Inova Fair Oaks Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,787 – $49,659 · median $15,470 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,260 – $21,443 · median $12,933 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,677 – $19,373 · median $12,933 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,787 – $33,364 · median $14,022 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,100 – $22,590 · median $12,933 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,913 – $19,394 · median $12,933 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,017 – $23,605 · median $9,256 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,017 – $20,235 · median $8,959 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,017 – $19,359 · median $8,959 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,595 – $21,829 · median $9,320 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,545 – $15,251 · median $8,959 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,892 – $13,637 · median $8,757 | 28 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,848 – $144,141 · median $98,828 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,085 – $109,622 · median $75,734 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,100 – $70,790 · median $50,247 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $286,034 – $1,007,424 · median $733,363 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,987 – $215,337 · median $146,664 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,433 – $142,672 · median $97,172 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,947 – $73,781 · median $53,834 | 26 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,185 – $152,401 · median $104,185 | 26 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,803 – $101,555 · median $70,212 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,870 – $119,469 · median $82,132 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,188 – $81,705 · median $56,168 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,724 – $65,922 · median $45,438 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,014 – $162,402 · median $110,610 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,440 – $89,668 · median $61,637 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,892 – $59,447 · median $40,489 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,741 – $111,944 · median $78,813 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,214 – $57,048 · median $38,882 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,133 – $42,621 · median $29,645 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,460 – $103,879 · median $70,751 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,265 – $60,767 · median $42,431 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,928 – $48,968 · median $34,331 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,170 – $88,711 · median $60,420 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,252 – $43,043 · median $29,460 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,677 – $30,405 · median $21,057 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,579 – $100,764 · median $69,495 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,140 – $60,323 · median $41,086 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,357 – $46,951 · median $31,978 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,283 – $53,760 · median $35,205 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,039 – $24,613 · median $17,279 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,404 – $40,046 · median $27,554 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,321 – $29,144 · median $19,466 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,998 – $66,892 · median $44,507 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,160 – $35,646 · median $24,278 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,025 – $49,310 · median $32,778 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,323 – $32,686 · median $22,445 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,820 – $23,839 · median $16,494 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,504 – $72,216 · median $49,720 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,534 – $47,573 · median $32,402 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,692 – $37,526 · median $25,593 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,107 – $53,138 · median $36,436 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,761 – $27,165 · median $18,501 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,278 – $18,387 · median $12,523 | 26 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,070 – $38,865 · median $26,631 | 26 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,738 – $23,548 · median $16,038 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,123 – $21,373 · median $14,570 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,215 – $46,449 · median $31,427 | 26 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,040 – $28,153 · median $19,175 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,746 – $20,040 · median $13,723 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,756 – $41,288 · median $28,662 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,953 – $27,846 · median $18,965 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,637 – $44,402 · median $32,443 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,005 – $24,493 · median $16,039 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,955 – $52,598 · median $34,827 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,914 – $24,170 · median $16,462 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,608 – $61,980 · median $42,214 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,583 – $37,142 · median $25,385 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,301 – $25,540 · median $17,422 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,199 – $60,532 · median $41,346 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,987 – $35,037 · median $23,863 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,757 – $23,614 · median $16,369 | 26 plans |
| 088 | CONCUSSION WITH MCC | $11,736 – $37,684 · median $25,509 | 26 plans |
| 089 | CONCUSSION WITH CC | $9,178 – $28,639 · median $19,762 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,555 – $22,901 · median $15,519 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,851 – $48,695 · median $33,057 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,077 – $28,281 · median $19,230 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,041 – $21,085 · median $14,444 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,647 – $97,468 · median $66,210 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,190 – $64,037 · median $45,220 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,190 – $64,037 · median $45,220 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,162 – $95,756 · median $65,557 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,468 – $57,949 · median $40,592 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,605 – $37,219 · median $25,350 | 26 plans |
| 100 | SEIZURES WITH MCC | $16,078 – $53,033 · median $36,121 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $8,041 – $24,621 · median $16,769 | 26 plans |
