Bellin Hospital — Pricing
759 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 759 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 759 procedures
Procedures with negotiated rates only
These 759 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 |
|---|---|---|---|
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $20,238 – $67,224 · median $44,405 | 14 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $11,674 – $38,777 · median $25,615 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $174,407 – $579,309 · median $385,374 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $68,229 – $226,631 · median $150,762 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $132,696 – $440,762 · median $293,208 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $87,487 – $290,598 · median $193,314 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,937 – $219,016 · median $145,696 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,024 – $99,729 · median $66,342 | 12 plans |
| 007 | Lung transplant | $80,917 – $268,773 · median $178,796 | 12 plans |
| 008 | Simultaneous pancreas/kidney transplant | $33,689 – $111,902 · median $74,440 | 12 plans |
| 010 | Pancreas transplant | $49,366 – $163,973 · median $109,080 | 12 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $33,409 – $110,972 · median $73,822 | 12 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $25,408 – $84,397 · median $56,143 | 12 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $16,408 – $54,500 · median $36,255 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $81,121 – $269,452 · median $179,247 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,372 – $124,134 · median $82,578 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,372 – $124,134 · median $82,578 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $233,502 – $775,601 · median $515,953 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,083 – $163,033 · median $108,454 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,911 – $165,785 · median $110,285 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,223 – $113,674 · median $75,620 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,859 – $72,606 · median $48,300 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,324 – $117,331 · median $78,052 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,539 – $78,186 · median $52,012 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,691 – $91,977 · median $61,186 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,938 – $62,903 · median $41,845 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,280 – $50,753 · median $33,762 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,642 – $125,031 · median $83,174 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,783 – $69,034 · median $45,923 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,779 – $45,768 · median $30,446 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,946 – $86,184 · median $57,332 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,223 – $43,921 · median $29,217 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,879 – $32,813 · median $21,828 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,077 – $79,975 · median $53,202 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,085 – $46,784 · median $31,122 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,350 – $37,700 · median $25,079 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,562 – $68,298 · median $45,434 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,977 – $33,138 · median $22,044 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,047 – $23,408 · median $15,572 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,355 – $77,577 · median $51,607 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,982 – $46,442 · median $30,895 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,882 – $36,147 · median $24,046 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,461 – $41,389 · median $27,533 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,705 – $18,950 · median $12,606 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,282 – $30,830 · median $20,509 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,755 – $22,438 · median $14,926 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,504 – $51,499 · median $34,259 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,262 – $27,443 · median $18,256 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,429 – $37,963 · median $25,254 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,576 – $25,165 · median $16,740 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,525 – $18,353 · median $12,209 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,738 – $55,598 · median $36,986 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,027 – $36,626 · median $24,365 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,698 – $28,891 · median $19,219 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,316 – $40,910 · median $27,214 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,296 – $20,914 · median $13,912 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,262 – $14,156 · median $9,417 | 12 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,008 – $29,921 · median $19,905 | 12 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,458 – $18,129 · median $12,060 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,954 – $16,455 · median $10,946 | 12 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,766 – $35,760 · median $23,789 | 12 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,525 – $21,675 · median $14,419 | 12 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,645 – $15,429 · median $10,264 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,570 – $31,787 · median $21,146 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,454 – $21,438 · median $14,261 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,664 – $35,423 · median $23,564 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,677 – $18,857 · median $12,544 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,574 – $31,801 · median $21,155 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,179 – $20,523 · median $13,652 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,128 – $13,711 · median $9,121 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,308 – $40,881 · median $27,195 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,602 – $18,608 · median $12,379 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,366 – $47,717 · median $31,743 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,609 – $28,595 · median $19,022 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,920 – $19,663 · median $13,081 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,030 – $46,603 · median $31,001 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,121 – $26,974 · median $17,944 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,473 – $18,180 · median $12,984 | 12 plans |
| 088 | CONCUSSION WITH MCC | $8,734 – $29,012 · median $19,300 | 12 plans |
| 089 | CONCUSSION WITH CC | $6,638 – $22,049 · median $14,668 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,308 – $17,631 · median $11,729 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,287 – $37,490 · median $24,939 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,555 – $21,773 · median $14,484 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,887 – $16,233 · median $10,799 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,591 – $75,039 · median $49,918 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,842 – $49,301 · median $32,796 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,842 – $49,301 · median $32,796 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,194 – $73,721 · median $49,041 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,431 – $44,614 · median $29,678 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,627 – $28,655 · median $19,062 | 12 plans |
| 100 | SEIZURES WITH MCC | $12,292 – $40,830 · median $27,161 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $5,707 – $18,956 · median $12,610 | 12 plans |
