North Kansas City Hospital (Acute Care) — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 |
|---|---|---|---|
| 795 | NORMAL NEWBORN | $909 – $5,849 · median $1,751 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,931 – $338,060 · median $263,277 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $87,402 – $221,550 · median $171,813 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,415 – $88,869 · median $67,653 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,603 – $69,307 · median $52,295 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,184 – $48,226 · median $35,746 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,652 – $127,023 · median $97,605 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,404 – $86,336 · median $65,664 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,404 – $52,896 · median $38,144 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,158 – $93,233 · median $71,079 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,684 – $64,502 · median $48,523 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,690 – $74,532 · median $56,397 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,619 – $51,819 · median $38,567 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,920 – $42,555 · median $31,294 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,912 – $97,626 · median $74,527 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,527 – $56,597 · median $42,317 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,852 – $37,377 · median $27,229 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,272 – $73,486 · median $55,576 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,447 – $36,363 · median $26,433 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,493 – $28,966 · median $20,627 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,424 – $63,851 · median $48,012 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,084 – $40,463 · median $29,652 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,259 – $33,389 · median $24,098 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,773 – $54,708 · median $40,835 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,239 – $28,330 · median $20,127 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,417 – $21,265 · median $14,581 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,364 – $63,701 · median $47,894 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,874 – $37,432 · median $27,273 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,902 – $29,990 · median $21,430 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,237 – $31,311 · median $22,089 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,179 – $18,164 · median $12,146 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,635 – $26,818 · median $18,940 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,434 – $18,802 · median $12,647 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,659 – $39,398 · median $28,816 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,175 – $23,163 · median $16,071 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,787 – $29,703 · median $21,205 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,830 – $22,299 · median $15,392 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,804 – $17,225 · median $11,409 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,397 – $46,255 · median $34,199 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,088 – $30,456 · median $21,796 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,858 – $24,873 · median $17,413 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,689 – $34,467 · median $24,944 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,375 – $18,655 · median $12,532 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,319 – $13,506 · median $8,489 | 21 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,268 – $25,898 · median $18,218 | 21 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,454 – $16,350 · median $10,722 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,040 – $15,313 · median $9,908 | 21 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,505 – $28,996 · median $20,650 | 21 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,474 – $18,903 · median $12,727 | 21 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,772 – $14,640 · median $9,380 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,123 – $28,040 · median $19,900 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,504 – $18,979 · median $12,786 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,099 – $32,989 · median $23,785 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,725 – $15,730 · median $9,288 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,421 – $31,291 · median $22,451 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,651 – $16,843 · median $11,109 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,422 – $38,805 · median $28,351 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,808 – $24,746 · median $17,314 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,031 – $17,794 · median $11,856 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,336 – $38,589 · median $28,181 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,220 – $23,275 · median $16,159 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,772 – $17,144 · median $11,346 | 21 plans |
| 088 | CONCUSSION WITH MCC | $8,530 – $24,051 · median $16,768 | 21 plans |
| 089 | CONCUSSION WITH CC | $6,932 – $20,050 · median $13,627 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,194 – $15,699 · median $10,211 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,082 – $30,441 · median $21,784 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,455 – $18,856 · median $12,689 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,025 – $15,274 · median $9,877 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,207 – $58,300 · median $43,655 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,275 – $43,444 · median $31,992 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,275 – $43,444 · median $31,992 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,790 – $59,760 · median $44,801 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,481 – $38,952 · median $28,466 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,597 – $24,218 · median $16,899 | 21 plans |
| 100 | SEIZURES WITH MCC | $12,221 – $33,294 · median $24,024 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $5,695 – $16,953 · median $11,196 | 21 plans |
| 102 | HEADACHES WITH MCC | $7,073 – $20,403 · median $13,904 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $5,277 – $15,906 · median $10,373 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,835 – $39,840 · median $29,163 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,537 – $24,070 · median $16,783 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,685 – $26,944 · median $19,039 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,409 – $31,261 · median $22,428 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,846 – $19,834 · median $13,457 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,340 – $21,072 · median $14,430 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,958 – $15,108 · median $9,747 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,039 – $15,310 · median $9,906 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,349 – $23,597 · median $16,412 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,845 – $14,823 · median $9,524 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,347 – $36,979 · median $26,237 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,407 – $18,734 · median $12,594 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,422 – $26,285 · median $18,522 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,592 – $16,694 · median $10,992 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,032 – $22,216 · median $14,991 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,914 – $70,086 · median $52,907 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,763 – $37,154 · median $27,054 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,073 – $27,916 · median $19,802 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,641 – $61,890 · median $46,473 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,935 – $30,072 · median $21,495 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,587 – $21,689 · median $14,913 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,361 – $36,148 · median $26,264 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,023 – $22,782 · median $15,772 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,030 – $15,286 · median $9,887 | 21 plans |