| 102 | HEADACHES WITH MCC | $9,838 – $30,974 · median $21,066 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $7,501 – $22,711 · median $15,469 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,981 – $59,762 · median $41,731 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,009 – $31,578 · median $22,982 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,645 – $40,898 · median $27,935 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,685 – $44,573 · median $31,584 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,725 – $27,039 · median $19,059 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,866 – $31,073 · median $21,200 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,202 – $18,119 · median $13,267 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,146 – $21,456 · median $14,613 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,929 – $34,831 · median $23,925 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,316 – $22,057 · median $14,694 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,295 – $64,408 · median $42,178 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,468 – $26,131 · median $18,140 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,645 – $37,361 · median $26,285 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,224 – $21,731 · median $15,438 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,451 – $36,677 · median $24,018 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,033 – $112,975 · median $77,379 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,311 – $57,393 · median $39,430 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,958 – $42,004 · median $28,858 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,026 – $88,204 · median $63,921 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,351 – $46,927 · median $31,961 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,029 – $31,650 · median $21,740 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,411 – $61,282 · median $40,664 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,483 – $33,252 · median $22,911 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,845 – $20,390 · median $14,195 | 26 plans |
| 149 | DYSEQUILIBRIUM | $6,725 – $19,968 · median $13,657 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $11,521 – $36,923 · median $25,064 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,804 – $20,248 · median $13,784 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,652 – $30,314 · median $21,080 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,455 – $19,012 · median $13,194 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,365 – $43,443 · median $29,459 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,131 – $24,939 · median $16,986 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,158 – $17,962 · median $12,412 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,450 – $43,743 · median $30,510 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,184 – $25,126 · median $17,094 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,061 – $17,620 · median $12,433 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,904 – $123,126 · median $83,860 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,095 – $67,237 · median $45,930 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,161 – $49,793 · median $34,393 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,170 – $102,853 · median $70,052 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,883 – $48,810 · median $33,244 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,307 – $36,167 · median $24,779 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,263 – $81,972 · median $55,830 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,724 – $37,641 · median $25,637 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,231 – $21,758 · median $14,819 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,291 – $43,182 · median $29,368 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,573 – $26,502 · median $18,050 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,893 – $20,561 · median $14,004 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,283 – $46,689 · median $32,006 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,466 – $29,660 · median $20,148 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,405 – $22,372 · median $14,651 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,071 – $42,402 · median $28,792 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,148 – $28,532 · median $19,433 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,953 – $20,775 · median $14,247 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,016 – $42,207 · median $28,747 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,663 – $26,820 · median $18,267 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,625 – $19,613 · median $13,358 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,427 – $33,055 · median $22,534 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,562 – $29,999 · median $20,432 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,568 – $22,949 · median $15,630 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,967 – $17,289 · median $11,775 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,034 – $35,200 · median $23,987 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,273 – $21,905 · median $14,919 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,782 – $16,634 · median $11,397 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,313 – $50,330 · median $34,363 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,557 – $26,446 · median $17,906 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,162 – $17,978 · median $12,629 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,416 – $47,157 · median $32,162 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,445 – $29,585 · median $20,150 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,193 – $18,087 · median $12,660 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,381 – $25,824 · median $17,656 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,341 – $18,608 · median $12,621 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,205 – $21,664 · median $14,755 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,341 – $50,429 · median $34,347 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,921 – $24,197 · median $16,805 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,943 – $172,759 · median $117,664 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,356 – $71,692 · median $49,457 | 26 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES | $83,391 – $291,009 · median $198,369 | 26 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $81,131 – $283,019 · median $189,601 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,001 – $257,810 · median $176,996 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,873 – $172,510 · median $118,681 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,030 – $158,924 · median $113,695 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,541 – $206,692 · median $140,776 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,099 – $141,491 · median $96,834 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,779 – $122,682 · median $87,467 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,731 – $133,119 · median $90,666 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,548 – $82,979 · median $56,975 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,106 – $226,364 · median $154,174 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,234 – $163,182 · median $111,142 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,138 – $208,800 · median $142,212 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,276 – $142,119 · median $98,158 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,538 – $157,185 · median $107,105 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,148 – $109,847 · median $75,587 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,136 – $134,551 · median $91,641 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,082 – $77,794 · median $52,985 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,486 – $40,334 · median $26,671 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,707 – $90,611 · median $60,753 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,099 – $60,179 · median $40,454 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,713 – $48,209 · median $32,913 | 26 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,002 – $130,541 · median $87,147 | 26 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,551 – $61,777 · median $41,478 | 26 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,884 – $41,742 · median $28,226 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,997 – $91,636 · median $63,005 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,367 – $68,198 · median $46,886 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,295 – $46,732 · median $32,154 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,847 – $69,895 · median $48,366 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,875 – $45,244 · median $30,902 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,066 – $22,092 · median $15,540 | 26 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,275 – $74,943 · median $53,964 | 26 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,358 – $46,954 · median $34,260 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,814 – $90,990 · median $61,479 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,415 – $50,691 · median $34,525 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,546 – $40,545 · median $28,605 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,343 – $71,647 · median $52,041 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,486 – $93,365 · median $63,113 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $28,031 – $95,291 · median $65,440 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,343 – $160,033 · median $110,338 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,626 – $125,677 · median $86,213 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,457 – $178,112 · median $123,285 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,515 – $111,145 · median $76,353 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,862 – $137,118 · median $94,753 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,103 – $92,010 · median $63,715 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,984 – $66,841 · median $46,029 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,623 – $104,456 · median $73,076 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,659 – $83,371 · median $58,316 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,475 – $188,781 · median $129,326 | 26 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $47,882 – $165,471 · median $112,701 | 26 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,227 – $124,266 · median $84,637 | 26 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,882 – $133,653 · median $95,923 | 26 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,289 – $85,599 · median $61,784 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,479 – $43,847 · median $29,864 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,042 – $24,624 · median $16,777 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,556 – $19,370 · median $13,198 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,852 – $52,235 · median $35,850 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,676 – $19,794 · median $13,218 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,319 – $14,997 · median $10,547 | 26 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,801 – $59,124 · median $40,332 | 26 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,311 – $29,109 · median $19,826 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,716 – $72,967 · median $49,697 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,991 – $42,118 · median $29,831 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,474 – $26,152 · median $17,617 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,936 – $34,855 · median $23,740 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,584 – $23,005 · median $15,669 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,223 – $14,657 · median $10,145 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,457 – $43,767 · median $29,544 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,399 – $18,817 · median $12,323 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,415 – $11,799 · median $8,163 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,300 – $43,211 · median $29,607 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,166 – $28,599 · median $19,485 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,467 – $19,057 · median $13,054 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,867 – $31,075 · median $21,481 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,158 – $17,962 · median $12,261 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $9,954 – $31,382 · median $21,538 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,749 – $20,053 · median $13,718 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,391 – $40,000 · median $27,950 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,077 – $24,747 · median $16,855 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,189 – $32,213 · median $21,961 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,663 – $19,749 · median $13,451 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,305 – $14,946 · median $10,252 | 26 plans |
| 311 | ANGINA PECTORIS | $6,353 – $18,654 · median $12,756 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,661 – $23,275 · median $15,882 | 26 plans |
| 313 | CHEST PAIN | $6,467 – $19,057 · median $13,057 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,349 – $57,527 · median $39,159 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,348 – $25,706 · median $17,546 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,236 – $18,237 · median $12,437 | 26 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,821 – $165,258 · median $116,956 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,269 – $117,345 · median $80,647 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,568 – $61,835 · median $42,948 | 26 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,587 – $76,047 · median $51,404 | 26 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,747 – $48,329 · median $32,917 | 26 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,261 – $113,782 · median $78,198 | 26 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,219 – $85,351 · median $58,132 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,703 – $76,455 · median $55,094 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,454 – $135,676 · median $92,407 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,424 – $64,862 · median $44,387 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,118 – $42,567 · median $29,115 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,773 – $122,664 · median $83,724 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,937 – $63,142 · median $43,359 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,552 – $44,103 · median $30,357 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,286 – $92,660 · median $64,495 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $17,136 – $56,773 · median $40,559 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,609 – $44,306 · median $30,177 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,455 – $96,792 · median $65,924 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,038 – $56,426 · median $38,465 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,676 – $41,007 · median $27,976 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,437 – $71,978 · median $48,731 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,326 – $39,768 · median $27,266 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,487 – $33,266 · median $22,446 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,961 – $63,224 · median $43,062 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,589 – $33,629 · median $23,363 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,733 – $23,532 · median $16,027 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,353 – $64,611 · median $44,696 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,445 – $40,190 · median $27,587 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,408 – $29,454 · median $20,643 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,239 – $78,349 · median $53,363 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,931 – $45,442 · median $30,950 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,151 – $35,614 · median $24,396 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,309 – $113,950 · median $78,811 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,093 – $60,158 · median $41,661 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,316 – $36,199 · median $25,056 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,696 – $44,611 · median $30,113 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,766 – $27,183 · median $18,514 