| 102 | HEADACHES WITH MCC | $7,179 – $23,846 · median $15,863 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $5,264 – $17,485 · median $11,632 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,972 – $46,409 · median $30,873 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,319 – $24,311 · median $16,172 | 12 plans |
| 115 | Extraocular procedures except orbit | $9,479 – $31,487 · median $20,946 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,331 – $34,316 · median $22,828 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,678 – $22,182 · median $14,756 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,202 – $23,922 · median $15,914 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,200 – $13,950 · median $9,963 | 12 plans |
| 123 | Neurological eye disorders | $4,973 – $16,519 · median $11,797 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,073 – $26,816 · median $17,839 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,112 – $16,981 · median $12,128 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,929 – $49,587 · median $32,987 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,057 – $20,118 · median $13,383 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,660 – $28,764 · median $19,134 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,037 – $16,730 · median $11,130 | 12 plans |
| 139 | Salivary gland procedures | $8,501 – $28,237 · median $18,784 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,185 – $86,978 · median $57,860 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,303 – $44,186 · median $29,394 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,736 – $32,338 · median $21,512 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,444 – $67,907 · median $45,174 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,877 – $36,128 · median $24,034 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,336 – $24,367 · median $16,209 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,204 – $47,180 · median $31,386 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,707 – $25,601 · median $17,030 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,958 – $16,467 · median $11,761 | 12 plans |
| 149 | Dysequilibrium | $4,628 – $15,373 · median $10,227 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $8,558 – $28,426 · median $18,910 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,693 – $15,589 · median $11,134 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,026 – $23,338 · median $15,525 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,407 – $14,637 · median $9,737 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,069 – $33,446 · median $22,250 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,780 – $19,200 · median $12,773 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,163 – $13,829 · median $9,876 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,139 – $33,677 · median $22,403 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,824 – $19,344 · median $12,868 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,084 – $13,565 · median $9,024 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,538 – $94,793 · median $63,059 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,584 – $51,765 · median $34,435 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,541 – $38,335 · median $25,502 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,839 – $79,185 · median $52,676 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,313 – $37,578 · median $24,998 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,383 – $27,844 · median $18,523 | 12 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $19,000 – $63,109 · median $41,982 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,725 – $28,980 · median $19,278 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,043 – $16,751 · median $11,143 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,009 – $33,245 · median $22,116 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,143 – $20,404 · median $13,573 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,766 – $15,830 · median $11,305 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,822 – $35,945 · median $23,912 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,875 – $22,834 · median $15,190 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,185 – $17,224 · median $11,458 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,828 – $32,644 · median $21,716 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,613 – $21,967 · median $14,613 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,815 – $15,994 · median $10,640 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,783 – $32,494 · median $21,616 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,216 – $20,648 · median $13,736 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,546 – $15,100 · median $10,784 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,661 – $25,448 · median $16,929 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,953 – $23,096 · median $15,364 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,319 – $17,668 · median $11,753 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,007 – $13,310 · median $9,506 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,159 – $27,100 · median $18,028 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,077 – $16,864 · median $11,219 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,856 – $12,806 · median $8,519 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,666 – $38,748 · median $25,777 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,130 – $20,360 · median $13,544 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,337 – $14,404 · median $9,582 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,930 – $36,305 · median $24,151 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,857 – $22,777 · median $15,152 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,192 – $13,925 · median $9,945 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,985 – $19,881 · median $13,226 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,313 – $14,326 · median $9,530 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,021 – $16,679 · median $11,095 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,688 – $38,824 · median $25,827 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,608 – $18,629 · median $12,392 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,042 – $133,004 · median $88,479 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,617 – $55,195 · median $36,717 | 12 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $67,451 – $224,044 · median $149,041 | 12 plans |
| 215 | Other heart assist system implant | $65,599 – $217,893 · median $144,949 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $59,756 – $198,485 · median $132,038 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,985 – $132,813 · median $88,351 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,836 – $122,353 · median $81,393 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,907 – $159,129 · median $105,858 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,795 – $108,932 · median $72,465 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,436 – $94,451 · median $62,832 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,855 – $102,487 · median $68,177 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,233 – $63,884 · median $42,498 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,467 – $174,274 · median $115,932 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,823 – $125,632 · median $83,574 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $48,396 – $160,752 · median $106,937 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $32,941 – $109,415 · median $72,786 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,433 – $121,014 · median $80,502 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,460 – $84,569 · median $56,258 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,186 – $103,589 · median $68,910 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,031 – $59,892 · median $39,842 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,349 – $31,053 · median $20,657 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,002 – $69,760 · median $46,406 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,948 – $46,331 · median $30,821 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,174 – $37,115 · median $24,690 | 12 plans |
