Inova Mount Vernon Hospital — Pricing
730 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 730 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 730
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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 730 procedures
Procedures with negotiated rates only
These 730 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,542 – $137,277 · median $92,866 | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,380 – $104,402 · median $70,627 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,949 – $67,419 · median $45,608 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $297,666 – $959,451 · median $649,056 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $64,500 – $205,082 · median $138,736 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,109 – $135,878 · median $91,920 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,830 – $70,268 · median $47,535 | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,973 – $145,143 · median $98,188 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,006 – $96,719 · median $65,429 | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,279 – $113,780 · median $76,971 | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,162 – $77,814 · median $52,640 | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,516 – $62,783 · median $42,472 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,917 – $154,669 · median $104,631 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,506 – $85,398 · median $57,770 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,610 – $56,616 · median $38,300 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,064 – $106,613 · median $72,122 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,904 – $54,332 · median $36,755 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,657 – $40,591 · median $27,459 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,690 – $98,932 · median $66,926 | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,999 – $57,873 · median $39,150 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,526 – $46,636 · median $31,549 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,225 – $84,487 · median $57,154 | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,781 – $40,993 · median $27,731 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,061 – $28,957 · median $19,589 | 28 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,773 – $95,966 · median $64,920 | 28 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,868 – $57,451 · median $38,865 | 28 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,932 – $44,715 · median $30,249 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,936 – $51,200 · median $34,636 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,356 – $23,441 · median $15,858 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,899 – $38,139 · median $25,800 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,690 – $27,756 · median $18,777 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,802 – $63,707 · median $43,097 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,604 – $33,948 · median $22,966 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,626 – $46,962 · median $31,769 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,733 – $31,130 · median $21,059 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,128 – $22,704 · median $15,359 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,369 – $68,777 · median $46,527 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,115 – $45,308 · median $30,650 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,158 – $35,740 · median $24,177 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,753 – $50,607 · median $34,235 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,107 – $25,871 · median $17,501 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,523 – $17,511 · median $11,846 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,552 – $37,014 · median $25,040 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,043 – $22,426 · median $15,171 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,403 – $20,355 · median $13,770 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,784 – $44,237 · median $29,926 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,398 – $26,812 · median $18,138 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,010 – $19,086 · median $12,911 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,265 – $39,322 · median $26,601 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,308 – $26,520 · median $17,940 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,182 – $42,288 · median $28,607 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,321 – $23,327 · median $15,780 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,270 – $39,339 · median $26,613 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,958 – $25,388 · median $17,174 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,313 – $16,832 · median $11,386 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,594 – $50,093 · median $33,887 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,226 – $23,019 · median $15,572 | 28 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,356 – $59,028 · median $39,932 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,044 – $35,373 · median $23,929 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,629 – $24,324 · median $16,455 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,930 – $57,649 · median $38,999 | 28 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,425 – $33,368 · median $22,573 | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,062 – $22,490 · median $15,214 | 28 plans |
| 088 | CONCUSSION WITH MCC | $12,204 – $35,890 · median $24,279 | 28 plans |
| 089 | CONCUSSION WITH CC | $9,541 – $27,275 · median $18,451 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,852 – $21,811 · median $14,755 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,445 – $46,376 · median $31,373 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,436 – $26,934 · median $18,221 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,318 – $20,081 · median $13,584 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,803 – $92,827 · median $62,796 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,961 – $60,987 · median $41,257 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,961 – $60,987 · median $41,257 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,298 – $91,196 · median $61,693 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,169 – $55,189 · median $37,335 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,067 – $35,447 · median $23,979 | 28 plans |
| 100 | SEIZURES WITH MCC | $16,722 – $50,508 · median $34,168 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $8,359 – $23,449 · median $15,863 | 28 plans |
