MultiCare Capital Medical Center — Pricing
797 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 797 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 797 procedures
Procedures with negotiated rates only
These 797 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $240,723 – $733,531 · median $505,679 | 24 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $97,564 – $311,269 · median $201,332 | 24 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $182,414 – $558,100 · median $383,876 | 24 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $119,173 – $367,959 · median $251,815 | 24 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $88,804 – $277,321 · median $188,631 | 24 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,146 – $126,278 · median $85,374 | 24 plans |
| 007 | LUNG TRANSPLANT | $111,444 – $340,325 · median $234,149 | 24 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $48,444 – $141,692 · median $99,577 | 24 plans |
| 010 | PANCREAS TRANSPLANT | $58,441 – $207,625 · median $104,305 | 24 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $47,154 – $140,515 · median $97,637 | 24 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $36,535 – $106,864 · median $74,906 | 24 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $25,092 – $72,751 · median $49,081 | 24 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $103,448 – $341,184 · median $226,093 | 24 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $51,232 – $157,181 · median $107,682 | 24 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,967 – $157,181 · median $99,160 | 24 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $370,733 – $1,004,389 · median $698,479 | 24 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $61,566 – $206,435 · median $135,572 | 24 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $67,863 – $214,934 · median $143,360 | 24 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $45,779 – $156,851 · median $97,790 | 24 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,627 – $100,694 · median $62,616 | 24 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $49,522 – $148,567 · median $102,906 | 24 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $33,927 – $99,000 · median $69,503 | 24 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $39,371 – $116,463 · median $81,159 | 24 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $27,043 – $79,649 · median $55,502 | 24 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,014 – $64,264 · median $44,909 | 24 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $51,907 – $158,316 · median $108,781 | 24 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,636 – $87,412 · median $60,906 | 24 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,204 – $57,952 · median $39,782 | 24 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $38,803 – $113,110 · median $77,614 | 24 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,653 – $55,613 · median $38,395 | 24 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,638 – $41,980 · median $29,419 | 24 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $33,574 – $101,266 · median $69,828 | 24 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,879 – $60,348 · median $42,117 | 24 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,039 – $49,046 · median $33,951 | 24 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,611 – $86,480 · median $59,511 | 24 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,293 – $41,960 · median $29,101 | 24 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,458 – $29,676 · median $20,885 | 24 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,492 – $98,229 · median $68,689 | 24 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,234 – $58,806 · median $40,110 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,194 – $45,770 · median $31,365 | 24 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,911 – $52,408 · median $34,418 | 24 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,775 – $23,994 · median $17,065 | 24 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,472 – $39,038 · median $27,230 | 24 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,121 – $28,411 · median $18,996 | 24 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,301 – $65,209 · median $43,447 | 24 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,488 – $34,749 · median $23,669 | 24 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,038 – $48,069 · median $32,000 | 24 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,019 – $31,864 · median $22,177 | 24 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,265 – $23,239 · median $16,342 | 24 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,023 – $70,399 · median $49,137 | 24 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,447 – $46,376 · median $31,840 | 24 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,416 – $36,582 · median $25,275 | 24 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,624 – $51,801 · median $35,997 | 24 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,041 – $26,481 · median $18,243 | 24 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,246 – $17,924 · median $12,353 | 24 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,973 – $37,887 · median $26,309 | 24 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,790 – $22,955 · median $15,712 | 24 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,227 – $20,835 · median $14,389 | 24 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,655 – $45,280 · median $30,632 | 24 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,176 – $27,445 · median $18,718 | 24 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,862 – $19,536 · median $13,556 | 24 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,136 – $40,249 · median $28,441 | 24 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,217 – $27,145 · median $18,657 | 24 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,822 – $44,853 · median $31,901 | 24 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,454 – $23,877 · median $15,681 | 24 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,900 – $51,764 · median $34,183 | 24 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,058 – $23,562 · median $16,202 | 24 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,979 – $60,420 · median $41,449 | 24 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,348 – $36,207 · median $25,073 | 24 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,574 – $24,898 · median $17,205 | 24 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,861 – $59,009 · median $40,836 | 24 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,549 – $34,155 · median $23,526 | 24 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,221 – $23,020 · median $16,241 | 24 plans |
| 088 | CONCUSSION WITH MCC | $11,970 – $36,736 · median $24,862 | 24 plans |
| 089 | CONCUSSION WITH CC | $9,799 – $27,919 · median $19,533 | 24 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,437 – $22,325 · median $15,124 | 24 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,439 – $47,470 · median $32,211 | 24 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,150 – $27,570 · median $18,735 | 24 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,206 – $20,554 · median $14,269 | 24 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,561 – $95,016 · median $64,511 | 24 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,497 – $62,425 · median $44,399 | 24 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,497 – $62,425 · median $44,399 | 24 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $31,353 – $93,347 · median $64,759 | 24 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,059 – $56,491 · median $40,178 | 24 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,061 – $36,283 · median $24,800 | 24 plans |
| 100 | SEIZURES WITH MCC | $16,987 – $51,699 · median $35,297 | 24 plans |
| 101 | SEIZURES WITHOUT MCC | $8,118 – $24,002 · median $16,418 | 24 plans |
