Whitfield Regional 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.
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 |
|---|---|---|---|
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $900 – $29,825 · median $19,480 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $900 – $9,346 · median $7,468 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $900 – $8,334 · median $7,169 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $900 – $13,942 · median $7,805 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $900 – $14,380 · median $9,688 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $900 – $19,405 · median $12,318 | 8 plans |
| 885 | PSYCHOSES | $900 – $10,988 · median $9,651 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $900 – $15,177 · median $9,356 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $900 – $63,659 · median $9,019 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $900 – $18,021 · median $5,221 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $900 – $11,265 · median $9,579 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $900 – $35,677 · median $13,215 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $900 – $9,000 · median $6,955 | 8 plans |
| 100 | SEIZURES WITH MCC | $5,266 – $14,164 · median $7,862 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $4,234 – $21,774 · median $6,975 | 7 plans |
| 102 | HEADACHES WITH MCC | $3,152 – $12,607 · median $8,453 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $3,152 – $14,278 · median $6,530 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $5,266 – $17,194 · median $16,283 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,266 – $10,145 · median $9,841 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,234 – $11,225 · median $10,762 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $4,234 – $13,223 · median $7,398 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,266 – $7,950 · median $7,516 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,152 – $12,333 · median $8,507 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,372 – $7,233 · median $5,747 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,372 – $20,111 · median $6,238 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,152 – $9,676 · median $9,350 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,152 – $13,895 · median $6,378 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $8,071 – $16,272 · median $11,818 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,787 – $11,530 · median $7,425 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,234 – $39,354 · median $10,920 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,234 – $20,213 · median $6,481 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,043 – $14,843 · median $9,780 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $11,818 – $34,590 · median $31,192 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,818 – $16,096 · median $15,614 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,099 – $11,818 · median $11,223 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,818 – $27,399 · median $19,628 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,878 – $12,673 · median $11,859 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,853 – $8,792 · median $7,502 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,152 – $15,505 · median $7,084 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,152 – $12,410 · median $9,298 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,234 – $6,923 · median $6,223 | 7 plans |
| 149 | DYSEQUILIBRIUM | $3,152 – $11,039 · median $5,892 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $3,152 – $9,837 · median $6,961 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,152 – $14,541 · median $5,957 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,152 – $8,645 · median $8,341 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,152 – $6,529 · median $5,669 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,152 – $15,949 · median $11,434 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,234 – $8,537 · median $7,049 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,372 – $6,688 · median $5,425 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,152 – $41,342 · median $12,555 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,372 – $23,362 · median $7,092 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,152 – $17,761 · median $5,346 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $5,266 – $34,508 · median $32,775 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $5,266 – $18,458 · median $16,744 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $4,234 – $13,999 · median $12,730 | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $4,234 – $27,517 · median $26,691 | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $4,234 – $13,188 · median $12,603 | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,266 – $9,992 · median $7,575 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $5,266 – $21,766 · median $14,533 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,152 – $10,045 · median $9,145 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,152 – $7,115 · median $6,308 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,372 – $16,400 · median $11,428 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,372 – $10,018 · median $7,412 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,372 – $7,104 · median $6,030 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,372 – $14,232 · median $12,915 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,152 – $9,954 · median $8,147 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,372 – $7,405 · median $6,451 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,234 – $14,495 · median $11,188 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,152 – $9,265 · median $7,885 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,152 – $6,768 · median $6,080 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,152 – $11,527 · median $11,182 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,152 – $10,355 · median $7,486 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,372 – $7,924 · median $5,809 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,372 – $9,034 · median $6,078 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,372 – $12,253 · median $8,226 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,372 – $7,583 · median $6,586 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,372 – $5,954 · median $5,269 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,372 – $17,514 · median $9,612 | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,372 – $8,898 · median $6,343 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,372 – $6,759 · median $5,116 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,152 – $16,383 · median $13,801 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,372 – $10,277 · median $7,399 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,372 – $6,749 · median $5,599 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,152 – $12,901 · median $9,101 | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,372 – $8,130 · median $6,335 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,372 – $7,597 · median $5,454 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,372 – $16,997 · median $7,254 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,152 – $8,825 · median $5,576 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,152 – $59,278 · median $6,287 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,372 – $25,425 · median $13,390 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,152 – $104,133 · median $6,882 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $4,234 – $100,049 · median $47,057 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,091 – $52,594 · median $20,101 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $11,818 – $91,626 · median $79,522 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $11,818 – $90,026 · median $72,816 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $7,091 – $71,542 · median $60,569 