Cullman Regional Medical Center — Pricing
793 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 793 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.
Showing all 793 procedures
Procedures with negotiated rates only
These 793 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $2,703 – $223,835 · median $160,438 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $2,703 – $113,511 · median $76,799 | 7 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,703 – $153,527 · median $115,355 | 7 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,703 – $93,505 · median $78,273 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $2,703 – $83,533 · median $65,022 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $2,703 – $39,462 · median $27,414 | 7 plans |
| 007 | LUNG TRANSPLANT | $2,703 – $87,369 · median $69,584 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $2,703 – $45,490 · median $31,870 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $2,703 – $32,206 · median $23,638 | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,703 – $40,045 · median $29,443 | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,703 – $30,569 · median $22,285 | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,703 – $19,645 · median $16,122 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $2,703 – $103,314 · median $63,802 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $2,703 – $55,770 · median $34,682 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,703 – $36,024 · median $24,910 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,703 – $87,650 · median $53,030 | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $2,703 – $67,017 · median $38,700 | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,703 – $39,948 · median $24,844 | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $2,703 – $45,499 · median $32,670 | 7 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,703 – $32,534 · median $22,509 | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $2,703 – $35,595 · median $25,882 | 7 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,703 – $24,671 · median $17,234 | 7 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,703 – $19,413 · median $14,224 | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $2,703 – $45,282 · median $33,503 | 7 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,703 – $25,977 · median $19,481 | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,703 – $18,404 · median $13,345 | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,703 – $35,433 · median $23,490 | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,703 – $17,756 · median $11,711 | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,703 – $13,777 · median $9,682 | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,703 – $30,405 · median $22,797 | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,703 – $18,648 · median $13,018 | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,703 – $14,183 · median $10,720 | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,703 – $26,271 · median $19,227 | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,703 – $13,569 · median $9,323 | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,703 – $9,164 · median $6,571 | 7 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,703 – $31,917 · median $21,595 | 7 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,703 – $19,209 · median $13,328 | 7 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,703 – $14,971 · median $10,544 | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,703 – $13,194 · median $10,148 | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,703 – $7,825 · median $5,830 | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,451 – $10,855 · median $7,906 | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,451 – $7,987 · median $5,747 | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,703 – $17,758 · median $12,716 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,703 – $9,807 · median $7,419 | 7 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,703 – $15,833 · median $9,835 | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,451 – $8,833 · median $6,518 | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,451 – $7,142 · median $5,166 | 7 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,703 – $22,627 · median $16,716 | 7 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,703 – $16,291 · median $10,928 | 7 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,703 – $13,614 · median $9,012 | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,703 – $15,186 · median $11,241 | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,451 – $8,324 · median $5,794 | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,703 – $5,808 · median $3,982 | 7 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,451 – $11,862 · median $8,061 | 7 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,703 – $7,318 · median $5,151 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,451 – $6,320 · median $4,548 | 7 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,703 – $13,550 · median $9,828 | 7 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,703 – $8,057 · median $6,093 | 7 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,703 – $5,982 · median $4,401 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,703 – $11,466 · median $8,546 | 7 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,703 – $8,004 · median $5,835 | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,703 – $13,026 · median $10,403 | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,703 – $7,310 · median $5,628 | 7 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,703 – $12,494 · median $8,916 | 7 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,703 – $7,792 · median $5,659 | 7 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,703 – $6,003 · median $4,183 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,703 – $15,522 · median $11,627 | 7 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,703 – $7,121 · median $5,122 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,451 – $18,240 · median $12,913 | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,703 – $10,617 · median $7,685 | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,703 – $7,268 · median $5,224 | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,703 – $18,191 · median $13,314 | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,703 – $10,026 · median $7,409 | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,703 – $6,798 · median $4,973 | 7 plans |
| 088 | CONCUSSION WITH MCC | $2,703 – $11,252 · median $8,985 | 7 plans |
| 089 | CONCUSSION WITH CC | $2,703 – $7,989 · median $6,656 | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,703 – $6,871 · median $4,692 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,451 – $12,677 · median $9,846 | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,451 – $7,825 · median $5,668 | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,703 – $6,166 · median $4,360 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,703 – $29,037 · median $20,370 | 7 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,703 – $19,498 · median $14,574 | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,703 – $18,323 · median $13,021 | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,451 – $28,965 · median $22,163 | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,451 – $15,836 · median $11,880 | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,703 – $10,387 · median $7,972 | 7 plans |
| 100 | SEIZURES WITH MCC | $2,703 – $14,744 · median $10,950 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $2,703 – $7,151 · median $5,139 | 7 plans |