| 102 | HEADACHES WITH MCC | $9,990 – $30,195 · median $20,523 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $7,549 – $22,140 · median $15,177 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,541 – $59,354 · median $41,601 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,981 – $34,156 · median $21,894 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,541 – $39,869 · median $27,590 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,884 – $45,645 · median $30,904 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,681 – $28,088 · median $19,469 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,354 – $30,291 · median $20,936 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,116 – $18,277 · median $12,563 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,226 – $20,916 · median $14,415 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,724 – $33,955 · median $23,640 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,962 – $21,502 · median $14,342 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,988 – $62,787 · median $41,234 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,084 – $26,806 · median $17,999 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,183 – $37,696 · median $25,903 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,977 – $22,372 · median $15,067 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,975 – $35,754 · median $23,481 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $36,958 – $110,133 · median $76,441 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,083 – $55,949 · median $38,961 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,068 – $40,947 · median $28,515 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $32,509 – $94,583 · median $61,154 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,239 – $45,746 · median $31,404 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,688 – $30,853 · median $21,481 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,536 – $59,741 · median $39,706 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,282 – $32,416 · median $22,643 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,213 – $20,851 · median $14,379 | 24 plans |
| 149 | DYSEQUILIBRIUM | $6,823 – $19,466 · median $13,490 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $11,796 – $35,994 · median $24,423 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,672 – $19,739 · median $13,427 | 24 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,516 – $29,551 · median $20,919 | 24 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,708 – $18,533 · median $13,091 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,786 – $42,350 · median $28,707 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,237 – $24,312 · median $16,650 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,304 – $17,510 · median $12,279 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,101 – $42,642 · median $30,282 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,179 – $24,494 · median $16,653 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,453 – $17,325 · median $12,216 | 24 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,815 – $120,028 · median $81,815 | 24 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,024 – $65,545 · median $45,364 | 24 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,794 – $48,540 · median $34,010 | 24 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $32,433 – $100,266 · median $68,289 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,843 – $47,582 · median $32,673 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,095 – $35,257 · median $24,480 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,157 – $36,694 · median $25,043 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,281 – $21,210 · median $14,574 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,779 – $42,095 · median $28,612 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,747 – $25,835 · median $17,712 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,852 – $20,044 · median $13,721 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,523 – $45,514 · median $31,620 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,562 – $28,913 · median $19,631 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,841 – $21,809 · median $14,323 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,498 – $41,335 · median $28,054 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,503 – $27,814 · median $19,188 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,122 – $20,252 · median $14,076 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,743 – $41,145 · median $28,244 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,860 – $26,145 · median $17,936 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,528 – $19,119 · median $13,062 | 24 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,972 – $32,223 · median $22,253 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,877 – $29,244 · median $20,075 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,607 – $22,372 · median $15,318 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,883 – $16,854 · median $11,602 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,649 – $34,314 · median $23,686 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,288 – $21,354 · median $14,632 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,767 – $16,216 · median $11,259 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,562 – $49,064 · median $33,938 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,516 – $25,781 · median $17,452 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,519 – $18,239 · median $12,747 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,506 – $45,970 · median $31,761 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,805 – $28,840 · median $19,859 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,510 – $17,632 · median $12,541 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,706 – $25,174 · median $17,439 | 24 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,123 – $18,140 · median $12,299 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,301 – $21,119 · median $14,564 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,080 – $49,160 · median $33,468 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,448 – $23,588 · median $16,675 | 24 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $55,564 – $168,412 · median $116,105 | 24 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,951 – $69,889 · median $48,885 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $85,773 – $275,899 · median $184,970 | 24 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $84,279 – $251,324 · median $174,881 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $56,769 – $168,170 · median $117,281 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $56,769 – $165,993 · median $110,187 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $66,229 – $201,492 · median $138,729 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $46,113 – $137,931 · median $95,654 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,604 – $127,240 · median $85,060 | 24 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $42,808 – $129,770 · median $89,368 | 24 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,388 – $80,891 · median $56,294 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $72,675 – $220,669 · median $152,119 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $52,372 – $159,077 · median $109,531 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $65,945 – $203,547 · median $139,145 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $47,227 – $138,543 · median $97,056 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $50,708 – $153,230 · median $105,764 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $36,302 – $107,083 · median $74,697 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $42,587 – $131,166 · median $89,622 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,824 – $75,837 · median $51,861 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,250 – $39,319 · median $26,051 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,760 – $88,331 · median $59,264 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,652 – $58,665 · median $39,454 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,879 – $46,996 · median $32,506 | 24 plans |