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $7,091 – $60,569 · median $48,085 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $11,818 – $70,699 · median $48,085 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $11,818 – $56,151 · median $49,158 | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $11,818 – $46,471 · median $38,999 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $11,818 – $45,618 · median $36,859 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $11,818 – $36,180 · median $29,106 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,818 – $77,601 · median $23,032 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $11,818 – $61,648 · median $55,860 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $7,091 – $70,395 · median $44,336 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $7,091 – $55,909 · median $50,351 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $7,091 – $54,079 · median $39,949 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,091 – $42,917 · median $38,651 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,091 – $45,382 · median $30,633 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $7,091 – $35,992 · median $26,360 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $4,234 – $20,846 · median $12,896 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,152 – $29,504 · median $10,631 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $11,818 – $23,349 · median $19,752 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,818 – $16,782 · median $15,583 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,303 – $42,082 · median $13,218 | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | $11,818 – $33,365 · median $20,226 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $7,091 – $15,961 · median $13,907 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,519 – $32,218 · median $11,818 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $5,266 – $25,510 · median $23,299 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $7,091 – $18,982 · median $16,545 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,091 – $24,954 · median $13,030 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,234 – $19,726 · median $15,775 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,152 – $12,417 · median $10,212 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,152 – $29,038 · median $7,987 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $5,266 – $22,978 · median $18,752 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,091 – $30,055 · median $14,788 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,266 – $23,788 · median $17,544 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $5,266 – $15,150 · median $13,825 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,091 – $28,261 · median $11,919 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $5,266 – $30,861 · median $22,359 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $7,091 – $33,411 · median $24,430 | 7 plans |
| 265 | AICD LEAD PROCEDURES | $11,818 – $56,465 · median $26,460 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $11,818 – $44,817 · median $42,587 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $11,818 – $63,348 · median $34,816 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $11,818 – $50,298 · median $38,967 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $11,818 – $48,639 · median $30,884 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $7,091 – $38,586 · median $32,842 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $7,091 – $26,007 · median $23,246 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $11,818 – $38,070 · median $18,670 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $7,091 – $30,412 · median $29,500 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $11,818 – $65,667 · median $24,072 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $11,818 – $55,346 · median $52,145 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $11,818 – $43,926 · median $41,805 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $11,818 – $51,301 · median $33,775 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $7,091 – $40,706 · median $33,303 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $7,091 – $26,374 · median $14,914 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,152 – $11,731 · median $8,623 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,234 – $6,975 · median $6,721 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,122 – $18,373 · median $5,753 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,266 – $14,486 · median $6,539 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,946 – $5,852 · median $5,511 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,414 – $20,504 · median $4,735 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $4,234 – $16,182 · median $10,009 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,266 – $25,035 · median $8,019 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,152 – $19,790 · median $15,858 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,152 – $12,483 · median $8,720 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,152 – $11,972 · median $7,331 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,152 – $9,388 · median $7,979 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,372 – $6,599 · median $5,380 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,372 – $14,526 · median $4,656 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,152 – $15,176 · median $11,430 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,614 – $9,985 · median $5,624 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,594 – $6,791 · median $4,234 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,152 – $11,940 · median $11,171 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,152 – $7,900 · median $6,364 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,372 – $11,110 · median $5,680 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,152 – $8,751 · median $7,116 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,372 – $14,654 · median $5,425 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $3,152 – $8,702 · median $8,548 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,372 – $11,239 · median $5,912 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,372 – $11,524 · median $6,938 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,372 – $7,004 · median $5,381 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,152 – $8,805 · median $6,628 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,152 – $8,186 · median $5,841 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,152 – $6,794 · median $4,723 | 7 plans |
| 311 | ANGINA PECTORIS | $3,152 – $19,332 · median $5,586 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,152 – $9,028 · median $6,661 | 7 plans |
| 313 | CHEST PAIN | $4,104 – $6,446 · median $5,680 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,152 – $61,590 · median $15,249 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,372 – $22,427 · median $7,227 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,372 – $41,169 · median $5,489 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $11,818 – $48,898 · median $24,403 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $7,091 – $32,637 · median $22,272 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,818 – $25,169 · median $17,590 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $11,818 – $19,897 · median $16,373 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,049 – $39,924 · median $12,893 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $11,818 – $31,646 · median $28,746 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,818 – $29,666 · median $23,043 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $11,818 – $45,986 · median $23,478 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $7,091 – $36,473 · median $22,629 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $7,091 – $17,874 · median $14,897 | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,091 – $42,396 · median $11,718 | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $5,266 – $33,614 · median $22,197 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,266 – $17,531 · median $15,637 | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,234 – $33,434 · median $12,307 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $4,234 – $26,478 · median $21,692 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $5,266 – $17,129 · median $14,767 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $5,266 – $32,977 · median $11,978 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $4,234 – $26,114 · median $19,548 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $5,266 – $15,421 · median $14,279 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,234 – $23,902 · median $11,225 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,234 – $18,888 · median $14,001 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,266 – $11,076 · median $10,743 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,152 – $21,264 · median $8,986 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,234 – $16,788 · median $12,201 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,234 – $9,571 · median $8,177 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,152 – $23,067 · median $6,721 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,234 – $18,223 · median $14,182 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,234 – $11,149 · median $10,597 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,266 – $26,833 · median $8,540 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $4,234 – $21,222 · median $15,633 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,091 – $12,534 · median $12,158 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,091 – $40,525 · median $9,836 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $7,091 – $32,125 · median $21,539 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $4,234 – $17,006 · median $13,020 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,266 – $31,762 · median $10,223 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,152 – $22,354 · median $11,642 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,372 – $14,801 · median $7,571 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,372 – $9,367 · median $5,584 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,152 – $12,967 · median $6,618 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,372 – $16,466 · median $7,644 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,372 – $9,558 · median $5,755 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,372 – $15,640 · median $6,862 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,152 – $19,823 · median $8,883 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,372 – $11,290 · median $6,759 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,266 – $13,368 · median $8,670 | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,152 – $16,970 · median $7,374 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,152 – $9,188 · median $5,203 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,372 – $14,350 · median $5,971 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,152 – $18,202 · median $8,015 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,152 – $10,132 · median $5,903 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,152 – $10,097 · median $7,534 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,152 – $12,862 · median $6,651 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,152 – $11,571 · median $8,032 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,372 – $14,713 · median $7,415 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,372 – $9,148 · median $5,412 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,372 – $10,800 · median $6,439 | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,372 – $13,744 · median $6,228 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,372 – $7,435 · median $4,647 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,372 – $9,275 · median $5,178 | 7 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,152 – $11,830 · median $6,096 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,372 – $11,696 · median $7,341 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,152 – $14,869 · median $7,097 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,372 – $8,775 · median $5,201 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $5,958 – $17,514 · median $7,091 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,266 – $22,176 · median $11,069 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,266 – $14,082 · median $8,371 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $11,818 – $29,402 · median $26,403 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $5,266 – $40,006 · median $10,694 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $5,266 – $37,106 · median $21,209 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $5,266 – $50,422 · median $16,232 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $4,234 – $26,817 · median $26,012 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,152 – $20,566 · median $15,923 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,152 – $32,928 · median $11,611 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,234 – $24,157 · median $19,572 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,234 – $15,376 · median $14,495 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,234 – $30,519 · median $12,143 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,091 – $26,053 · median $19,491 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,152 – $15,431 · median $14,969 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,234 – $32,900 · median $9,970 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,091 – $19,162 · median $17,452 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,266 – $12,702 · median $12,321 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,091 – $22,098 · median $9,988 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,234 – $24,916 · median $15,717 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $4,234 – $12,725 · median $12,343 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,234 – $31,472 · median $10,379 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $4,234 – $30,371 · median $16,139 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,234 – $16,000 · median $13,034 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,234 – $38,323 · median $10,972 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $11,713 – $80,598 · median $12,075 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $8,208 – $52,790 · median $11,818 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $11,699 – $41,114 · median $12,061 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $11,818 – $65,887 · median $43,271 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $11,818 – $42,175 · median $22,760 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,152 – $20,275 · median $14,393 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,372 – $13,960 · median $7,895 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,152 – $101,400 · median $5,575 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,234 – $66,477 · median $13,432 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,152 – $51,814 · median $8,272 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,152 – $82,925 · median $6,240 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,372 – $53,146 · median $11,922 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,372 – $18,257 · median $6,592 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,372 – $9,882 · median $5,069 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,234 – $13,125 · median $6,725 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,372 – $17,050 · median $7,251 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,372 – $10,570 · median $5,613 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,234 – $12,219 · median $8,018 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,152 – $15,153 · median $8,003 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,152 – $7,907 · median $6,202 