OakLeaf Surgical Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $13,660 – $26,960 · median $13,660 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $198,455 – $198,455 · median $198,455 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,248 – $80,248 · median $80,248 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $150,309 – $150,309 · median $150,309 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,091 – $98,091 · median $98,091 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $73,015 – $73,015 · median $73,015 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,838 – $32,838 · median $32,838 | 10 plans |
| 007 | LUNG TRANSPLANT | $91,709 – $91,709 · median $91,709 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,690 – $39,690 · median $39,690 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $50,816 – $50,816 · median $50,816 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,624 – $38,624 · median $38,624 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,856 – $29,856 · median $29,856 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,408 – $20,408 · median $20,408 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $85,106 – $85,106 · median $85,106 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $41,992 – $41,992 · median $41,992 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,470 – $38,470 · median $38,470 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $305,805 – $305,805 · median $305,805 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,525 – $50,525 · median $50,525 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,724 – $55,724 · median $55,724 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,489 – $37,489 · median $37,489 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,501 – $22,501 · median $22,501 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,580 – $40,580 · median $40,580 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,703 – $27,703 · median $27,703 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,198 – $32,198 · median $32,198 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,018 – $22,018 · median $22,018 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,866 – $17,866 · median $17,866 | 10 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $42,549 – $42,549 · median $42,549 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,160 – $24,160 · median $24,160 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,546 – $15,546 · median $15,546 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,729 – $31,729 · median $31,729 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,091 – $15,091 · median $15,091 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,776 – $11,776 · median $11,776 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,411 – $27,411 · median $27,411 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,929 – $16,929 · median $16,929 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,758 – $13,758 · median $13,758 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,313 – $23,313 · median $23,313 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,491 – $11,491 · median $11,491 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,324 – $8,324 · median $8,324 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,344 – $27,344 · median $27,344 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,570 – $15,570 · median $15,570 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,235 – $12,235 · median $12,235 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,827 – $12,827 · median $12,827 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,934 – $6,934 · median $6,934 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,813 – $10,813 · median $10,813 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,220 – $7,220 · median $7,220 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,451 – $16,451 · median $16,451 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,175 – $9,175 · median $9,175 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,106 – $12,106 · median $12,106 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,788 – $8,788 · median $8,788 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,514 – $6,514 · median $6,514 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,525 – $19,525 · median $19,525 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,444 – $12,444 · median $12,444 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,941 – $9,941 · median $9,941 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,241 – $14,241 · median $14,241 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,155 – $7,155 · median $7,155 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,847 – $4,847 · median $4,847 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,401 – $10,401 · median $10,401 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,121 – $6,121 · median $6,121 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,657 – $5,657 · median $5,657 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,790 – $11,790 · median $11,790 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,266 – $7,266 · median $7,266 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,355 – $5,355 · median $5,355 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,361 – $11,361 · median $11,361 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,300 – $7,300 · median $7,300 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,579 – $13,579 · median $13,579 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,844 – $5,844 · median $5,844 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,818 – $12,818 · median $12,818 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,342 – $6,342 · median $6,342 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,186 – $16,186 · median $16,186 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,885 – $9,885 · median $9,885 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,769 – $6,769 · median $6,769 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,089 – $16,089 · median $16,089 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,225 – $9,225 · median $9,225 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,478 – $6,478 · median $6,478 | 10 plans |
| 088 | CONCUSSION WITH MCC | $9,573 – $9,573 · median $9,573 | 10 plans |
| 089 | CONCUSSION WITH CC | $7,780 – $7,780 · median $7,780 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,830 – $5,830 · median $5,830 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,437 – $12,437 · median $12,437 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,245 – $7,245 · median $7,245 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,639 – $5,639 · median $5,639 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,923 – $24,923 · median $24,923 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,265 – $18,265 · median $18,265 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,265 – $18,265 · median $18,265 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,577 – $25,577 · median $25,577 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,252 – $16,252 · median $16,252 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,648 – $9,648 · median $9,648 | 10 plans |
| 100 | SEIZURES WITH MCC | $13,716 – $13,716 · median $13,716 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $6,392 – $6,392 · median $6,392 | 10 plans |
