Holyoke Medical Center — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766 procedures
Procedures with negotiated rates only
These 766 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,744 – $344,244 · median $241,004 | 26 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,744 – $489,487 · median $342,674 | 26 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,744 – $78,908 · median $55,268 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,744 – $48,088 · median $33,694 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,744 – $32,359 · median $23,251 | 26 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $2,744 – $73,986 · median $53,119 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,744 – $73,986 · median $53,119 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $2,744 – $1,569,024 · median $1,098,349 | 26 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $2,744 – $95,645 · median $68,659 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,744 – $172,577 · median $120,837 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $2,744 – $157,807 · median $110,497 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,744 – $146,433 · median $102,536 | 26 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $2,744 – $112,411 · median $78,720 | 26 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,744 – $45,511 · median $32,688 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $2,744 – $52,990 · median $38,053 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,744 – $35,547 · median $25,539 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,744 – $29,345 · median $21,088 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $2,744 – $72,187 · median $51,828 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,744 – $41,212 · median $29,603 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,744 – $27,987 · median $20,114 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,744 – $49,420 · median $35,492 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,744 – $26,017 · median $18,701 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,744 – $19,687 · median $14,159 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,744 – $46,854 · median $33,651 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,744 – $27,754 · median $19,947 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,744 – $21,896 · median $15,744 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,744 – $40,585 · median $29,153 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,744 – $19,413 · median $13,962 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,744 – $13,941 · median $10,036 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,744 – $66,647 · median $46,686 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,744 – $26,934 · median $19,358 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,744 – $21,081 · median $15,159 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,744 – $23,521 · median $16,910 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,744 – $12,067 · median $8,691 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,744 – $17,906 · median $12,881 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,744 – $13,133 · median $9,456 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,566 – $28,881 · median $3,944 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,267 – $16,590 · median $3,944 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,744 – $20,939 · median $15,057 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,744 – $14,492 · median $10,431 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,744 – $11,037 · median $7,952 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,744 – $33,755 · median $24,253 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,744 – $22,653 · median $16,287 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,744 – $18,064 · median $12,995 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,744 – $24,219 · median $17,411 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,744 – $12,456 · median $8,970 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,744 – $8,534 · median $6,307 | 26 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,744 – $17,231 · median $12,397 | 26 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,744 – $10,722 · median $7,830 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,744 – $9,860 · median $7,281 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,744 – $42,326 · median $29,661 | 26 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,744 – $12,997 · median $9,359 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,744 – $9,673 · median $7,144 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,744 – $18,377 · median $13,219 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,744 – $12,572 · median $9,054 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,744 – $23,155 · median $16,647 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,744 – $11,336 · median $8,167 | 26 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,744 – $18,352 · median $13,201 | 26 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,744 – $12,461 · median $8,975 | 26 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,744 – $9,170 · median $6,774 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,528 – $26,672 · median $3,944 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,330 – $11,181 · median $3,944 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,744 – $27,501 · median $19,766 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,744 – $16,509 · median $11,879 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,744 – $11,303 · median $8,143 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,744 – $27,436 · median $19,719 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,744 – $16,041 · median $11,543 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,744 – $10,903 · median $7,897 | 26 plans |
| 088 | CONCUSSION WITH MCC | $2,744 – $18,625 · median $13,397 | 26 plans |
| 089 | CONCUSSION WITH CC | $2,744 – $14,047 · median $10,112 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,744 – $11,483 · median $8,272 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,744 – $21,670 · median $15,582 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,744 – $12,571 · median $9,053 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,744 – $9,570 · median $7,068 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,744 – $43,531 · median $31,267 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,744 – $28,764 · median $20,672 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,744 – $26,326 · median $18,922 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,744 – $43,700 · median $31,388 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,744 – $26,025 · median $18,707 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,744 – $16,078 · median $11,569 | 26 plans |
| 100 | SEIZURES WITH MCC | $2,744 – $23,975 · median $17,235 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $2,744 – $11,182 · median $8,057 | 26 plans |
