Deaconess Illinois Crossroads - Emergency Department — 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,969 – $24,816 · median $9,191 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,206 – $53,735 · median $19,902 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,206 – $24,575 · median $9,102 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,206 – $22,437 · median $8,310 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,206 – $36,896 · median $13,665 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,206 – $25,761 · median $9,541 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,206 – $22,458 · median $8,318 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,969 – $26,810 · median $9,930 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,969 – $23,327 · median $8,640 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,969 – $22,422 · median $8,305 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,969 – $24,975 · median $9,250 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,969 – $18,177 · median $6,732 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,969 – $16,509 · median $6,114 | 25 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $217,852 – $588,199 · median $217,852 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,624 – $239,284 · median $88,624 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,217 – $446,086 · median $165,217 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $108,130 – $291,952 · median $108,130 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,717 – $217,936 · median $80,717 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,794 – $99,343 · median $36,794 | 21 plans |
| 007 | LUNG TRANSPLANT | $101,153 – $273,114 · median $101,153 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,285 – $119,569 · median $44,285 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $56,448 – $152,410 · median $56,448 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,120 – $116,423 · median $43,120 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,534 – $90,543 · median $33,534 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,205 – $62,654 · median $23,205 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $93,936 – $253,626 · median $93,936 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,802 – $126,365 · median $46,802 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,951 – $115,967 · median $42,951 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $335,209 – $905,065 · median $335,209 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,130 – $151,551 · median $56,130 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,814 – $166,897 · median $61,814 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,879 – $113,072 · median $41,879 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,494 – $68,833 · median $25,494 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,258 – $122,196 · median $45,258 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,180 – $84,186 · median $31,180 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,095 – $97,456 · median $36,095 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,966 – $67,408 · median $24,966 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,427 – $55,152 · median $20,427 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,410 – $128,007 · median $47,410 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,307 – $73,729 · median $27,307 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,890 – $48,302 · median $17,890 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,582 – $96,072 · median $35,582 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,393 – $46,960 · median $17,393 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,769 – $37,176 · median $13,769 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,861 – $83,325 · median $30,861 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,402 – $52,385 · median $19,402 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,936 – $43,026 · median $15,936 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,382 – $71,231 · median $26,382 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,457 – $36,333 · median $13,457 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,995 – $26,988 · median $9,995 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,788 – $83,127 · median $30,788 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,917 – $48,376 · median $17,917 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,270 – $38,530 · median $14,270 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,918 – $40,278 · median $14,918 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,476 – $22,884 · median $8,476 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,716 – $34,333 · median $12,716 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,788 – $23,729 · median $8,788 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,880 – $50,976 · median $18,880 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,925 – $29,498 · median $10,925 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,130 – $38,150 · median $14,130 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,502 – $28,355 · median $10,502 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,016 – $21,643 · median $8,016 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,240 – $60,048 · median $22,240 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,499 – $39,147 · median $14,499 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,763 – $31,760 · median $11,763 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,464 – $44,452 · median $16,464 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,716 – $23,534 · median $8,716 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,193 – $16,722 · median $6,193 | 21 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,265 – $33,116 · median $12,265 | 21 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,587 – $20,485 · median $7,587 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,079 – $19,113 · median $7,079 | 21 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,783 – $37,215 · median $13,783 | 21 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,838 – $23,863 · median $8,838 | 21 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,749 – $18,223 · median $6,749 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,315 – $35,951 · median $13,315 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,875 – $23,963 · median $8,875 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,740 – $42,498 · median $15,740 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,283 – $19,665 · median $7,283 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,908 – $40,250 · median $14,908 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,828 – $21,137 · median $7,828 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,590 – $50,192 · median $18,590 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,701 – $31,593 · median $11,701 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,295 – $22,395 · median $8,295 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,484 – $49,906 · median $18,484 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,980 – $29,646 · median $10,980 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,976 – $21,536 · median $7,976 | 21 plans |
| 088 | CONCUSSION WITH MCC | $11,360 – $30,673 · median $11,360 | 21 plans |
| 089 | CONCUSSION WITH CC | $9,400 – $25,380 · median $9,400 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,268 – $19,623 · median $7,268 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,491 – $39,126 · median $14,491 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,815 – $23,800 · median $8,815 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,060 – $19,061 · median $7,060 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,142 – $75,982 · median $28,142 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,863 – $56,329 · median $20,863 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,863 – $56,329 · median $20,863 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,857 – $77,913 · median $28,857 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,662 – $50,386 · median $18,662 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,442 – $30,894 · median $11,442 | 21 plans |