| 102 | HEADACHES WITH MCC | $7,938 – $7,938 · median $7,938 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $5,922 – $5,922 · median $5,922 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,650 – $16,650 · median $16,650 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,581 – $9,581 · median $9,581 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,870 – $10,870 · median $10,870 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,804 – $12,804 · median $12,804 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,683 – $7,683 · median $7,683 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,238 – $8,238 · median $8,238 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,565 – $5,565 · median $5,565 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,655 – $5,655 · median $5,655 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,370 – $9,370 · median $9,370 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,437 – $5,437 · median $5,437 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,367 – $15,367 · median $15,367 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,190 – $7,190 · median $7,190 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,574 – $10,574 · median $10,574 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,276 – $6,276 · median $6,276 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,751 – $8,751 · median $8,751 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,205 – $30,205 · median $30,205 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,446 – $15,446 · median $15,446 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,305 – $11,305 · median $11,305 | 10 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,532 – $26,532 · median $26,532 | 10 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,272 – $12,272 · median $12,272 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,514 – $8,514 · median $8,514 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,995 – $14,995 · median $14,995 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,004 – $9,004 · median $9,004 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,645 – $5,645 · median $5,645 | 10 plans |
| 149 | DYSEQUILIBRIUM | $5,323 – $5,323 · median $5,323 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $9,429 – $9,429 · median $9,429 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,198 – $5,198 · median $5,198 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,372 – $8,372 · median $8,372 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,228 – $5,228 · median $5,228 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,072 – $11,072 · median $11,072 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,490 – $6,490 · median $6,490 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,894 – $4,894 · median $4,894 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,158 – $12,158 · median $12,158 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,443 – $6,443 · median $6,443 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,017 – $5,017 · median $5,017 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,739 – $31,739 · median $31,739 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,874 – $17,874 · median $17,874 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,556 – $13,556 · median $13,556 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,469 – $26,469 · median $26,469 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,771 – $12,771 · median $12,771 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,676 – $9,676 · median $9,676 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,078 – $21,078 · median $21,078 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,727 – $9,727 · median $9,727 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,701 – $5,701 · median $5,701 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,066 – $11,066 · median $11,066 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,912 – $6,912 · median $6,912 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,347 – $5,347 · median $5,347 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,506 – $12,506 · median $12,506 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,584 – $7,584 · median $7,584 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,338 – $5,338 · median $5,338 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,834 – $10,834 · median $10,834 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,536 – $7,536 · median $7,536 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,570 – $5,570 · median $5,570 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,037 – $11,037 · median $11,037 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,004 – $7,004 · median $7,004 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,079 – $5,079 · median $5,079 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,749 – $8,749 · median $8,749 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,844 – $7,844 · median $7,844 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,970 – $5,970 · median $5,970 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,546 – $4,546 · median $4,546 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,308 – $9,308 · median $9,308 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,707 – $5,707 · median $5,707 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,451 – $4,451 · median $4,451 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,364 – $13,364 · median $13,364 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,721 – $6,721 · median $6,721 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,072 – $5,072 · median $5,072 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,493 – $12,493 · median $12,493 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,785 – $7,785 · median $7,785 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,064 – $5,064 · median $5,064 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,878 – $6,878 · median $6,878 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,745 – $4,745 · median $4,745 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,718 – $5,718 · median $5,718 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,966 – $12,966 · median $12,966 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,665 – $6,665 · median $6,665 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,568 – $45,568 · median $45,568 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,465 – $19,465 · median $19,465 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $80,156 – $80,156 · median $80,156 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,007 – $77,007 · median $77,007 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,414 – $40,414 · median $40,414 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,512 – $70,512 · median $70,512 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,278 – $69,278 · median $69,278 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,564 – $46,564 · median $46,564 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,564 – $46,564 · median $46,564 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,375 – $54,375 · median $54,375 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,765 – $37,765 · median $37,765 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,693 – $35,693 · median $35,693 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,036 – $35,036 · median $35,036 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,304 – $22,304 · median $22,304 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,698 – $59,698 · median $59,698 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,933 – $42,933 · median $42,933 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,141 – $54,141 · median $54,141 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,685 – $38,685 · median $38,685 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,559 – $41,559 · median $41,559 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,664 – $29,664 · median $29,664 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,854 – $34,854 · median $34,854 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,186 – $20,186 · median $20,186 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,804 – $9,804 · median $9,804 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,610 – $22,610 · median $22,610 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,090 – $15,090 · median $15,090 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,800 – $12,800 · median $12,800 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,309 – $32,309 · median $32,309 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,456 – $15,456 · median $15,456 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,584 – $10,584 · median $10,584 