| 245 | AICD GENERATOR PROCEDURES | $39,506 – $127,257 · median $85,046 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $19,095 – $60,222 · median $40,456 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $13,194 – $40,692 · median $27,513 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $30,294 – $89,331 · median $62,259 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,638 – $66,483 · median $46,331 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,657 – $45,556 · median $31,775 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,511 – $68,136 · median $47,925 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,939 – $44,106 · median $30,521 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,744 – $27,573 · median $16,519 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $27,325 – $79,322 · median $51,961 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,719 – $51,048 · median $32,554 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,274 – $88,701 · median $59,930 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,590 – $49,415 · median $34,089 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,355 – $41,147 · median $28,111 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $26,598 – $77,184 · median $49,675 | 24 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $29,027 – $91,016 · median $61,520 | 24 plans |
| 265 | AICD LEAD PROCEDURES | $31,408 – $92,893 · median $64,659 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $52,937 – $156,006 · median $109,055 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $41,207 – $122,515 · median $85,178 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $59,365 – $173,633 · median $122,200 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $36,597 – $108,349 · median $75,444 | 24 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $45,629 – $133,668 · median $93,744 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $30,877 – $89,779 · median $63,185 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,272 – $65,160 · median $45,490 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $35,759 – $104,148 · median $72,423 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,608 – $83,099 · median $57,804 | 24 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,134 – $42,744 · median $29,208 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,259 – $24,005 · median $16,566 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,578 – $18,882 · median $13,032 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,365 – $50,921 · median $35,421 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,313 – $19,296 · median $12,899 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,513 – $14,619 · median $10,398 | 24 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $19,355 – $57,637 · median $39,830 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,554 – $28,377 · median $19,437 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,586 – $71,131 · median $48,935 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,016 – $41,059 · median $29,202 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,350 – $27,855 · median $17,343 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,387 – $33,978 · median $23,296 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,658 – $22,427 · median $15,391 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,231 – $14,289 · median $10,056 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,772 – $42,666 · median $28,802 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,814 – $18,343 · median $12,047 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,280 – $11,502 · median $8,086 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,379 – $42,124 · median $29,249 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,532 – $27,879 · median $19,241 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,549 – $18,578 · median $12,896 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,639 – $30,294 · median $21,260 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,150 – $17,510 · median $12,109 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $10,583 – $30,593 · median $21,280 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,853 – $19,549 · median $13,551 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,891 – $38,994 · median $27,733 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,209 – $24,124 · median $16,555 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,703 – $31,403 · median $21,687 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,686 – $19,252 · median $13,274 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,232 – $14,570 · median $10,129 | 24 plans |
| 311 | ANGINA PECTORIS | $6,396 – $18,184 · median $12,600 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,852 – $22,690 · median $15,684 | 24 plans |
| 313 | CHEST PAIN | $6,552 – $18,578 · median $12,899 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,260 – $56,079 · median $38,147 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,638 – $25,059 · median $17,328 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,227 – $17,778 · median $12,282 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $38,653 – $114,393 · median $79,690 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,006 – $60,722 · median $42,617 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $43,151 – $132,262 · median $90,591 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,339 – $63,230 · median $43,845 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,119 – $41,496 · median $28,759 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $39,798 – $119,578 · median $82,686 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,936 – $61,553 · median $42,842 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,810 – $42,994 · median $30,001 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,429 – $93,805 · median $64,006 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $20,464 – $59,129 · median $39,363 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,424 – $43,192 · median $29,666 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $31,002 – $94,357 · median $64,744 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,462 – $55,006 · median $37,985 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,541 – $39,976 · median $27,628 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,528 – $70,167 · median $47,495 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,282 – $38,767 · median $26,937 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,550 – $32,429 · median $21,883 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,065 – $61,634 · median $41,960 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,601 – $33,041 · median $23,183 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,843 – $23,038 · median $15,762 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,748 – $62,985 · median $44,274 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,451 – $39,179 · median $27,257 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,392 – $29,481 · median $20,421 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,265 – $76,378 · median $52,510 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,806 – $44,298 · median $30,449 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,912 – $34,718 · median $24,101 | 24 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $38,051 – $111,083 · median $78,047 | 24 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,321 – $58,707 · median $41,317 | 24 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,366 – $35,290 · median $24,836 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,029 – $43,488 · median $29,357 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,955 – $26,499 · median $18,159 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,387 – $18,177 · median $12,588 | 24 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,584 – $45,520 · median $31,685 | 24 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,133 – $26,804 · median $18,451 | 24 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,615 – $18,890 · median $13,074 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,719 – $54,983 · median $38,246 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,751 – $31,997 · median $21,943 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,304 – $22,994 · median $16,316 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,054 – $47,348 · median $32,812 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,787 – $25,674 · median $17,698 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,783 – $16,580 · median $11,403 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,205 – $50,111 · median $34,973 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,669 – $28,361 · median $19,551 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,243 – $19,513 · median $13,878 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,218 – $32,921 · median $23,414 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,708 – $22,645 · median $15,518 