| 102 | HEADACHES WITH MCC | $2,703 – $9,660 · median $6,555 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $2,703 – $6,476 · median $4,745 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,703 – $17,270 · median $12,799 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,703 – $9,645 · median $7,426 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,703 – $12,037 · median $8,659 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,703 – $15,317 · median $10,753 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,703 – $8,883 · median $5,659 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,703 – $10,269 · median $6,984 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,451 – $6,258 · median $3,938 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,451 – $6,324 · median $4,525 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,703 – $11,254 · median $7,984 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,703 – $6,394 · median $4,914 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,703 – $18,505 · median $13,969 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,703 – $9,639 · median $6,614 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,703 – $10,800 · median $8,548 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,703 – $6,977 · median $5,041 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,703 – $9,998 · median $7,168 | 7 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $2,703 – $15,622 · median $11,481 | 7 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $2,703 – $10,051 · median $6,903 | 7 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,703 – $6,159 · median $4,660 | 7 plans |
| 149 | DYSEQUILIBRIUM | $2,703 – $5,917 · median $4,304 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $2,703 – $10,461 · median $7,862 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,703 – $5,663 · median $4,395 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,703 – $8,416 · median $6,827 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,703 – $5,722 · median $3,936 | 7 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $2,703 – $11,640 · median $8,567 | 7 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $2,703 – $7,299 · median $5,240 | 7 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,451 – $5,301 · median $3,886 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,703 – $12,659 · median $9,530 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,451 – $7,019 · median $5,296 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,703 – $5,450 · median $4,275 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,703 – $39,477 · median $27,610 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,703 – $20,506 · median $14,722 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,703 – $14,979 · median $10,984 | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,703 – $30,219 · median $20,896 | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,703 – $15,507 · median $10,837 | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $10,746 · median $8,081 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,703 – $11,700 · median $7,962 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,703 – $6,872 · median $4,660 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,451 – $15,319 · median $10,146 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,451 – $10,071 · median $6,196 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,451 – $7,015 · median $4,477 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,451 – $13,972 · median $9,656 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,703 – $9,331 · median $6,462 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,451 – $6,827 · median $5,059 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,703 – $12,225 · median $8,563 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,703 – $8,247 · median $5,958 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,703 – $5,945 · median $4,304 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,703 – $12,497 · median $8,703 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,703 – $8,326 · median $5,962 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,451 – $5,920 · median $4,127 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,451 – $9,847 · median $6,880 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,451 – $9,266 · median $6,188 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,451 – $7,232 · median $4,926 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,451 – $5,745 · median $3,717 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,451 – $10,801 · median $7,403 | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,451 – $7,198 · median $4,789 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,451 – $5,525 · median $3,658 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,703 – $13,571 · median $9,905 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,451 – $8,274 · median $5,607 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,451 – $6,116 · median $4,052 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,703 – $14,532 · median $10,024 | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,451 – $8,765 · median $6,111 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,451 – $5,816 · median $4,149 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,451 – $7,679 · median $5,277 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,703 – $5,620 · median $3,803 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,703 – $6,581 · median $4,614 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,451 – $13,237 · median $10,152 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,703 – $7,067 · median $5,093 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,703 – $46,458 · median $37,427 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,703 – $20,121 · median $14,821 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,703 – $104,377 · median $58,730 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,703 – $81,343 · median $55,531 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,703 – $53,878 · median $36,189 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,703 – $43,751 · median $33,852 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,703 – $63,505 · median $46,333 | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,703 – $42,978 · median $30,981 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,703 – $37,229 · median $26,971 | 7 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $2,703 – $67,591 · median $43,644 | 7 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $2,703 – $48,623 · median $29,748 | 7 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $2,703 – $59,909 · median $40,410 | 7 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $2,703 – $45,755 · median $28,830 | 7 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,703 – $54,170 · median $36,486 | 7 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,703 – $42,357 · median $28,619 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,703 – $50,919 · median $28,092 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,703 – $33,250 · median $18,816 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,703 – $66,513 · median $47,843 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,703 – $48,491 · median $33,391 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,703 – $62,928 · median $44,147 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,703 – $42,171 · median $29,563 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,703 – $47,665 · median $34,144 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,703 – $32,636 · median $23,248 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,703 – $37,825 · median $26,506 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,703 – $22,356 · median $15,471 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,703 – $12,282 · median $8,829 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,703 – $30,060 · median $19,800 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,703 – $20,488 · median $13,361 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,703 – $16,811 · median $10,837 | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,703 – $42,183 · median $27,794 | 7 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $2,703 – $25,700 · median $17,074 | 7 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $2,703 – $16,481 · median $10,884 | 7 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $2,703 – $25,082 · median $17,156 | 7 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $2,703 – $15,524 · median $10,356 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $2,703 – $20,656 · median $13,793 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,703 – $13,632 · median $9,265 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,703 – $26,571 · median $19,057 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,703 – $21,113 · median $15,242 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,703 – $14,743 · median $10,423 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,703 – $21,462 · median $14,624 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,703 – $13,904 · median $9,304 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,703 – $9,189 · median $5,978 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,703 – $24,775 · median $16,253 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,703 – $16,869 · median $11,367 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,703 – $29,967 · median $19,943 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,703 – $15,783 · median $10,892 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,703 – $13,589 · median $9,558 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,703 – $19,109 · median $15,881 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,703 – $26,228 · median $18,866 | 7 plans |