| 102 | HEADACHES WITH MCC | $10,229 – $29,499 · median $19,956 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $7,796 – $21,630 · median $14,632 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,703 – $56,917 · median $38,503 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,406 – $30,074 · median $20,345 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,150 – $38,950 · median $26,349 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,232 – $42,451 · median $28,717 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,070 – $25,751 · median $17,420 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,258 – $29,593 · median $20,019 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,445 – $17,257 · median $11,674 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,427 – $20,434 · median $13,823 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,364 – $33,173 · median $22,441 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,604 – $21,007 · median $14,211 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,071 – $61,341 · median $41,496 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,803 – $24,886 · median $16,835 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,109 – $35,582 · median $24,071 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,508 – $20,696 · median $14,001 | 28 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,908 – $34,930 · median $23,630 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,367 – $107,595 · median $72,787 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,006 – $54,660 · median $36,977 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,476 – $40,003 · median $27,062 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,075 – $84,004 · median $56,827 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,925 – $44,692 · median $30,234 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,428 – $30,143 · median $20,391 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,151 – $58,364 · median $39,483 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,899 – $31,669 · median $21,424 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,113 – $19,419 · median $13,137 | 28 plans |
| 149 | DYSEQUILIBRIUM | $6,989 – $19,017 · median $12,865 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $11,980 – $35,165 · median $23,788 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,071 – $19,284 · median $13,046 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,034 – $28,870 · median $19,530 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,707 – $18,106 · median $12,249 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,899 – $41,375 · median $27,989 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,452 – $23,752 · median $16,068 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,398 – $17,107 · median $11,572 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,987 – $41,660 · median $28,182 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,507 – $23,930 · median $16,188 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,298 – $16,781 · median $11,352 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $37,355 – $117,263 · median $79,327 | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,903 – $64,035 · median $43,319 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,769 – $47,422 · median $32,080 | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,388 – $97,955 · median $66,266 | 28 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,479 – $46,486 · median $31,447 | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,757 – $34,445 · median $23,301 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,191 – $35,849 · median $24,251 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,516 – $20,722 · median $14,018 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,822 – $41,125 · median $27,821 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,912 – $25,240 · median $17,075 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,163 – $19,582 · median $13,247 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,855 – $44,466 · median $30,081 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,842 – $28,247 · median $19,109 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,697 – $21,307 · median $14,414 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,593 – $40,383 · median $27,318 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,510 – $27,174 · median $18,383 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,226 – $19,785 · median $13,385 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,535 – $40,197 · median $27,193 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,006 – $25,543 · median $17,279 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,884 – $18,679 · median $12,636 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,841 – $31,481 · median $21,296 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,942 – $28,570 · median $19,327 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,866 – $21,856 · median $14,786 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,200 – $16,465 · median $11,139 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,473 – $33,524 · median $22,678 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,559 – $20,862 · median $14,113 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,008 – $15,842 · median $10,717 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,927 – $47,933 · median $32,426 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,896 – $25,187 · median $17,038 | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,403 – $17,122 · median $11,583 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,992 – $44,911 · median $30,382 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,820 – $28,176 · median $19,061 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,435 – $17,226 · median $11,653 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,713 – $24,594 · median $16,637 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,589 – $17,722 · median $11,989 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,488 – $20,633 · median $13,958 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,956 – $48,028 · median $32,490 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,234 – $23,044 · median $15,589 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,966 – $164,532 · median $111,304 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,215 – $68,279 · median $46,190 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $84,423 – $269,542 · median $182,342 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $77,003 – $245,534 · median $166,100 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,893 – $164,295 · median $111,144 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,893 – $151,356 · median $102,390 | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,955 – $196,850 · median $133,166 | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,762 – $134,753 · median $91,159 | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,225 – $116,840 · median $79,041 | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $40,297 – $126,780 · median $85,765 | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,537 – $79,027 · median $53,461 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,746 – $215,584 · median $145,840 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $49,147 – $155,411 · median $105,134 | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $62,575 – $198,857 · median $134,524 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,946 – $135,351 · median $91,563 | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,381 – $149,700 · median $101,270 | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,446 – $104,616 · median $70,771 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $40,719 – $128,144 · median $86,688 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,011 – $74,089 · median $50,120 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,984 – $38,413 · median $25,986 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,784 – $86,296 · median $58,378 | 28 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,826 – $57,313 · median $38,772 | 28 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,302 – $45,913 · median $31,060 | 28 plans |