| 102 | HEADACHES WITH MCC | $2,744 – $14,723 · median $10,597 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $2,744 – $10,381 · median $7,664 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,744 – $30,232 · median $21,725 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,744 – $21,091 · median $14,796 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,744 – $18,989 · median $13,658 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,744 – $22,166 · median $15,937 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,744 – $14,626 · median $10,527 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,744 – $15,613 · median $11,236 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,744 – $9,214 · median $6,806 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,744 – $9,923 · median $7,328 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,744 – $16,098 · median $11,584 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,744 – $9,846 · median $7,271 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,744 – $31,958 · median $22,964 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,744 – $12,788 · median $9,209 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,744 – $18,278 · median $13,148 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,744 – $10,659 · median $7,807 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,744 – $14,498 · median $10,436 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,744 – $53,842 · median $38,211 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,744 – $25,038 · median $17,998 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,744 – $18,758 · median $13,492 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,744 – $39,989 · median $28,725 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,744 – $20,970 · median $15,079 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $14,896 · median $10,721 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,744 – $25,507 · median $18,334 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,744 – $15,071 · median $10,847 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,744 – $10,945 · median $7,912 | 26 plans |
| 149 | DYSEQUILIBRIUM | $2,744 – $9,216 · median $6,808 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $2,744 – $16,010 · median $11,521 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,744 – $9,526 · median $7,036 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,744 – $14,504 · median $10,440 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,744 – $9,098 · median $6,721 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,744 – $18,677 · median $13,434 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,744 – $11,623 · median $8,373 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,744 – $8,152 · median $6,026 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,744 – $20,690 · median $14,878 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,744 – $11,527 · median $8,304 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,744 – $8,387 · median $6,199 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,744 – $203,394 · median $142,409 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,744 – $30,746 · median $22,093 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,744 – $22,709 · median $16,327 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,744 – $48,719 · median $34,989 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,744 – $22,035 · median $15,843 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $16,501 · median $11,873 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $2,744 – $37,001 · median $26,581 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,744 – $17,065 · median $12,278 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,744 – $10,061 · median $7,429 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,744 – $20,563 · median $14,788 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,744 – $12,101 · median $8,716 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,744 – $9,438 · median $6,971 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,744 – $21,062 · median $15,145 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,744 – $13,465 · median $9,695 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,744 – $9,861 · median $7,282 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,744 – $19,110 · median $13,745 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,744 – $12,879 · median $9,274 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,744 – $9,347 · median $6,904 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,744 – $18,843 · median $13,553 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,744 – $12,216 · median $8,798 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,744 – $9,237 · median $6,824 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,744 – $15,026 · median $10,815 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,744 – $13,476 · median $9,703 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,744 – $10,460 · median $7,722 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,744 – $7,989 · median $5,906 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,744 – $16,154 · median $11,624 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,744 – $10,140 · median $7,487 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,744 – $7,796 · median $5,764 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,744 – $22,936 · median $16,490 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,744 – $106,744 · median $74,754 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,744 – $26,877 · median $18,847 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,744 – $21,490 · median $15,452 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,744 – $13,178 · median $9,489 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,744 – $8,756 · median $6,470 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,744 – $11,753 · median $8,466 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,744 – $8,622 · median $6,372 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,744 – $10,148 · median $7,493 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,744 – $21,921 · median $15,762 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,744 – $11,229 · median $8,090 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,744 – $261,129 · median $182,823 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,744 – $32,575 · median $23,406 | 26 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $2,744 – $128,758 · median $92,417 | 26 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,744 – $150,843 · median $105,623 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,744 – $133,116 · median $95,544 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,744 – $76,231 · median $54,730 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,744 – $68,260 · median $49,010 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,744 – $126,496 · median $88,580 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,744 – $62,869 · median $45,142 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,744 – $55,763 · median $40,043 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,744 – $60,414 · median $43,381 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,744 – $38,248 · median $27,476 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,744 – $132,937 · median $93,089 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,744 – $71,263 · median $51,165 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,744 – $93,333 · median $67,000 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,744 – $62,312 · median $44,743 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,744 – $70,452 · median $50,583 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,744 – $48,521 · median $34,847 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,744 – $62,742 · median $45,051 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,744 – $33,831 · median $24,307 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,744 – $16,958 · median $12,201 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,744 – $42,928 · median $30,834 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,744 – $27,493 · median $19,760 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,744 – $22,150 · median $15,926 | 26 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,744 – $54,366 · median $39,041 | 26 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $2,744 – $28,366 · median $20,386 | 26 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,744 – $19,258 · median $13,851 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,744 – $40,325 · median $28,966 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,744 – $30,754 · median $22,099 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,744 – $21,025 · median $15,119 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,744 – $33,095 · median $23,779 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,744 – $19,887 · median $14,303 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,744 – $12,153 · median $8,753 | 26 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,744 – $32,632 · median $23,447 | 26 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,744 – $22,593 · median $16,244 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,744 – $39,865 · median $28,636 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,744 – $22,774 · median $16,374 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,744 – $19,954 · median $14,350 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,744 – $34,022 · median $24,444 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,744 – $39,278 · median $28,215 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $2,744 – $42,475 · median $30,509 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $2,744 – $74,810 · median $53,710 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,744 – $58,524 · median $42,025 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,744 – $251,726 · median $176,241 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,744 – $67,603 · median $47,354 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,744 – $60,631 · median $43,536 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,744 – $41,546 · median $29,843 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,744 – $29,423 · median $21,145 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,744 – $46,801 · median $33,613 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,744 – $38,977 · median $28,000 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $2,744 – $84,226 · median $60,466 | 26 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $2,744 – $74,382 · median $53,403 | 26 plans |
| 277 | CELLULITIS AGE >17 W CC | $2,744 – $81,823 · median $57,309 | 26 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $2,744 – $53,519 · median $38,433 | 26 plans |
| 279 | CELLULITIS AGE 0-17 | $2,744 – $38,498 · median $27,656 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,744 – $19,253 · median $13,847 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,744 – $11,223 · median $8,086 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,744 – $8,899 · median $6,575 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,744 – $23,842 · median $17,140 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,744 – $9,156 · median $6,764 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,744 – $7,746 · median $4,565 | 26 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,744 – $26,038 · median $18,716 | 26 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,744 – $13,233 · median $9,528 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,744 – $51,938 · median $36,390 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,744 – $17,956 · median $12,917 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,744 – $13,275 · median $9,558 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,744 – $15,645 · median $11,259 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,744 – $10,549 · median $7,767 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,744 – $7,746 · median $5,203 | 26 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,744 – $13,377 · median $9,632 | 26 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,744 – $9,841 · median $7,267 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,744 – $19,452 · median $13,990 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,744 – $9,024 · median $6,667 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,744 – $7,746 · median $4,135 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,744 – $19,130 · median $13,759 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,744 – $13,059 · median $9,403 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,744 – $8,800 · median $6,502 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,744 – $13,704 · median $9,866 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,744 – $8,183 · median $6,049 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $2,744 – $14,037 · median $10,105 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,744 – $9,321 · median $6,885 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,744 – $18,660 · median $13,422 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,744 – $11,576 · median $8,339 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,744 – $14,671 · median $10,560 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,744 – $9,216 · median $6,808 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,744 – $7,746 · median $5,128 | 26 plans |
| 311 | ANGINA PECTORIS | $2,744 – $8,660 · median $6,400 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,744 – $10,632 · median $7,798 | 26 plans |
| 313 | CHEST PAIN | $2,744 – $8,964 · median $6,623 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,744 – $54,971 · median $38,513 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,744 – $11,870 · median $8,550 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,744 – $8,596 · median $6,352 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,744 – $52,345 · median $37,591 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,744 – $26,878 · median $19,318 | 26 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $2,744 – $34,612 · median $24,868 | 26 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $2,744 – $22,078 · median $15,874 | 26 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $2,744 – $49,699 · median $35,692 | 26 plans |
| 324 | URINARY STONES W/O CC | $2,744 – $35,732 · median $25,671 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,744 – $31,865 · median $22,897 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,744 – $161,687 · median $113,214 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,744 – $66,599 · median $46,652 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,744 – $19,382 · median $13,940 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,744 – $54,191 · median $38,916 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,744 – $28,620 · median $20,568 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,744 – $20,272 · median $14,579 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,744 – $43,908 · median $31,537 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $2,744 – $66,322 · median $46,458 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,744 – $19,475 · median $14,007 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,744 – $42,962 · median $30,859 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,744 – $25,439 · median $18,286 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,744 – $18,179 · median $13,077 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,744 – $33,011 · median $23,719 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,744 – $18,706 · median $13,455 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,744 – $15,691 · median $11,292 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,744 – $109,603 · median $76,755 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,744 – $15,854 · median $11,408 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,744 – $11,971 · median $8,623 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,744 – $28,952 · median $20,807 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,744 – $17,692 · median $12,728 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,744 – $13,560 · median $9,762 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,744 – $35,204 · median $25,292 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,744 – $20,818 · median $14,971 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,744 – $16,583 · median $11,932 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,744 – $132,542 · median $92,812 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,744 – $26,530 · median $19,068 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $15,612 · median $11,235 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,744 – $20,034 · median $14,408 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,744 – $12,120 · median $8,730 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,744 – $9,204 · median $6,799 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,744 – $21,175 · median $15,226 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,744 – $12,764 · median $9,192 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,744 – $8,880 · median $6,561 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,744 – $25,364 · median $18,232 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,744 – $14,624 · median $10,526 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,744 – $10,965 · median $7,920 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,744 – $21,683 · median $15,591 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,744 – $12,067 · median $8,691 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,744 – $7,887 · median $5,831 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,744 – $23,569 · median $16,944 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,744 – $13,130 · median $9,455 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,744 – $9,364 · median $6,917 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,744 – $17,008 · median $12,237 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,744 – $10,778 · median $7,851 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,744 – $19,019 · median $13,680 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,744 – $11,921 · median $8,587 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,744 – $8,493 · median $6,277 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,744 – $17,667 · median $12,710 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,744 – $9,832 · median $7,261 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,744 – $7,746 · median $5,181 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,744 – $15,547 · median $11,189 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,744 – $9,704 · median $7,166 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,744 – $19,648 · median $14,131 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,744 – $11,508 · median $8,290 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,744 – $8,057 · median $5,956 | 26 plans |
| 397 | COAGULATION DISORDERS | $2,744 – $27,123 · median $19,495 | 26 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $2,744 – $18,380 · median $13,221 | 26 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $2,744 – $44,611 · median $31,260 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,744 – $65,976 · median $47,371 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,744 – $34,764 · median $24,976 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,744 – $25,984 · median $18,677 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,744 – $44,717 · median $32,118 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,744 – $23,674 · median $17,020 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,744 – $18,999 · median $13,665 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,744 – $36,588 · median $26,285 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,744 – $24,971 · median $17,950 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,744 – $18,336 · median $13,190 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,744 – $42,368 · median $30,433 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,744 – $23,895 · median $17,178 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,744 – $16,304 · median $11,732 | 26 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,744 – $27,972 · median $20,104 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,744 – $19,828 · median $14,260 | 26 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,744 – $15,994 · median $11,509 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,744 – $38,501 · median $27,658 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,744 – $20,721 · median $14,901 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,744 – $17,160 · median $12,346 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,744 – $46,967 · median $33,732 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,744 – $25,753 · median $18,060 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,184 – $19,437 · median $13,638 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,744 – $78,404 · median $54,916 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,239 – $12,630 · median $8,873 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,744 – $8,319 · median $6,149 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,744 – $21,320 · median $15,331 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,744 – $13,461 · median $9,691 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,744 – $10,246 · median $7,565 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,744 – $20,234 · median $14,552 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,744 – $10,534 · median $7,761 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,744 – $7,746 · median $5,677 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,744 – $22,135 · median $15,915 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,744 – $11,682 · median $8,415 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,744 – $8,858 · median $6,545 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,744 – $19,810 · median $14,247 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,744 – $13,295 · median $9,573 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,744 – $9,893 · median $7,306 | 26 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $2,744 – $115,003 · median $82,548 | 26 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $2,744 – $73,263 · median $52,599 | 26 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $2,744 – $55,250 · median $39,675 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $2,744 – $140,570 · median $98,432 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,744 – $72,774 · median $52,249 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $2,744 – $54,361 · median $39,037 | 26 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,744 – $79,415 · median $57,014 | 26 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,744 – $43,951 · median $31,568 | 26 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,744 – $161,775 · median $113,275 | 26 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,744 – $34,274 · median $24,625 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,744 – $67,866 · median $48,727 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,744 – $36,123 · median $25,952 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,744 – $22,643 · median $16,280 | 26 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,744 – $62,178 · median $44,646 | 26 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,744 – $41,905 · median $30,100 | 26 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,744 – $32,167 · median $23,113 | 26 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,744 – $40,039 · median $28,761 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,744 – $22,773 · median $16,373 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $2,744 – $165,775 · median $116,075 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,744 – $35,575 · median $25,558 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,744 – $29,675 · median $21,325 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,744 – $51,640 · median $37,085 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,744 – $25,908 · median $18,623 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,744 – $14,369 · median $10,343 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,744 – $40,506 · median $29,097 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,744 – $28,758 · median $20,667 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,744 – $22,562 · median $16,221 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,744 – $35,497 · median $25,503 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,744 – $25,076 · median $18,026 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,744 – $19,276 · median $13,864 