| 265 | AICD LEAD PROCEDURES | $2,703 – $25,283 · median $19,279 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $2,703 – $57,683 · median $37,625 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,703 – $45,972 · median $29,416 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,703 – $54,939 · median $39,450 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,703 – $34,558 · median $24,376 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,703 – $41,393 · median $29,143 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,703 – $28,739 · median $19,858 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,703 – $21,071 · median $14,800 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,703 – $30,053 · median $22,875 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,703 – $25,594 · median $19,150 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $2,703 – $13,210 · median $9,157 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $2,703 – $7,846 · median $5,236 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $2,703 – $5,977 · median $4,085 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $2,703 – $14,578 · median $10,936 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $2,703 – $5,875 · median $4,192 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $2,703 – $4,375 · median $3,088 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $2,703 – $17,799 · median $12,090 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,703 – $9,333 · median $6,271 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,703 – $21,525 · median $15,371 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,703 – $13,477 · median $9,161 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,703 – $8,105 · median $6,873 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,703 – $10,901 · median $7,295 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,451 – $7,335 · median $4,918 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,451 – $5,308 · median $3,194 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,451 – $10,302 · median $6,581 | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,451 – $5,049 · median $5,049 | 7 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $2,703 – $12,720 · median $9,339 | 7 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $2,703 – $5,856 · median $3,627 | 7 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,703 – $4,375 · median $2,785 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,703 – $11,743 · median $8,767 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,703 – $8,324 · median $5,877 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,451 – $5,879 · median $4,082 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,703 – $8,929 · median $6,873 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,451 – $5,473 · median $3,854 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $2,703 – $8,841 · median $6,262 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,451 – $5,925 · median $4,250 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,451 – $11,457 · median $8,412 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,451 – $7,146 · median $5,195 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,703 – $9,620 · median $6,684 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,703 – $6,126 · median $4,204 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,703 – $4,530 · median $3,142 | 7 plans |
| 311 | ANGINA PECTORIS | $2,703 – $5,549 · median $3,808 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,703 – $6,614 · median $4,861 | 7 plans |
| 313 | CHEST PAIN | $2,703 – $5,794 · median $4,124 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,703 – $16,439 · median $11,871 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,451 – $7,860 · median $5,521 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,451 – $6,012 · median $3,888 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,703 – $33,216 · median $24,548 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,703 – $19,016 · median $14,087 | 7 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,703 – $42,691 · median $29,178 | 7 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,703 – $20,840 · median $14,600 | 7 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,703 – $12,758 · median $9,449 | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,703 – $39,748 · median $26,354 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,703 – $20,467 · median $13,996 | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,703 – $13,683 · median $9,740 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,703 – $28,284 · median $23,144 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $2,703 – $18,332 · median $12,729 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,703 – $12,476 · median $9,773 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,703 – $32,765 · median $20,998 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,703 – $18,356 · median $12,124 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,703 – $13,282 · median $8,981 | 7 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $2,703 – $23,572 · median $15,143 | 7 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $2,703 – $13,900 · median $9,282 | 7 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,703 – $10,024 · median $6,840 | 7 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $2,703 – $20,721 · median $12,877 | 7 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $2,703 – $13,043 · median $8,284 | 7 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,703 – $9,328 · median $6,229 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,703 – $24,260 · median $15,006 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,703 – $13,230 · median $8,844 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,703 – $10,390 · median $7,129 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,703 – $21,355 · median $14,468 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,703 – $11,415 · median $7,872 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,703 – $7,945 · median $5,684 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,703 – $19,758 · median $13,435 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,703 – $11,812 · median $8,380 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,703 – $8,722 · median $6,282 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,703 – $24,032 · median $16,347 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,703 – $13,949 · median $9,987 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,703 – $11,116 · median $7,822 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,703 – $33,025 · median $24,069 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,703 – $18,228 · median $12,804 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $11,111 · median $7,907 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,703 – $15,419 · median $9,999 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,451 – $8,611 · median $5,826 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,451 – $6,053 · median $4,268 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,703 – $13,977 · median $9,644 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,451 – $8,282 · median $5,803 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,451 – $6,009 · median $4,138 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,451 – $16,180 · median $11,362 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,703 – $9,779 · median $6,866 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,451 – $8,111 · median $5,004 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,703 – $14,336 · median $10,135 | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,703 – $8,004 · median $5,615 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,703 – $5,230 · median $3,613 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,451 – $15,290 · median $10,854 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,703 – $8,721 · median $6,017 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,703 – $6,410 · median $4,388 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,703 – $10,743 · median $7,752 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,703 – $7,049 · median $5,139 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,703 – $13,043 · median $9,284 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,451 – $7,980 · median $5,642 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,451 – $5,676 · median $3,942 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,451 – $12,353 · median $8,364 | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,451 – $6,802 · median $4,601 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,451 – $4,695 · median $3,223 | 7 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,451 – $10,004 · median $7,319 | 7 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,703 – $6,168 · median $4,489 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,451 – $13,158 · median $9,185 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,703 – $7,599 · median $5,375 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,451 – $5,301 · median $3,676 | 7 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $2,703 – $43,960 · median $31,590 | 7 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $2,703 – $22,606 · median $16,700 | 7 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,703 – $16,899 · median $12,687 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,703 – $28,865 · median $20,917 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,703 – $19,390 · median $12,149 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,703 – $13,446 · median $9,677 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,703 – $31,026 · median $19,256 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,703 – $19,254 · median $13,086 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,703 – $13,100 · median $9,237 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,703 – $27,673 · median $20,148 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,703 – $16,619 · median $11,400 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,703 – $10,937 · median $7,846 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,703 – $19,527 · median $13,553 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,703 – $13,518 · median $9,468 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,703 – $10,585 · median $7,439 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,703 – $27,822 · median $18,589 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,703 – $14,914 · median $10,326 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,703 – $11,376 · median $7,898 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,703 – $34,329 · median $22,413 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,703 – $18,236 · median $13,501 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $11,838 · median $8,155 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,703 – $14,770 · median $10,763 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,451 – $8,359 · median $5,927 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,703 – $5,183 · median $3,578 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,703 – $13,747 · median $9,965 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,703 – $9,118 · median $6,272 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,703 – $7,111 · median $4,822 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,451 – $13,270 · median $9,447 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,451 – $6,862 · median $4,958 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,451 – $4,986 · median $3,457 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,703 – $14,989 · median $10,801 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,451 – $7,561 · median $5,392 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,451 – $5,510 · median $3,716 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,703 – $13,171 · median $9,489 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,703 – $8,703 · median $6,268 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,703 – $6,583 · median $4,627 | 7 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $2,703 – $76,197 · median $52,184 | 7 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $2,703 – $49,613 · median $34,719 | 7 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $2,703 – $38,988 · median $27,292 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $2,703 – $73,558 · median $48,162 | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,703 – $52,758 · median $34,411 | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $2,703 – $38,021 · median $27,436 | 7 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,703 – $55,501 · median $37,809 | 7 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,703 – $32,079 · median $21,467 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,703 – $43,568 · median $36,568 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,703 – $25,405 · median $17,018 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,703 – $42,345 · median $29,878 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,703 – $23,917 · median $17,028 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,703 – $15,513 · median $11,359 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,703 – $41,303 · median $29,898 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,703 – $28,448 · median $20,668 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,703 – $22,778 · median $15,900 | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,703 – $25,433 · median $18,420 | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,703 – $15,944 · median $10,898 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $2,703 – $40,455 · median $28,712 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,703 – $24,636 · median $17,505 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,703 – $20,350 · median $14,451 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,703 – $31,387 · median $23,353 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,703 – $17,018 · median $12,661 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,703 – $9,434 · median $6,997 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,703 – $26,368 · median $19,397 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,703 – $18,769 · median $13,389 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,703 – $14,436 · median $10,080 | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,703 – $24,450 · median $16,907 | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,703 – $16,911 · median $12,041 | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,703 – $13,327 · median $9,383 | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,703 – $19,376 · median $13,439 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,703 – $26,560 · median $18,531 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,703 – $17,420 · median $11,891 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,703 – $13,018 · median $9,143 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,703 – $15,951 · median $12,935 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,703 – $12,211 · median $7,578 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $2,703 – $27,907 · median $19,870 | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $2,703 – $18,646 · median $13,542 | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $2,703 – $14,672 · median $10,767 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,703 – $27,804 · median $21,173 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,703 – $16,528 · median $11,969 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,703 – $11,901 · median $8,674 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,703 – $19,830 · median $14,610 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,703 – $9,322 · median $7,517 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,703 – $24,423 · median $18,266 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,703 – $13,592 · median $10,020 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,703 – $10,698 · median $7,835 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,703 – $22,004 · median $14,440 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,703 – $14,066 · median $10,117 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,703 – $13,620 · median $10,071 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,703 – $10,843 · median $8,036 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,703 – $17,010 · median $10,573 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,703 – $12,623 · median $8,255 | 7 plans |