| 100 | SEIZURES WITH MCC | $15,889 – $42,901 · median $15,889 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $7,883 – $21,283 · median $7,883 | 21 plans |
| 102 | HEADACHES WITH MCC | $9,573 – $25,846 · median $9,573 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $7,369 – $19,897 · median $7,369 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,097 – $51,561 · median $19,097 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,370 – $30,698 · median $11,370 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,778 – $34,500 · median $12,778 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,893 – $40,211 · median $14,893 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,294 – $25,094 · median $9,294 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,901 – $26,733 · median $9,901 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,978 – $18,842 · median $6,978 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,078 – $19,109 · median $7,078 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,138 – $30,073 · median $11,138 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,839 – $18,465 · median $6,839 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,695 – $47,776 · median $17,695 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,755 – $23,639 · median $8,755 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,455 – $33,628 · median $12,455 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,756 – $20,940 · median $7,756 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,461 – $28,246 · median $10,461 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,916 – $91,574 · median $33,916 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,781 – $48,008 · median $17,781 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,254 – $35,786 · median $13,254 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,900 – $80,731 · median $29,900 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,311 – $38,639 · median $14,311 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,203 – $27,548 · median $10,203 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,287 – $46,676 · median $17,287 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,739 – $28,994 · median $10,739 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,066 – $19,078 · median $7,066 | 21 plans |
| 149 | DYSEQUILIBRIUM | $6,714 – $18,127 · median $6,714 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $11,203 – $30,248 · median $11,203 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,577 – $17,759 · median $6,577 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,047 – $27,128 · median $10,047 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,610 – $17,847 · median $6,610 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,999 – $35,098 · median $12,999 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,990 – $21,574 · median $7,990 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,245 – $16,862 · median $6,245 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,186 – $38,302 · median $14,186 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,938 – $21,434 · median $7,938 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,380 – $17,226 · median $6,380 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,592 – $96,099 · median $35,592 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,435 – $55,175 · median $20,435 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,714 – $42,429 · median $15,714 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,832 – $80,545 · median $29,832 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,857 – $40,113 · median $14,857 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,473 – $30,978 · median $11,473 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,938 – $64,632 · median $23,938 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,529 – $31,128 · median $11,529 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,127 – $19,243 · median $7,127 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,993 – $35,081 · median $12,993 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,451 – $22,817 · median $8,451 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,740 – $18,198 · median $6,740 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,567 – $39,331 · median $14,567 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,186 – $24,803 · median $9,186 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,731 – $18,173 · median $6,731 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,739 – $34,396 · median $12,739 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,133 – $24,659 · median $9,133 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,984 – $18,856 · median $6,984 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,961 – $34,993 · median $12,961 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,552 – $23,091 · median $8,552 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,447 – $17,408 · median $6,447 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,459 – $28,240 · median $10,459 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,471 – $25,570 · median $9,471 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,421 – $20,037 · median $7,421 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,865 – $15,836 · median $5,865 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,071 – $29,891 · median $11,071 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,134 – $19,262 · median $7,134 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,761 – $15,554 · median $5,761 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,505 – $41,864 · median $15,505 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,243 – $22,255 · median $8,243 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,440 – $17,387 · median $6,440 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,552 – $39,291 · median $14,552 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,405 – $25,395 · median $9,405 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,431 – $17,364 · median $6,431 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,414 – $22,717 · median $8,414 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,082 – $16,421 · median $6,082 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,146 – $19,293 · median $7,146 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,070 – $40,689 · median $15,070 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,181 – $22,088 · median $8,181 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,711 – $136,921 · median $50,711 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,175 – $59,872 · median $22,175 | 21 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $88,523 – $239,013 · median $88,523 | 21 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $85,080 – $229,717 · median $85,080 | 21 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $45,077 – $121,707 · median $45,077 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,980 – $210,547 · median $77,980 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,632 – $206,906 · median $76,632 | 21 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,800 – $139,859 · median $51,800 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,800 – $139,859 · median $51,800 | 21 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,339 – $162,915 · median $60,339 | 21 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,181 – $113,888 · median $42,181 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,915 – $107,771 · median $39,915 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,197 – $105,832 · median $39,197 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,278 – $68,250 · median $25,278 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,158 – $178,626 · median $66,158 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,831 – $129,143 · median $47,831 