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,947 – $42,311 · median $28,862 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,750 – $25,846 · median $17,718 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,220 – $17,455 · median $12,163 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,042 – $38,278 · median $26,517 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,150 – $20,874 · median $14,321 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,042 – $14,250 · median $9,820 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,254 – $33,450 · median $22,973 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,063 – $20,320 · median $14,038 | 24 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,093 – $43,124 · median $29,297 | 24 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,402 – $24,512 · median $16,891 | 24 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,943 – $16,572 · median $11,567 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $47,294 – $141,369 · median $98,080 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $25,250 – $73,216 · median $51,528 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,413 – $56,034 · median $39,324 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $30,957 – $91,177 · median $63,593 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,050 – $54,966 · median $38,588 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,993 – $40,392 · median $28,245 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,707 – $83,392 · median $50,681 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,409 – $55,509 · median $38,104 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,618 – $43,293 · median $29,904 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $30,931 – $91,242 · median $63,588 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,102 – $52,174 · median $36,518 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,069 – $35,681 · median $24,599 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,843 – $61,886 · median $42,861 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,885 – $43,186 · median $30,145 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,090 – $34,480 · median $24,229 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,597 – $91,912 · median $62,427 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,278 – $43,863 · median $30,330 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,379 – $38,265 · median $25,820 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $35,995 – $105,919 · median $73,972 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,141 – $59,459 · median $40,240 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,244 – $40,254 · median $27,414 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,257 – $51,017 · median $35,341 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,435 – $27,859 · median $19,132 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,487 – $18,138 · median $12,679 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,129 – $47,514 · median $32,948 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,077 – $29,366 · median $20,327 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,695 – $20,447 · median $14,543 | 24 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,358 – $43,324 · median $29,643 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,591 – $22,400 · median $15,312 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,706 – $16,018 · median $11,127 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,769 – $49,228 · median $33,166 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,655 – $25,161 · median $17,382 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,378 – $18,299 · median $12,620 | 24 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,707 – $43,863 · median $30,195 | 24 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,763 – $28,241 · median $19,608 | 24 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,472 – $20,762 · median $14,669 | 24 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $72,448 – $220,546 · median $151,839 | 24 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $51,519 – $150,538 · median $105,661 | 24 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,163 – $112,445 · median $76,412 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,744 – $159,806 · median $104,949 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,190 – $74,576 · median $49,716 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,258 – $143,884 · median $100,032 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,090 – $78,631 · median $54,611 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,017 – $46,039 · median $32,137 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,021 – $132,668 · median $92,685 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $30,622 – $89,196 · median $62,657 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $23,945 – $69,373 · median $48,492 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,391 – $85,120 · median $56,720 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,920 – $49,100 · median $34,324 | 24 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $41,790 – $126,489 · median $87,165 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $25,644 – $75,446 · median $52,582 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,314 – $61,649 · median $43,375 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,195 – $116,786 · median $78,997 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,894 – $57,450 · median $39,955 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,499 – $30,288 · median $21,087 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $30,005 – $89,555 · median $62,035 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,468 – $62,083 · median $43,312 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,319 – $46,928 · median $32,814 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,354 – $76,587 · median $52,675 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,340 – $54,032 · median $37,520 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,365 – $41,311 · median $28,978 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $24,150 – $69,977 · median $47,195 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $28,054 – $83,834 · median $58,011 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,311 – $55,230 · median $37,905 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,809 – $41,150 · median $28,315 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,547 – $52,425 · median $33,751 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,955 – $32,249 · median $21,199 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $31,866 – $92,690 · median $65,218 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,127 – $64,024 · median $44,469 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,585 – $50,654 · median $34,919 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,472 – $91,680 · median $64,418 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,848 – $51,379 · median $33,995 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,740 – $35,156 · median $22,961 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $26,250 – $76,159 · median $46,764 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $17,656 – $50,864 · median $24,352 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,519 – $82,516 · median $56,995 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,369 – $46,475 · median $31,793 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,920 – $36,384 · median $24,687 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $24,314 – $70,461 · median $49,018 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,408 – $47,188 · median $32,504 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,752 – $45,702 · median $31,925 | 24 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,948 – $39,038 · median $25,638 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,869 – $50,473 · median $33,703 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,365 – $38,231 · median $23,903 | 24 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $26,282 – $76,253 · median $52,935 | 24 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,210 – $52,494 · median $36,323 | 24 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,574 – $41,869 · median $29,411 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,878 – $39,743 · median $27,806 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,144 – $26,551 · median $18,375 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $27,709 – $80,529 · median $56,622 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,199 – $52,462 · median $36,922 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,556 – $38,871 · median $27,303 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $32,429 – $94,348 · median $66,100 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,531 – $51,350 · median $35,744 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,189 – $37,714 · median $26,427 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,993 – $75,902 · median $52,060 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,539 – $54,897 · median $38,028 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,822 – $39,710 · median $27,853 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,290 – $21,197 · median $14,580 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,372 – $34,632 · median $23,506 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,303 – $21,117 · median $14,565 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,561 – $23,932 · median $16,914 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,554 – $17,487 · median $12,437 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,270 – $52,665 · median $35,927 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,494 – $33,700 · median $23,311 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,130 – $22,783 · median $14,962 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,527 – $48,569 · median $32,685 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,193 – $27,627 · median $18,799 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,848 – $19,679 · median $13,591 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,661 – $65,803 · median $45,074 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,269 – $30,148 · median $20,798 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,548 – $21,135 · median $13,820 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,937 – $52,462 · median $35,509 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,730 – $31,382 · median $21,708 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,873 – $24,219 · median $15,624 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,752 – $44,436 · median $30,440 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,621 – $25,098 · median $17,324 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,494 – $34,010 · median $23,418 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,496 – $21,734 · median $14,981 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,713 – $35,067 · median $24,014 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,500 – $21,262 · median $14,822 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,129 – $40,356 · median $27,329 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,037 – $22,494 · median $15,865 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,371 – $48,340 · median $33,487 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,035 – $29,653 · median $20,381 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,271 – $21,291 · median $14,592 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,596 – $38,111 · median $25,993 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,057 – $23,275 · median $16,102 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,615 – $40,864 · median $28,013 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,733 – $26,554 · median $17,947 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,803 – $19,481 · median $13,475 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,601 – $78,389 · median $53,558 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,867 – $43,600 · median $30,270 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,208 – $29,749 · median $20,596 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $56,564 – $165,390 · median $114,056 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $30,149 – $90,229 · median $62,420 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,788 – $51,996 · median $34,147 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,412 – $140,499 · median $92,677 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,110 – $69,342 · median $47,817 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,154 – $44,020 · median $29,671 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $28,151 – $84,878 · median $58,475 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,197 – $46,171 · median $31,507 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,753 – $37,478 · median $25,938 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,900 – $48,637 · median $32,434 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,166 – $43,532 · median $30,397 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,736 – $54,042 · median $37,811 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,921 – $51,694 · median $35,226 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $16,975 – $53,548 · median $35,925 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $10,551 – $31,840 · median $21,680 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,811 – $22,101 · median $15,437 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,565 – $55,079 · median $38,118 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,661 – $28,153 · median $19,470 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,674 – $45,746 · median $30,814 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,079 – $28,096 · median $19,953 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,975 – $22,262 · median $14,178 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,310 – $24,911 · median $17,717 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,565 – $16,262 · median $10,839 | 24 plans |
| 602 | CELLULITIS WITH MCC | $12,566 – $38,259 · median $26,013 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,846 – $22,937 · median $15,764 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,002 – $38,689 · median $26,618 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,233 – $24,054 · median $16,556 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,354 – $41,934 · median $28,112 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,150 – $22,505 · median $15,985 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,174 – $59,347 · median $40,236 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,378 – $37,317 · median $25,489 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,286 – $100,648 · median $66,179 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,417 – $50,301 · median $34,216 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,541 – $35,805 · median $23,061 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,140 – $72,892 · median $50,498 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,101 – $41,587 · median $28,772 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,313 – $38,080 · median $26,800 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,902 – $97,445 · median $65,710 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,762 – $49,811 · median $33,361 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,113 – $31,604 · median $18,578 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $26,278 – $76,242 · median $53,102 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,236 – $39,304 · median $27,076 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,769 – $33,533 · median $23,429 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,339 – $102,750 · median $69,053 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,063 – $58,569 · median $39,849 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,894 – $36,845 · median $25,829 | 24 plans |
| 637 | DIABETES WITH MCC | $12,698 – $37,924 · median $26,035 | 24 plans |
| 638 | DIABETES WITH CC | $8,063 – $23,885 · median $16,320 | 24 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,704 – $16,317 · median $11,229 | 24 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,831 – $34,582 · median $23,969 | 24 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,051 – $20,348 · median $14,035 | 24 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,573 – $33,077 · median $22,986 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,494 – $43,158 · median $29,728 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,167 – $26,911 · median $18,524 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,966 – $20,278 · median $13,922 | 24 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $40,698 – $119,979 · median $83,765 | 24 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $32,159 – $93,553 · median $64,314 | 24 plans |