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,351 – $18,646 · median $12,744 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,285 – $46,694 · median $32,068 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,854 – $27,496 · median $18,727 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,558 – $19,378 · median $13,237 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,031 – $56,402 · median $38,709 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,361 – $32,822 · median $22,355 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,749 – $23,588 · median $16,440 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,815 – $48,570 · median $33,218 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,526 – $26,336 · median $17,937 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,888 – $17,008 · median $11,584 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,617 – $51,404 · median $35,389 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,306 – $29,093 · median $19,815 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,739 – $20,016 · median $14,088 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,629 – $33,771 · median $24,021 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,648 – $23,230 · median $15,822 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,354 – $43,403 · median $29,562 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,576 – $26,513 · median $18,058 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,142 – $17,906 · median $12,309 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,184 – $39,266 · median $26,846 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,134 – $21,413 · median $14,584 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,212 – $14,617 · median $9,956 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,783 – $34,313 · median $23,370 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,973 – $20,844 · median $14,215 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,590 – $44,237 · median $30,070 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,189 – $25,145 · median $17,126 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,886 – $17,000 · median $11,704 | 26 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,799 – $66,190 · median $45,012 | 26 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,511 – $40,422 · median $27,581 | 26 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,568 – $30,020 · median $20,657 | 26 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,638 – $104,507 · median $72,210 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,096 – $145,017 · median $99,287 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,297 – $75,021 · median $51,955 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,215 – $57,054 · median $39,630 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,533 – $93,530 · median $64,351 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,918 – $56,004 · median $38,888 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,797 – $41,435 · median $28,576 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,579 – $72,483 · median $53,199 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,183 – $56,942 · median $38,782 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,639 – $44,410 · median $30,281 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,552 – $93,597 · median $64,350 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,024 – $52,841 · median $36,796 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,430 – $36,602 · median $24,929 | 26 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,034 – $63,484 · median $43,394 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,608 – $44,301 · median $30,503 | 26 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,033 – $35,197 · median $24,419 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,746 – $94,284 · median $64,074 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,451 – $43,745 · median $30,686 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,180 – $39,252 · median $26,484 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,810 – $108,653 · median $74,847 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,330 – $60,994 · median $41,286 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,757 – $41,293 · median $28,124 | 26 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,229 – $279,830 · median $195,505 | 26 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,745 – $189,735 · median $130,419 | 26 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,666 – $147,031 · median $101,302 | 26 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,098 – $222,803 · median $157,637 | 26 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,412 – $146,134 · median $102,195 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,880 – $52,334 · median $35,780 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,160 – $28,578 · median $19,464 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,340 – $18,606 · median $12,828 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,864 – $48,741 · median $33,354 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,598 – $30,124 · median $20,580 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,010 – $20,975 · median $14,883 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,648 – $44,443 · median $30,269 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,577 – $22,979 · median $15,650 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,725 – $16,431 · median $11,263 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,361 – $50,498 · median $34,013 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,378 – $25,810 · median $17,601 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,387 – $18,771 · median $12,785 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,804 – $44,995 · median $30,646 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,272 – $28,970 · median $19,848 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,101 – $21,298 · median $14,783 | 26 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,738 – $179,103 · median $121,995 | 26 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,932 – $109,083 · median $75,744 | 26 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,991 – $137,575 · median $95,370 | 26 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,395 – $82,436 · median $57,457 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,070 – $226,238 · median $154,089 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,444 – $153,317 · median $106,482 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,704 – $115,347 · median $78,432 | 26 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,343 – $160,033 · median $106,126 | 26 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,716 – $76,501 · median $50,932 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,887 – $144,277 · median $100,944 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,357 – $78,766 · median $55,136 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,195 – $46,377 · median $32,377 | 26 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,572 – $136,092 · median $93,780 | 26 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,958 – $91,498 · median $63,276 | 26 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,899 – $70,076 · median $48,858 | 26 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,775 – $87,317 · median $58,104 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,324 – $50,367 · median $34,728 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,779 – $129,753 · median $88,374 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,968 – $77,393 · median $53,212 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,965 – $63,240 · median $43,767 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,963 – $119,800 · median $81,047 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,378 – $57,628 · median $40,313 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,865 – $31,070 · median $21,341 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,062 – $91,866 · median $62,805 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,747 – $62,471 · median $43,635 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,495 – $47,437 · median $33,063 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,299 – $78,563 · median $53,509 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,755 – $55,427 · median $37,979 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,064 – $42,378 · median $29,287 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,331 – $68,070 · median $48,324 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,402 – $85,997 · median $58,736 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,103 – $56,656 · median $38,588 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,017 – $42,212 · median $28,750 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,928 – $52,502 · median $34,381 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,434 – $33,081 · median $21,686 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,910 – $94,863 · median $65,733 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,219 – $64,138 · median $44,895 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,323 – $50,365 · median $35,380 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,679 – $94,046 · median $65,046 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,985 – $52,705 · median $34,799 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,222 – $35,865 · median $23,486 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,155 – $67,448 · median $49,503 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,379 – $40,753 · median $21,541 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,020 – $84,646 · median $57,715 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,562 – $47,675 · median $32,471 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,634 – $37,323 · median $25,336 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,075 – $70,699 · median $49,450 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,338 – $46,881 · median $32,946 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,338 – $46,881 · median $32,302 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,404 – $40,046 · median $26,224 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,722 – $51,775 · median $34,532 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,458 – $33,164 · median $24,341 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,673 – $76,349 · median $53,455 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,896 – $52,390 · median $36,737 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,226 – $42,949 · median $29,702 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,453 – $40,219 · median $28,017 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,781 – $27,237 · median $18,604 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,443 – $82,607 · median $57,153 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,277 – $53,739 · median $37,221 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,356 – $39,875 · median $27,574 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,158 – $95,740 · median $66,608 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,977 – $52,675 · median $36,175 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,906 – $38,285 · median $26,631 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,100 – $77,861 · median $53,030 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,006 – $56,314 · median $38,500 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,599 – $40,735 · median $28,151 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,228 – $21,744 · median $14,810 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,126 – $35,526 · median $24,125 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,204 – $21,662 · median $14,754 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,021 – $24,549 · median $17,046 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,151 – $17,938 · median $12,649 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,358 – $54,024 · median $36,796 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,855 – $34,569 · median $23,603 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,688 – $23,371 · median $15,305 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,170 – $49,823 · median $33,516 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,093 – $28,340 · median $19,299 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,787 – $20,187 · median $13,763 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,170 – $67,501 · median $45,974 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,825 – $30,926 · median $21,063 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,715 – $19,933 · median $14,357 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,299 – $53,816 · median $36,433 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,183 – $32,192 · median $21,980 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,591 – $23,029 · median $15,812 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,971 – $45,583 · median $31,046 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,360 – $25,746 · median $17,544 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,945 – $34,887 · median $23,761 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,383 – $22,295 · median $15,185 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,252 – $35,972 · median $24,500 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,247 – $21,811 · median $14,999 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,787 – $41,397 · median $28,041 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,604 – $23,075 · median $15,990 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,103 – $49,587 · median $33,903 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,681 – $30,418 · median $20,718 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,255 – $21,841 · median $14,875 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,135 – $39,095 · median $26,627 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,831 – $23,876 · median $16,303 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,934 – $41,918 · median $28,550 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,782 – $27,239 · median $18,411 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,730 – $19,984 · median $13,644 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,822 – $80,412 · median $54,768 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,728 – $44,726 · median $30,641 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,709 – $30,517 · median $20,853 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,608 – $164,504 · median $115,541 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,258 – $92,558 · median $63,201 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,164 – $53,338 · median $34,928 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,844 – $144,125 · median $94,840 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,197 – $71,132 · median $48,447 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,850 – $45,156 · median $30,430 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,705 – $87,069 · median $59,302 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,474 – $47,362 · median $32,258 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,952 – $38,445 · median $26,262 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,309 – $46,780 · median $33,392 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,489 – $43,882 · median $30,625 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,547 – $54,692 · median $38,099 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,076 – $53,028 · median $36,117 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $16,614 – $54,930 · median $36,827 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $10,316 – $32,662 · median $22,246 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,490 – $22,671 · median $15,620 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,059 – $56,501 · median $38,594 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,246 – $28,879 · median $19,714 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,351 – $46,927 · median $31,601 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,092 – $28,337 · median $19,926 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,537 – $22,837 · median $14,955 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,305 – $25,554 · median $18,149 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,607 – $16,014 · median $10,972 | 26 plans |