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $11,818 – $48,863 · median $15,923 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $11,818 – $31,668 · median $30,718 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $11,818 – $38,975 · median $15,276 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $10,859 – $23,624 · median $11,818 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $5,712 – $61,454 · median $11,818 | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $11,818 – $43,608 · median $16,664 | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $8,775 – $30,514 · median $11,818 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $6,409 – $41,416 · median $7,091 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $11,818 – $19,453 · median $15,527 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $5,266 – $41,680 · median $10,232 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,091 – $22,778 · median $7,779 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,091 – $61,545 · median $13,337 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $11,818 – $39,129 · median $37,955 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $11,818 – $49,128 · median $25,790 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,818 – $29,849 · median $20,096 | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $11,818 – $77,358 · median $22,182 | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,995 – $54,946 · median $14,106 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $11,818 – $38,503 · median $35,312 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $11,818 – $50,905 · median $21,545 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,818 – $24,611 · median $17,853 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,234 – $52,526 · median $31,394 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,152 – $28,787 · median $16,642 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,152 – $16,930 · median $8,631 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,234 – $47,988 · median $25,263 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,234 – $32,570 · median $17,984 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,266 – $25,419 · median $13,594 | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $7,091 – $28,038 · median $21,298 | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,091 – $17,896 · median $15,317 | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,091 – $44,528 · median $11,928 | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,818 – $27,238 · median $20,271 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $4,234 – $23,600 · median $21,924 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $4,234 – $39,607 · median $15,292 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,234 – $21,081 · median $11,454 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,091 – $13,462 · median $11,020 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,366 – $31,908 · median $11,818 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $7,091 – $26,850 · median $22,767 | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $7,091 – $18,547 · median $16,736 | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,437 – $26,928 · median $14,674 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $4,234 – $26,515 · median $19,417 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $5,266 – $15,161 · median $13,509 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,887 – $25,639 · median $9,591 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $4,234 – $29,819 · median $22,062 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,266 – $19,386 · median $14,734 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $5,266 – $23,144 · median $14,565 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $5,266 – $16,427 · median $12,784 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,091 – $10,438 · median $9,930 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,152 – $33,901 · median $20,411 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $4,234 – $23,473 · median $13,669 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,091 – $18,609 · median $13,111 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,234 – $33,480 · median $10,564 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $4,234 – $16,748 · median $13,293 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,091 – $11,279 · median $10,940 | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $5,266 – $22,089 · median $18,685 | 7 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $5,266 – $29,247 · median $15,207 | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,436 – $16,236 · median $12,106 | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,234 – $12,542 · median $11,513 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,234 – $25,815 · median $7,583 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $4,234 – $23,306 · median $17,348 | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $5,266 – $16,647 · median $15,197 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,759 – $12,573 · median $11,818 | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,091 – $27,331 · median $16,771 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $5,266 – $14,627 · median $13,667 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,091 – $27,922 · median $10,925 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $11,818 – $20,990 · median $19,279 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,818 – $15,487 · median $14,923 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,152 – $14,640 · median $11,465 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,372 – $9,570 · median $6,305 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,152 – $29,450 · median $9,512 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,152 – $19,267 · median $6,286 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,152 – $14,295 · median $6,979 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,152 – $34,505 · median $5,420 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,372 – $18,551 · median $14,404 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,152 – $13,901 · median $9,480 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,372 – $26,541 · median $6,684 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,152 – $19,630 · median $12,918 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,372 – $14,579 · median $7,840 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,372 – $7,585 · median $5,943 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,234 – $18,149 · median $11,955 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,372 – $8,442 · median $7,598 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,152 – $8,946 · median $6,115 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,152 – $14,121 · median $6,797 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,372 – $18,271 · median $8,828 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,152 – $12,087 · median $6,604 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,091 – $12,257 · median $7,413 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,234 – $16,405 · median $7,236 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,152 – $9,623 · median $9,364 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,372 – $7,112 · median $6,433 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,152 – $22,973 · median $9,666 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,152 – $10,774 · median $6,321 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,372 – $10,878 · median $7,861 | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,152 – $17,915 · median $6,615 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,234 – $13,638 · median $11,268 | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,372 – $8,324 · median $8,209 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,152 – $15,575 · median $6,328 | 7 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $3,152 – $10,420 · median $9,010 | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,234 – $12,087 · median $6,801 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,152 – $11,288 · median $7,805 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,152 – $12,321 · median $7,584 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,152 – $7,810 · median $5,896 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,152 – $21,508 · median $13,837 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,152 – $12,355 · median $8,385 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,152 – $17,309 · median $8,383 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,234 – $47,910 · median $10,524 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,234 – $25,386 · median $7,565 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,152 – $13,657 · median $13,141 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $5,266 – $36,412 · median $8,406 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $5,266 – $19,385 · median $14,358 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,091 – $11,753 · median $9,130 | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $5,266 – $23,683 · median $7,063 | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $5,266 – $27,192 · median $12,637 | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,091 – $15,698 · median $10,553 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,091 – $14,089 · median $10,709 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,829 – $60,349 · median $12,611 | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $5,266 – $32,063 · median $15,655 | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,091 – $16,685 · median $14,108 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $3,152 – $45,194 · median $14,153 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $2,372 – $24,525 · median $8,846 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,372 – $14,935 · median $6,521 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,152 – $29,924 · median $15,509 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,372 – $16,051 · median $7,966 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,152 – $13,435 · median $12,192 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,152 – $17,875 · median $8,273 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,152 – $16,018 · median $6,560 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,372 – $19,842 · median $7,617 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,372 – $17,898 · median $4,972 | 7 plans |
| 602 | CELLULITIS WITH MCC | $3,152 – $17,955 · median $10,394 | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,152 – $11,076 · median $6,721 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,152 – $10,765 · median $8,142 | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,234 – $19,658 · median $6,987 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,152 – $11,255 · median $10,123 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,152 – $15,492 · median $6,629 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,254 – $16,029 · median $11,818 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,030 – $10,233 · median $7,248 | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,234 – $26,084 · median $9,748 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,152 – $13,678 · median $5,738 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,152 – $13,235 · median $10,372 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $7,091 – $21,116 · median $8,180 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,122 – $13,701 · median $11,818 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,336 – $11,818 · median $8,598 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,234 – $26,028 · median $14,079 | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,152 – $13,135 · median $8,506 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,152 – $20,311 · median $9,155 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $5,266 – $22,086 · median $13,033 | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,547 – $32,210 · median $11,818 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,091 – $17,358 · median $9,714 | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $5,266 – $27,254 · median $13,207 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $4,234 – $26,699 · median $15,934 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,319 – $14,879 · median $11,818 | 7 plans |
| 637 | DIABETES WITH MCC | $3,152 – $14,035 · median $10,507 | 7 plans |
| 638 | DIABETES WITH CC | $3,152 – $32,869 · median $6,947 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,152 – $16,657 · median $5,140 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,372 – $11,679 · median $9,767 | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,372 – $27,918 · median $6,103 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,152 – $13,952 · median $10,400 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,234 – $12,381 · median $12,009 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,372 – $34,408 · median $7,669 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,152 – $20,192 · median $6,086 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $5,266 – $34,381 · median $13,586 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $5,266 – $27,101 · median $13,376 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $5,266 – $23,617 · median $8,412 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $5,266 – $38,001 · median $5,887 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $7,091 – $20,471 · median $12,448 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,266 – $15,479 · median $7,328 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $5,266 – $23,283 · median $13,242 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $5,266 – $15,299 · median $13,383 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,091 – $11,348 · median $9,595 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,234 – $18,582 · median $7,238 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,091 – $43,359 · median $9,666 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,902 – $34,215 · median $7,627 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $4,234 – $29,841 · median $22,389 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,234 – $47,905 · median $11,117 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,967 – $25,890 · median $7,957 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $3,152 – $23,173 · median $19,620 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $4,234 – $29,421 · median $12,793 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,266 – $16,988 · median $8,090 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $4,234 – $21,354 · median $14,433 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,091 – $23,517 · median $11,350 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,571 – $12,320 · median $7,186 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,234 – $13,127 · median $9,691 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,266 – $28,298 · median $8,048 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $11,818 – $30,726 · median $14,143 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,152 – $17,102 · median $9,796 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,091 – $28,847 · median $12,004 | 7 plans |
| 682 | RENAL FAILURE WITH MCC | $3,152 – $16,247 · median $10,831 | 7 plans |
| 683 | RENAL FAILURE WITH CC | $2,372 – $10,341 · median $6,771 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,372 – $26,999 · median $5,021 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,152 – $14,435 · median $13,190 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,152 – $9,157 · median $7,789 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,152 – $16,667 · median $5,779 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,372 – $10,096 · median $8,520 | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,152 – $38,769 · median $6,234 | 7 plans |
