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,111 – $37,754 · median $22,005 | 31 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,819 – $43,382 · median $25,286 | 31 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,410 – $36,298 · median $21,157 | 31 plans |
| 697 | URETHRAL STRICTURE | $7,834 – $41,335 · median $24,092 | 31 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,145 – $52,369 · median $30,524 | 31 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,976 – $41,629 · median $24,264 | 31 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,429 – $36,337 · median $21,179 | 31 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,175 – $56,589 · median $32,983 | 31 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,593 – $49,146 · median $28,645 | 31 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,572 – $61,569 · median $35,886 | 31 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,741 – $49,453 · median $28,824 | 31 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,941 – $56,101 · median $32,699 | 31 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,364 – $42,437 · median $24,735 | 31 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,308 – $48,553 · median $28,299 | 31 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,348 – $40,326 · median $23,504 | 31 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,660 – $61,751 · median $35,992 | 31 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,099 – $48,119 · median $28,046 | 31 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,510 – $55,206 · median $32,177 | 31 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,633 – $45,074 · median $26,272 | 31 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,520 – $53,149 · median $30,978 | 31 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,781 – $43,303 · median $25,239 | 31 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,698 – $36,896 · median $21,505 | 31 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,874 – $45,573 · median $26,562 | 31 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,821 – $37,153 · median $21,655 | 31 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,491 – $48,933 · median $28,521 | 31 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,390 – $38,334 · median $22,343 | 31 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,609 – $42,945 · median $25,031 | 31 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,746 – $34,919 · median $20,353 | 31 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,444 – $59,224 · median $34,519 | 31 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,493 – $44,781 · median $26,101 | 31 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,792 – $89,037 · median $52,404 | 31 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,627 – $57,528 · median $33,531 | 31 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,862 – $49,705 · median $28,971 | 31 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,131 – $89,740 · median $52,818 | 31 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,219 – $54,602 · median $31,825 | 31 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,742 – $47,376 · median $27,614 | 31 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,285 – $54,738 · median $31,905 | 31 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,374 – $44,534 · median $25,957 | 31 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,280 – $56,807 · median $33,110 | 31 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,014 – $41,709 · median $24,310 | 31 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,095 – $52,267 · median $30,464 | 31 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,470 – $40,578 · median $23,651 | 31 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,653 – $47,193 · median $27,507 | 31 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,243 – $67,118 · median $39,120 | 31 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,084 – $46,010 · median $26,817 | 31 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,149 – $54,456 · median $31,740 | 31 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,681 – $43,095 · median $25,118 | 31 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,468 – $40,575 · median $23,649 | 31 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,068 – $48,054 · median $28,008 | 31 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,971 – $41,619 · median $24,258 | 31 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,005 – $35,457 · median $20,666 | 31 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,707 – $41,072 · median $23,939 | 31 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,957 – $35,357 · median $20,608 | 31 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,866 – $47,635 · median $27,764 | 31 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,414 – $42,541 · median $24,795 | 31 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,580 – $36,651 · median $21,362 | 31 plans |
| 779 | ABORTION WITHOUT D&C | $7,310 – $40,247 · median $23,458 | 31 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,096 – $54,347 · median $31,676 | 31 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,488 – $121,650 · median $71,600 | 31 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,748 – $91,024 · median $53,574 | 31 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,157 – $64,861 · median $37,805 | 31 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,613 – $92,821 · median $54,632 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,544 – $49,043 · median $28,585 | 31 plans |
| 795 | NORMAL NEWBORN | $1,562 – $28,304 · median $16,497 | 31 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,183 – $102,315 · median $60,219 | 31 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,786 – $72,402 · median $42,200 | 31 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,838 – $51,732 · median $30,153 | 31 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,033 – $83,304 · median $48,554 | 31 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,920 – $53,979 · median $31,462 | 31 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,646 – $43,022 · median $25,076 | 31 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,910 – $62,271 · median $36,295 | 31 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,685 – $45,181 · median $26,334 | 31 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,443 – $40,523 · median $23,619 | 31 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,002 – $47,917 · median $27,929 | 31 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,217 – $40,053 · median $23,345 | 31 plans |
| 813 | COAGULATION DISORDERS | $12,105 – $50,210 · median $29,265 | 31 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,348 – $59,025 · median $34,403 | 31 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,946 – $41,567 · median $24,228 | 31 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,157 – $35,772 · median $20,850 | 31 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,824 – $66,248 · median $38,613 | 31 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,072 – $45,985 · median $26,803 | 31 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,385 – $38,324 · median $22,338 | 31 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,530 – $119,660 · median $70,428 | 31 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,457 – $61,330 · median $35,747 | 31 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,944 – $43,641 · median $25,436 | 31 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,594 – $101,091 · median $59,499 | 31 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,199 – $60,794 · median $35,434 | 31 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,625 – $45,056 · median $26,261 | 31 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,344 – $102,651 · median $60,417 | 31 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,454 – $63,402 · median $36,954 | 31 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,535 – $51,102 · median $29,785 | 31 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,115 – $75,164 · median $43,810 | 31 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,437 – $48,821 · median $28,455 | 31 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,001 – $43,759 · median $25,505 | 31 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,845 – $37,202 · median $21,683 | 31 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,065 – $33,503 · median $19,528 | 31 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,223 – $114,866 · median $67,607 | 31 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,703 – $59,762 · median $34,833 | 31 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,937 – $45,704 · median $26,639 | 31 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,156 – $106,416 · median $62,633 | 31 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,861 – $58,012 · median $33,813 | 31 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,717 – $47,324 · median $27,583 | 31 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,938 – $76,873 · median $44,806 | 31 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,262 – $50,535 · median $29,455 | 31 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,226 – $42,149 · median $24,567 | 31 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,806 – $55,820 · median $32,535 | 31 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,346 – $44,478 · median $25,924 | 31 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,544 – $38,654 · median $22,530 | 31 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,971 – $66,552 · median $38,791 | 31 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,937 – $45,704 · median $26,639 | 31 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,404 – $38,363 · median $22,360 | 31 plans |