| 602 | CELLULITIS WITH MCC | $12,178 – $39,247 · median $26,702 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,732 – $23,529 · median $16,025 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,303 – $39,688 · median $27,031 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,057 – $24,675 · median $16,806 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,244 – $43,016 · median $28,816 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,607 – $23,085 · median $16,105 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,297 – $60,879 · median $41,290 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,905 – $38,280 · median $26,072 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,281 – $103,246 · median $67,701 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,672 – $51,599 · median $35,123 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,485 – $33,260 · median $24,150 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,678 – $72,833 · median $51,044 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,144 – $42,661 · median $29,132 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,352 – $99,960 · median $67,395 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,530 – $51,097 · median $34,193 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,602 – $26,604 · median $19,526 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,741 – $76,589 · median $53,540 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,481 – $40,318 · median $27,460 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,650 – $33,843 · median $23,606 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,891 – $105,402 · median $70,799 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,071 – $60,080 · median $40,907 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,665 – $37,433 · median $26,028 | 26 plans |
| 637 | DIABETES WITH MCC | $12,081 – $38,902 · median $26,496 | 26 plans |
| 638 | DIABETES WITH CC | $8,007 – $24,501 · median $16,688 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,812 – $16,738 · median $11,400 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,111 – $35,475 · median $24,266 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,981 – $20,874 · median $14,217 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,455 – $33,154 · median $24,143 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,600 – $44,272 · median $30,153 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,885 – $27,605 · median $18,802 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,961 – $20,801 · median $14,168 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,199 – $148,915 · median $99,330 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,401 – $75,387 · median $51,345 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,773 – $55,491 · median $38,189 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,694 – $87,031 · median $59,276 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,890 – $48,834 · median $33,332 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,441 – $40,176 · median $27,812 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,604 – $69,035 · median $47,019 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,202 – $35,795 · median $24,380 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,834 – $27,424 · median $18,783 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,649 – $83,334 · median $56,758 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,618 – $40,802 · median $27,790 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,236 – $28,845 · median $19,646 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,021 – $91,722 · median $60,378 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $13,524 – $44,004 · median $30,880 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,843 – $27,456 · median $19,391 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,113 – $77,903 · median $53,179 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,770 – $41,338 · median $28,240 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,298 – $25,530 · median $17,599 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,101 – $46,045 · median $32,014 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,346 – $29,235 · median $19,912 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,734 – $111,917 · median $76,454 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,519 – $61,664 · median $42,324 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,904 – $41,814 · median $29,168 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $12,425 – $40,120 · median $27,326 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $7,794 – $23,745 · median $16,173 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,667 – $16,226 · median $11,051 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,325 – $50,373 · median $34,065 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,031 – $28,121 · median $19,153 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,549 – $19,346 · median $13,755 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,920 – $31,262 · median $21,292 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,141 – $21,440 · median $14,685 | 26 plans |
| 693 | URINARY STONES WITH MCC | $12,187 – $39,279 · median $25,936 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,981 – $20,874 · median $14,243 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,599 – $30,127 · median $20,688 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,304 – $18,480 · median $12,587 | 26 plans |
| 697 | URETHRAL STRICTURE | $8,428 – $25,986 · median $18,613 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,778 – $44,902 · median $30,582 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,783 – $27,245 · median $18,556 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,322 – $18,544 · median $12,630 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,740 – $51,839 · median $35,869 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,279 – $39,602 · median $27,453 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,056 – $60,027 · median $41,626 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,422 – $40,107 · median $26,769 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,491 – $50,958 · median $36,249 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,772 – $23,670 · median $17,373 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,003 – $38,627 · median $26,836 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,177 – $25,102 · median $18,117 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,141 – $60,326 · median $41,088 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,801 – $37,914 · median $26,301 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,097 – $49,566 · median $34,110 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,385 – $32,908 · median $23,387 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,141 – $46,184 · median $32,189 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,562 – $29,996 · median $20,631 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,041 – $17,548 · median $11,962 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,617 – $33,728 · median $22,429 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,702 – $19,885 · median $13,544 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,180 – $39,252 · median $26,893 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,251 – $21,827 · median $14,866 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,395 – $29,408 · median $19,945 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,663 – $16,212 · median $11,609 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,966 – $56,172 · median $38,552 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,249 – $32,427 · median $23,231 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,829 – $105,185 · median $69,191 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,177 – $53,383 · median $36,944 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,539 – $40,521 · median $27,580 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,157 – $106,342 · median $69,638 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,816 – $48,572 · median $33,082 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,456 – $36,693 · median $25,475 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,973 – $48,797 · median $30,638 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,806 – $32,021 · median $20,105 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,841 – $52,197 · median $36,412 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,820 – $27,376 · median $19,626 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,730 – $44,734 · median $31,045 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,295 – $25,516 · median $16,710 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,371 – $36,391 · median $25,038 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,636 – $69,149 · median $47,097 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,820 – $34,446 · median $25,069 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,748 – $48,332 · median $33,246 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,465 – $29,654 · median $20,197 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,293 – $25,511 · median $17,451 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,771 – $37,807 · median $25,933 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,779 – $27,229 · median $18,454 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,913 – $17,096 · median $11,862 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,524 – $26,328 · median $18,146 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,867 – $16,933 · median $11,089 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,595 – $21,675 · median $9,599 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,476 – $36,765 · median $26,984 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,207 – $28,743 · median $19,170 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,468 – $19,060 · median $12,608 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $8,140 – $24,971 · median $16,352 | 26 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,004 – $127,015 · median $85,701 | 26 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,094 – $77,836 · median $52,863 | 26 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,482 – $43,855 · median $32,169 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,164 – $95,761 · median $68,694 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,527 – $47,549 · median $33,104 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,431 – $29,534 · median $21,676 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,383 – $61,181 · median $41,548 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,435 – $33,084 · median $22,802 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,269 – $25,425 · median $18,144 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,708 – $37,583 · median $25,618 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,050 – $24,653 · median $16,791 | 26 plans |
| 813 | COAGULATION DISORDERS | $12,774 – $41,352 · median $28,164 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,873 – $55,844 · median $38,403 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,755 – $27,143 · median $18,500 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,059 – $17,615 · median $11,925 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,513 – $58,392 · median $28,756 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,553 – $26,430 · median $19,398 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,180 – $21,187 · median $13,552 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,070 – $155,531 · median $106,466 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,945 – $59,634 · median $40,737 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,719 – $30,552 · median $21,351 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,435 – $125,004 · median $85,139 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,696 – $58,753 · median $40,640 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,377 – $32,878 · median $23,430 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,161 – $127,568 · median $86,885 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,908 – $63,040 · median $42,936 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,189 – $42,818 · median $30,062 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,378 – $82,378 · median $56,842 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,128 – $39,068 · median $27,011 | 26 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $42,841 – $147,651 · median $100,564 | 26 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,216 – $57,056 · median $38,861 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,465 – $33,188 · median $22,604 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,911 – $133,758 · median $90,604 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,402 – $54,179 · median $37,461 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,432 – $36,608 · median $25,594 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,173 – $85,188 · median $58,504 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,925 – $41,886 · median $29,110 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,025 – $28,099 · median $19,045 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,383 – $50,576 · median $35,359 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,108 – $31,927 · median $21,969 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,400 – $22,353 · median $15,375 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,374 – $68,220 · median $46,868 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,678 – $33,944 · median $23,474 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,265 – $21,875 · median $15,181 | 26 plans |
| 849 | RADIOTHERAPY | $21,260 – $71,353 · median $49,003 | 26 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $70,682 – $246,078 · median $164,875 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,867 – $133,600 · median $90,994 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,175 – $53,375 · median $36,414 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,360 – $43,425 · median $28,782 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,167 – $120,519 · median $82,534 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,541 – $58,205 · median $39,643 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,812 – $34,417 · median $24,360 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,970 – $49,117 · median $33,453 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,632 – $26,710 · median $18,206 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,862 – $23,988 · median $16,338 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,037 – $38,747 · median $26,837 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,763 – $23,636 · median $16,098 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,279 – $57,281 · median $39,013 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,012 – $28,051 · median $19,106 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,514 – $19,223 · median $13,199 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,640 – $185,829 · median $126,567 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,903 – $52,414 · median $35,698 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,867 – $27,541 · median $18,758 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,554 – $118,352 · median $79,619 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,415 – $50,691 · median $34,725 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,289 – $32,566 · median $22,058 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,251 – $103,142 · median $69,546 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,531 – $44,028 · median $28,832 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,568 – $58,301 · median $38,179 