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,744 – $29,956 · median $21,527 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,744 – $78,352 · median $54,879 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,744 – $24,282 · median $17,456 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,744 – $18,757 · median $13,492 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,744 – $25,454 · median $18,297 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,744 – $15,094 · median $10,863 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $2,744 – $41,616 · median $29,893 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,744 – $28,973 · median $20,821 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,744 – $22,624 · median $16,266 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,744 – $43,036 · median $30,912 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,744 – $24,034 · median $17,278 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,744 – $17,356 · median $12,486 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,744 – $31,468 · median $22,612 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,744 – $18,666 · median $13,155 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,744 – $48,279 · median $33,828 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,744 – $21,032 · median $15,124 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,744 – $16,823 · median $12,104 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,744 – $60,969 · median $42,711 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,744 – $20,929 · median $15,050 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,744 – $20,674 · median $14,867 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,744 – $17,776 · median $12,787 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,744 – $25,753 · median $18,512 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,744 – $17,435 · median $12,543 | 26 plans |
| 509 | ARTHROSCOPY | $2,744 – $21,652 · median $15,189 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,744 – $32,775 · median $23,550 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,744 – $24,109 · median $17,332 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,744 – $19,578 · median $14,081 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,744 – $19,664 · median $14,143 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,744 – $12,755 · median $9,185 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,744 – $38,032 · median $27,321 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,744 – $24,670 · median $17,734 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $18,155 · median $13,060 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,744 – $43,878 · median $31,516 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,744 – $23,809 · median $17,116 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,744 – $17,405 · median $12,521 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $1,266 – $36,037 · median $25,259 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,293 – $25,521 · median $17,897 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,744 – $19,788 · median $14,232 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,744 – $9,995 · median $7,380 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,744 – $15,798 · median $11,368 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,744 – $9,722 · median $7,180 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,744 – $11,867 · median $8,548 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,744 – $8,792 · median $6,496 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,744 – $23,997 · median $17,251 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,744 – $15,815 · median $11,381 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,744 – $10,566 · median $7,773 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,744 – $22,081 · median $15,877 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,744 – $13,341 · median $9,606 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,744 – $9,488 · median $7,008 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,744 – $30,064 · median $21,604 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,744 – $14,636 · median $10,535 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,744 – $10,153 · median $7,497 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,744 – $23,585 · median $16,955 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,744 – $14,719 · median $10,594 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,744 – $11,586 · median $8,347 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,744 – $20,629 · median $14,835 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,744 – $11,858 · median $8,542 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,744 – $16,451 · median $11,837 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,744 – $10,135 · median $7,484 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,744 – $17,017 · median $12,243 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,744 – $10,166 · median $7,507 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,744 – $18,899 · median $13,593 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,744 – $10,810 · median $7,863 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,744 – $22,401 · median $16,106 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,744 – $13,835 · median $9,960 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,744 – $9,639 · median $7,119 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,744 – $18,468 · median $13,285 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,744 – $11,015 · median $7,938 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,744 – $18,960 · median $13,637 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,744 – $12,253 · median $8,825 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,744 – $9,285 · median $6,859 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,744 – $254,202 · median $177,974 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,744 – $20,510 · median $14,749 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,744 – $13,924 · median $10,024 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,744 – $74,476 · median $53,470 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,744 – $40,945 · median $29,411 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,744 – $24,732 · median $17,778 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,744 – $68,097 · median $48,893 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,744 – $31,923 · median $22,938 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,744 – $19,539 · median $14,053 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,744 – $40,186 · median $28,867 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,744 – $21,162 · median $15,217 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,744 – $16,394 · median $11,796 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,744 – $21,099 · median $15,172 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,744 – $18,483 · median $13,295 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,744 – $23,690 · median $17,031 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,744 – $20,415 · median $14,682 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $2,744 – $25,257 · median $18,156 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $2,744 – $14,763 · median $10,626 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,744 – $9,725 · median $7,182 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,744 – $26,270 · median $18,882 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,744 – $12,367 · median $8,907 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,744 – $19,420 · median $13,967 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,744 – $45,189 · median $31,665 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,744 – $8,359 · median $6,178 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,744 – $12,564 · median $9,048 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,744 – $7,890 · median $5,834 | 26 plans |