| 245 | AICD GENERATOR PROCEDURES | $39,538 – $124,325 · median $84,104 | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,296 – $58,835 · median $39,801 | 28 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,398 – $39,754 · median $26,893 | 28 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,086 – $87,273 · median $59,039 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,186 – $64,951 · median $43,938 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,867 – $44,506 · median $30,108 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,686 – $66,566 · median $45,031 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,429 – $43,089 · median $29,149 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,344 – $20,165 · median $13,641 | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,172 – $71,375 · median $48,284 | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,933 – $44,718 · median $30,251 | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,896 – $86,657 · median $58,622 | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,033 – $48,277 · median $32,659 | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,046 – $38,614 · median $26,122 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,202 – $68,235 · median $46,160 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,595 – $88,919 · median $60,152 | 28 plans |
| 265 | AICD LEAD PROCEDURES | $29,162 – $90,753 · median $61,393 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,220 – $152,412 · median $103,105 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,106 – $119,692 · median $80,970 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,542 – $169,630 · median $114,753 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,829 – $105,852 · median $71,608 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,474 – $130,589 · median $88,342 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,196 – $87,629 · median $59,280 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,787 – $63,658 · median $43,064 | 28 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,860 – $99,482 · median $67,298 | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,653 – $79,401 · median $53,714 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,018 – $41,759 · median $28,249 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,359 – $23,452 · median $15,865 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,813 – $18,447 · median $12,479 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,487 – $49,747 · median $33,653 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,938 – $18,852 · median $12,753 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,525 – $14,283 · median $9,662 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,515 – $56,309 · median $38,092 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,680 – $27,723 · median $18,754 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,590 – $69,492 · median $47,010 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,509 – $40,113 · median $27,136 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,809 – $24,907 · median $16,849 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,371 – $33,195 · median $22,456 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,883 – $21,910 · median $14,822 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,426 – $13,959 · median $9,443 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,767 – $31,242 · median $21,134 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,322 – $20,093 · median $13,593 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,994 – $41,683 · median $28,198 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,650 – $17,921 · median $12,123 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,584 – $11,237 · median $7,602 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,831 – $41,153 · median $27,840 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,530 – $27,237 · median $18,426 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,721 – $18,150 · median $12,278 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,259 – $29,596 · median $20,021 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,398 – $17,107 · median $11,572 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $10,349 – $29,888 · median $20,219 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,014 – $19,099 · median $12,920 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,886 – $38,095 · median $25,771 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,396 – $23,569 · median $15,944 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,594 – $30,679 · median $20,754 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,924 – $18,809 · median $12,724 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,511 – $14,234 · median $9,629 | 28 plans |
| 311 | ANGINA PECTORIS | $6,602 – $17,765 · median $12,018 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,962 – $22,167 · median $14,996 | 28 plans |
| 313 | CHEST PAIN | $6,721 – $18,150 · median $12,278 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,045 – $54,787 · median $37,063 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,678 – $24,482 · median $16,562 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,479 – $17,369 · median $11,750 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,654 – $111,757 · median $75,602 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,313 – $58,891 · median $39,839 | 28 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,050 – $129,215 · median $87,412 | 28 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,204 – $61,773 · median $41,789 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,641 – $40,540 · median $27,425 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $37,219 – $116,823 · median $79,029 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,698 – $60,135 · median $40,680 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,094 – $42,003 · median $28,415 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,387 – $88,247 · median $59,698 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $17,823 – $54,070 · median $36,577 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,153 – $42,196 · median $28,545 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,604 – $92,183 · median $62,361 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,721 – $53,739 · median $36,354 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,182 – $39,054 · median $26,420 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,299 – $68,551 · median $46,374 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,817 – $37,874 · median $25,621 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,903 – $31,682 · median $21,432 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,722 – $60,214 · median $40,734 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,010 – $32,028 · median $21,666 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,038 – $22,411 · median $15,161 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,130 – $61,534 · median $41,627 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,942 – $38,276 · median $25,893 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,781 – $28,051 · median $18,976 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,175 – $74,618 · median $50,478 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,488 – $43,278 · median $29,277 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,595 – $33,918 · median $22,945 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,654 – $108,524 · median $73,415 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,820 – $57,293 · median $38,758 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,767 – $34,475 · median $23,322 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,243 – $42,486 · median $28,742 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,113 – $25,889 · median $17,513 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,600 – $17,758 · median $12,013 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,856 – $44,471 · median $30,084 