| 693 | URINARY STONES WITH MCC | $3,152 – $21,659 · median $10,385 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,234 – $15,256 · median $6,103 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,152 – $13,783 · median $8,365 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,152 – $8,225 · median $5,546 | 7 plans |
| 697 | URETHRAL STRICTURE | $3,152 – $7,882 · median $5,695 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,152 – $16,747 · median $12,099 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,152 – $9,804 · median $7,585 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,372 – $7,440 · median $5,561 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,513 – $14,628 · median $11,402 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,387 – $11,818 · median $8,745 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $5,266 – $17,018 · median $12,529 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,140 – $11,818 · median $7,987 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $4,234 – $15,239 · median $10,686 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,234 – $8,042 · median $6,509 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,234 – $10,994 · median $10,080 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,027 – $15,375 · median $7,733 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $4,234 – $16,361 · median $9,503 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,322 – $10,757 · median $7,091 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $4,234 – $18,552 · median $13,825 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,234 – $14,272 · median $9,822 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,152 – $21,554 · median $13,234 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,152 – $13,050 · median $8,357 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,152 – $19,319 · median $5,774 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,152 – $10,281 · median $9,094 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,152 – $13,989 · median $5,873 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,152 – $10,844 · median $9,893 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,152 – $20,729 · median $6,325 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,152 – $13,691 · median $8,089 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,152 – $17,544 · median $5,018 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,091 – $15,577 · median $12,517 | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,669 – $16,802 · median $11,818 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $4,234 – $26,574 · median $10,676 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $4,234 – $15,069 · median $6,203 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,234 – $10,929 · median $10,674 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $5,266 – $26,866 · median $6,812 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,091 – $13,800 · median $13,234 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,403 – $11,818 · median $8,129 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,091 – $13,418 · median $9,905 | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,163 – $9,073 · median $7,072 | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,152 – $19,743 · median $14,985 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,266 – $12,539 · median $8,319 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,234 – $33,010 · median $12,703 | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,900 – $19,106 · median $7,183 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,908 – $13,668 · median $11,818 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,091 – $33,086 · median $18,777 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,266 – $16,801 · median $10,793 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,152 – $13,468 · median $12,880 | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,372 – $17,032 · median $8,146 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,152 – $11,576 · median $7,182 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,152 – $19,000 · median $10,471 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,234 – $10,628 · median $7,581 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,152 – $16,135 · median $5,224 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,372 – $8,077 · median $7,372 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,372 – $12,922 · median $5,186 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,372 – $23,762 · median $8,060 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,234 – $13,735 · median $12,358 | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,266 – $17,096 · median $7,934 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,152 – $10,172 · median $5,681 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $4,234 – $9,003 · median $7,056 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,152 – $17,954 · median $13,332 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,152 – $9,173 · median $7,977 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,372 – $7,004 · median $6,276 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,152 – $12,063 · median $9,434 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,152 – $8,167 · median $5,421 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,372 – $10,023 · median $7,012 | 7 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,091 – $15,701 · median $13,179 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,152 – $43,465 · median $9,390 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,152 – $29,683 · median $6,194 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,152 – $17,911 · median $7,908 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,091 – $30,492 · median $22,729 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,234 – $10,793 · median $9,917 | 7 plans |
| 795 | NORMAL NEWBORN | $1,139 – $8,978 · median $2,488 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,152 – $15,330 · median $9,181 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,152 – $10,438 · median $7,316 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,152 – $8,987 · median $7,264 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $5,266 – $33,120 · median $16,733 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $5,266 – $54,766 · median $20,545 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,091 – $37,459 · median $13,960 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $4,234 – $29,136 · median $22,675 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $4,234 – $38,475 · median $13,594 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,266 – $13,736 · median $9,916 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,956 – $7,892 · median $3,152 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,152 – $10,899 · median $5,743 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,372 – $9,369 · median $5,207 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,152 – $16,146 · median $8,971 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,152 – $41,775 · median $9,258 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,152 – $25,983 · median $7,654 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,372 – $17,713 · median $10,270 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,152 – $36,771 · median $6,982 | 7 plans |