| 509 | ARTHROSCOPY | $2,703 – $11,273 · median $8,652 | 7 plans |
| 510 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,703 – $22,583 · median $16,463 | 7 plans |
| 511 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,703 – $15,262 · median $11,281 | 7 plans |
| 512 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,703 – $12,262 · median $9,157 | 7 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,703 – $12,775 · median $9,086 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,703 – $8,641 · median $5,887 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,703 – $25,547 · median $17,772 | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,703 – $15,707 · median $11,593 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $12,211 · median $8,607 | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,703 – $27,610 · median $21,249 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,703 – $15,460 · median $11,396 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,703 – $10,838 · median $8,435 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,703 – $11,821 · median $8,130 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,451 – $6,300 · median $4,537 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,703 – $9,940 · median $7,350 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,703 – $6,144 · median $4,430 | 7 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $2,703 – $7,378 · median $5,663 | 7 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $2,703 – $5,840 · median $3,968 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,451 – $15,270 · median $11,377 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,703 – $10,530 · median $7,676 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,451 – $7,344 · median $4,663 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,703 – $14,781 · median $10,420 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,451 – $8,556 · median $6,208 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,451 – $6,143 · median $4,435 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,703 – $20,477 · median $14,299 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,451 – $9,748 · median $6,872 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,703 – $6,562 · median $5,215 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,703 – $16,065 · median $11,058 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,451 – $9,664 · median $6,907 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,703 – $6,998 · median $5,976 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,703 – $12,874 · median $9,539 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,703 – $7,386 · median $5,475 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,703 – $10,413 · median $7,558 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,451 – $6,376 · median $4,675 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,703 – $10,654 · median $7,588 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,703 – $6,414 · median $4,606 | 7 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $2,451 – $11,811 · median $8,162 | 7 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $2,703 – $6,977 · median $4,953 | 7 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,703 – $14,595 · median $10,175 | 7 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,451 – $8,452 · median $6,245 | 7 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,703 – $6,054 · median $4,504 | 7 plans |
| 562 | FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITH MCC | $2,703 – $10,912 · median $8,338 | 7 plans |
| 563 | FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITHOUT MCC | $2,703 – $6,917 · median $4,909 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,703 – $12,247 · median $8,854 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,703 – $7,942 · median $5,628 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,703 – $6,137 · median $4,234 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,703 – $23,273 · median $16,628 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,703 – $13,546 · median $9,397 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,703 – $9,086 · median $6,861 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,703 – $43,054 · median $33,463 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,703 – $25,287 · median $20,547 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,703 – $14,232 · median $11,683 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,703 – $39,279 · median $32,200 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,703 – $19,566 · median $14,927 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,703 – $13,182 · median $9,762 | 7 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,703 – $24,187 · median $17,965 | 7 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,703 – $13,030 · median $9,897 | 7 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,703 – $10,164 · median $8,046 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,703 – $12,787 · median $11,029 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,703 – $12,211 · median $8,612 | 7 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,703 – $14,810 · median $12,174 | 7 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,703 – $13,748 · median $10,495 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $2,703 – $14,453 · median $10,169 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $2,451 – $9,297 · median $6,566 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,451 – $6,559 · median $4,411 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,703 – $16,464 · median $12,206 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,451 – $7,890 · median $6,223 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,703 – $13,712 · median $9,599 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,703 – $8,818 · median $6,088 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,703 – $5,633 · median $4,261 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,451 – $7,770 · median $5,934 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,451 – $5,012 · median $4,012 | 7 plans |
| 602 | CELLULITIS WITH MCC | $2,703 – $11,581 · median $8,215 | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,703 – $6,832 · median $5,026 | 7 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,703 – $11,862 · median $8,603 | 7 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,703 – $7,093 · median $5,189 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,703 – $12,114 · median $8,749 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,703 – $6,691 · median $4,835 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,703 – $19,710 · median $13,395 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,703 – $12,021 · median $8,412 | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,703 – $32,406 · median $21,458 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,703 – $16,616 · median $11,081 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,703 – $10,161 · median $6,686 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,703 – $24,936 · median $16,483 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,703 – $14,536 · median $9,608 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,703 – $12,733 · median $8,864 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,703 – $30,582 · median $20,641 | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,703 – $15,816 · median $10,743 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,703 – $8,926 · median $5,637 | 7 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,703 – $23,693 · median $16,401 | 7 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,703 – $13,631 · median $9,230 | 7 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,703 – $9,248 · median $7,273 | 7 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,703 – $29,883 · median $20,776 | 7 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,703 – $18,815 · median $12,790 | 7 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $12,211 · median $8,004 | 7 plans |