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,703 – $24,703 · median $24,703 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $18,381 – $18,381 · median $18,381 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,617 – $12,617 · median $12,617 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,102 – $19,102 · median $19,102 | 10 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $12,024 – $12,024 · median $12,024 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,735 – $7,735 · median $7,735 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,251 – $22,251 · median $22,251 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,320 – $14,320 · median $14,320 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,035 – $23,035 · median $23,035 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,388 – $13,388 · median $13,388 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,542 – $11,542 · median $11,542 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,651 – $21,651 · median $21,651 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,657 – $23,657 · median $23,657 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $25,623 – $25,623 · median $25,623 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,399 – $43,399 · median $43,399 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,714 – $33,714 · median $33,714 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,707 – $48,707 · median $48,707 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,907 – $29,907 · median $29,907 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,365 – $37,365 · median $37,365 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,184 – $25,184 · median $25,184 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,079 – $18,079 · median $18,079 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,215 – $29,215 · median $29,215 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,311 – $23,311 · median $23,311 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,495 – $50,495 · median $50,495 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,537 – $42,537 · median $42,537 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,707 – $32,707 · median $32,707 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,418 – $39,418 · median $39,418 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,539 – $25,539 · median $25,539 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,360 – $11,360 · median $11,360 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,509 – $6,509 · median $6,509 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,121 – $5,121 · median $5,121 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,027 – $14,027 · median $14,027 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,902 – $4,902 · median $4,902 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,241 – $4,241 · median $4,241 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,670 – $15,670 · median $15,670 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,578 – $7,578 · median $7,578 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,164 – $19,164 · median $19,164 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,088 – $12,088 · median $12,088 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,584 – $6,584 · median $6,584 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,091 – $9,091 · median $9,091 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,012 – $6,012 · median $6,012 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,008 – $4,008 · median $4,008 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,061 – $11,061 · median $11,061 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,490 – $4,490 · median $4,490 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,223 – $3,223 · median $3,223 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,562 – $11,562 · median $11,562 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,560 – $7,560 · median $7,560 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,097 – $5,097 · median $5,097 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,474 – $8,474 · median $8,474 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,767 – $4,767 · median $4,767 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $8,427 – $8,427 · median $8,427 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,347 – $5,347 · median $5,347 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,159 – $11,159 · median $11,159 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,467 – $6,467 · median $6,467 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,526 – $8,526 · median $8,526 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,210 – $5,210 · median $5,210 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,009 – $4,009 · median $4,009 | 10 plans |
| 311 | ANGINA PECTORIS | $4,971 – $4,971 · median $4,971 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,172 – $6,172 · median $6,172 | 10 plans |
| 313 | CHEST PAIN | $5,099 – $5,099 · median $5,099 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,767 – $14,767 · median $14,767 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,822 – $6,822 · median $6,822 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,830 – $4,830 · median $4,830 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,351 – $47,351 · median $47,351 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,153 – $17,153 · median $17,153 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,605 – $31,605 · median $31,605 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,033 – $17,033 · median $17,033 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,268 – $19,268 · median $19,268 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,485 – $12,485 · median $12,485 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,645 – $30,645 · median $30,645 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,314 – $22,314 · median $22,314 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,735 – $22,735 · median $22,735 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,319 – $35,319 · median $35,319 | 10 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $17,309 – $17,309 · median $17,309 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,347 – $11,347 · median $11,347 | 10 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $32,551 – $32,551 · median $32,551 | 10 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $16,976 – $16,976 · median $16,976 | 10 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,918 – $11,918 · median $11,918 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,641 – $25,641 · median $25,641 | 10 plans |
| 333 | RECTAL RESECTION WITH COMPLICATION | $16,587 – $16,587 · median $16,587 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,599 – $11,599 · median $11,599 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,288 – $25,288 · median $25,288 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,933 – $14,933 · median $14,933 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $10,870 – $10,870 · median $10,870 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,290 – $18,290 · median $18,290 | 10 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $10,656 – $10,656 · median $10,656 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,400 – $8,400 · median $8,400 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,257 – $16,257 · median $16,257 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,268 – $9,268 · median $9,268 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,165 – $6,165 · median $6,165 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,647 – $17,647 · median $17,647 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,796 – $10,796 · median $10,796 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,270 – $8,270 · median $8,270 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,551 – $20,551 · median $20,551 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $11,914 – $11,914 · median $11,914 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $9,525 – $9,525 · median $9,525 