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,205 – $26,186 · median $17,715 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,815 – $18,455 · median $12,484 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,714 – $53,716 · median $36,338 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,773 – $31,259 · median $21,147 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,054 – $22,464 · median $15,197 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,408 – $46,257 · median $31,292 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,864 – $25,082 · median $16,968 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,118 – $16,198 · median $10,958 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,243 – $48,956 · median $33,118 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,675 – $27,708 · median $18,744 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,003 – $19,063 · median $12,896 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,052 – $32,163 · median $21,758 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,949 – $22,123 · median $14,966 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,888 – $41,337 · median $27,964 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,915 – $25,250 · median $17,081 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,382 – $17,053 · median $11,536 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,669 – $37,396 · median $25,298 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,414 – $20,394 · median $13,796 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,414 – $13,921 · median $9,418 | 28 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,212 – $32,679 · median $22,107 | 28 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,247 – $19,852 · median $13,429 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,133 – $42,130 · median $28,501 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,513 – $23,948 · median $16,200 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,115 – $16,191 · median $10,953 | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,800 – $138,112 · median $93,431 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,195 – $71,449 · median $48,334 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,906 – $54,337 · median $36,758 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,643 – $89,077 · median $60,259 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,597 – $53,337 · median $36,082 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,308 – $39,462 · median $26,695 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,448 – $69,032 · median $46,699 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,873 – $54,230 · median $36,686 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,184 – $42,296 · median $28,612 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,663 – $89,140 · median $60,302 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,666 – $50,325 · median $34,044 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,885 – $34,859 · median $23,582 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,799 – $60,461 · median $40,901 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,152 – $42,191 · median $28,542 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,472 – $33,521 · median $22,677 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,865 – $89,794 · median $60,744 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,988 – $41,662 · median $28,184 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,666 – $37,383 · median $25,289 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,095 – $103,479 · median $70,002 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,066 – $58,089 · median $39,297 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,266 – $39,327 · median $26,604 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,516 – $49,841 · median $33,717 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,523 – $27,217 · median $18,412 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,588 – $17,720 · median $11,987 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,459 – $46,420 · median $31,402 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,979 – $28,690 · median $19,408 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,285 – $19,976 · median $13,514 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,193 – $42,326 · median $28,633 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,875 – $21,884 · median $14,804 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,948 – $15,649 · median $10,586 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,976 – $48,094 · median $32,535 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,709 – $24,581 · median $16,629 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,637 – $17,877 · median $12,094 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,356 – $42,853 · median $28,989 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,639 – $27,591 · median $18,665 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,380 – $20,284 · median $13,722 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,709 – $215,465 · median $145,759 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,243 – $146,016 · median $98,778 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $35,066 – $109,854 · median $74,315 | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,220 – $152,412 · median $103,105 | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,630 – $72,858 · median $49,287 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,582 – $137,407 · median $92,954 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,297 – $75,015 · median $50,747 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,763 – $44,168 · median $29,879 | 28 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,172 – $129,612 · median $87,681 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,045 – $87,141 · median $58,949 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,739 – $66,739 · median $45,148 | 28 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,814 – $83,159 · median $56,256 | 28 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,938 – $47,969 · median $32,450 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $39,306 – $123,575 · median $83,597 | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,893 – $73,708 · median $49,862 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,727 – $60,229 · median $40,744 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,376 – $114,095 · median $77,184 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,075 – $54,884 · median $37,128 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,257 – $29,590 · median $20,018 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,154 – $87,492 · median $59,187 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,501 – $59,496 · median $40,248 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,075 – $45,178 · median $30,562 | 28 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,238 – $74,822 · median $50,616 | 28 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,427 – $52,788 · median $35,710 | 28 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,586 – $40,360 · median $27,303 | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,149 – $64,829 · median $43,856 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,426 – $81,902 · median $55,406 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,789 – $53,958 · median $36,502 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,537 – $40,202 · median $27,196 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,566 – $50,002 · median $33,826 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,849 – $31,506 · median $21,313 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,036 – $90,346 · median $61,118 | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,991 – $61,084 · median $41,322 | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,937 – $47,966 · median $32,449 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,795 – $89,568 · median $60,591 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,626 – $50,195 · median $33,956 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,668 – $34,157 · median $23,107 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,966 – $64,236 · median $43,455 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,751 – $27,952 · median $18,909 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,028 – $80,615 · median $54,535 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,145 – $45,405 · median $30,716 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,098 – $35,546 · median $24,047 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,922 – $67,332 · median $45,549 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,911 – $44,649 · median $30,204 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,911 – $44,649 · median $30,204 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,899 – $38,139 · median $25,800 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,352 – $49,310 · median $33,357 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,873 – $31,585 · median $21,367 | 28 plans |
| 509 | ARTHROSCOPY | $14,925 – $44,692 · median $30,234 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,586 – $72,713 · median $49,189 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,533 – $49,895 · median $33,753 | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,754 – $40,904 · median $27,671 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,950 – $38,304 · median $25,912 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,129 – $25,940 · median $17,548 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,428 – $78,674 · median $53,222 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,930 – $51,180 · median $34,622 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,849 – $37,976 · median $25,690 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,294 – $91,181 · median $61,682 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,617 – $50,167 · median $33,937 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,381 – $36,462 · median $24,666 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,031 – $74,153 · median $50,163 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,688 – $53,632 · median $36,281 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,102 – $38,795 · median $26,244 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,512 – $20,709 · median $14,009 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,569 – $33,834 · median $22,888 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,487 – $20,630 · median $13,956 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,337 – $23,380 · median $15,816 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,391 – $17,084 · median $11,557 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,014 – $51,452 · median $34,807 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,287 – $32,923 · median $22,272 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,991 – $22,258 · median $15,057 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,777 – $47,450 · median $32,099 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,453 – $26,990 · median $18,259 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,053 – $19,226 · median $13,006 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,981 – $64,287 · median $43,489 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,214 – $29,453 · median $19,925 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,979 – $18,984 · median $12,842 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,953 – $51,253 · median $34,672 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,587 – $30,659 · median $20,740 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,890 – $21,933 · median $14,837 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,529 – $43,413 · median $29,368 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,690 – $24,520 · median $16,587 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,381 – $33,226 · median $22,477 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,674 – $21,233 · median $14,364 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,700 – $34,259 · median $23,176 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,531 – $20,773 · median $14,052 | 28 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,297 – $39,426 · median $26,671 | 28 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,903 – $21,976 · median $14,866 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,708 – $47,226 · median $31,948 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,065 – $28,970 · median $19,598 | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,540 – $20,801 · median $14,071 | 28 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,619 – $37,233 · median $25,188 | 28 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,139 – $22,739 · median $15,383 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,450 – $39,922 · median $27,007 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,129 – $25,942 · median $17,550 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,994 – $19,032 · median $12,875 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,782 – $76,583 · median $51,807 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,277 – $42,596 · median $28,816 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,094 – $29,064 · median $19,661 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,536 – $156,671 · median $105,986 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,357 – $88,151 · median $59,633 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,812 – $50,798 · median $34,364 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,537 – $137,262 · median $92,856 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,050 – $67,744 · median $45,828 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,403 – $43,005 · median $29,093 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,741 – $82,922 · median $56,096 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,053 – $45,107 · median $30,514 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,428 – $36,615 · median $24,769 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,881 – $44,552 · median $30,139 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,028 – $41,792 · median $28,272 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,211 – $52,088 · median $35,237 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,721 – $50,503 · median $34,165 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $17,281 – $52,314 · median $35,390 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $10,726 – $31,107 · median $21,043 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,785 – $21,592 · median $14,607 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,743 – $53,810 · median $36,402 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,612 – $27,504 · median $18,606 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,925 – $44,692 · median $30,234 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,453 – $26,988 · median $18,257 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,833 – $21,750 · median $14,713 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,633 – $24,337 · median $16,464 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,825 – $15,252 · median $10,318 | 28 plans |