| 813 | COAGULATION DISORDERS | $7,091 – $17,254 · median $11,155 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,152 – $15,553 · median $12,635 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,372 – $10,093 · median $7,562 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,372 – $7,106 · median $5,344 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,182 – $17,109 · median $7,091 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,607 – $20,459 · median $9,252 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,901 – $11,808 · median $7,091 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $5,266 – $42,889 · median $9,793 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $4,234 – $16,371 · median $13,079 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,863 – $8,805 · median $8,356 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,234 – $33,529 · median $14,190 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,234 – $19,713 · median $16,568 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,266 – $9,868 · median $9,209 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $5,266 – $34,209 · median $5,986 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,234 – $21,136 · median $16,902 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,266 – $12,460 · median $10,828 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $5,266 – $23,109 · median $8,079 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,579 – $54,044 · median $11,818 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,372 – $20,741 · median $8,794 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,372 – $11,239 · median $5,891 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,372 – $42,288 · median $4,477 | 7 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $4,234 – $40,148 · median $20,989 | 7 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,152 – $15,253 · median $12,574 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,372 – $43,142 · median $9,144 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $5,266 – $35,134 · median $21,408 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,372 – $15,829 · median $15,265 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,372 – $29,203 · median $10,559 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,234 – $23,657 · median $14,003 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,152 – $11,930 · median $10,992 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,152 – $7,784 · median $6,809 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,152 – $14,588 · median $4,984 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,152 – $50,601 · median $8,903 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,152 – $19,337 · median $6,447 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,234 – $18,959 · median $11,381 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,234 – $44,304 · median $9,567 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,152 – $19,352 · median $6,336 | 7 plans |
| 849 | RADIOTHERAPY | $3,152 – $19,815 · median $13,442 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $7,091 – $84,783 · median $63,327 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $5,266 – $36,116 · median $29,891 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $4,234 – $15,164 · median $14,612 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,234 – $11,350 · median $9,461 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $4,234 – $33,265 · median $18,502 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $4,234 – $15,661 · median $11,362 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,152 – $10,186 · median $8,003 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,234 – $23,991 · median $13,337 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,152 – $12,196 · median $7,461 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,152 – $7,982 · median $6,827 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,152 – $25,065 · median $10,957 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,152 – $79,710 · median $6,745 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,234 – $45,537 · median $15,308 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,372 – $18,532 · median $7,773 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,372 – $13,932 · median $5,719 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,234 – $50,546 · median $41,957 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,152 – $19,849 · median $14,206 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,372 – $12,974 · median $7,654 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $4,234 – $30,690 · median $8,823 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,152 – $14,001 · median $10,043 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,234 – $18,240 · median $8,823 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $5,266 – $26,861 · median $14,958 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,234 – $13,010 · median $11,491 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $5,266 – $19,241 · median $14,812 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $7,091 – $28,077 · median $10,017 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $5,672 – $14,591 · median $7,091 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,091 – $13,182 · median $9,600 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,152 – $16,208 · median $11,954 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,152 – $8,289 · median $6,942 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,234 – $38,723 · median $12,298 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,152 – $17,764 · median $5,374 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,266 – $11,470 · median $10,923 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,234 – $33,915 · median $6,744 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,266 – $13,805 · median $13,389 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,152 – $18,222 · median $7,560 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,152 – $35,442 · median $5,520 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,152 – $18,505 · median $12,793 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,152 – $12,237 · median $7,585 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $7,091 – $160,101 · median $15,194 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $5,266 – $52,454 · median $8,314 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $4,234 – $23,554 · median $15,625 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $6,112 – $29,202 · median $11,818 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,234 – $16,166 · median $14,584 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $4,234 – $15,065 · median $8,053 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $4,234 – $26,535 · median $16,996 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $5,266 – $17,090 · median $9,387 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $5,266 – $14,829 · median $6,504 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,372 – $16,248 · median $11,325 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,372 – $9,528 · median $8,387 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,152 – $196,264 · median $9,283 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,372 – $66,055 · median $6,184 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,152 – $29,761 · median $8,700 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,372 – $35,946 · median $4,889 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,169 – $20,484 · median $4,770 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,091 – $49,225 · median $19,100 | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $5,266 – $33,506 · median $27,519 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,091 – $55,724 · median $21,644 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,091 – $30,816 · median $18,804 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,266 – $21,530 · median $14,404 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,234 – $19,992 · median $10,714 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,152 – $11,840 · median $11,208 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,234 – $7,533 · median $6,918 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $5,266 – $44,765 · median $11,108 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,234 – $19,287 · median $5,946 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,152 – $21,105 · median $5,288 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,372 – $62,000 · median $10,081 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,152 – $34,741 · median $7,480 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,234 – $70,162 · median $10,208 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,091 – $38,882 · median $34,311 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,091 – $27,220 · median $17,979 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,770 – $25,289 · median $12,534 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,152 – $25,072 · median $14,257 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,152 – $12,020 · median $8,819 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,782 – $56,399 · median $8,770 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $11,818 – $257,552 · median $249,826 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $11,818 – $104,252 · median $101,125 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $7,091 – $195,113 · median $189,260 | 5 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $4,234 – $127,392 · median $123,571 | 5 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $7,091 – $94,873 · median $92,027 | 5 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $7,091 – $42,768 · median $41,485 | 5 plans |