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,108 – $31,108 · median $31,108 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $16,468 – $16,468 · median $16,468 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,899 – $9,899 · median $9,899 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,351 – $24,351 · median $24,351 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,097 – $17,097 · median $17,097 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,273 – $11,273 · median $11,273 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,083 – $7,083 · median $7,083 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,963 – $4,963 · median $4,963 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,556 – $12,556 · median $12,556 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,230 – $7,230 · median $7,230 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,151 – $5,151 · median $5,151 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,146 – $15,146 · median $15,146 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,566 – $8,566 · median $8,566 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,546 – $6,546 · median $6,546 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,945 – $12,945 · median $12,945 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,945 – $6,945 · median $6,945 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,464 – $4,464 · median $4,464 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,896 – $13,896 · median $13,896 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,673 – $7,673 · median $7,673 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,670 – $5,670 · median $5,670 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,778 – $9,778 · median $9,778 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,053 – $6,053 · median $6,053 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,205 – $11,205 · median $11,205 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,914 – $6,914 · median $6,914 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,825 – $4,825 · median $4,825 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,458 – $10,458 · median $10,458 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,593 – $5,593 · median $5,593 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,852 – $3,852 · median $3,852 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,982 – $8,982 · median $8,982 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,521 – $5,521 · median $5,521 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,326 – $11,326 · median $11,326 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,626 – $6,626 · median $6,626 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,596 – $4,596 · median $4,596 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,960 – $16,960 · median $16,960 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,719 – $10,719 · median $10,719 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,106 – $8,106 · median $8,106 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,472 – $28,472 · median $28,472 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,740 – $38,740 · median $38,740 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,538 – $20,538 · median $20,538 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,718 – $15,718 · median $15,718 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,250 – $25,250 · median $25,250 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,419 – $15,419 · median $15,419 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,244 – $11,244 · median $11,244 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,393 – $23,393 · median $23,393 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,889 – $14,889 · median $14,889 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,759 – $11,759 · median $11,759 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,229 – $25,229 · median $25,229 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,636 – $14,636 · median $14,636 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,654 – $9,654 · median $9,654 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,900 – $16,900 · median $16,900 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $11,979 – $11,979 · median $11,979 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $9,672 – $9,672 · median $9,672 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,128 – $24,128 · median $24,128 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,304 – $12,304 · median $12,304 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,911 – $9,911 · median $9,911 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,410 – $29,410 · median $29,410 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,494 – $15,494 · median $15,494 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,625 – $10,625 · median $10,625 | 10 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $78,048 – $78,048 · median $78,048 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,120 – $51,120 · median $51,120 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,813 – $39,813 · median $39,813 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,803 – $63,803 · median $63,803 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,841 – $40,841 · median $40,841 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,938 – $13,938 · median $13,938 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,480 – $7,480 · median $7,480 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,046 – $5,046 · median $5,046 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,007 – $13,007 · median $13,007 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,010 – $8,010 · median $8,010 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,043 – $6,043 · median $6,043 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,544 – $11,544 · median $11,544 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,957 – $5,957 · median $5,957 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,401 – $4,401 · median $4,401 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,709 – $12,709 · median $12,709 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,836 – $6,836 · median $6,836 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,955 – $4,955 · median $4,955 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,833 – $11,833 · median $11,833 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,750 – $7,750 · median $7,750 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,859 – $5,859 · median $5,859 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,317 – $47,317 · median $47,317 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,032 – $30,032 · median $30,032 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,742 – $37,742 · median $37,742 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,877 – $22,877 · median $22,877 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,510 – $59,510 · median $59,510 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,229 – $42,229 · median $42,229 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,549 – $29,549 · median $29,549 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,112 – $39,112 · median $39,112 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,837 – $18,837 · median $18,837 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,362 – $40,362 · median $40,362 | 10 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $22,057 – $22,057 · median $22,057 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,915 – $12,915 · median $12,915 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $36,863 – $36,863 · median $36,863 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $24,974 – $24,974 · median $24,974 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $19,460 – $19,460 · median $19,460 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $21,480 – $21,480 · median $21,480 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,195 – $34,195 · median $34,195 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $20,863 – $20,863 · median $20,863 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $17,288 – $17,288 · median $17,288 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,401 – $30,401 · median $30,401 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,116 – $16,116 · median $16,116 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,358 – $8,358 · median $8,358 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,464 – $24,464 · median $24,464 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,415 – $17,415 · median $17,415 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,164 – $13,164 · median $13,164 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,624 – $20,624 · median $20,624 | 10 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,833 – $14,833 · median $14,833 | 10 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $11,550 – $11,550 · median $11,550 | 10 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,630 – $19,630 · median $19,630 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,853 – $22,853 · median $22,853 | 10 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $14,808 – $14,808 · median $14,808 | 10 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $11,091 – $11,091 · median $11,091 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $12,527 – $12,527 · median $12,527 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $7,909 – $7,909 · median $7,909 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,001 – $26,001 · median $26,001 | 10 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $17,960 – $17,960 · median $17,960 | 10 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $14,209 – $14,209 · median $14,209 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,676 – $25,676 · median $25,676 | 10 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $12,775 – $12,775 · median $12,775 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,557 – $8,557 · median $8,557 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,364 – $21,364 · median $21,364 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,268 – $14,268 · median $14,268 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,412 – $22,412 · median $22,412 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $12,379 – $12,379 · median $12,379 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,531 – $9,531 · median $9,531 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,766 – $19,766 · median $19,766 | 10 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $13,237 – $13,237 · median $13,237 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,696 – $12,696 · median $12,696 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,555 – $9,555 · median $9,555 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,792 – $12,792 · median $12,792 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,724 – $10,724 · median $10,724 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,390 – $21,390 · median $21,390 | 10 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $14,726 – $14,726 · median $14,726 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,723 – $11,723 · median $11,723 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,149 – $11,149 · median $11,149 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,240 – $7,240 · median $7,240 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,568 – $22,568 · median $22,568 | 10 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $14,716 – $14,716 · median $14,716 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,882 – $10,882 · median $10,882 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,466 – $26,466 · median $26,466 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,165 – $14,165 · median $14,165 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,579 – $10,579 · median $10,579 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,326 – $20,326 · median $20,326 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,997 – $14,997 · median $14,997 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,102 – $11,102 · median $11,102 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,709 – $5,709 · median $5,709 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,079 – $9,079 · median $9,079 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,719 – $5,719 · median $5,719 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,758 – $6,758 · median $6,758 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,101 – $5,101 · median $5,101 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,949 – $13,949 · median $13,949 | 10 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $9,180 – $9,180 · median $9,180 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,576 – $5,576 · median $5,576 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,510 – $12,510 · median $12,510 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,280 – $7,280 · median $7,280 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,344 – $5,344 · median $5,344 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,575 – $17,575 · median $17,575 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,168 – $8,168 · median $8,168 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,922 – $5,922 · median $5,922 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,674 – $13,674 · median $13,674 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $8,549 – $8,549 · median $8,549 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,190 – $6,190 · median $6,190 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,870 – $11,870 · median $11,870 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,808 – $6,808 · median $6,808 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,180 – $9,180 · median $9,180 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,878 – $5,878 · median $5,878 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,361 – $9,361 · median $9,361 | 10 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $5,882 – $5,882 · median $5,882 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,530 – $10,530 · median $10,530 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,325 – $6,325 · median $6,325 | 10 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $13,207 – $13,207 · median $13,207 | 10 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $7,975 – $7,975 · median $7,975 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,693 – $5,693 · median $5,693 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,090 – $10,090 · median $10,090 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,342 – $6,342 · median $6,342 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,931 – $10,931 · median $10,931 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,900 – $6,900 · median $6,900 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,306 – $5,306 · median $5,306 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,828 – $20,828 · median $20,828 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $11,964 – $11,964 · median $11,964 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,118 – $8,118 · median $8,118 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,395 – $46,395 · median $46,395 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,583 – $24,583 · median $24,583 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,726 – $12,726 · median $12,726 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,709 – $34,709 · median $34,709 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,771 – $18,771 · median $18,771 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,376 – $11,376 · median $11,376 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,934 – $22,934 · median $22,934 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,237 – $12,237 · median $12,237 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,220 – $10,220 · median $10,220 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,644 – $13,644 · median $13,644 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,212 – $12,212 · median $12,212 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,160 – $15,160 · median $15,160 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,661 – $13,661 · median $13,661 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $13,705 – $13,705 · median $13,705 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $8,401 – $8,401 · median $8,401 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,138 – $6,138 · median $6,138 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,018 – $15,018 · median $15,018 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,666 – $7,666 · median $7,666 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,806 – $11,806 · median $11,806 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,011 – $8,011 · median $8,011 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,449 – $5,449 · median $5,449 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,376 – $7,376 · median $7,376 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,284 – $4,284 · median $4,284 | 10 plans |