| 602 | CELLULITIS WITH MCC | $2,744 – $18,073 · median $13,001 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,744 – $10,885 · median $7,891 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,744 – $18,295 · median $13,160 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,744 – $11,173 · median $8,050 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,744 – $19,245 · median $13,841 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,744 – $10,990 · median $7,929 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,744 – $27,193 · median $19,544 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,744 – $17,877 · median $12,860 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,744 – $47,525 · median $34,133 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,744 – $23,998 · median $17,252 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,744 – $14,186 · median $10,212 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,744 – $30,247 · median $22,539 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,744 – $18,976 · median $14,153 | 26 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,744 – $17,770 · median $13,255 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,744 – $45,950 · median $33,003 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,744 – $22,531 · median $16,199 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,744 – $13,625 · median $9,810 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,744 – $35,167 · median $25,266 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,744 – $18,125 · median $13,038 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,744 – $15,074 · median $10,849 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,744 – $48,202 · median $34,619 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,744 – $27,317 · median $19,633 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $27,877 · median $19,547 | 26 plans |
| 637 | DIABETES WITH MCC | $2,744 – $17,617 · median $12,674 | 26 plans |
| 638 | DIABETES WITH CC | $2,744 – $11,061 · median $7,969 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,744 – $7,759 · median $5,737 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,744 – $16,018 · median $11,526 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,744 – $9,654 · median $7,130 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,744 – $15,876 · median $11,425 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,744 – $19,952 · median $14,349 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,744 – $12,996 · median $9,358 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,744 – $9,409 · median $6,950 | 26 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $2,744 – $82,913 · median $58,072 | 26 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $2,744 – $70,778 · median $49,577 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,744 – $190,217 · median $133,184 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,744 – $32,977 · median $23,694 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,744 – $25,468 · median $18,307 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,744 – $37,747 · median $27,117 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,744 – $22,326 · median $16,052 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,744 – $17,988 · median $12,940 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,744 – $31,205 · median $22,423 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,744 – $16,384 · median $11,789 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,744 – $12,837 · median $9,244 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,744 – $36,067 · median $25,912 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,744 – $17,733 · median $12,757 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,744 – $12,994 · median $9,357 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,744 – $37,169 · median $26,702 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $2,744 – $20,814 · median $14,967 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,744 – $12,851 · median $9,254 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,744 – $33,936 · median $24,383 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,744 – $18,634 · median $13,403 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,744 – $11,814 · median $8,510 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,744 – $20,748 · median $14,920 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,744 – $11,515 · median $8,295 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,744 – $48,466 · median $34,808 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,744 – $28,740 · median $20,655 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,744 – $22,317 · median $15,952 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $2,744 – $18,231 · median $13,114 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $2,744 – $11,077 · median $7,981 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,744 – $7,746 · median $5,614 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,744 – $22,268 · median $16,011 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,744 – $12,800 · median $9,218 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,744 – $9,648 · median $7,125 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,744 – $14,339 · median $10,322 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,744 – $9,958 · median $7,353 | 26 plans |
| 693 | URINARY STONES WITH MCC | $2,744 – $17,224 · median $12,391 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,744 – $9,669 · median $7,141 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,744 – $14,597 · median $10,507 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,744 – $8,589 · median $6,347 | 26 plans |
| 697 | URETHRAL STRICTURE | $2,744 – $13,609 · median $9,798 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,744 – $20,063 · median $14,428 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,744 – $12,508 · median $9,008 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,744 – $8,782 · median $6,489 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,744 – $23,729 · median $17,059 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,744 – $17,727 · median $12,752 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,744 – $26,220 · median $18,846 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,744 – $15,805 · median $11,373 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,744 – $25,649 · median $18,436 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,744 – $14,506 · median $10,442 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,744 – $17,634 · median $12,686 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,744 – $11,765 · median $8,475 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,744 – $26,657 · median $19,160 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,744 – $17,294 · median $12,442 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,744 – $21,962 · median $15,791 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,744 – $14,356 · median $10,334 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,744 – $22,690 · median $16,314 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,744 – $13,623 · median $9,808 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,744 – $9,989 · median $7,376 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,744 – $15,132 · median $10,891 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,744 – $9,051 · median $6,687 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,744 – $19,664 · median $14,143 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,744 – $9,877 · median $7,294 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,744 – $12,306 · median $8,863 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,744 – $7,748 · median $5,729 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,744 – $26,253 · median $18,870 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,744 – $15,362 · median $11,056 