| 602 | CELLULITIS WITH MCC | $12,664 – $37,378 · median $25,286 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,037 – $22,408 · median $15,159 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,794 – $37,798 · median $25,570 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,374 – $23,500 · median $15,897 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,774 – $40,968 · median $27,714 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,907 – $21,986 · median $14,873 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,032 – $57,980 · median $39,223 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,379 – $36,457 · median $24,663 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,503 – $98,329 · median $66,519 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,300 – $49,142 · median $33,244 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,902 – $31,677 · median $21,429 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,551 – $69,365 · median $46,924 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,669 – $40,629 · median $27,485 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,536 – $95,200 · median $64,402 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,152 – $48,664 · median $32,920 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,942 – $25,337 · median $17,140 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,656 – $72,942 · median $49,344 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,979 – $38,398 · median $25,976 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,073 – $32,231 · median $21,804 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,138 – $100,383 · median $67,907 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,797 – $57,219 · median $38,708 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,130 – $35,650 · median $24,117 | 28 plans |
| 637 | DIABETES WITH MCC | $12,563 – $37,050 · median $25,064 | 28 plans |
| 638 | DIABETES WITH CC | $8,323 – $23,334 · median $15,785 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,038 – $15,941 · median $10,784 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,554 – $33,786 · median $22,856 | 28 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,255 – $19,880 · median $13,448 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,870 – $31,575 · median $21,360 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,143 – $42,163 · median $28,523 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,237 – $26,291 · median $17,785 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,234 – $19,811 · median $13,402 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $44,947 – $141,823 · median $95,942 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,303 – $71,797 · median $48,570 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,446 – $52,849 · median $35,751 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,730 – $82,887 · median $56,072 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,486 – $46,509 · median $31,463 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,938 – $38,263 · median $25,885 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,433 – $65,747 · median $44,477 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,648 – $34,091 · median $23,062 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,184 – $26,118 · median $17,668 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,642 – $79,366 · median $53,690 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,122 – $38,859 · median $26,287 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,602 – $27,471 · median $18,584 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,111 – $87,354 · median $59,094 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $14,064 – $41,909 · median $28,351 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,193 – $26,148 · median $17,689 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,043 – $74,194 · median $50,191 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,280 – $39,370 · median $26,633 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,626 – $24,314 · median $16,448 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,665 – $43,853 · median $29,666 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,717 – $27,843 · median $18,835 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,056 – $106,588 · median $72,105 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,263 – $58,728 · median $39,729 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,420 – $39,823 · median $26,940 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $12,921 – $38,210 · median $25,848 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $8,101 – $22,615 · median $15,298 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,887 – $15,453 · median $10,454 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,939 – $47,974 · median $32,454 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,389 – $26,782 · median $18,118 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,806 – $18,424 · median $12,464 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,314 – $29,774 · median $20,141 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,422 – $20,419 · median $13,813 | 28 plans |
| 693 | URINARY STONES WITH MCC | $12,673 – $37,408 · median $25,306 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,255 – $19,880 · median $13,448 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,979 – $28,692 · median $19,410 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,551 – $17,600 · median $11,906 | 28 plans |
| 697 | URETHRAL STRICTURE | $8,761 – $24,749 · median $16,742 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,329 – $42,764 · median $28,929 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,131 – $25,947 · median $17,553 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,570 – $17,661 · median $11,948 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,371 – $49,371 · median $33,399 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,769 – $37,716 · median $25,515 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,781 – $57,168 · median $38,674 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,917 – $38,197 · median $25,840 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,111 – $48,531 · median $32,831 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,079 – $22,543 · median $15,250 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,482 – $36,788 · median $24,886 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,500 – $23,907 · median $16,173 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,869 – $57,453 · median $38,866 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,272 – $36,108 · median $24,427 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,702 – $47,206 · median $31,934 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,798 – $31,341 · median $21,202 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,706 – $43,985 · median $29,755 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,941 – $28,568 · median $19,326 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,276 – $16,712 · median $11,306 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,039 – $32,122 · median $21,730 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,965 – $18,938 · median $12,811 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,666 – $37,383 · median $25,289 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,536 – $20,788 · median $14,063 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,768 – $28,008 · median $18,947 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,883 – $15,440 · median $10,445 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,646 – $53,497 · median $36,190 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,656 – $30,883 · median $20,892 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,074 – $100,176 · median $67,768 