| 602 | CELLULITIS WITH MCC | $10,065 – $10,065 · median $10,065 | 10 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,167 – $6,167 · median $6,167 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,425 – $10,425 · median $10,425 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,487 – $6,487 · median $6,487 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,716 – $10,716 · median $10,716 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,419 – $6,419 · median $6,419 | 10 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $15,522 – $15,522 · median $15,522 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,909 – $9,909 · median $9,909 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,697 – $24,697 · median $24,697 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,245 – $13,245 · median $13,245 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,044 – $10,044 · median $10,044 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,448 – $20,448 · median $20,448 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $11,333 – $11,333 · median $11,333 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $10,682 – $10,682 · median $10,682 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,205 – $25,205 · median $25,205 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,704 – $12,704 · median $12,704 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,866 – $8,866 · median $8,866 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,387 – $21,387 · median $21,387 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,618 – $10,618 · median $10,618 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,407 – $9,407 · median $9,407 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,392 – $26,392 · median $26,392 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,429 – $15,429 · median $15,429 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,336 – $10,336 · median $10,336 | 10 plans |
| 637 | DIABETES WITH MCC | $10,174 – $10,174 · median $10,174 | 10 plans |
| 638 | DIABETES WITH CC | $6,347 – $6,347 · median $6,347 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,399 – $4,399 · median $4,399 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,458 – $9,458 · median $9,458 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,511 – $5,511 · median $5,511 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,071 – $10,071 · median $10,071 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,657 – $11,657 · median $11,657 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,259 – $7,259 · median $7,259 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,441 – $5,441 · median $5,441 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,294 – $33,294 · median $33,294 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,243 – $26,243 · median $26,243 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $22,870 – $22,870 · median $22,870 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,799 – $36,799 · median $36,799 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $19,824 – $19,824 · median $19,824 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,989 – $14,989 · median $14,989 | 10 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $22,547 – $22,547 · median $22,547 | 10 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $12,959 – $12,959 · median $12,959 | 10 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $10,989 – $10,989 · median $10,989 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,994 – $17,994 · median $17,994 | 10 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $9,360 – $9,360 · median $9,360 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,332 – $7,332 · median $7,332 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,680 – $21,680 · median $21,680 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $10,766 – $10,766 · median $10,766 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,414 – $7,414 · median $7,414 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,103 – $22,103 · median $22,103 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $12,388 – $12,388 · median $12,388 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,834 – $7,834 · median $7,834 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,678 – $20,678 · median $20,678 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,991 – $10,991 · median $10,991 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,921 – $6,921 · median $6,921 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,712 – $12,712 · median $12,712 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,645 – $7,645 · median $7,645 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,754 – $29,754 · median $29,754 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,561 – $16,561 · median $16,561 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,624 – $11,624 · median $11,624 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $10,488 – $10,488 · median $10,488 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $6,202 – $6,202 · median $6,202 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,251 – $4,251 · median $4,251 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,773 – $12,773 · median $12,773 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,420 – $7,420 · median $7,420 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,597 – $5,597 · median $5,597 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,217 – $8,217 · median $8,217 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,733 – $5,733 · median $5,733 | 10 plans |
| 693 | URINARY STONES WITH MCC | $9,521 – $9,521 · median $9,521 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,536 – $5,536 · median $5,536 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,100 – $8,100 · median $8,100 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,879 – $4,879 · median $4,879 | 10 plans |
| 697 | URETHRAL STRICTURE | $7,633 – $7,633 · median $7,633 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,716 – $11,716 · median $11,716 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,188 – $7,188 · median $7,188 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,886 – $4,886 · median $4,886 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $14,165 – $14,165 · median $14,165 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,865 – $10,865 · median $10,865 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,480 – $16,480 · median $16,480 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,923 – $9,923 · median $9,923 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,757 – $14,757 · median $14,757 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,788 – $7,788 · median $7,788 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $10,647 – $10,647 · median $10,647 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,488 – $7,488 · median $7,488 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,844 – $15,844 · median $15,844 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,417 – $10,417 · median $10,417 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $13,388 – $13,388 · median $13,388 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,511 – $9,511 · median $9,511 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,816 – $12,816 · median $12,816 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,092 – $8,092 · median $8,092 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,643 – $4,643 · median $4,643 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,287 – $8,287 · median $8,287 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,113 – $5,113 · median $5,113 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,501 – $10,501 · median $10,501 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,745 – $5,745 · median $5,745 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,497 – $7,497 · median $7,497 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,759 – $4,759 · median $4,759 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,084 – $15,084 · median $15,084 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,528 – $9,528 · median $9,528 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,313 – $25,313 · median $25,313 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,592 – $14,592 · median $14,592 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,399 – $10,399 · median $10,399 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,372 – $25,372 · median $25,372 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,815 – $12,815 · median $12,815 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,099 – $10,099 · median $10,099 | 10 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $12,993 – $12,993 · median $12,993 | 10 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,786 – $8,786 · median $8,786 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,511 – $14,511 · median $14,511 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,055 – $8,055 · median $8,055 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,302 – $12,302 · median $12,302 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,088 – $6,088 · median $6,088 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,824 – $9,824 · median $9,824 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,183 – $18,183 · median $18,183 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,451 – $10,451 · median $10,451 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,042 – $13,042 · median $13,042 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,703 – $7,703 · median $7,703 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,802 – $6,802 · median $6,802 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,140 – $10,140 · median $10,140 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,933 – $6,933 · median $6,933 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,699 – $4,699 · median $4,699 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,135 – $7,135 · median $7,135 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,040 – $4,040 · median $4,040 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,589 – $7,589 · median $7,589 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,967 – $11,967 · median $11,967 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,101 – $7,101 · median $7,101 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,636 – $4,636 · median $4,636 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $5,958 – $5,958 · median $5,958 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,386 – $17,386 · median $17,386 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,507 – $7,507 · median $7,507 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,783 – $6,783 · median $6,783 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,681 – $11,681 · median $11,681 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,909 – $7,909 · median $7,909 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,790 – $6,790 · median $6,790 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,763 – $12,763 · median $12,763 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,090 – $42,090 · median $42,090 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,744 – $28,744 · median $28,744 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,344 – $17,344 · median $17,344 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,528 – $29,528 · median $29,528 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,452 – $10,452 · median $10,452 | 10 plans |
| 795 | NORMAL NEWBORN | $1,415 – $1,415 · median $1,415 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,264 – $8,264 · median $8,264 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,084 – $7,084 · median $7,084 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,778 – $6,778 · median $6,778 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,072 – $32,072 · median $32,072 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,895 – $19,895 · median $19,895 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,518 – $13,518 · median $13,518 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,214 – $28,214 · median $28,214 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,164 – $13,164 · median $13,164 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,603 – $9,603 · median $9,603 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,643 – $7,643 · median $7,643 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,340 – $5,340 · median $5,340 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,774 – $4,774 · median $4,774 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,636 – $15,636 · median $15,636 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,965 – $8,965 · median $8,965 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,412 – $7,412 · median $7,412 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,945 – $9,945 · median $9,945 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,502 – $6,502 · median $6,502 | 10 plans |
| 813 | COAGULATION DISORDERS | $10,802 – $10,802 · median $10,802 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,061 – $15,061 · median $15,061 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,181 – $7,181 · median $7,181 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,476 – $4,476 · median $4,476 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,157 – $16,157 · median $16,157 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,209 – $8,209 · median $8,209 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,090 – $6,090 · median $6,090 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,532 – $41,532 · median $41,532 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,853 – $15,853 · median $15,853 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,526 – $8,526 · median $8,526 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,468 – $32,468 · median $32,468 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,044 – $16,044 · median $16,044 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,556 – $9,556 · median $9,556 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,127 – $33,127 · median $33,127 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,367 – $16,367 · median $16,367 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,066 – $12,066 · median $12,066 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,378 – $22,378 · median $22,378 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,658 – $10,658 · median $10,658 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,516 – $8,516 · median $8,516 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,110 – $5,110 · median $5,110 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,703 – $3,703 · median $3,703 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $38,878 – $38,878 · median $38,878 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,771 – $14,771 · median $14,771 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,636 – $8,636 · median $8,636 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,022 – $34,022 · median $34,022 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,782 – $14,782 · median $14,782 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,225 – $10,225 · median $10,225 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,908 – $22,908 · median $22,908 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,553 – $11,553 · median $11,553 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,155 – $7,155 · median $7,155 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,126 – $14,126 · median $14,126 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,621 – $8,621 · median $8,621 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,031 – $6,031 · median $6,031 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,359 – $18,359 · median $18,359 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,264 – $9,264 · median $9,264 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,015 – $6,015 · median $6,015 | 10 plans |