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,744 – $46,685 · median $33,530 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,744 – $23,871 · median $17,161 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,744 – $16,607 · median $11,949 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,744 – $43,455 · median $31,212 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,744 – $21,644 · median $15,563 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,744 – $26,598 · median $18,651 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,744 – $21,583 · median $15,519 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,744 – $14,192 · median $10,216 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,744 – $22,781 · median $16,379 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,744 – $78,307 · median $54,847 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,744 – $20,321 · median $14,614 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,744 – $10,915 · median $7,901 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,744 – $17,088 · median $12,294 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,744 – $30,350 · median $21,809 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $16,552 · median $11,910 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,744 – $22,424 · median $16,123 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,744 – $13,270 · median $9,555 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,744 – $12,137 · median $8,742 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,744 – $18,121 · median $13,036 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,744 – $12,172 · median $8,767 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,744 – $8,042 · median $5,945 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,744 – $12,205 · median $8,791 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,744 – $7,746 · median $5,589 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,744 – $14,860 · median $10,696 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,744 – $18,745 · median $13,483 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,744 – $9,860 · median $7,281 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,744 – $8,882 · median $6,563 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $2,744 – $12,131 · median $8,738 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,744 – $49,279 · median $34,528 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,744 – $12,547 · median $9,036 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,744 – $10,666 · median $7,810 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,744 – $21,196 · median $15,242 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,744 – $12,869 · median $9,267 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,744 – $10,531 · median $7,760 | 26 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,744 – $22,030 · median $15,840 | 26 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,744 – $71,877 · median $51,605 | 26 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,744 – $49,194 · median $35,330 | 26 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,744 – $29,817 · median $21,427 | 26 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,744 – $50,525 · median $36,285 | 26 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,744 – $18,101 · median $13,021 | 26 plans |
| 795 | NORMAL NEWBORN | $1,952 – $7,746 · median $2,088 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,744 – $17,249 · median $12,409 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,744 – $12,211 · median $8,795 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,744 – $10,294 · median $7,600 | 26 plans |
| 799 | SPLENECTOMY WITH MCC | $2,744 – $59,411 · median $42,661 | 26 plans |
| 800 | SPLENECTOMY WITH CC | $2,744 – $33,933 · median $24,380 | 26 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $2,744 – $21,676 · median $15,586 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,744 – $76,644 · median $53,684 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,744 – $22,492 · median $16,172 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,744 – $14,769 · median $10,630 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,744 – $12,358 · median $8,900 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,744 – $9,240 · median $6,826 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,744 – $8,138 · median $6,016 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,744 – $26,450 · median $19,011 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,744 – $24,603 · median $17,255 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,744 – $12,314 · median $8,868 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,744 – $17,072 · median $12,283 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,744 – $11,076 · median $7,981 | 26 plans |
| 813 | COAGULATION DISORDERS | $2,744 – $18,937 · median $13,621 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,744 – $25,711 · median $18,481 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,744 – $12,191 · median $8,780 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,744 – $8,805 · median $6,506 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,744 – $33,922 · median $24,372 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,744 – $17,400 · median $12,518 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $11,154 · median $8,036 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,744 – $72,433 · median $52,004 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,744 – $26,951 · median $19,370 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $15,107 · median $10,873 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,744 – $54,014 · median $38,788 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,744 – $26,960 · median $19,377 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,744 – $15,734 · median $11,323 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,744 – $55,514 · median $39,865 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,744 – $27,965 · median $20,099 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $19,896 · median $14,309 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,744 – $37,940 · median $27,256 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,744 – $19,190 · median $13,802 | 26 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,744 – $13,158 · median $9,474 | 26 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,744 – $9,133 · median $6,747 | 26 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $7,746 · median $4,767 | 26 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $2,744 – $67,095 · median $48,174 | 26 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $2,744 – $26,991 · median $19,400 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $17,171 · median $12,354 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,744 – $208,165 · median $145,748 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,744 – $24,203 · median $17,399 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,744 – $15,874 · median $11,423 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,744 – $37,599 · median $27,011 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,744 – $55,417 · median $38,825 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,744 – $13,052 · median $9,398 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,744 – $22,521 · median $16,192 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,744 – $14,134 · median $10,175 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,744 – $10,649 · median $7,804 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,744 – $29,477 · median $21,183 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,744 – $14,795 · median $10,649 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,744 – $10,307 · median $7,610 | 26 plans |