| 245 | AICD generator procedures | $30,257 – $100,502 · median $66,857 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,319 – $47,561 · median $31,639 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,675 – $32,136 · median $21,378 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,240 – $70,550 · median $46,932 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,807 – $52,505 · median $34,928 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,832 – $35,978 · median $23,934 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,200 – $53,811 · median $35,797 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,487 – $34,833 · median $23,172 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,522 – $18,343 · median $12,202 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,371 – $57,698 · median $38,382 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,883 – $36,149 · median $24,047 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,090 – $70,052 · median $46,601 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,749 – $39,026 · median $25,961 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,398 – $31,215 · median $20,765 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,606 – $55,160 · median $36,694 | 12 plans |
| 264 | Other circulatory system O.R. procedures | $21,640 – $71,880 · median $47,817 | 12 plans |
| 265 | AICD lead procedures | $22,087 – $73,363 · median $48,803 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $37,093 – $123,207 · median $81,961 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $29,130 – $96,757 · median $64,366 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,283 – $137,126 · median $91,220 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,761 – $85,569 · median $56,923 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,781 – $105,565 · median $70,225 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,326 – $70,838 · median $47,123 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,493 – $51,460 · median $34,233 | 12 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $24,211 – $80,419 · median $53,497 | 12 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $19,324 – $64,186 · median $42,699 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,756 – $145,340 · median $96,684 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,353 – $127,394 · median $84,746 | 12 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $28,803 – $95,671 · median $63,643 | 12 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $30,978 – $102,898 · median $68,451 | 12 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $19,840 – $65,902 · median $43,840 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,163 – $33,757 · median $22,456 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,707 – $18,958 · median $12,611 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,490 – $14,912 · median $9,920 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,107 – $40,215 · median $26,752 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,588 – $15,239 · median $10,138 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,476 – $11,546 · median $8,246 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,704 – $45,519 · median $30,280 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,747 – $22,411 · median $14,908 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,912 – $56,176 · median $37,370 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,762 – $32,426 · median $21,571 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,062 – $20,134 · median $13,394 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,079 – $26,835 · median $17,851 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,332 – $17,711 · median $11,782 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,397 – $11,285 · median $8,059 | 12 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,603 – $25,255 · median $16,800 | 12 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,890 – $16,243 · median $10,805 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,144 – $33,695 · median $22,415 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,361 – $14,487 · median $10,346 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,735 – $9,084 · median $6,488 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,016 – $33,268 · median $22,131 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,629 – $22,018 · median $14,647 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,417 – $14,672 · median $9,760 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,203 – $23,924 · median $15,915 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,163 – $13,829 · median $9,876 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $7,274 – $24,161 · median $16,073 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,648 – $15,439 · median $11,026 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,271 – $30,796 · median $20,486 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,736 – $19,052 · median $12,674 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,466 – $24,801 · median $16,498 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,577 – $15,204 · median $10,114 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,464 – $11,507 · median $7,655 | 12 plans |
| 311 | Angina pectoris | $4,324 – $14,361 · median $10,257 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,395 – $17,919 · median $11,920 | 12 plans |
| 313 | Chest pain | $4,417 – $14,672 · median $9,760 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,334 – $44,289 · median $29,462 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,958 – $19,791 · median $13,165 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,227 – $14,040 · median $9,340 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,198 – $90,342 · median $60,098 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,332 – $47,606 · median $31,669 | 12 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $17,626 – $58,547 · median $38,947 | 12 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $11,202 – $37,208 · median $24,752 | 12 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $26,372 – $87,599 · median $58,273 | 12 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $19,783 – $65,710 · median $43,713 | 12 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $17,721 – $58,862 · median $39,157 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,447 – $104,455 · median $69,486 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,034 – $49,936 · median $33,219 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,866 – $32,772 · median $21,801 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,431 – $94,437 · median $62,822 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,635 – $48,612 · median $32,338 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,222 – $33,954 · median $22,588 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,477 – $71,337 · median $47,456 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $13,159 – $43,709 · median $29,076 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,269 – $34,111 · median $22,692 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,435 – $74,519 · median $49,572 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,079 – $43,442 · median $28,899 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,505 – $31,571 · median $21,002 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,683 – $55,415 · median $36,864 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,217 – $30,617 · median $20,367 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,710 – $25,611 · median $17,037 