| 007 | LUNG TRANSPLANT | $7,091 – $119,116 · median $115,542 | 5 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $5,266 – $51,654 · median $50,104 | 5 plans |
| 010 | PANCREAS TRANSPLANT | $5,266 – $66,083 · median $64,100 | 5 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $4,234 – $50,272 · median $48,764 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $4,234 – $38,901 · median $37,734 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $3,152 – $26,648 · median $25,848 | 5 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $5,266 – $110,554 · median $107,237 | 5 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $4,234 – $54,640 · median $53,001 | 5 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $5,266 – $50,072 · median $48,569 | 5 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $4,234 – $396,771 · median $384,868 | 5 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,266 – $65,705 · median $63,734 | 5 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $7,091 – $72,448 · median $70,275 | 5 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $7,091 – $48,800 · median $47,336 | 5 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,091 – $29,363 · median $28,482 | 5 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $5,266 – $52,808 · median $51,224 | 5 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $4,234 – $36,108 · median $35,025 | 5 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $5,266 – $41,938 · median $40,680 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $7,091 – $28,736 · median $27,874 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,818 – $23,352 · median $22,651 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $11,818 – $55,362 · median $53,701 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $11,818 – $31,514 · median $30,568 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,818 – $20,342 · median $19,732 | 5 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $11,818 – $41,330 · median $40,090 | 5 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,818 – $19,753 · median $19,160 | 5 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,163 – $15,454 · median $14,990 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,818 – $35,730 · median $34,658 | 5 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,818 – $22,136 · median $21,472 | 5 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,818 – $18,024 · median $17,483 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,091 – $30,416 · median $29,504 | 5 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,091 – $15,083 · median $14,631 | 5 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,091 – $10,977 · median $10,648 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $5,266 – $35,643 · median $34,573 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,234 – $20,374 · median $19,763 | 5 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,091 – $16,049 · median $15,567 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $4,234 – $16,816 · median $16,312 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,152 – $9,174 · median $8,899 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,372 – $14,205 · median $13,778 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,372 – $9,545 · median $9,259 | 5 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,152 – $21,517 · median $20,871 | 5 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,152 – $12,080 · median $11,718 | 5 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,152 – $15,882 · median $15,405 | 5 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,372 – $11,578 · median $11,231 | 5 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,372 – $8,629 · median $8,370 | 5 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $5,266 – $25,503 · median $24,738 | 5 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $5,266 – $16,320 · median $15,830 | 5 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,266 – $13,074 · median $12,682 | 5 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $4,234 – $18,650 · median $18,091 | 5 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,152 – $9,460 · median $9,176 | 5 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,372 – $6,467 · median $6,273 | 5 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,152 – $13,670 · median $13,260 | 5 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,372 – $8,120 · median $7,877 | 5 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,152 – $7,518 · median $7,292 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,372 – $15,471 · median $15,007 | 5 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,152 – $9,604 · median $9,316 | 5 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,152 – $7,126 · median $6,913 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,152 – $14,915 · median $14,468 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,152 – $9,648 · median $9,359 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,152 – $17,792 · median $17,258 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,152 – $7,760 · median $7,527 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,152 – $13,601 · median $13,001 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,152 – $8,960 · median $8,691 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,266 – $21,047 · median $20,415 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,372 – $12,145 · median $11,781 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,152 – $8,582 · median $8,325 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,152 – $15,331 · median $12,596 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,152 – $10,271 · median $9,963 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,152 – $7,742 · median $7,510 | 5 plans |
| 088 | CONCUSSION WITH MCC | $4,234 – $16,310 · median $15,821 | 5 plans |
| 089 | CONCUSSION WITH CC | $3,152 – $9,577 · median $9,289 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,266 – $7,495 · median $7,270 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,152 – $32,504 · median $31,528 | 5 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,372 – $23,869 · median $23,153 | 5 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,372 – $23,869 · median $23,153 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $4,234 – $33,352 · median $32,352 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $4,234 – $21,258 · median $20,620 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,234 – $16,178 · median $12,694 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,266 – $24,192 · median $17,969 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,372 – $14,730 · median $8,471 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,152 – $10,476 · median $10,162 | 5 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $64,517 – $82,774 · median $73,646 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $32,529 – $41,735 · median $37,132 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $13,807 – $17,714 · median $15,760 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $19,600 – $25,146 · median $22,373 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,762 – $17,656 · median $15,709 | 2 plans |
No procedures match that keyword.