| 652 | KIDNEY TRANSPLANT | $28,074 – $81,529 · median $56,882 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $44,943 – $145,168 · median $96,943 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,385 – $73,490 · median $50,588 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,530 – $54,095 · median $37,739 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,682 – $84,842 · median $57,973 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,072 – $47,606 · median $32,919 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,686 – $39,175 · median $27,571 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,169 – $67,298 · median $46,123 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,712 – $34,895 · median $23,953 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,257 – $26,734 · median $18,556 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $26,633 – $81,238 · median $55,626 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,415 – $39,775 · median $27,426 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,355 – $28,119 · median $19,139 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,145 – $89,414 · median $58,999 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $15,379 – $44,161 · median $30,510 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,864 – $27,926 · median $19,036 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,420 – $75,943 · median $52,521 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,687 – $40,298 · median $27,892 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,758 – $24,887 · median $17,394 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,771 – $45,315 · median $31,769 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,635 – $28,499 · median $19,563 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $36,411 – $109,101 · median $75,512 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,434 – $60,113 · median $41,817 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,454 – $41,437 · median $28,950 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $13,078 – $39,111 · median $26,844 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $7,888 – $23,148 · median $15,881 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,525 – $15,817 · median $10,868 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,846 – $49,106 · median $33,204 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,363 – $27,413 · median $18,903 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,155 – $20,016 · median $13,413 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,328 – $30,476 · median $20,973 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,319 – $20,901 · median $14,507 | 24 plans |
| 693 | URINARY STONES WITH MCC | $11,908 – $38,291 · median $25,336 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,081 – $20,348 · median $14,066 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,186 – $29,369 · median $20,442 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,286 – $18,015 · median $12,426 | 24 plans |
| 697 | URETHRAL STRICTURE | $9,620 – $26,088 · median $18,554 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,565 – $43,772 · median $30,015 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,082 – $26,559 · median $18,312 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,293 – $18,078 · median $12,456 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,532 – $50,535 · median $35,539 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,535 – $38,731 · median $27,239 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,335 – $58,748 · median $41,302 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,394 – $39,098 · median $26,124 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,248 – $52,606 · median $35,386 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,808 – $28,685 · median $19,538 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,270 – $37,953 · median $26,630 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,445 – $26,694 · median $17,404 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,565 – $58,808 · median $40,457 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,993 – $37,135 · median $26,097 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,590 – $48,319 · median $33,709 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,896 – $33,907 · median $22,816 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,897 – $45,022 · median $31,947 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,177 – $29,241 · median $20,387 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,000 – $18,973 · median $12,460 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,413 – $32,879 · median $21,896 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,569 – $19,385 · median $13,197 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,095 – $38,265 · median $26,567 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,334 – $21,278 · median $14,653 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,456 – $28,669 · median $19,436 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,140 – $15,804 · median $11,240 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,644 – $54,759 · median $38,090 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,916 – $33,967 · median $22,483 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,033 – $102,539 · median $67,615 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,049 – $52,040 · median $36,611 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,971 – $39,502 · median $26,867 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,104 – $103,667 · median $68,081 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,897 – $47,350 · median $32,648 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,607 – $36,002 · median $25,278 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,113 – $47,569 · median $32,950 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,017 – $31,321 · median $22,026 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,951 – $51,730 · median $36,139 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,132 – $28,716 · median $18,980 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,275 – $43,853 · median $30,805 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,750 – $24,874 · median $16,336 | 24 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,275 – $35,476 · median $24,743 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,398 – $67,410 · median $46,401 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,034 – $37,257 · median $23,883 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,172 – $47,116 · median $32,854 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,706 – $28,908 · median $19,780 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,614 – $24,869 · median $17,237 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,657 – $36,856 · median $25,621 | 24 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,773 – $26,544 · median $17,984 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,068 – $16,666 · median $11,770 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,017 – $25,666 · median $17,935 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,269 – $16,507 · median $10,841 | 24 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,773 – $26,495 · median $14,481 | 24 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,869 – $42,659 · median $25,735 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,976 – $28,020 · median $17,815 | 24 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,992 – $18,580 · median $12,315 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $7,592 – $24,343 · median $15,987 | 24 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,118 – $44,582 · median $23,591 | 24 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,468 – $24,120 · median $17,825 | 24 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,591 – $21,072 · median $16,178 | 24 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,523 – $37,877 · median $21,385 | 24 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,955 – $24,612 · median $17,825 | 24 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,600 – $20,200 · median $16,756 | 24 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,773 – $30,708 · median $15,134 | 24 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,773 – $21,561 · median $14,085 | 24 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,585 – $21,437 · median $13,698 | 24 plans |