| 637 | DIABETES WITH MCC | $2,703 – $11,224 · median $7,956 | 7 plans |
| 638 | DIABETES WITH CC | $2,703 – $7,161 · median $4,993 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,703 – $4,967 · median $3,425 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $2,451 – $9,835 · median $7,212 | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,451 – $6,128 · median $4,390 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,703 – $9,848 · median $7,999 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,703 – $13,167 · median $9,369 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,451 – $8,328 · median $5,809 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,703 – $6,198 · median $4,233 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $2,703 – $27,418 · median $17,586 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,703 – $44,846 · median $31,674 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,703 – $22,779 · median $16,203 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,703 – $16,705 · median $12,305 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,703 – $26,411 · median $18,841 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,703 – $15,667 · median $10,705 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,703 – $12,716 · median $9,001 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,703 – $21,706 · median $14,689 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,703 – $11,508 · median $8,044 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,703 – $8,830 · median $6,144 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,703 – $25,634 · median $17,321 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,703 – $12,340 · median $8,693 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,703 – $8,963 · median $6,422 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,703 – $24,045 · median $17,444 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $2,703 – $14,330 · median $9,815 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,703 – $7,603 · median $5,608 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,703 – $22,585 · median $16,091 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,703 – $12,520 · median $8,973 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,703 – $7,927 · median $5,629 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,703 – $14,804 · median $10,440 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,703 – $8,369 · median $5,938 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,703 – $28,954 · median $19,916 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,703 – $19,798 · median $13,512 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,703 – $13,219 · median $9,613 | 7 plans |
| 682 | RENAL FAILURE WITH MCC | $2,703 – $11,972 · median $8,474 | 7 plans |
| 683 | RENAL FAILURE WITH CC | $2,451 – $7,268 · median $5,101 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,451 – $4,984 · median $3,447 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,703 – $14,224 · median $9,678 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,703 – $8,526 · median $5,927 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,703 – $6,248 · median $4,939 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,451 – $9,061 · median $6,539 | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,703 – $6,405 · median $4,535 | 7 plans |
| 693 | URINARY STONES WITH MCC | $2,703 – $10,962 · median $8,156 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,703 – $5,997 · median $4,544 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,703 – $9,496 · median $6,546 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,703 – $5,503 · median $3,950 | 7 plans |
| 697 | URETHRAL STRICTURE | $2,703 – $7,889 · median $5,657 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,703 – $13,111 · median $9,135 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,703 – $8,365 · median $5,769 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,451 – $6,008 · median $4,223 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,703 – $15,146 · median $11,374 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,703 – $12,211 · median $8,463 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,703 – $19,485 · median $13,749 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,703 – $12,440 · median $8,216 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,703 – $17,360 · median $11,648 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,703 – $8,264 · median $7,077 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,703 – $11,842 · median $8,447 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,703 – $7,415 · median $5,462 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,703 – $17,306 · median $12,730 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,703 – $11,871 · median $7,492 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,703 – $14,291 · median $10,091 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,703 – $9,877 · median $7,234 | 7 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $2,703 – $14,620 · median $9,677 | 7 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $2,703 – $8,970 · median $6,569 | 7 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,703 – $4,782 · median $4,361 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,703 – $10,169 · median $7,121 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,703 – $6,194 · median $4,398 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,703 – $11,561 · median $8,190 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,703 – $6,500 · median $4,684 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,703 – $8,699 · median $6,144 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,703 – $5,116 · median $3,738 | 7 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,703 – $17,754 · median $12,456 | 7 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,703 – $12,211 · median $7,252 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,703 – $34,999 · median $24,312 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,703 – $16,096 · median $11,534 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,703 – $11,169 · median $8,002 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,703 – $30,330 · median $22,244 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,703 – $14,458 · median $10,274 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,703 – $12,211 · median $7,484 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,703 – $13,685 · median $10,272 | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,703 – $9,303 · median $6,673 | 7 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,703 – $14,098 · median $10,821 | 7 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,703 – $8,629 · median $6,560 | 7 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,703 – $13,211 · median $8,912 | 7 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,703 – $7,551 · median $5,578 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,703 – $12,211 · median $8,078 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,703 – $20,997 · median $14,400 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $10,783 · median $8,134 | 7 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,703 – $14,271 · median $9,901 | 7 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,451 – $8,293 · median $6,162 | 7 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,703 – $7,102 · median $5,682 | 7 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,703 – $11,504 · median $7,822 | 7 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,703 – $7,820 · median $5,447 | 7 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,703 – $5,348 · median $3,536 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,451 – $7,310 · median $5,510 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,451 – $4,580 · median $3,225 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,451 – $8,161 · median $6,537 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,703 – $11,688 · median $9,470 | 7 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,703 – $6,369 · median $4,935 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,703 – $5,750 · median $3,974 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $2,703 – $9,249 · median $5,806 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,257 – $17,373 · median $11,000 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,257 – $8,466 · median $5,951 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,451 – $6,953 · median $5,199 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,257 – $13,887 · median $9,206 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,257 – $8,469 · median $6,072 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,451 – $7,340 · median $4,973 | 7 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,950 – $13,689 · median $10,407 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $2,950 – $45,141 · median $34,321 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,950 – $30,830 · median $23,440 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,950 – $18,602 · median $14,143 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,950 – $31,669 · median $24,078 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,950 – $11,209 · median $8,522 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,257 – $15,976 · median $7,484 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,257 – $6,989 · median $5,289 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,257 – $6,989 · median $5,289 | 7 plans |
| 799 | SPLENECTOMY WITH MCC | $2,703 – $40,049 · median $29,685 | 7 plans |
| 800 | SPLENECTOMY WITH CC | $2,703 – $23,020 · median $15,154 | 7 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $2,703 – $15,173 · median $10,238 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,703 – $25,534 · median $21,729 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,703 – $14,431 · median $11,704 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,703 – $11,037 · median $7,192 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,257 – $8,430 · median $5,732 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,257 – $5,745 · median $3,978 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,451 – $5,077 · median $3,599 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,703 – $17,250 · median $12,204 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,703 – $9,849 · median $6,930 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,703 – $7,577 · median $5,351 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,451 – $10,856 · median $7,925 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,703 – $7,053 · median $5,119 | 7 plans |
| 813 | COAGULATION DISORDERS | $2,703 – $12,840 · median $8,921 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,703 – $14,168 · median $10,711 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,451 – $8,204 · median $5,877 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,451 – $5,799 · median $4,155 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,703 – $20,381 · median $17,840 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,703 – $10,319 · median $9,064 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $7,327 · median $5,065 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,703 – $46,305 · median $30,311 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,703 – $18,082 · median $12,326 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $10,242 · median $6,869 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,703 – $34,265 · median $24,661 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,703 – $18,833 · median $13,055 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,703 – $10,971 · median $7,505 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,703 – $40,622 · median $29,310 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,703 – $18,761 · median $13,878 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $13,375 · median $9,913 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,703 – $25,433 · median $18,039 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,703 – $12,211 · median $8,382 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,451 – $8,736 · median $6,811 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,451 – $5,796 · median $3,993 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,451 – $4,310 · median $2,873 | 7 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $2,703 – $47,324 · median $31,522 | 7 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $2,703 – $16,428 · median $11,954 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,451 – $10,673 · median $8,942 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,703 – $48,525 · median $30,680 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,451 – $17,722 · median $12,678 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,451 – $10,337 · median $7,836 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,703 – $25,881 · median $17,710 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,703 – $13,055 · median $9,091 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,703 – $9,287 · median $6,291 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,703 – $15,453 · median $11,044 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,703 – $9,785 · median $6,502 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,703 – $7,014 · median $4,820 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,703 – $21,275 · median $13,732 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,703 – $10,659 · median $6,943 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,703 – $7,949 · median $5,296 | 7 plans |
| 849 | RADIOTHERAPY | $2,703 – $17,219 · median $13,332 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,703 – $41,299 · median $27,937 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,703 – $17,506 · median $11,717 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $12,987 · median $8,708 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,703 – $35,848 · median $25,153 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,703 – $16,470 · median $12,022 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,703 – $11,149 · median $8,063 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,703 – $14,990 · median $10,426 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,703 – $8,003 · median $5,734 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,703 – $6,864 · median $4,835 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,703 – $11,286 · median $9,535 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,703 – $6,631 · median $5,128 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,703 – $17,700 · median $12,047 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,451 – $8,886 · median $6,018 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,451 – $6,014 · median $4,223 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,703 – $51,227 · median $38,709 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,703 – $15,117 · median $11,156 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,451 – $8,418 · median $5,860 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $850 – $29,484 · median $18,219 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,703 – $35,050 · median $25,073 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,703 – $15,932 · median $11,297 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,703 – $9,266 · median $6,929 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,703 – $28,653 · median $20,246 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,703 – $13,482 · median $8,892 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,703 – $14,101 · median $10,191 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,703 – $32,316 · median $22,035 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,703 – $16,711 · median $11,722 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,703 – $10,681 · median $7,779 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,703 – $11,958 · median $8,631 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,703 – $6,980 · median $5,068 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,703 – $13,763 · median $10,375 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,703 – $5,129 · median $3,786 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,703 – $11,852 · median $8,679 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,703 – $6,350 · median $4,661 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,703 – $14,785 · median $10,224 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,703 – $8,161 · median $5,824 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,703 – $5,594 · median $4,149 | 7 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,703 – $12,989 · median $8,868 | 7 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,703 – $7,011 · median $5,376 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,703 – $161,542 · median $108,202 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,703 – $50,179 · median $35,292 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,703 – $23,826 · median $16,752 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,703 – $25,436 · median $17,289 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,703 – $14,659 · median $10,694 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $2,703 – $15,652 · median $11,538 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,703 – $29,601 · median $17,654 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,703 – $18,402 · median $12,559 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,703 – $15,639 · median $10,759 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,703 – $9,698 · median $6,929 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,451 – $6,315 · median $4,432 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,703 – $8,820 · median $6,795 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,451 – $6,001 · median $4,044 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,703 – $4,751 · median $3,245 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,703 – $49,252 · median $38,396 | 7 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,703 – $31,779 · median $21,685 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,703 – $61,023 · median $42,241 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,703 – $33,946 · median $23,773 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,703 – $22,684 · median $14,642 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,703 – $22,073 · median $15,808 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,703 – $12,097 · median $8,348 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,703 – $7,429 · median $5,187 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,703 – $47,002 · median $41,313 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,703 – $23,628 · median $17,604 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,703 – $21,659 · median $16,377 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,451 – $10,870 · median $7,842 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,703 – $7,405 · median $5,260 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,703 – $10,534 · median $7,410 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,703 – $36,375 · median $26,109 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,703 – $19,749 · median $14,297 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,703 – $13,261 · median $9,520 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,703 – $27,003 · median $18,915 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,703 – $13,918 · median $9,670 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,703 – $9,334 · median $6,284 | 7 plans |
| 795 | NORMAL NEWBORN | $1,154 – $2,451 · median $1,154 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $850 – $6,941 · median $5,166 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $850 – $6,636 · median $4,877 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $850 – $6,397 · median $4,979 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $850 – $10,826 · median $9,203 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $850 – $11,648 · median $8,949 | 6 plans |
| 885 | PSYCHOSES | $850 – $9,845 · median $7,385 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $850 – $10,899 · median $7,781 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $850 – $8,814 · median $7,390 | 6 plans |
| 894 | ALCOHOL- DRUG ABUSE OR DEPENDENCE- LEFT AMA | $850 – $4,701 · median $3,259 | 6 plans |
| 895 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $850 – $13,178 · median $8,885 | 6 plans |
| 896 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $850 – $13,930 · median $10,007 | 6 plans |
| 897 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $850 – $6,657 · median $4,853 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,451 – $11,788 · median $8,580 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,451 – $8,805 · median $6,399 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $4,375 – $206,034 · median $206,034 | 5 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,441 – $40,669 · median $40,669 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $12,211 – $23,692 · median $23,692 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,211 – $12,726 · median $12,726 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,700 – $12,211 · median $9,700 | 5 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $12,211 – $18,084 · median $18,084 | 5 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,313 – $12,211 · median $10,313 | 5 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,885 – $7,327 · median $6,885 | 5 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,211 – $17,210 · median $17,210 | 5 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,211 – $12,386 · median $12,386 | 5 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $5,441 – $26,471 · median $26,471 | 5 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $5,441 – $20,214 · median $20,214 | 5 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $2,703 – $18,543 · median $12,211 | 3 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $2,703 – $11,709 · median $7,327 | 3 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $2,703 – $21,783 · median $12,211 | 3 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $2,703 – $12,875 · median $12,211 | 3 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $2,703 – $17,390 · median $12,211 | 3 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $2,703 – $9,794 · median $7,327 | 3 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 484 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 490 | BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM | $12,211 – $12,211 · median $12,211 | 1 plans |
| 491 | BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $4,375 – $4,375 · median $4,375 | 1 plans |
| 691 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 692 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $12,211 – $12,211 · median $12,211 | 1 plans |
| 765 | CESAREAN SECTION W CC/MCC | $3,257 – $3,257 · median $3,257 | 1 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $2,451 – $2,451 · median $2,451 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $3,257 – $3,257 · median $3,257 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $3,257 – $3,257 · median $3,257 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $2,451 – $2,451 · median $2,451 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $7,327 – $7,327 · median $7,327 | 1 plans |
| 778 | THREATENED ABORTION | $2,451 – $2,451 · median $2,451 | 1 plans |
| 780 | FALSE LABOR | $2,451 – $2,451 · median $2,451 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $2,451 – $2,451 · median $2,451 | 1 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $2,451 – $2,451 · median $2,451 | 1 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $3,257 – $3,257 · median $3,257 | 1 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $4,375 – $4,375 · median $4,375 | 1 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $4,375 – $4,375 · median $4,375 | 1 plans |
No procedures match that keyword.