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,178 – $106,417 · median $72,256 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,318 – $53,883 · median $36,699 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,660 – $33,880 · median $23,488 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,305 – $43,230 · median $29,630 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,001 – $24,480 · median $16,645 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,209 – $46,425 · median $31,590 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,095 – $17,740 · median $12,121 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,467 – $43,801 · median $29,621 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,761 – $23,630 · median $16,091 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,856 – $48,714 · median $33,295 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,753 – $27,138 · median $18,483 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,273 – $18,371 · median $12,539 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,842 – $45,129 · median $31,294 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,783 – $27,245 · median $18,569 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,045 – $537,261 · median $376,964 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,543 – $178,414 · median $125,878 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,108 – $84,958 · median $58,301 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,771 – $115,585 · median $75,691 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,291 – $57,321 · median $39,652 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $17,673 – $58,673 · median $39,264 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,060 – $84,787 · median $61,672 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,031 – $56,402 · median $40,378 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,844 – $52,205 · median $36,234 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,796 – $34,358 · median $23,401 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,080 – $21,224 · median $14,530 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,230 – $28,823 · median $20,596 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,506 – $15,657 · median $11,032 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,361 – $15,146 · median $10,316 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,672 – $182,405 · median $124,234 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,959 – $102,108 · median $69,545 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,476 – $199,392 · median $137,343 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,131 – $109,785 · median $75,776 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,054 – $70,627 · median $50,712 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,604 – $72,571 · median $49,655 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,412 – $40,072 · median $27,612 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,973 – $24,378 · median $16,867 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,863 – $168,941 · median $114,975 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,125 – $70,878 · median $48,274 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,641 – $79,771 · median $54,245 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,817 – $37,970 · median $25,024 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,656 – $26,793 · median $17,546 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,972 – $38,518 · median $25,223 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,997 – $126,991 · median $86,492 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,576 – $65,402 · median $44,705 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,682 – $44,563 · median $30,788 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,543 – $93,568 · median $63,728 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,043 – $45,840 · median $31,022 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,808 – $30,867 · median $21,426 | 26 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,761 – $41,306 · median $28,133 | 24 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,617 – $26,657 · median $18,156 | 24 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,076 – $17,673 · median $12,037 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,356 – $32,804 · median $22,342 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,045 – $21,098 · median $14,370 | 24 plans |
| 509 | ARTHROSCOPY | $14,351 – $46,927 · median $31,961 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $213,916 – $752,461 · median $552,268 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,137 – $654,484 · median $184,385 | 23 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $81,544 – $284,478 · median $178,718 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,718 – $129,537 · median $81,379 | 23 plans |
| 007 | LUNG TRANSPLANT | $99,825 – $349,108 · median $219,321 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,190 – $145,348 · median $94,398 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $61,321 – $212,983 · median $133,803 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $100,074 – $349,989 · median $219,874 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,684 – $161,237 · median $101,294 | 23 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,684 – $161,237 · median $101,294 | 23 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $60,976 – $211,762 · median $133,036 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,122 – $39,049 · median $25,406 | 23 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,890 – $123,075 · median $79,186 | 23 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,315 – $92,761 · median $62,417 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $24,284 – $82,046 · median $54,394 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,769 – $104,972 · median $65,871 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,064 – $31,773 · median $19,938 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,611 – $40,777 · median $26,083 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,513 – $29,825 · median $19,316 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,774 – $30,747 · median $20,254 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,724 – $21,187 · median $15,012 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,005 – $21,187 · median $10,577 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,320 – $25,607 · median $15,799 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $7,984 – $24,418 · median $15,279 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,346 – $25,698 · median $16,783 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,085 – $49,523 · median $31,476 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,697 – $44,616 · median $26,988 | 18 plans |
| 885 | PSYCHOSES | $11,728 – $37,655 · median $23,105 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,651 – $47,990 · median $31,932 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,793 – $16,672 · median $10,217 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,680 – $37,486 · median $23,212 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,533 – $47,571 · median $29,025 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,743 – $23,566 · median $14,533 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $163,014 – $572,503 · median $353,804 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,843 – $424,888 · median $237,130 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,697 – $48,153 · median $15,726 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,996 – $158,804 · median $49,216 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,754 – $108,452 · median $33,976 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,587 – $65,439 · median $20,958 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,589 – $111,407 · median $34,871 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,231 – $39,434 · median $13,087 | 12 plans |
| 795 | NORMAL NEWBORN | $2,587 – $5,337 · median $2,768 | 12 plans |
No procedures match that keyword.