| 799 | SPLENECTOMY WITH MCC | $39,219 – $123,820 · median $83,553 | 24 plans |
| 800 | SPLENECTOMY WITH CC | $24,471 – $75,878 · median $51,507 | 24 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $16,748 – $48,190 · median $30,406 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $34,546 – $100,579 · median $66,394 | 24 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,319 – $47,437 · median $32,853 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,006 – $34,232 · median $20,477 | 24 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,773 – $23,232 · median $14,300 | 24 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,843 – $16,166 · median $12,230 | 24 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,159 – $14,587 · median $11,697 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,313 – $59,642 · median $40,482 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,234 – $32,252 · median $22,536 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,353 – $24,786 · median $17,628 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,420 – $36,637 · median $25,298 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,251 – $24,033 · median $16,568 | 24 plans |
| 813 | COAGULATION DISORDERS | $13,458 – $40,311 · median $27,657 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,616 – $54,439 · median $37,949 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,073 – $26,460 · median $18,269 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,797 – $17,171 · median $11,622 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,945 – $72,308 · median $44,964 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,318 – $36,736 · median $22,844 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,751 – $21,708 · median $15,122 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $50,676 – $151,619 · median $105,171 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,576 – $58,134 · median $40,234 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,703 – $30,395 · median $21,182 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $39,698 – $121,859 · median $83,373 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,807 – $57,275 · median $40,253 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,950 – $34,066 · median $22,796 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $40,496 – $124,359 · median $85,074 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,199 – $61,454 · median $42,037 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,989 – $43,012 · median $29,687 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $27,478 – $80,305 · median $56,185 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,284 – $38,085 · median $26,739 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,690 – $29,973 · median $21,248 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,565 – $19,463 · median $13,221 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,861 – $13,536 · median $9,383 | 24 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $47,461 – $143,936 · median $99,145 | 24 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $18,265 – $55,621 · median $37,993 | 24 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,836 – $36,244 · median $22,538 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $41,581 – $130,393 · median $88,301 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,279 – $52,816 · median $37,087 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,760 – $35,687 · median $25,381 | 24 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,121 – $83,045 · median $57,807 | 24 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,368 – $40,832 · median $28,887 | 24 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,042 – $27,393 · median $18,560 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,485 – $49,303 · median $35,066 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,818 – $31,124 · median $21,710 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,680 – $21,791 · median $15,193 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,611 – $66,504 · median $46,310 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,596 – $33,090 · median $23,243 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,661 – $21,465 · median $15,063 | 24 plans |
| 849 | RADIOTHERAPY | $23,615 – $69,558 · median $48,419 | 24 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $42,732 – $130,239 · median $89,452 | 24 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,513 – $52,033 · median $35,962 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,217 – $42,332 · median $28,107 | 24 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $39,388 – $117,487 · median $81,532 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,743 – $56,741 · median $38,881 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,323 – $35,164 · median $23,862 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,017 – $47,882 · median $32,959 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,935 – $26,038 · median $17,978 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,990 – $23,385 · median $16,070 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,227 – $38,647 · median $26,764 | 24 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,835 – $23,041 · median $15,788 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,329 – $55,840 · median $38,135 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,220 – $27,346 · median $18,729 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,635 – $18,739 · median $13,042 | 24 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $59,655 – $181,154 · median $124,803 | 24 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,036 – $51,095 · median $35,138 | 24 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,153 – $26,848 · median $18,487 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,369 – $115,375 · median $77,644 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,796 – $49,415 · median $34,304 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,408 – $31,747 · median $21,498 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,879 – $100,547 · median $67,807 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,099 – $42,921 · median $28,188 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,223 – $56,834 · median $37,325 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $33,304 – $103,740 · median $70,405 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,488 – $52,527 · median $36,108 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,635 – $33,139 · median $23,305 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,396 – $42,142 · median $29,272 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,971 – $23,864 · median $16,216 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,799 – $45,257 · median $30,774 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,091 – $17,294 · median $11,972 | 24 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,828 – $42,699 · median $28,872 | 24 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,727 – $23,036 · median $15,675 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,078 – $47,488 · median $32,886 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,973 – $26,455 · median $18,162 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,281 – $17,908 · median $12,383 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,380 – $43,994 · median $31,050 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,105 – $26,559 · median $18,336 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,496 – $91,601 · median $58,786 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,419 – $58,995 · median $39,105 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,767 – $51,189 · median $35,954 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,264 – $33,494 · median $22,998 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,242 – $20,690 · median $14,353 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,580 – $28,098 · median $19,984 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,760 – $16,392 · median $10,855 | 24 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,145 – $14,765 · median $10,106 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $52,876 – $167,441 · median $112,006 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,996 – $71,351 · median $47,612 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,128 – $77,764 · median $52,848 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,483 – $37,015 · median $24,450 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,119 – $26,119 · median $17,153 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,506 – $37,549 · median $24,659 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $40,616 – $123,796 · median $85,004 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,462 – $63,756 · median $44,156 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,077 – $43,442 · median $30,453 | 24 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,780 – $91,214 · median $62,376 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,473 – $44,686 · median $30,236 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,661 – $30,274 · median $21,261 | 24 plans |