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,654 – $48,676 · median $32,380 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,795 – $25,891 · median $17,223 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,454 – $18,117 · median $12,052 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,976 – $49,743 · median $33,091 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,315 – $30,942 · median $20,583 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,827 – $22,676 · median $15,085 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,160 – $60,320 · median $40,127 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,533 – $34,985 · median $23,273 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,255 – $27,419 · median $18,240 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,411 – $87,728 · median $58,360 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,943 – $46,315 · median $30,810 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,390 – $27,869 · median $18,539 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,340 – $34,345 · median $22,847 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,301 – $20,928 · median $13,922 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,322 – $14,355 · median $9,549 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,823 – $35,949 · median $23,915 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,373 – $21,169 · median $14,082 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,491 – $14,919 · median $9,924 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,073 – $43,423 · median $28,886 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,608 – $25,269 · median $16,810 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,467 – $18,160 · median $12,080 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,258 – $37,393 · median $24,875 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,104 – $20,276 · median $13,488 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,942 – $13,094 · median $9,352 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,914 – $39,575 · median $26,327 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,743 – $22,398 · median $14,900 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,639 – $15,410 · median $10,251 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,827 – $26,000 · median $17,296 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,384 – $17,884 · median $11,897 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,060 – $33,416 · median $22,229 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,145 – $20,412 · median $13,579 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,150 – $13,785 · median $9,170 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,101 – $30,230 · median $20,110 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,963 – $16,486 · median $10,967 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,388 – $11,254 · median $8,037 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,953 – $26,417 · median $17,573 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,831 – $16,048 · median $10,675 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,253 – $34,057 · median $22,656 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,828 – $19,359 · median $12,878 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,940 – $13,088 · median $9,347 | 12 plans |
| 397 | Appendix Procedures with MCC | $15,342 – $50,958 · median $33,899 | 12 plans |
| 398 | Appendix Procedures without MCC/CC | $9,369 – $31,120 · median $20,702 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,958 – $23,112 · median $15,375 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,612 – $111,647 · median $74,271 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,388 – $57,758 · median $38,422 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,224 – $43,925 · median $29,220 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,679 – $72,008 · median $47,902 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,981 – $43,117 · median $28,682 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,604 – $31,900 · median $21,221 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $16,943 – $56,277 · median $37,437 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,198 – $43,838 · median $29,163 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,294 – $34,191 · median $22,745 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,694 – $72,059 · median $47,936 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,248 – $40,682 · median $27,063 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,484 – $28,180 · median $18,746 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,714 – $48,875 · median $32,513 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,268 – $34,107 · median $22,689 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,158 – $27,098 · median $18,026 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,853 – $72,588 · median $48,288 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,139 – $33,679 · median $22,404 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,098 – $30,220 · median $20,103 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,184 – $83,650 · median $55,647 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,137 – $46,958 · median $31,238 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,571 – $31,791 · median $21,148 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,130 – $40,291 · median $26,803 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,624 – $22,002 · median $14,636 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,312 – $14,324 · median $9,529 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,297 – $37,525 · median $24,963 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,982 – $23,192 · median $15,428 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,862 – $16,148 · median $11,533 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,301 – $34,216 · median $22,761 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,326 – $17,691 · median $12,635 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,808 – $12,650 · median $9,035 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,705 – $38,878 · median $25,863 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,982 – $19,871 · median $13,219 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,351 – $14,452 · median $9,614 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,429 – $34,641 · median $23,044 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,715 – $22,304 · median $14,837 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,937 – $16,397 · median $10,908 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $52,438 – $174,178 · median $115,868 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $35,536 – $118,037 · median $78,521 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,735 – $88,804 · median $59,075 | 12 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $37,996 – $126,207 · median $83,957 | 12 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $17,731 – $58,897 · median $39,180 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,441 – $111,077 · median $73,892 | 12 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,257 – $60,641 · median $40,340 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,749 – $35,705 · median $23,752 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,544 – $104,776 · median $69,700 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,207 – $70,443 · median $46,861 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,242 – $53,951 · median $35,890 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,074 – $99,895 · median $66,453 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,938 – $59,584 · median $39,637 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,658 – $48,688 · median $32,389 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,767 – $92,232 · median $61,356 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,357 – $44,367 · median $29,514 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,201 – $23,920 · median $15,913 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,293 – $70,726 · median $47,049 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,480 – $48,096 · median $31,995 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,995 – $36,521 · median $24,295 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,209 – $60,485 · median $40,236 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,847 – $42,672 · median $28,387 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,822 – $32,626 · median $21,704 | 12 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $15,777 – $52,406 · median $34,862 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,933 – $66,208 · median $44,044 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,132 – $43,618 · median $29,016 | 12 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,784 – $32,498 · median $21,619 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,169 – $40,420 · median $26,889 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,668 – $25,469 · median $16,943 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,988 – $73,034 · median $48,584 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,866 – $49,379 · median $32,848 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,674 – $38,775 · median $25,794 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,798 – $72,405 · median $48,166 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,216 – $40,577 · median $26,993 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,313 – $27,612 · median $18,368 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,633 – $51,927 · median $34,543 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,187 – $23,873 · median $15,881 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,619 – $65,167 · median $43,351 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,050 – $36,704 · median $24,417 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,651 – $28,735 · median $19,115 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,387 – $54,430 · median $36,208 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,866 – $36,093 · median $24,010 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,866 – $36,093 · median $24,010 | 12 plans |
| 506 | Major thumb or joint procedures | $9,282 – $30,830 · median $20,509 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,001 – $39,861 · median $26,517 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,991 – $26,542 · median $17,657 | 12 plans |
| 509 | Arthroscopy | $10,877 – $36,128 · median $24,034 | 12 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $17,696 – $58,780 · median $39,102 | 12 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $12,143 – $40,334 · median $26,831 | 12 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $9,955 – $33,066 · median $21,997 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,322 – $30,964 · median $20,598 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,313 – $20,969 · median $13,949 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,147 – $63,598 · median $42,308 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,456 – $41,373 · median $27,522 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,242 – $30,699 · median $20,422 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,191 – $73,709 · median $49,033 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,209 – $40,554 · median $26,978 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,874 – $29,475 · median $19,608 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,047 – $59,944 · median $39,876 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,052 – $43,355 · median $28,841 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,442 – $31,361 · median $20,862 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,040 – $16,741 · median $11,136 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,234 – $27,351 · median $18,195 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,021 – $16,677 · median $11,094 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,690 – $18,900 · median $12,573 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,158 – $13,810 · median $9,187 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,522 – $41,593 · median $27,669 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,013 – $26,614 · median $17,705 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,417 – $17,993 · median $11,970 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,548 – $38,358 · median $25,517 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,569 – $21,818 · median $14,514 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,679 – $15,542 · median $10,339 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,646 – $51,968 · median $34,571 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,168 – $23,809 · median $15,839 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,620 – $15,346 · median $10,209 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,474 – $41,432 · median $27,562 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,461 – $24,784 · median $16,487 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,338 – $17,730 · median $11,794 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,565 – $35,094 · median $23,345 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,967 – $19,822 · median $13,186 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,086 – $26,859 · median $17,868 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,168 – $17,164 · median $11,418 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,338 – $27,694 · median $18,423 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,055 – $16,792 · median $11,171 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,595 – $31,871 · median $21,202 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,348 – $17,765 · median $12,688 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,493 – $38,177 · median $25,396 | 12 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,050 – $23,419 · median $15,579 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,062 – $16,815 · median $11,186 | 12 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $9,061 – $30,098 · median $20,022 | 12 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $5,534 – $18,382 · median $12,228 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,716 – $32,272 · median $21,468 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,314 – $20,971 · median $13,951 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,632 – $15,385 · median $10,235 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,638 – $61,908 · median $41,183 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,367 – $34,434 · median $22,906 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,073 – $23,495 · median $15,629 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,129 – $126,650 · median $84,251 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,453 – $71,259 · median $47,404 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,363 – $41,064 · median $27,317 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,405 – $110,960 · median $73,814 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,487 – $54,763 · median $36,430 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,466 – $34,765 · median $23,127 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,181 – $67,033 · median $44,592 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,978 – $36,464 · median $24,257 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,911 – $29,599 · median $19,690 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,843 – $36,015 · median $23,958 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,171 – $33,784 · median $22,474 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,677 – $42,107 · median $28,011 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,291 – $40,826 · median $27,158 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $12,732 – $42,290 · median $28,132 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $7,570 – $25,146 · median $16,728 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,255 – $17,454 · median $11,611 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,096 – $43,499 · median $28,937 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,694 – $22,234 · median $14,791 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,877 – $36,128 · median $24,034 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,680 – $22,189 · median $14,761 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,293 – $17,582 · median $11,696 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,923 – $19,673 · median $13,087 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,712 – $12,329 · median $8,805 | 12 plans |