| 849 | RADIOTHERAPY | $19,188 – $19,188 · median $19,188 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,324 – $61,324 · median $61,324 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,973 – $34,973 · median $34,973 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,150 – $14,150 · median $14,150 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,603 – $10,603 · median $10,603 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,212 – $32,212 · median $32,212 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,165 – $15,165 · median $15,165 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,864 – $9,864 · median $9,864 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,915 – $12,915 · median $12,915 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,067 – $7,067 · median $7,067 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,286 – $6,286 · median $6,286 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,610 – $10,610 · median $10,610 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,158 – $6,158 · median $6,158 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,823 – $14,823 · median $14,823 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,302 – $7,302 · median $7,302 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,167 – $5,167 · median $5,167 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,947 – $48,947 · median $48,947 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,756 – $13,756 · median $13,756 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,247 – $7,247 · median $7,247 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,370 – $27,370 · median $27,370 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,800 – $6,800 · median $6,800 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $6,663 – $6,663 · median $6,663 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,604 – $7,604 · median $7,604 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,925 – $13,925 · median $13,925 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,394 – $11,394 · median $11,394 | 10 plans |
| 885 | PSYCHOSES | $9,892 – $9,892 · median $9,892 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,697 – $14,697 · median $14,697 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,584 – $7,584 · median $7,584 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,369 – $4,369 · median $4,369 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,025 – $10,025 · median $10,025 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,358 – $12,358 · median $12,358 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,252 – $6,252 · median $6,252 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,719 – $29,719 · median $29,719 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,558 – $13,558 · median $13,558 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,283 – $8,283 · median $8,283 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,012 – $26,012 · median $26,012 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,505 – $10,505 · median $10,505 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,910 – $13,910 · median $13,910 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,189 – $27,189 · median $27,189 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $14,129 – $14,129 · median $14,129 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,296 – $9,296 · median $9,296 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,576 – $11,576 · median $11,576 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,271 – $6,271 · median $6,271 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,908 – $11,908 · median $11,908 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,719 – $4,719 · median $4,719 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,107 – $11,107 · median $11,107 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,070 – $6,070 · median $6,070 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,965 – $12,965 · median $12,965 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,098 – $7,098 · median $7,098 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,875 – $4,875 · median $4,875 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,389 – $12,389 · median $12,389 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,207 – $7,207 · median $7,207 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $151,197 – $151,197 · median $151,197 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,795 – $50,795 · median $50,795 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,809 – $22,809 · median $22,809 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,577 – $27,577 · median $27,577 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,655 – $15,655 · median $15,655 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $14,588 – $14,588 · median $14,588 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,696 – $25,696 · median $25,696 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,549 – $16,549 · median $16,549 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,359 – $14,359 · median $14,359 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,967 – $10,967 · median $10,967 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,121 – $8,121 · median $8,121 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,989 – $8,989 · median $8,989 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,669 – $5,669 · median $5,669 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,425 – $8,425 · median $8,425 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,445 – $4,445 · median $4,445 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,937 – $3,937 · median $3,937 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,667 – $47,667 · median $47,667 | 10 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $26,648 – $26,648 · median $26,648 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,961 – $53,961 · median $53,961 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,841 – $29,841 · median $29,841 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,849 – $20,849 · median $20,849 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,360 – $19,360 · median $19,360 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,853 – $10,853 · median $10,853 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,660 – $6,660 · median $6,660 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,349 – $43,349 · median $43,349 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,677 – $18,677 · median $18,677 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,438 – $20,438 · median $20,438 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,171 – $9,171 · median $9,171 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,393 – $6,393 · median $6,393 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,190 – $9,190 · median $9,190 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,226 – $33,226 · median $33,226 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,410 – $17,410 · median $17,410 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,138 – $12,138 · median $12,138 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,279 – $24,279 · median $24,279 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,639 – $11,639 · median $11,639 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,492 – $8,492 · median $8,492 | 10 plans |
No procedures match that keyword.