| 173 | DRG | $25,904 – $79,909 · median $53,343 | 21 plans |
| 212 | DRG | $93,638 – $283,688 · median $194,886 | 21 plans |
| 275 | DRG | $61,530 – $184,032 · median $127,729 | 21 plans |
| 276 | DRG | $51,892 – $161,308 · median $107,650 | 21 plans |
| 277 | DRG | $39,987 – $121,140 · median $82,773 | 21 plans |
| 278 | DRG | $48,115 – $140,519 · median $92,666 | 21 plans |
| 279 | DRG | $31,307 – $91,044 · median $59,349 | 21 plans |
| 321 | DRG | $23,711 – $74,134 · median $48,762 | 21 plans |
| 322 | DRG | $15,497 – $47,113 · median $31,596 | 21 plans |
| 323 | DRG | $37,490 – $110,919 · median $76,984 | 21 plans |
| 324 | DRG | $27,401 – $83,204 · median $56,472 | 21 plans |
| 325 | DRG | $27,910 – $81,047 · median $53,009 | 21 plans |
| 397 | DRG | $20,916 – $64,524 · median $42,921 | 21 plans |
| 398 | DRG | $13,358 – $39,405 · median $27,127 | 21 plans |
| 399 | DRG | $10,194 – $29,265 · median $20,312 | 21 plans |
| 317 | DRG | $57,723 – $168,801 · median $114,578 | 20 plans |
| 402 | DRG | $34,858 – $101,878 · median $71,432 | 20 plans |
| 426 | DRG | $94,900 – $278,230 · median $194,015 | 20 plans |
| 427 | DRG | $62,287 – $184,961 · median $128,873 | 20 plans |
| 428 | DRG | $48,594 – $143,332 · median $100,119 | 20 plans |
| 429 | DRG | $77,647 – $227,447 · median $154,476 | 20 plans |
| 430 | DRG | $49,838 – $145,590 · median $101,319 | 20 plans |
| 447 | DRG | $57,681 – $174,597 · median $120,464 | 20 plans |
| 448 | DRG | $36,748 – $107,059 · median $75,160 | 20 plans |
| 450 | DRG | $46,086 – $134,546 · median $94,625 | 20 plans |
| 451 | DRG | $28,082 – $81,551 · median $57,025 | 20 plans |
| 850 | DRG | $74,645 – $239,887 · median $160,846 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $35,188 – $95,002 · median $55,539 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $18,538 – $97,587 · median $57,053 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,443 – $34,541 · median $20,195 | 19 plans |
| 795 | NORMAL NEWBORN | $2,090 – $4,676 · median $2,734 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $33,524 – $97,569 · median $56,521 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,612 – $22,333 · median $14,519 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $8,446 – $21,884 · median $14,240 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,586 – $24,976 · median $16,162 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,240 – $45,734 · median $29,067 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,175 – $38,037 · median $24,470 | 19 plans |
| 885 | PSYCHOSES | $12,356 – $32,488 · median $20,833 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,175 – $48,269 · median $30,644 | 19 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,561 – $29,953 · median $18,272 | 19 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,667 – $14,348 · median $9,555 | 19 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,517 – $36,011 · median $22,407 | 19 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,343 – $40,589 · median $25,869 | 19 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,948 – $20,533 · median $13,400 | 19 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $183,489 – $570,666 · median $367,124 | 19 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $61,893 – $181,075 · median $104,352 | 19 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $28,000 – $81,309 · median $47,207 | 19 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,775 – $90,575 · median $56,945 | 19 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,336 – $51,416 · median $32,600 | 19 plans |
| 935 | NON-EXTENSIVE BURNS | $18,044 – $47,914 · median $30,422 | 19 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,658 – $36,019 · median $23,028 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,212 – $26,673 · median $17,218 | 19 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $58,106 – $169,927 · median $97,966 | 19 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,650 – $94,997 · median $55,048 | 19 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $65,728 – $192,364 · median $110,818 | 19 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $36,517 – $106,380 · median $61,568 | 19 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,627 – $74,324 · median $43,206 | 19 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,823 – $64,069 · median $40,165 | 19 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,521 – $35,647 · median $22,796 | 19 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,443 – $21,875 · median $14,234 | 19 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,833 – $41,917 · median $20,699 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $51,351 – $138,240 · median $68,265 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $21,382 – $56,966 · median $28,130 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $21,044 – $40,267 · median $32,711 | 13 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $13,992 – $25,986 · median $22,016 | 13 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $10,318 – $17,362 · median $15,625 | 13 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,233 – $31,978 · median $23,679 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $11,102 – $20,567 · median $17,257 | 13 plans |
| 509 | ARTHROSCOPY | $19,027 – $45,746 · median $32,536 | 13 plans |
| 209 | DRG | $97,452 – $285,743 · median $128,600 | 12 plans |
| 213 | DRG | $49,322 – $144,071 · median $64,938 | 12 plans |
| 318 | DRG | $21,150 – $61,148 · median $27,675 | 12 plans |
| 359 | DRG | $29,868 – $86,807 · median $39,206 | 12 plans |
| 360 | DRG | $21,083 – $60,949 · median $27,586 | 12 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $123,422 – $211,503 · median $191,849 | 5 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $85,188 – $140,718 · median $132,418 | 5 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $64,147 – $110,617 · median $99,711 | 5 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $92,375 – $153,242 · median $143,589 | 5 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,947 – $87,006 · median $79,194 | 5 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $107,904 – $176,890 · median $176,890 | 3 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $73,547 – $120,568 · median $120,568 | 3 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $99,908 – $163,782 · median $163,782 | 3 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $71,278 – $116,848 · median $116,848 | 3 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $90,208 – $147,880 · median $147,880 | 3 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $70,757 – $115,993 · median $115,993 | 3 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $42,214 – $69,203 · median $69,203 | 3 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $26,911 – $44,115 · median $44,115 | 3 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $42,417 – $69,535 · median $69,535 | 3 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $25,603 – $41,971 · median $41,971 | 3 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $37,438 – $61,373 · median $61,373 | 3 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $22,949 – $37,621 · median $37,621 | 3 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,910 – $27,721 · median $27,721 | 3 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $31,836 – $52,190 · median $52,190 | 3 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $20,480 – $33,573 · median $33,573 | 3 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,399 – $25,245 · median $25,245 | 3 plans |
No procedures match that keyword.