| 602 | CELLULITIS WITH MCC | $9,097 – $30,216 · median $20,100 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,454 – $18,115 · median $12,050 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,199 – $30,555 · median $20,326 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,719 – $18,997 · median $12,637 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,970 – $33,117 · median $22,031 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,351 – $17,773 · median $11,823 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,111 – $46,870 · median $31,179 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,873 – $29,471 · median $19,605 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,931 – $79,488 · median $52,878 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,960 – $39,725 · median $26,426 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,709 – $25,607 · median $17,034 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,881 – $56,073 · median $37,302 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,888 – $32,844 · median $21,849 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,051 – $30,063 · median $19,999 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,169 – $76,958 · median $51,195 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,843 – $39,339 · median $26,169 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,211 – $20,630 · median $13,724 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,752 – $58,965 · median $39,225 | 12 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,345 – $31,040 · median $20,649 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,844 – $26,055 · median $17,333 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,430 – $81,147 · median $53,982 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,926 – $46,255 · median $30,770 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,676 – $28,819 · median $19,171 | 12 plans |
| 637 | DIABETES WITH MCC | $9,017 – $29,950 · median $19,924 | 12 plans |
| 638 | DIABETES WITH CC | $5,679 – $18,863 · median $12,548 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,880 – $12,887 · median $8,573 | 12 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $8,222 – $27,312 · median $18,169 | 12 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $4,838 – $16,070 · median $10,690 | 12 plans |
| 642 | Inborn errors of metabolism | $7,684 – $25,524 · median $16,980 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,261 – $34,084 · median $22,674 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,398 – $21,253 · median $14,138 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,821 – $16,015 · median $10,653 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,527 – $94,754 · median $63,033 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,500 – $71,415 · median $47,508 | 12 plans |
| 652 | Kidney transplant | $19,017 – $63,166 · median $42,020 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,516 – $114,647 · median $76,267 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,473 – $58,039 · median $38,609 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,862 – $42,722 · median $28,420 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,172 – $67,004 · median $44,573 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,319 – $37,597 · median $25,010 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,312 – $30,931 · median $20,576 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,001 – $53,149 · median $35,356 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,297 – $27,558 · median $18,333 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,356 – $21,113 · median $14,045 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,315 – $64,158 · median $42,680 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,457 – $31,413 · median $20,897 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,686 – $22,207 · median $14,773 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,259 – $70,615 · median $46,975 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $10,199 – $33,878 · median $22,537 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,364 – $21,138 · median $14,061 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,057 – $59,977 · median $39,898 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,581 – $31,826 · median $21,172 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,917 – $19,655 · median $13,075 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,672 – $35,450 · median $23,582 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,776 – $22,507 · median $14,973 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,940 – $86,163 · median $57,318 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,293 – $47,475 · median $31,582 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,692 – $32,192 · median $21,415 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $9,299 – $30,888 · median $20,548 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $5,504 – $18,281 · median $12,161 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,761 – $12,492 · median $8,310 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,675 – $38,781 · median $25,798 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,518 – $21,650 · median $14,402 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,484 – $14,894 · median $9,908 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,246 – $24,068 · median $16,011 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,969 – $16,506 · median $10,980 | 12 plans |
| 693 | URINARY STONES WITH MCC | $9,104 – $30,240 · median $20,117 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,838 – $16,070 · median $10,690 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,983 – $23,194 · median $15,430 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,283 – $14,228 · median $9,465 | 12 plans |
| 697 | Urethral stricture | $6,203 – $20,603 · median $13,706 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,407 – $34,569 · median $22,997 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,315 – $20,975 · median $13,953 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,298 – $14,277 · median $9,497 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,015 – $39,910 · median $26,550 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,179 – $30,489 · median $20,282 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,913 – $46,214 · median $30,743 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,296 – $30,878 · median $20,541 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,830 – $39,293 · median $26,139 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,623 – $21,997 · median $14,633 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,953 – $29,738 · median $19,783 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,818 – $19,326 · median $12,856 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,982 – $46,444 · median $30,896 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,788 – $29,189 · median $19,418 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,489 – $38,160 · median $25,385 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,627 – $25,335 · median $16,854 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,705 – $35,557 · median $23,653 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,953 – $23,094 · median $15,363 