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,083 – $162,224 · median $60,083 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,186 – $116,603 · median $43,186 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,329 – $125,087 · median $46,329 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,324 – $89,975 · median $33,324 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,998 – $105,294 · median $38,998 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,963 – $62,000 · median $22,963 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,613 – $31,354 · median $11,613 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,613 – $69,155 · median $25,613 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,392 – $46,958 · median $17,392 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,888 – $40,198 · median $14,888 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,216 – $97,784 · median $36,216 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,791 – $48,037 · median $17,791 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,465 – $33,656 · median $12,465 | 21 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,901 – $75,332 · median $27,901 | 21 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,990 – $56,672 · median $20,990 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,688 – $39,659 · median $14,688 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,778 – $58,800 · median $21,778 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,040 – $37,907 · median $14,040 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,351 – $25,246 · median $9,351 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,221 – $68,095 · median $25,221 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,550 – $44,684 · median $16,550 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,078 – $70,409 · median $26,078 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,531 – $41,933 · median $15,531 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,513 – $36,486 · median $13,513 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,565 – $66,325 · median $24,565 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,757 – $72,245 · median $26,757 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $28,906 – $78,047 · median $28,906 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,340 – $130,518 · median $48,340 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,752 – $101,931 · median $37,752 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,143 – $146,185 · median $54,143 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,590 – $90,694 · median $33,590 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,743 – $112,707 · median $41,743 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,427 – $76,753 · median $28,427 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,660 – $55,781 · median $20,660 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,834 – $88,651 · median $32,834 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,379 – $71,222 · median $26,379 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $56,097 – $151,463 · median $56,097 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,397 – $127,972 · median $47,397 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,651 – $98,957 · median $36,651 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,988 – $118,766 · median $43,988 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,815 – $77,801 · median $28,815 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,314 – $35,947 · median $13,314 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,010 – $21,628 · median $8,010 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,493 – $17,531 · median $6,493 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,230 – $43,821 · median $16,230 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,254 – $16,885 · median $6,254 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,531 – $14,935 · median $5,531 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,026 – $48,670 · median $18,026 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,179 – $24,784 · median $9,179 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,846 – $58,984 · median $21,846 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,109 – $38,095 · median $14,109 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,092 – $21,850 · median $8,092 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,834 – $29,251 · median $10,834 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,468 – $20,163 · median $7,468 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,277 – $14,247 · median $5,277 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,987 – $35,065 · median $12,987 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,803 – $15,669 · median $5,803 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,418 – $11,929 · median $4,418 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,535 – $36,544 · median $13,535 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,159 – $24,730 · median $9,159 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,467 – $17,460 · median $6,467 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,159 – $27,429 · median $10,159 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,107 – $16,488 · median $6,107 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $10,108 – $27,291 · median $10,108 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,741 – $18,200 · median $6,741 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,094 – $35,355 · median $13,094 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,965 – $21,505 · median $7,965 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,216 – $27,583 · median $10,216 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,591 – $17,794 · median $6,591 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,278 – $14,249 · median $5,278 | 21 plans |
| 311 | ANGINA PECTORIS | $6,329 – $17,088 · median $6,329 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,643 – $20,635 · median $7,643 | 21 plans |
| 313 | CHEST PAIN | $6,469 – $17,466 · median $6,469 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,038 – $46,003 · median $17,038 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,353 – $22,552 · median $8,353 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,176 – $16,674 · median $6,176 | 21 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $52,661 – $142,184 · median $52,661 | 21 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,647 – $53,047 · median $19,647 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,446 – $95,704 · median $35,446 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,516 – $52,694 · median $19,516 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,959 – $59,289 · median $21,959 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,544 – $39,268 · median $14,544 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,397 – $92,872 · median $34,397 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,289 – $68,281 · median $25,289 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,749 – $69,523 · median $25,749 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,507 – $106,668 · median $39,507 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,817 – $53,507 · median $19,817 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,300 – $35,909 · median $13,300 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,480 – $98,497 · median $36,480 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,454 – $52,525 · median $19,454 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,924 – $37,594 · median $13,924 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,926 – $78,100 · median $28,926 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $19,028 – $51,375 · median $19,028 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,575 – $36,653 · median $13,575 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,540 – $77,059 · median $28,540 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,220 – $46,494 · median $17,220 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,779 – $34,502 · median $12,779 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,890 – $56,404 · median $20,890 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,544 – $33,869 · median $12,544 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,078 – $27,211 · median $10,078 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,667 – $50,401 · median $18,667 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,027 – $29,774 · median $11,027 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,635 – $20,614 · median $7,635 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,187 – $54,504 · median $20,187 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,697 – $34,283 · median $12,697 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,936 – $26,827 · median $9,936 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,362 – $63,077 · median $23,362 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,920 – $37,583 · median $13,920 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,308 – $30,531 · median $11,308 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,903 – $94,239 · median $34,903 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,899 – $51,026 · median $18,899 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,717 – $31,636 · median $11,717 | 21 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,516 – $74,293 · median $27,516 | 21 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,586 – $52,882 · median $19,586 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,219 – $35,692 · median $13,219 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,638 – $23,323 · median $8,638 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,320 – $17,065 · median $6,320 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,622 – $39,479 · median $14,622 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,799 – $23,758 · median $8,799 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,526 – $17,621 · median $6,526 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,452 – $47,121 · median $17,452 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,259 – $27,700 · median $10,259 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,051 – $21,737 · median $8,051 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,047 – $40,627 · median $15,047 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,487 – $22,916 · median $8,487 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,775 – $15,593 · median $5,775 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,086 – $43,432 · median $16,086 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,283 – $25,064 · median $9,283 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,093 – $19,151 · median $7,093 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,584 – $31,277 · median $11,584 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,513 – $20,284 · median $7,513 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,145 – $35,491 · median $13,145 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,453 – $22,824 · median $8,453 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,169 – $16,657 · median $6,169 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,328 – $33,286 · median $12,328 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,009 – $18,925 · median $7,009 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,106 – $13,787 · median $5,106 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,714 – $28,927 · median $10,714 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,930 – $18,712 · median $6,930 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,276 – $35,846 · median $13,276 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,139 – $21,975 · median $8,139 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,919 – $15,982 · median $5,919 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,436 – $52,477 · median $19,436 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,613 – $34,055 · median $12,613 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,757 – $26,344 · median $9,757 | 21 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,021 – $86,457 · median $32,021 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,247 – $116,766 · median $43,247 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,348 – $63,039 · median $23,348 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,079 – $48,812 · median $18,079 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,499 – $76,948 · median $28,499 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,751 – $47,928 · median $17,751 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,187 – $35,604 · median $13,187 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,468 – $71,465 · median $26,468 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,172 – $46,365 · median $17,172 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,750 – $37,126 · median $13,750 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,476 – $76,885 · median $28,476 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,895 – $45,616 · median $16,895 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,449 – $30,913 · median $11,449 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,370 – $52,299 · median $19,370 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,991 – $37,776 · median $13,991 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,469 – $30,965 · median $11,469 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,272 – $73,635 · median $27,272 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,346 – $38,735 · median $14,346 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,730 – $31,670 · median $11,730 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,047 – $89,226 · median $33,047 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,833 – $48,150 · median $17,833 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,510 – $33,777 · median $12,510 | 21 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $86,219 – $232,792 · median $86,219 | 21 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,780 – $153,306 · median $56,780 | 21 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $44,420 – $119,933 · median $44,420 | 21 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $70,646 – $190,744 · median $70,646 | 21 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $45,543 – $122,966 · median $45,543 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,132 – $43,557 · median $16,132 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,072 – $24,494 · median $9,072 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,411 – $17,309 · median $6,411 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,114 – $40,809 · median $15,114 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,652 – $26,059 · median $9,652 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,501 – $20,253 · median $7,501 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,516 – $36,492 · median $13,516 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,407 – $20,000 · median $7,407 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,706 – $15,405 · median $5,706 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,789 – $39,931 · median $14,789 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,368 – $22,594 · median $8,368 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,312 – $17,042 · median $6,312 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,831 – $37,343 · median $13,831 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,368 – $25,292 · median $9,368 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,300 – $19,709 · median $7,300 | 21 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,623 – $142,081 · median $52,623 | 21 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,726 – $91,062 · median $33,726 | 21 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,156 – $113,821 · median $42,156 | 21 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,904 – $69,941 · median $25,904 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,953 – $178,072 · median $65,953 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,060 – $127,063 · median $47,060 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,198 – $89,636 · median $33,198 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,653 – $117,863 · median $43,653 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,488 – $58,018 · median $21,488 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,020 – $121,553 · median $45,020 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,008 – $67,523 · median $25,008 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,014 – $40,537 · median $15,014 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,194 – $111,224 · median $41,194 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,197 – $76,133 · median $28,197 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,169 – $59,858 · median $22,169 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,377 – $65,819 · median $24,377 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,828 – $42,736 · median $15,828 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,278 – $103,350 · median $38,278 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,703 – $63,998 · median $23,703 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,795 – $53,447 · median $19,795 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,130 – $92,150 · median $34,130 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,513 – $49,985 · median $18,513 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,032 – $27,086 · median $10,032 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,640 – $74,628 · median $27,640 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,934 – $53,821 · median $19,934 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,286 – $41,273 · median $15,286 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,441 – $63,292 · median $23,441 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,110 – $46,197 · median $17,110 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,522 – $36,509 · median $13,522 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,354 – $60,357 · median $22,354 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,879 – $69,872 · median $25,879 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,084 – $46,126 · median $17,084 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,020 – $35,154 · median $13,020 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,589 – $39,391 · median $14,589 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,541 – $25,761 · median $9,541 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,320 – $79,163 · median $29,320 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,529 – $55,428 · median $20,529 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,429 – $44,358 · median $16,429 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,964 – $78,204 · median $28,964 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,860 – $40,123 · median $14,860 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,249 – $27,673 · median $10,249 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,250 – $65,476 · median $24,250 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,493 – $44,531 · median $16,493 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,396 – $68,570 · median $25,396 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,428 – $38,957 · median $14,428 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,315 – $30,549 · median $11,315 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,503 – $60,758 · median $22,503 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,366 – $41,488 · median $15,366 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,774 – $39,891 · median $14,774 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,340 – $30,618 · median $11,340 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,880 – $40,175 · median $14,880 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,619 – $34,072 · median $12,619 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,279 – $65,554 · median $24,279 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,993 – $45,882 · median $16,993 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,711 – $37,019 · median $13,711 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,083 – $35,324 · median $13,083 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,809 – $23,785 · median $8,809 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,567 – $69,032 · median $25,567 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,983 – $45,855 · median $16,983 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,792 – $34,538 · median $12,792 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,828 – $80,537 · median $29,828 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,380 – $44,226 · median $16,380 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,460 – $33,643 · median $12,460 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,116 – $62,412 · median $23,116 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,290 – $46,682 · median $17,290 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,032 – $35,186 · median $13,032 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,136 – $19,266 · median $7,136 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,820 – $29,214 · median $10,820 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,147 – $19,297 · median $7,147 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,283 – $22,364 · median $8,283 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,471 – $17,473 · median $6,471 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,144 – $43,589 · median $16,144 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,931 – $29,513 · median $10,931 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,991 – $18,875 · median $6,991 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,571 – $39,341 · median $14,571 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,853 – $23,904 · median $8,853 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,737 – $18,190 · median $6,737 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,108 – $54,291 · median $20,108 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,824 – $26,526 · median $9,824 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,369 – $19,895 · median $7,369 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,844 – $42,778 · median $15,844 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,241 – $27,650 · median $10,241 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,662 – $20,687 · median $7,662 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,871 – $37,452 · median $13,871 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,337 – $22,510 · median $8,337 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,931 – $29,513 · median $10,931 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,321 – $19,768 · median $7,321 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,128 – $30,046 · median $11,128 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,325 – $19,778 · median $7,325 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,406 – $33,497 · median $12,406 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,810 – $21,087 · median $7,810 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,333 – $41,398 · median $15,333 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,613 – $25,955 · median $9,613 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,119 – $19,220 · median $7,119 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,925 – $32,199 · median $11,925 | 21 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,828 – $21,135 · median $7,828 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,845 – $34,682 · median $12,845 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,439 – $22,784 · median $8,439 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,696 – $18,079 · median $6,696 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,664 – $63,894 · median $23,664 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,975 – $37,732 · median $13,975 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,769 – $26,377 · median $9,769 