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,825 – $50,841 · median $34,393 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,039 – $38,591 · median $26,107 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $32,415 – $101,278 · median $68,513 | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,409 – $46,259 · median $31,294 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,912 – $34,946 · median $23,640 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,259 – $46,473 · median $29,442 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,104 – $30,496 · median $19,320 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,476 – $49,712 · median $33,629 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,169 – $26,072 · median $17,637 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,279 – $42,604 · median $28,821 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,622 – $24,301 · median $16,439 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,823 – $34,658 · median $23,446 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,466 – $65,857 · median $44,551 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,251 – $32,806 · median $22,193 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,338 – $46,030 · median $31,139 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,840 – $28,242 · median $19,105 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,621 – $24,296 · median $16,436 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,240 – $36,007 · median $24,358 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,126 – $25,932 · median $17,543 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,144 – $16,282 · median $11,015 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,861 – $25,075 · median $16,963 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,096 – $16,127 · median $10,910 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,280 – $19,667 · median $9,425 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,933 – $35,014 · median $23,687 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,572 – $27,375 · median $18,519 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,722 – $18,152 · median $12,280 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $8,462 – $23,782 · median $16,088 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,754 – $35,827 · median $15,596 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,627 – $21,063 · median $13,497 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,980 – $16,989 · median $13,497 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,754 – $31,428 · median $14,370 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,460 – $20,651 · median $13,497 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,225 – $17,596 · median $13,497 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,280 – $20,635 · median $9,549 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,280 – $18,831 · median $9,073 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,280 – $18,831 · median $9,073 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,500 – $120,967 · median $81,832 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,024 – $74,130 · median $50,148 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,020 – $41,766 · median $28,254 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,300 – $91,201 · median $61,696 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,108 – $45,285 · median $30,635 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,805 – $28,128 · median $19,028 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,280 – $19,410 · median $9,317 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,280 – $14,073 · median $8,643 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,122 – $12,395 · median $8,612 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,121 – $58,268 · median $39,417 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,850 – $31,509 · median $21,315 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,595 – $24,215 · median $16,381 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,174 – $35,793 · median $24,213 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,368 – $23,480 · median $15,884 | 28 plans |
| 813 | COAGULATION DISORDERS | $13,284 – $39,383 · median $26,642 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,550 – $53,184 · median $35,979 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,101 – $25,851 · median $17,488 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,296 – $16,776 · median $11,349 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,565 – $55,611 · median $31,492 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,891 – $25,171 · median $17,028 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,422 – $20,417 · median $12,488 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,895 – $148,125 · median $100,205 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,665 – $56,794 · median $38,421 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,104 – $29,097 · median $19,684 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $37,908 – $119,051 · median $80,537 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,406 – $55,955 · median $37,853 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,789 – $31,313 · median $21,183 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,663 – $121,494 · median $82,189 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,668 – $60,038 · median $40,615 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,715 – $40,779 · median $27,587 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,360 – $78,455 · median $53,074 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,611 – $37,207 · median $25,170 | 28 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $44,575 – $140,620 · median $95,128 | 28 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,907 – $54,339 · median $36,760 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,881 – $31,608 · median $21,382 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,485 – $127,388 · median $86,176 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,060 – $51,599 · median $34,906 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,887 – $34,864 · median $23,585 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,188 – $81,131 · median $54,884 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,441 – $39,891 · median $26,986 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,383 – $26,761 · median $18,104 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,999 – $48,167 · median $32,585 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,509 – $30,407 · median $20,570 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,691 – $21,289 · median $14,402 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,193 – $64,971 · median $43,952 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,103 – $32,328 · median $21,869 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,550 – $20,834 · median $14,094 | 28 plans |