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,511 – $14,984 · median $9,968 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,818 – $25,967 · median $17,274 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,609 – $15,309 · median $10,184 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,098 – $30,220 · median $20,103 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,059 – $16,804 · median $11,179 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,816 – $22,641 · median $15,062 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,758 – $12,482 · median $8,914 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,020 – $43,246 · median $28,769 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,516 – $24,965 · median $16,608 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,380 – $80,981 · median $53,871 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,373 – $41,099 · median $27,340 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,392 – $31,197 · median $20,753 | 12 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $24,648 – $81,871 · median $54,463 | 12 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $11,258 – $37,395 · median $24,876 | 12 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $8,505 – $28,249 · median $18,792 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,310 – $37,568 · median $24,991 | 12 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,422 – $24,652 · median $16,400 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,098 – $40,186 · median $26,733 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,345 – $21,076 · median $14,020 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,368 – $34,440 · median $22,910 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,914 – $19,645 · median $13,068 | 12 plans |
| 748 | Female reproductive system reconstructive procedures | $8,435 – $28,017 · median $18,638 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,028 – $53,237 · median $35,415 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,984 – $26,520 · median $17,642 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,202 – $37,210 · median $24,753 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,873 – $22,830 · median $15,187 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,913 – $19,641 · median $13,065 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,763 – $29,107 · median $19,363 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,311 – $20,963 · median $13,945 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,963 – $13,162 · median $9,400 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,102 – $20,270 · median $13,484 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,925 – $13,037 · median $8,672 | 12 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,788 – $14,788 · median $7,885 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,603 – $28,576 · median $19,010 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,662 – $22,129 · median $14,721 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,418 – $14,674 · median $9,761 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $5,788 – $19,225 · median $12,789 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,896 – $24,848 · median $11,406 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,705 – $14,609 · median $10,231 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,408 – $13,916 · median $10,231 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,896 – $21,797 · median $10,231 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,574 – $14,323 · median $10,231 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,802 – $17,220 · median $7,904 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,995 – $13,060 · median $7,885 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,995 – $13,060 · median $7,885 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,440 – $97,787 · median $65,051 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,041 – $59,925 · median $39,864 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,165 – $33,763 · median $22,460 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,196 – $73,725 · median $49,044 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,021 – $36,607 · median $24,352 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,845 – $22,738 · median $15,126 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,179 – $13,462 · median $8,234 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,480 – $9,761 · median $8,234 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,946 – $9,279 · median $7,990 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,181 – $47,102 · median $31,334 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,668 – $25,471 · median $16,944 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,893 – $19,575 · median $13,980 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,711 – $28,934 · median $19,248 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,714 – $18,980 · median $12,626 | 12 plans |
| 813 | Coagulation disorders | $9,585 – $31,836 · median $21,178 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,944 – $42,993 · median $28,600 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,291 – $20,897 · median $13,901 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,083 – $13,561 · median $9,021 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,696 – $52,137 · median $34,683 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,975 – $26,489 · median $17,621 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,055 – $16,792 · median $11,171 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,049 – $119,741 · median $79,656 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,822 – $45,912 · median $30,542 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,081 – $23,521 · median $15,647 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,974 – $96,239 · median $64,021 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,618 – $45,233 · median $30,090 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,621 – $25,313 · median $16,839 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,568 – $98,213 · median $65,334 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,612 – $48,534 · median $32,286 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,925 – $32,965 · median $21,929 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,094 – $63,421 · median $42,190 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,055 – $30,078 · median $20,009 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,127 – $23,671 · median $15,747 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,628 – $15,371 · median $10,225 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,218 – $10,690 · median $7,635 | 12 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $34,223 – $113,674 · median $75,620 | 12 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,225 – $43,927 · median $29,222 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,868 – $26,133 · median $17,385 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,003 – $102,978 · median $68,504 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,558 – $41,712 · median $27,748 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,485 – $28,184 · median $18,749 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,745 – $65,585 · median $43,629 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,708 – $32,247 · median $21,452 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,513 – $21,633 · median $14,391 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,723 – $38,938 · median $25,902 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,400 – $24,580 · median $16,352 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,181 – $17,210 · median $11,448 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,812 – $52,521 · median $34,939 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,868 – $26,133 · median $17,385 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,070 – $16,842 · median $11,203 | 12 plans |