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,615 – $139,360 · median $51,615 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,770 – $74,979 · median $27,770 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,807 – $39,979 · median $14,807 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,839 – $104,866 · median $38,839 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,416 – $57,824 · median $21,416 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,331 – $35,995 · median $13,331 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,967 – $70,110 · median $25,967 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,273 – $38,536 · median $14,273 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,067 – $32,581 · median $12,067 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,810 – $42,688 · median $15,810 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,245 – $38,461 · median $14,245 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,468 – $47,163 · median $17,468 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,830 – $42,740 · median $15,830 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $15,878 – $42,870 · median $15,878 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $10,079 – $27,213 · median $10,079 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,605 – $20,535 · median $7,605 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,313 – $46,745 · median $17,313 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,275 – $25,044 · median $9,275 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,801 – $37,263 · median $13,801 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,653 – $26,064 · median $9,653 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,851 – $18,499 · median $6,851 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,959 – $24,189 · median $8,959 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,579 – $15,062 · median $5,579 | 21 plans |
| 602 | CELLULITIS WITH MCC | $11,898 – $32,126 · median $11,898 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,637 – $20,621 · median $7,637 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,292 – $33,187 · median $12,292 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,986 – $21,563 · median $7,986 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,610 – $34,046 · median $12,610 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,912 – $21,363 · median $7,912 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,863 – $48,231 · median $17,863 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,728 – $31,666 · median $11,728 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,894 – $75,313 · median $27,894 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,374 – $41,511 · median $15,374 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,875 – $32,063 · median $11,875 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,249 – $62,771 · median $23,249 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,284 – $35,867 · median $13,284 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,573 – $33,946 · median $12,573 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,450 – $76,814 · median $28,450 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,783 – $39,914 · median $14,783 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,587 – $28,585 · median $10,587 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,276 – $65,545 · median $24,276 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,503 – $33,758 · median $12,503 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,178 – $30,182 · median $11,178 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,747 – $80,317 · median $29,747 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,763 – $47,960 · median $17,763 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,194 – $32,924 · median $12,194 | 21 plans |
| 637 | DIABETES WITH MCC | $12,018 – $32,447 · median $12,018 | 21 plans |
| 638 | DIABETES WITH CC | $7,833 – $21,149 · median $7,833 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,704 – $15,401 · median $5,704 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,235 – $30,334 · median $11,235 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,920 – $18,683 · median $6,920 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,905 – $32,142 · median $11,905 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,639 – $36,824 · median $13,639 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,830 – $23,842 · median $8,830 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,843 – $18,476 · median $6,843 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,292 – $100,689 · median $37,292 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,585 – $79,878 · median $29,585 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $25,897 – $69,922 · median $25,897 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,125 – $111,036 · median $41,125 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,567 – $60,930 · median $22,567 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,281 – $46,659 · median $17,281 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,543 – $68,967 · median $25,543 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,062 – $40,669 · median $15,062 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,909 – $34,853 · median $12,909 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,566 – $55,529 · median $20,566 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,127 – $30,044 · median $11,127 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,911 – $24,059 · median $8,911 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,597 – $66,411 · median $24,597 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,664 – $34,193 · median $12,664 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,000 – $24,299 · median $9,000 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,059 – $67,659 · median $25,059 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $14,438 – $38,982 · median $14,438 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,459 – $25,539 · median $9,459 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,501 – $63,453 · median $23,501 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,910 – $34,858 · median $12,910 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,461 – $22,845 · median $8,461 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,791 – $39,937 · median $14,791 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,252 – $24,981 · median $9,252 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,423 – $90,242 · median $33,423 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,000 – $51,300 · median $19,000 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,602 – $36,726 · median $13,602 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $12,361 – $33,373 · median $12,361 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $7,675 – $20,723 · median $7,675 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,542 – $14,964 · median $5,542 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,859 – $40,119 · median $14,859 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,007 – $24,318 · median $9,007 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,013 – $18,936 · median $7,013 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,878 – $26,670 · median $9,878 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,162 – $19,337 · median $7,162 | 21 plans |
| 693 | URINARY STONES WITH MCC | $11,304 – $30,520 · median $11,304 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,947 – $18,756 · median $6,947 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,750 – $26,325 · median $9,750 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,229 – $16,818 · median $6,229 | 21 plans |