| 849 | RADIOTHERAPY | $22,115 – $67,955 · median $45,971 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $40,439 – $127,238 · median $86,075 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,823 – $50,834 · median $34,388 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,894 – $41,357 · median $27,977 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,588 – $114,780 · median $77,647 | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,245 – $55,433 · median $37,500 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,242 – $32,778 · median $22,174 | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,570 – $46,778 · median $31,645 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,974 – $25,438 · median $17,209 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,172 – $22,846 · median $15,455 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,517 – $36,902 · median $24,964 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,069 – $22,510 · median $15,228 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,973 – $54,553 · median $36,904 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,368 – $26,716 · median $18,073 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,769 – $18,307 · median $12,385 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $55,814 – $176,980 · median $119,725 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,540 – $49,918 · median $33,769 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,218 – $26,230 · median $17,744 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,950 – $112,716 · median $76,251 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,033 – $48,277 · median $32,659 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,697 – $31,015 · median $20,981 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,473 – $98,230 · median $66,451 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,072 – $41,932 · median $28,366 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,273 – $55,525 · median $37,562 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $32,437 – $101,349 · median $68,561 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,972 – $51,317 · median $34,715 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,084 – $32,267 · median $21,828 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,836 – $41,171 · median $27,852 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,317 – $23,314 · median $15,772 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,777 – $44,214 · median $29,910 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,333 – $16,895 · median $11,429 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,005 – $41,716 · median $28,220 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,067 – $22,505 · median $15,224 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,451 – $46,394 · median $31,385 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,099 – $25,846 · median $17,484 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,519 – $17,496 · median $11,836 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,396 – $42,980 · median $29,075 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,131 – $25,947 · median $17,553 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $159,264 – $511,677 · median $346,143 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,631 – $169,918 · median $114,947 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,120 – $80,913 · median $54,736 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $35,136 – $110,081 · median $74,468 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,984 – $54,591 · median $36,930 | 28 plans |
| 935 | NON-EXTENSIVE BURNS | $18,382 – $55,879 · median $37,801 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,070 – $80,750 · median $54,626 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,714 – $53,716 · median $36,338 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,479 – $49,719 · median $33,634 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,225 – $32,722 · median $22,136 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,358 – $20,213 · median $13,674 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,596 – $27,451 · median $18,570 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,720 – $14,911 · median $10,087 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,570 – $14,425 · median $9,758 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $54,805 – $173,719 · median $117,518 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,168 – $97,246 · median $65,785 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,806 – $189,897 · median $128,463 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,428 – $104,557 · median $70,732 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,901 – $67,263 · median $45,503 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,474 – $69,116 · median $46,756 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,907 – $38,164 · median $25,817 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,287 – $23,217 · median $15,706 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,842 – $160,897 · median $108,844 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,975 – $67,503 · median $45,665 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,593 – $75,972 · median $51,394 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,288 – $36,162 · median $24,463 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,998 – $25,517 · median $17,262 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,449 – $36,683 · median $24,816 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,493 – $120,944 · median $81,817 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,363 – $62,287 · median $42,136 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,229 – $42,441 · median $28,711 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,654 – $89,112 · median $60,283 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,605 – $43,657 · median $29,533 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,197 – $29,397 · median $19,887 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,606 – $37,190 · median $23,903 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,011 – $99,973 · median $64,257 | 25 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,464 – $30,260 · median $19,449 | 25 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,115 – $38,836 · median $24,961 | 25 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,891 – $28,405 · median $18,257 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,162 – $29,283 · median $18,821 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,988 – $20,417 · median $13,505 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,198 – $20,417 · median $9,392 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,649 – $24,388 · median $15,675 | 20 plans |
| 881 | DEPRESSIVE NEUROSES | $8,299 – $23,256 · median $14,947 | 20 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,676 – $24,474 · median $15,731 | 20 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,689 – $47,165 · median $30,315 | 20 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,245 – $42,492 · median $27,311 | 20 plans |
| 885 | PSYCHOSES | $12,195 – $35,862 · median $23,050 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,238 – $45,705 · median $29,376 | 20 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,019 – $15,878 · median $10,205 | 20 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,146 – $35,701 · median $22,947 | 20 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,114 – $45,305 · median $29,120 | 20 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,048 – $22,444 · median $14,426 | 20 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $169,639 – $545,241 · median $350,450 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $112,222 – $359,481 · median $231,054 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,286 – $45,860 · median $23,145 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $47,858 – $151,242 · median $74,927 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,036 – $103,288 · median $51,364 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,374 – $62,323 · median $31,235 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,906 – $106,102 · median $52,746 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,719 – $37,556 · median $19,065 | 14 plans |
| 795 | NORMAL NEWBORN | $2,682 – $5,083 · median $3,109 | 14 plans |
No procedures match that keyword.