| 849 | Radiotherapy | $16,538 – $54,934 · median $36,544 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,966 – $102,857 · median $68,423 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,371 – $41,093 · median $27,336 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,065 – $33,432 · median $22,240 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,934 – $92,786 · median $61,724 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,491 – $44,811 · median $29,810 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,977 – $26,497 · median $17,627 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,384 – $37,815 · median $25,155 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,191 – $20,564 · median $13,680 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,560 – $18,468 · median $12,286 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,138 – $30,353 · median $20,192 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,478 – $18,197 · median $12,105 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,277 – $44,100 · median $29,336 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,502 – $21,596 · median $14,367 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,455 – $14,799 · median $9,845 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,072 – $143,067 · median $95,173 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,149 – $40,353 · median $26,844 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,384 – $21,204 · median $14,105 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,432 – $91,118 · median $60,614 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,749 – $39,026 · median $25,961 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,548 – $25,072 · median $16,679 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,906 – $79,407 · median $52,824 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,205 – $33,897 · median $22,549 | 12 plans |
| 906 | Hand procedures for injuries | $13,513 – $44,885 · median $29,859 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,665 – $81,929 · median $54,501 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,489 – $41,484 · median $27,596 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,853 – $26,084 · median $17,352 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,020 – $33,282 · median $22,140 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,674 – $18,847 · median $12,537 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,760 – $35,742 · median $23,776 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,112 – $13,658 · median $9,086 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,152 – $33,722 · median $22,433 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,477 – $18,193 · median $12,102 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,291 – $37,504 · median $24,949 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,290 – $20,893 · median $13,899 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,258 – $14,143 · median $10,101 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,460 – $34,744 · median $23,113 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,315 – $20,975 · median $13,953 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $146,882 – $487,883 · median $324,554 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $41,353 – $137,358 · median $91,375 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,692 – $65,408 · median $43,511 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,790 – $88,987 · median $59,197 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,286 – $44,131 · median $29,357 | 12 plans |
| 935 | Non-extensive burns | $13,599 – $45,171 · median $30,049 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,652 – $65,276 · median $43,424 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,073 – $43,423 · median $28,886 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,100 – $40,192 · median $26,737 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,964 – $26,452 · median $17,597 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,919 – $16,340 · median $10,870 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,681 – $22,191 · median $14,762 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,629 – $12,054 · median $8,019 | 12 plans |
| 951 | Other factors influencing health status | $3,511 – $11,661 · median $7,757 | 12 plans |
| 955 | Craniotomy for multiple significant trauma | $42,278 – $140,431 · median $93,419 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,667 – $78,611 · median $52,295 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $46,215 – $153,509 · median $102,119 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,446 – $84,522 · median $56,227 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,370 – $54,374 · median $36,172 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,821 – $55,872 · median $37,168 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,288 – $30,851 · median $20,523 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,650 – $18,769 · median $13,404 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,157 – $130,066 · median $86,524 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,428 – $54,568 · median $36,300 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,489 – $61,414 · median $40,855 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,801 – $29,233 · median $19,446 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,210 – $20,628 · median $13,722 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,928 – $29,654 · median $19,727 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,434 – $97,769 · median $65,039 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,159 – $50,352 · median $33,495 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,329 – $34,308 · median $22,823 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,687 – $72,037 · median $47,921 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,625 – $35,291 · median $23,477 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,154 – $23,764 · median $15,809 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,602 – $13,916 · median $10,508 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $6,401 – $65,648 · median $16,099 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,935 – $16,014 · median $7,516 | 11 plans |
| 881 | Depressive neuroses | $5,660 – $15,271 · median $7,516 | 11 plans |
| 882 | Neuroses except depressive | $5,956 – $16,071 · median $7,516 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,401 – $30,971 · median $9,673 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,401 – $27,902 · median $9,104 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,401 – $30,012 · median $9,495 | 11 plans |
| 887 | Other mental disorder diagnoses | $6,401 – $19,870 · median $7,528 | 11 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,864 – $10,426 · median $7,516 | 11 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $6,401 – $24,189 · median $8,416 | 11 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $6,401 – $29,750 · median $9,446 | 11 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $5,462 – $14,738 · median $7,516 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,451 – $31,394 · median $22,275 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,913 – $22,962 · median $16,292 | 11 plans |
| 885 | Psychoses | $6,401 – $23,549 · median $8,728 | 10 plans |
| 789 | Neonates, died or transferred to another acute care facility | $11,161 – $28,380 · median $23,379 | 9 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $36,808 – $93,595 · median $77,103 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,137 – $63,919 · median $52,656 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,168 – $38,568 · median $31,772 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $25,822 – $65,660 · median $54,091 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,140 – $23,241 · median $19,146 | 9 plans |
| 795 | Normal newborn | $1,237 – $3,146 · median $2,643 | 9 plans |
No procedures match that keyword.