| 697 | URETHRAL STRICTURE | $9,239 – $24,945 · median $9,239 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,703 – $36,998 · median $13,703 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,753 – $23,633 · median $8,753 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,236 – $16,837 · median $6,236 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,381 – $44,228 · median $16,381 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,772 – $34,485 · median $12,772 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,911 – $51,059 · median $18,911 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,743 – $31,705 · median $11,743 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,027 – $45,974 · median $17,027 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,409 – $25,403 · median $9,409 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,534 – $33,842 · median $12,534 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,081 – $24,519 · median $9,081 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,216 – $49,182 · median $18,216 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,283 – $33,164 · median $12,283 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,531 – $41,933 · median $15,531 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,293 – $30,491 · median $11,293 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,905 – $40,244 · median $14,905 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,741 – $26,302 · median $9,741 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,971 – $16,122 · median $5,971 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,954 – $26,877 · median $9,954 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,484 – $17,508 · median $6,484 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,375 – $33,413 · median $12,375 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,175 – $19,373 · median $7,175 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,091 – $24,546 · median $9,091 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,097 – $16,463 · median $6,097 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,385 – $46,939 · median $17,385 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,312 – $30,541 · median $11,312 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,568 – $77,134 · median $28,568 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,848 – $45,489 · median $16,848 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,264 – $33,112 · median $12,264 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,632 – $77,307 · median $28,632 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,905 – $40,242 · median $14,905 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,936 – $32,226 · median $11,936 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,100 – $40,769 · median $15,100 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,500 – $28,350 · median $10,500 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,759 – $45,248 · median $16,759 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,701 – $26,193 · median $9,701 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,343 – $38,727 · median $14,343 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,551 – $20,386 · median $7,551 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,635 – $31,415 · median $11,635 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,773 – $56,087 · median $20,773 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,320 – $33,265 · median $12,320 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,153 – $40,913 · median $15,153 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,316 – $25,154 · median $9,316 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,331 – $22,493 · median $8,331 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,980 – $32,347 · median $11,980 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,474 – $22,880 · median $8,474 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,032 – $16,287 · median $6,032 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,695 – $23,476 · median $8,695 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,312 – $14,341 · median $5,312 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,977 – $37,738 · median $13,977 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,658 – $23,376 · median $8,658 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,963 – $16,101 · median $5,963 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $7,408 – $20,002 · median $7,408 | 21 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,847 – $40,087 · median $14,847 | 21 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,909 – $126,653 · median $46,909 | 21 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,319 – $87,261 · median $32,319 | 21 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,856 – $53,612 · median $19,856 | 21 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,175 – $89,573 · median $33,175 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,321 – $33,267 · median $12,321 | 21 plans |
| 795 | NORMAL NEWBORN | $2,442 – $6,593 · median $2,442 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,957 – $97,084 · median $35,957 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,645 – $61,141 · median $22,645 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,673 – $42,318 · median $15,673 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,739 – $85,696 · median $31,739 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,286 – $41,273 · median $15,286 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,393 – $30,761 · median $11,393 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,988 – $48,568 · median $17,988 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,695 – $28,877 · median $10,695 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,997 – $24,293 · median $8,997 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,767 – $31,770 · median $11,767 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,003 – $21,609 · median $8,003 | 21 plans |
| 813 | COAGULATION DISORDERS | $12,704 – $34,299 · median $12,704 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,359 – $46,870 · median $17,359 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,745 – $23,612 · median $8,745 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,788 – $15,627 · median $5,788 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,559 – $50,108 · median $18,559 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,869 – $26,647 · median $9,869 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,552 – $20,391 · median $7,552 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,299 – $125,008 · median $46,299 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,226 – $49,210 · median $18,226 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,216 – $27,583 · median $10,216 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,390 – $98,252 · median $36,390 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,435 – $49,774 · median $18,435 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,342 – $30,623 · median $11,342 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,110 – $100,196 · median $37,110 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,788 – $50,727 · median $18,788 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,085 – $38,031 · median $14,085 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,359 – $68,469 · median $25,359 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,546 – $33,875 · median $12,546 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,204 – $27,552 · median $10,204 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,481 – $17,500 · median $6,481 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,943 – $13,346 · median $4,943 | 21 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,397 – $117,171 · median $43,397 | 21 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,043 – $46,016 · median $17,043 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,336 – $27,907 · median $10,336 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,089 – $102,840 · median $38,089 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,055 – $46,049 · median $17,055 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,073 – $32,598 · median $12,073 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,939 – $70,035 · median $25,939 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,525 – $36,517 · median $13,525 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,717 – $23,536 · median $8,717 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,338 – $44,113 · median $16,338 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,320 – $27,863 · median $10,320 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,488 – $20,217 · median $7,488 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,966 – $56,607 · median $20,966 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,023 – $29,761 · median $11,023 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,471 – $20,171 · median $7,471 | 21 plans |