| 849 | RADIOTHERAPY | $2,744 – $94,358 · median $66,083 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,744 – $59,944 · median $43,044 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,744 – $24,639 · median $17,712 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $20,628 · median $14,834 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,744 – $53,137 · median $38,160 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,744 – $25,801 · median $18,546 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,744 – $15,639 · median $11,254 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,744 – $22,299 · median $16,033 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,744 – $12,326 · median $8,877 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,744 – $10,863 · median $7,882 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,744 – $19,890 · median $14,304 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,744 – $11,279 · median $8,126 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,744 – $38,341 · median $26,871 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,744 – $13,279 · median $9,561 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,744 – $8,572 · median $6,335 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,744 – $83,381 · median $59,859 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,744 – $23,976 · median $17,236 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,744 – $12,616 · median $9,086 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,100 – $44,828 · median $3,834 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,100 – $11,719 · median $3,834 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $1,100 – $11,145 · median $3,834 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,100 – $11,536 · median $3,834 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,100 – $22,698 · median $3,834 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,100 – $21,285 · median $3,834 | 26 plans |
| 885 | PSYCHOSES | $1,100 – $16,629 · median $3,834 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,100 – $20,388 · median $3,834 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,079 – $15,785 · median $3,834 | 26 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,116 – $7,746 · median $3,944 | 26 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,744 – $80,993 · median $47,040 | 26 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,744 – $43,664 · median $26,170 | 26 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,125 – $10,538 · median $3,944 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,744 – $51,938 · median $37,299 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,744 – $22,808 · median $16,399 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,744 – $15,139 · median $10,896 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,744 – $39,161 · median $28,132 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,744 – $19,220 · median $13,823 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,744 – $22,771 · median $16,372 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,744 – $44,685 · median $32,095 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,744 – $56,659 · median $39,694 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,744 – $16,508 · median $11,878 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,744 – $18,156 · median $13,060 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,744 – $11,159 · median $8,040 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,744 – $21,489 · median $15,451 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,744 – $8,192 · median $6,055 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,744 – $19,365 · median $13,928 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,744 – $10,601 · median $7,786 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,744 – $22,093 · median $15,885 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,744 – $12,663 · median $9,119 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,744 – $8,657 · median $6,397 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,744 – $21,142 · median $15,203 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,744 – $12,396 · median $8,928 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,744 – $314,616 · median $225,771 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,744 – $82,842 · median $59,472 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,744 – $40,468 · median $29,069 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,744 – $36,488 · median $26,214 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,744 – $25,286 · median $18,176 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $2,744 – $24,673 · median $17,736 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,744 – $38,673 · median $27,782 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,744 – $26,170 · median $18,810 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,744 – $22,466 · median $16,153 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,744 – $18,335 · median $13,189 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,744 – $12,411 · median $8,939 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,744 – $15,260 · median $10,982 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,744 – $9,887 · median $7,301 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,744 – $13,128 · median $9,453 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,744 – $7,951 · median $5,878 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,744 – $7,746 · median $5,452 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,744 – $72,951 · median $52,376 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,744 – $46,577 · median $33,453 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,744 – $86,571 · median $62,148 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,744 – $48,564 · median $34,878 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,744 – $56,804 · median $39,796 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,744 – $32,938 · median $23,667 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,744 – $18,234 · median $13,116 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,744 – $11,734 · median $8,453 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,744 – $359,613 · median $251,762 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,744 – $107,604 · median $75,356 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,744 – $35,111 · median $25,225 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,744 – $16,592 · median $11,938 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,744 – $10,415 · median $7,690 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,744 – $17,221 · median $12,390 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,744 – $56,857 · median $40,829 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,744 – $29,978 · median $21,543 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,744 – $19,834 · median $14,264 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,744 – $40,598 · median $29,162 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,744 – $20,570 · median $14,793 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,744 – $13,217 · median $9,517 | 26 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $2,744 – $465,695 · median $326,019 | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $2,744 – $378,167 · median $264,749 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $2,744 – $136,987 · median $95,924 | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $2,744 – $223,383 · median $156,401 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $2,744 – $286,121 · median $200,317 | 23 plans |
| 007 | LUNG TRANSPLANT | $2,744 – $1,138,012 · median $796,641 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $2,744 – $275,725 · median $193,040 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $2,744 – $151,835 · median $106,317 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $2,744 – $47,676 · median $33,406 | 23 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,744 – $7,746 · median $3,887 | 8 plans |
| 999 | UNGROUPABLE | $2,744 – $7,746 · median $3,887 | 8 plans |
No procedures match that keyword.