| 849 | RADIOTHERAPY | $20,888 – $68,458 · median $39,901 | 31 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $72,037 – $174,734 · median $102,844 | 31 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,110 – $106,320 · median $62,577 | 31 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,625 – $57,523 · median $33,528 | 31 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,712 – $51,471 · median $30,000 | 31 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,281 – $98,363 · median $57,894 | 31 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,039 – $60,461 · median $35,240 | 31 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,075 – $45,992 · median $26,807 | 31 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,379 – $54,933 · median $32,018 | 31 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,819 – $41,304 · median $24,074 | 31 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,022 – $39,649 · median $23,109 | 31 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,542 – $49,038 · median $28,582 | 31 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,919 – $39,434 · median $22,984 | 31 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,768 – $59,899 · median $34,912 | 31 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,212 – $42,120 · median $24,550 | 31 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,627 – $36,750 · median $21,420 | 31 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,400 – $138,088 · median $81,275 | 31 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,344 – $56,938 · median $33,187 | 31 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,062 – $41,810 · median $24,369 | 31 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,647 – $97,045 · median $57,118 | 31 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,839 – $55,890 · median $32,576 | 31 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,533 – $44,866 · median $26,150 | 31 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,194 – $87,794 · median $51,673 | 31 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,889 – $51,838 · median $30,214 | 31 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,067 – $60,519 · median $35,274 | 31 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,153 – $89,786 · median $52,845 | 31 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,774 – $57,832 · median $33,708 | 31 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,918 – $45,665 · median $26,616 | 31 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,655 – $51,352 · median $29,931 | 31 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,166 – $39,948 · median $23,284 | 31 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,590 – $53,295 · median $31,064 | 31 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,193 – $35,848 · median $20,894 | 31 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,822 – $51,700 · median $30,134 | 31 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,918 – $39,431 · median $22,983 | 31 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,261 – $54,688 · median $31,875 | 31 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,944 – $41,564 · median $24,226 | 31 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,378 – $36,232 · median $21,118 | 31 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,211 – $52,507 · median $30,604 | 31 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,976 – $41,629 · median $24,264 | 31 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $185,512 – $410,510 · median $241,615 | 31 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,229 – $133,578 · median $78,620 | 31 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,871 – $76,733 · median $44,725 | 31 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,836 – $95,362 · median $56,127 | 31 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,780 – $59,923 · median $34,927 | 31 plans |
| 935 | NON-EXTENSIVE BURNS | $17,176 – $60,745 · median $35,406 | 31 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,821 – $76,629 · median $44,664 | 31 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,511 – $59,364 · median $34,601 | 31 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,283 – $56,812 · median $33,113 | 31 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,058 – $45,956 · median $26,786 | 31 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,213 – $37,967 · median $22,129 | 31 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,438 – $42,589 · median $24,824 | 31 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,583 – $34,581 · median $20,156 | 31 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,434 – $34,270 · median $19,975 | 31 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,397 – $136,005 · median $80,049 | 31 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,891 – $87,165 · median $51,303 | 31 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,370 – $146,337 · median $86,130 | 31 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,139 – $91,835 · median $54,051 | 31 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,675 – $68,016 · median $39,644 | 31 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,245 – $69,199 · median $40,333 | 31 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,731 – $49,432 · median $28,812 | 31 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,137 – $39,886 · median $23,248 | 31 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,456 – $127,816 · median $75,229 | 31 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,749 – $68,169 · median $39,733 | 31 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,352 – $73,578 · median $42,885 | 31 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,115 – $48,153 · median $28,066 | 31 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,843 – $41,355 · median $24,104 | 31 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,276 – $48,486 · median $28,260 | 31 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,176 – $102,300 · median $60,211 | 31 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,146 – $64,838 · median $37,791 | 31 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,045 – $52,163 · median $30,404 | 31 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,391 – $81,970 · median $47,777 | 31 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,419 – $52,940 · median $30,856 | 31 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,036 – $43,832 · median $25,548 | 31 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $44,012 – $88,907 · median $52,328 | 29 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,736 – $40,633 · median $23,916 | 29 plans |
| 881 | DEPRESSIVE NEUROSES | $10,238 – $39,910 · median $23,490 | 29 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,774 – $40,688 · median $23,948 | 29 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,764 – $55,180 · median $32,478 | 29 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,706 – $52,195 · median $30,721 | 29 plans |
| 885 | PSYCHOSES | $15,788 – $47,961 · median $28,229 | 29 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,121 – $54,248 · median $31,929 | 29 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,321 – $44,383 · median $26,123 | 29 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,990 – $35,198 · median $20,717 | 29 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,216 – $48,583 · median $28,595 | 29 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,945 – $53,992 · median $31,778 | 29 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,881 – $39,392 · median $23,185 | 29 plans |
| 945 | REHABILITATION WITH CC/MCC | $20,506 – $49,861 · median $29,347 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,998 – $43,199 · median $25,426 | 28 plans |
| 230 | Coronary Bypass | $24,000 – $56,583 · median $53,754 | 3 plans |
| 222 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 223 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 224 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 225 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 226 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 227 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 237 | Major CV Procedure | $20,000 – $20,000 · median $20,000 | 1 plans |
| 238 | Major CV Procedure | $20,000 – $20,000 · median $20,000 | 1 plans |
| 246 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
| 247 | Cardiac Procedures | $24,000 – $24,000 · median $24,000 | 1 plans |
No procedures match that keyword.