| 849 | RADIOTHERAPY | $21,871 – $59,053 · median $21,871 | 21 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,935 – $183,425 · median $67,935 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,129 – $105,648 · median $39,129 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,364 – $44,182 · median $16,364 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,486 – $33,712 · median $12,486 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,110 – $97,497 · median $36,110 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,474 – $47,180 · median $17,474 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,678 – $31,532 · median $11,678 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,014 – $40,537 · median $15,014 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,620 – $23,275 · median $8,620 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,767 – $20,972 · median $7,767 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,494 – $33,735 · median $12,494 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,627 – $20,593 · median $7,627 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,100 – $46,170 · median $17,100 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,877 – $23,969 · median $8,877 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,544 – $17,669 · median $6,544 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,405 – $146,893 · median $54,405 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,933 – $43,020 · median $15,933 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,817 – $23,806 · median $8,817 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,816 – $83,204 · median $30,816 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,329 – $22,487 · median $8,329 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $8,179 – $22,084 · median $8,179 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,208 – $24,862 · median $9,208 | 21 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,118 – $43,518 · median $16,118 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,351 – $36,047 · median $13,351 | 21 plans |
| 885 | PSYCHOSES | $11,709 – $31,613 · median $11,709 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,962 – $45,796 · median $16,962 | 21 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,186 – $24,801 · median $9,186 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,671 – $15,311 · median $5,671 | 21 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,854 – $32,006 · median $11,854 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,405 – $38,894 · median $14,405 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,729 – $20,869 · median $7,729 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,384 – $90,138 · median $33,384 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,717 – $42,435 · median $15,717 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,950 – $26,864 · median $9,950 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,331 – $79,195 · median $29,331 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,379 – $33,424 · median $12,379 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,102 – $43,476 · median $16,102 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,618 – $82,669 · median $30,618 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,341 – $44,122 · median $16,341 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,058 – $29,855 · median $11,058 | 21 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,550 – $36,584 · median $13,550 | 21 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,750 – $20,926 · median $7,750 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,914 – $37,567 · median $13,914 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,053 – $16,344 · median $6,053 | 21 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,037 – $35,200 · median $13,037 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,530 – $20,332 · median $7,530 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,069 – $40,685 · median $15,069 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,655 – $23,367 · median $8,655 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,224 – $16,806 · median $6,224 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,438 – $38,984 · median $14,438 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,774 – $23,689 · median $8,774 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $166,187 – $448,705 · median $166,187 | 21 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $56,425 – $152,347 · median $56,425 | 21 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,830 – $69,740 · median $25,830 | 21 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,043 – $83,817 · median $31,043 | 21 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,009 – $48,624 · median $18,009 | 21 plans |
| 935 | NON-EXTENSIVE BURNS | $16,843 – $45,476 · median $16,843 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,986 – $78,263 · median $28,986 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,987 – $51,264 · median $18,987 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,593 – $44,801 · median $16,593 | 21 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,884 – $34,786 · median $12,884 | 21 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,773 – $26,388 · median $9,773 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,722 – $28,950 · median $10,722 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,092 – $19,149 · median $7,092 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,105 – $27,284 · median $10,105 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,754 – $15,537 · median $5,754 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,199 – $14,038 · median $5,199 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,006 – $143,116 · median $53,006 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,027 – $81,074 · median $30,027 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,887 – $161,695 · median $59,887 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,518 – $90,499 · median $33,518 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,688 – $63,957 · median $23,688 | 21 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,060 – $59,561 · median $22,060 | 21 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,760 – $34,452 · median $12,760 | 21 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,176 – $22,075 · median $8,176 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,285 – $130,370 · median $48,285 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,313 – $57,546 · median $21,313 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,238 – $62,742 · median $23,238 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,921 – $29,485 · median $10,921 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,883 – $21,285 · median $7,883 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,941 – $29,542 · median $10,941 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,218 – $100,489 · median $37,218 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,928 – $53,806 · median $19,928 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,164 – $38,244 · median $14,164 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,437 – $74,080 · median $27,437 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,619 – $36,772 · median $13,619 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,179 – $27,483 · median $10,179 | 21 plans |
No procedures match that keyword.