| 149 | DYSEQUILIBRIUM | $4,743 – $14,567 · median $9,323 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $8,402 – $23,730 · median $16,516 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,632 – $14,289 · median $9,105 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,460 – $21,371 · median $14,664 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,658 – $14,356 · median $9,157 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,866 – $27,396 · median $19,394 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,783 – $17,173 · median $11,368 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,361 – $13,611 · median $8,572 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,833 – $29,818 · median $21,295 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,741 – $17,067 · median $11,285 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,471 – $13,886 · median $8,788 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,280 – $73,506 · median $55,592 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,926 – $42,572 · median $31,308 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,079 – $32,937 · median $23,744 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,585 – $61,749 · median $46,362 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,379 – $31,186 · median $22,369 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,622 – $24,282 · median $16,949 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,781 – $49,720 · median $36,919 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,667 – $24,395 · median $17,038 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,080 – $15,411 · median $9,985 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,861 – $27,383 · median $19,384 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,159 – $18,113 · median $12,106 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,764 – $14,621 · median $9,365 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,143 – $30,595 · median $21,905 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,758 – $19,614 · median $13,285 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,695 – $14,602 · median $9,229 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,654 – $26,865 · median $18,977 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,714 – $19,505 · median $13,199 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,963 – $15,119 · median $9,756 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,834 – $27,317 · median $19,332 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,241 – $18,320 · median $12,269 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,526 – $14,024 · median $8,896 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,795 – $22,212 · median $15,324 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,990 – $20,194 · median $13,740 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,319 – $16,012 · median $10,457 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,051 – $12,836 · median $7,963 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,294 – $23,460 · median $16,304 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,085 – $15,425 · median $9,996 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,966 – $12,622 · median $7,796 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,908 – $32,510 · median $23,409 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,963 – $17,688 · median $11,773 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,009 – $14,008 · median $8,884 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,131 – $30,565 · median $21,882 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,937 – $20,061 · median $13,636 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,512 – $13,991 · median $8,870 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,128 – $18,037 · median $12,047 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,228 – $13,278 · median $8,311 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,095 – $15,449 · median $10,015 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,554 – $31,622 · median $22,712 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,938 – $17,562 · median $11,673 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,603 – $104,363 · median $79,816 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,344 – $46,123 · median $34,095 | 21 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $71,422 – $181,534 · median $140,398 | 21 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $68,616 – $174,508 · median $134,882 | 21 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $36,011 – $92,863 · median $70,788 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,829 – $160,017 · median $123,507 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,729 – $157,265 · median $121,346 | 21 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,490 – $106,585 · median $81,560 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,490 – $106,585 · median $81,560 | 21 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,450 – $124,013 · median $95,242 | 21 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,650 – $86,953 · median $66,148 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,804 – $82,329 · median $62,519 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,218 – $80,863 · median $61,368 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,873 – $52,455 · median $39,066 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,193 – $135,888 · median $104,564 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,255 – $98,484 · median $75,200 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,241 – $123,490 · median $94,831 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,470 – $89,005 · median $67,759 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,031 – $95,418 · median $72,794 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,431 – $68,877 · median $51,958 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,056 – $80,457 · median $61,049 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,987 – $47,731 · median $35,358 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,736 – $24,566 · median $17,172 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,147 – $53,140 · median $39,603 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,446 – $36,361 · median $26,432 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,405 – $31,251 · median $22,420 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,789 – $74,780 · median $56,592 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,772 – $37,176 · median $27,072 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,430 – $26,306 · median $18,538 | 21 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,011 – $57,809 · median $43,269 | 21 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,378 – $43,703 · median $32,196 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,243 – $30,843 · median $22,100 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,021 – $45,312 · median $33,459 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,714 – $29,519 · median $21,061 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,892 – $19,949 · median $13,548 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,827 – $52,338 · median $38,975 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,759 – $34,642 · median $25,082 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,525 – $54,088 · median $40,348 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,929 – $32,563 · median $23,450 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,285 – $28,445 · median $20,217 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,292 – $51,000 · median $37,924 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,079 – $55,475 · median $41,437 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $22,831 – $59,861 · median $44,880 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,670 – $99,523 · median $76,017 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,041 – $77,915 · median $59,053 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $43,400 – $111,366 · median $85,313 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,648 – $69,420 · median $52,385 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,293 – $86,060 · median $65,447 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,440 – $58,883 · median $44,112 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,109 – $43,030 · median $31,667 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $26,032 – $67,877 · median $51,173 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,771 – $54,702 · median $40,830 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,993 – $115,355 · median $88,445 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $37,902 – $97,599 · median $74,506 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,143 – $75,666 · median $57,288 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,123 – $90,640 · median $69,043 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,756 – $59,675 · median $44,734 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,122 – $28,037 · median $19,897 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,800 – $17,214 · median $11,401 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,563 – $14,117 · median $8,969 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,499 – $33,989 · median $24,570 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,368 – $13,629 · median $8,586 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,779 – $12,155 · median $7,429 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,963 – $37,655 · median $27,448 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,752 – $19,600 · median $13,274 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,076 – $45,451 · median $33,568 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,771 – $29,662 · median $21,172 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,866 – $17,381 · median $11,532 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,101 – $22,976 · median $15,924 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,357 – $16,106 · median $10,531 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,571 – $11,635 · median $7,021 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,856 – $27,371 · median $19,374 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,934 – $12,709 · median $7,734 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,872 – $9,883 · median $5,645 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,302 – $28,489 · median $20,252 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,736 – $19,559 · median $13,241 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,541 – $14,063 · median $8,927 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,551 – $21,599 · median $14,843 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,248 – $13,329 · median $8,350 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $7,509 – $21,494 · median $14,761 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,765 – $14,623 · median $9,366 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,459 – $27,590 · median $19,546 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,662 – $17,121 · median $11,327 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,597 – $21,716 · median $14,934 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,642 – $14,316 · median $9,126 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,572 – $11,636 · median $7,022 | 21 plans |
| 311 | ANGINA PECTORIS | $4,429 – $13,782 · median $8,706 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,500 – $16,463 · median $10,811 | 21 plans |
| 313 | CHEST PAIN | $4,543 – $14,068 · median $8,931 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,158 – $35,639 · median $25,865 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,078 – $17,912 · median $11,949 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,304 – $13,469 · median $8,461 | 21 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $42,192 – $108,342 · median $82,939 | 21 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,284 – $40,964 · median $30,045 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,161 – $73,208 · median $55,358 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,177 – $40,697 · median $29,835 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,168 – $45,682 · median $33,749 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,125 – $30,548 · median $21,868 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,306 – $71,067 · median $53,677 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,883 – $52,479 · median $39,085 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,258 – $53,418 · median $39,822 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,470 – $81,495 · median $61,864 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,423 – $41,311 · median $30,318 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,111 – $28,009 · median $19,875 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,004 – $75,319 · median $57,015 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,126 – $40,569 · median $29,735 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,619 – $29,282 · median $20,875 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,049 – $59,901 · median $44,911 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $14,779 – $39,700 · median $29,053 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,335 – $28,571 · median $20,317 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,532 – $59,114 · median $44,293 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,306 – $36,010 · median $26,156 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,686 – $26,945 · median $19,040 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,297 – $43,501 · median $32,037 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,495 – $26,467 · median $18,664 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,485 – $21,434 · median $14,714 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,485 – $38,963 · median $28,475 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,259 – $23,371 · median $16,234 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,493 – $16,448 · median $10,799 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,724 – $42,065 · median $30,910 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,620 – $26,780 · median $18,910 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,369 – $21,144 · median $14,485 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,312 – $48,545 · median $35,996 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,616 – $29,275 · median $20,868 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,487 – $23,943 · median $16,683 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,719 – $72,100 · median $54,488 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,674 – $39,436 · median $28,846 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,821 – $24,779 · median $17,340 | 21 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,698 – $57,023 · median $42,652 | 21 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,234 – $40,839 · median $29,947 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,045 – $27,845 · median $19,746 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,311 – $18,495 · median $12,406 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,422 – $13,765 · median $8,693 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,188 – $30,708 · median $21,994 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,443 – $18,824 · median $12,664 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,590 – $14,185 · median $9,023 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,495 – $36,484 · median $26,528 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,633 – $21,804 · median $15,004 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,832 – $17,296 · median $11,465 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,535 – $31,575 · median $22,675 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,188 – $18,187 · median $12,165 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,978 – $12,652 · median $7,819 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,381 – $33,695 · median $24,339 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,837 – $19,812 · median $13,440 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,052 – $15,342 · median $9,931 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,712 – $24,508 · median $17,126 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,394 – $16,198 · median $10,603 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,984 – $27,693 · median $19,627 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,160 – $18,118 · median $12,110 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,299 – $13,457 · median $8,451 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,319 – $26,026 · median $18,318 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,984 – $15,171 · median $9,797 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,433 – $11,287 · median $6,748 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,003 – $22,732 · median $15,732 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,919 – $15,010 · median $9,670 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,092 – $27,961 · median $19,838 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,904 – $17,476 · median $11,606 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,095 – $12,946 · median $8,050 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,112 – $40,532 · median $29,706 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,551 – $26,607 · median $18,775 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,223 – $20,779 · median $14,199 | 21 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,369 – $66,218 · median $49,870 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,519 – $89,128 · median $67,856 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,300 – $48,516 · median $35,974 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,006 – $37,762 · median $27,532 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,499 – $59,030 · median $44,228 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,739 – $37,094 · median $27,007 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,018 – $27,778 · median $19,694 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,844 – $54,886 · median $40,974 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,267 – $35,912 · median $26,079 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,478 – $28,928 · median $20,597 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,480 – $58,983 · median $44,190 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,041 – $35,347 · median $25,635 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,602 – $24,233 · median $16,910 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,058 – $40,398 · median $29,601 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,674 – $29,420 · median $20,983 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,618 – $24,272 · median $16,941 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,499 – $56,526 · median $42,262 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,964 – $30,145 · median $21,552 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,831 – $24,805 · median $17,359 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,847 – $68,311 · median $51,514 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,826 – $37,262 · median $27,139 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,467 – $26,397 · median $18,610 | 21 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,544 – $176,832 · median $136,707 | 21 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,549 – $116,749 · median $89,540 | 21 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,475 – $91,522 · median $69,735 | 21 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $56,851 – $145,048 · median $111,755 | 21 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,390 – $93,815 · median $71,535 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,419 – $33,790 · median $24,414 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,665 – $19,380 · median $13,101 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,496 – $13,950 · median $8,838 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,590 – $31,713 · median $22,782 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,137 – $20,564 · median $14,030 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,384 – $16,174 · median $10,584 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,287 – $28,450 · median $20,221 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,308 – $15,983 · median $10,434 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,921 – $12,510 · median $7,708 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,325 – $31,049 · median $22,261 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,091 – $17,944 · median $11,974 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,415 – $13,747 · median $8,679 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,543 – $29,093 · median $20,726 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,906 – $19,984 · median $13,575 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,220 – $15,764 · median $10,262 | 21 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,161 – $108,264 · median $82,879 | 21 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,759 – $69,698 · median $52,603 | 21 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,630 – $86,902 · median $66,108 | 21 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,384 – $53,734 · median $40,070 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,025 – $135,469 · median $104,236 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $37,627 – $96,912 · median $73,966 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,329 – $68,621 · median $51,757 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,825 – $89,958 · median $66,493 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,785 – $44,721 · median $32,995 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,964 – $92,747 · median $70,697 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,654 – $51,906 · median $38,635 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,508 – $31,507 · median $22,621 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,846 – $84,940 · median $64,568 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,253 – $58,414 · median $43,744 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,340 – $46,111 · median $34,086 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,139 – $50,618 · median $37,624 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,171 – $33,169 · median $23,926 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,469 – $78,987 · median $59,895 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,590 – $49,242 · median $36,543 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,405 – $41,265 · median $30,282 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,088 – $70,522 · median $53,249 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,360 – $38,649 · median $28,228 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,447 – $21,340 · median $14,639 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,799 – $57,276 · median $42,851 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,518 – $41,548 · median $30,504 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,730 – $32,063 · median $23,058 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,377 – $48,708 · median $36,124 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,216 – $35,786 · median $25,980 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,292 – $28,462 · median $20,231 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,491 – $46,489 · median $34,383 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,363 – $53,681 · median $40,029 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,195 – $35,732 · median $25,938 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,883 – $27,438 · median $19,427 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,614 – $30,641 · median $18,899 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,047 – $20,338 · median $13,853 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,168 – $60,705 · median $45,543 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,003 – $42,763 · median $31,458 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,661 – $34,395 · median $24,889 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,878 – $59,980 · median $44,973 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,383 – $31,194 · median $22,376 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,267 – $21,783 · median $14,286 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,740 – $50,359 · median $37,420 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,713 – $34,527 · median $24,992 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,970 – $52,697 · median $39,256 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,031 – $30,313 · median $21,683 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,493 – $23,958 · median $16,695 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,612 – $46,792 · median $34,621 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,795 – $32,226 · median $23,186 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,313 – $31,019 · median $22,238 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,569 – $24,010 · median $14,880 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,398 – $31,234 · median $22,407 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,556 – $26,620 · median $18,785 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,059 – $50,417 · median $37,466 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,121 – $35,547 · median $25,793 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,446 – $28,848 · median $20,534 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,448 – $27,566 · median $19,528 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,510 – $18,845 · median $12,681 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,109 – $53,046 · median $39,530 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,113 – $35,527 · median $25,777 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,697 – $26,972 · median $19,061 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,582 – $61,743 · median $46,357 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,621 – $34,296 · median $24,810 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,427 – $26,296 · median $18,530 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,111 – $48,042 · median $35,602 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,363 – $36,152 · median $26,268 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,892 – $27,462 · median $19,446 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,086 – $15,429 · median $9,999 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,089 – $22,948 · median $15,902 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,096 – $15,452 · median $10,017 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,022 – $17,770 · median $11,837 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,545 – $14,073 · median $8,935 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,429 – $33,814 · median $24,432 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,180 – $23,174 · median $16,079 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,868 – $15,133 · median $9,570 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,147 – $30,603 · median $21,912 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,487 – $18,935 · median $12,751 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,762 – $14,615 · median $9,360 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,660 – $41,904 · median $30,783 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,278 – $20,916 · median $14,307 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,276 – $15,904 · median $10,372 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,184 – $33,201 · median $23,951 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,617 – $21,766 · median $14,974 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,516 – $16,503 · median $10,842 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,576 – $29,175 · median $20,790 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,066 – $17,881 · median $11,924 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,180 – $23,174 · median $16,079 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,238 – $15,808 · median $10,297 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,647 – $23,577 · median $16,396 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,241 – $15,816 · median $10,303 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,382 – $26,186 · median $18,444 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,636 – $16,805 · median $11,079 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,768 – $32,158 · median $23,132 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,106 – $20,485 · median $13,968 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,073 – $15,394 · median $9,972 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,990 – $25,204 · median $17,673 | 21 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,651 – $16,841 · median $11,108 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,740 – $27,081 · median $19,147 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,148 – $18,088 · median $12,086 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,728 – $14,531 · median $9,294 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,558 – $49,163 · median $36,481 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,661 – $29,387 · median $20,957 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,233 – $20,804 · median $14,219 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,339 – $106,207 · median $81,264 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,905 – $57,542 · median $43,059 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,308 – $31,085 · median $20,263 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,927 – $80,133 · median $60,794 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,726 – $44,574 · median $32,879 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,136 – $28,074 · median $19,926 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,435 – $53,862 · median $40,170 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,904 – $29,995 · median $21,434 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,106 – $25,493 · median $17,900 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,157 – $33,133 · median $23,898 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,881 – $29,938 · median $21,389 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,508 – $36,516 · median $26,553 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,173 – $33,172 · median $23,929 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $12,212 – $33,270 · median $24,005 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $7,486 – $21,436 · median $14,715 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,470 – $16,388 · median $10,752 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,382 – $36,200 · median $26,305 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,831 – $19,796 · median $13,427 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,519 – $29,033 · median $20,679 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,139 – $20,567 · median $14,033 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,626 – $14,849 · median $9,095 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,573 – $19,150 · median $12,920 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,818 – $12,251 · median $7,504 | 21 plans |
| 602 | CELLULITIS WITH MCC | $8,968 – $25,149 · median $17,630 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,495 – $16,452 · median $10,803 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,289 – $25,952 · median $18,260 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,780 – $17,165 · median $11,362 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,548 – $26,601 · median $18,770 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,719 – $17,013 · median $11,243 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,830 – $37,323 · median $27,187 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,830 – $24,801 · median $17,357 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,005 – $57,794 · median $43,258 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,802 – $32,243 · median $23,199 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,949 – $25,102 · median $17,593 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,219 – $48,314 · median $35,815 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,098 – $27,977 · median $19,850 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,518 – $26,525 · median $18,710 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,610 – $58,929 · median $44,148 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,320 – $31,036 · median $22,252 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,899 – $22,472 · median $15,529 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,764 – $50,411 · median $37,461 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,914 – $26,383 · median $18,599 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,382 – $23,680 · median $16,476 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,516 – $61,577 · median $46,227 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,748 – $37,118 · median $27,026 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,209 – $25,753 · median $18,104 | 21 plans |
| 637 | DIABETES WITH MCC | $9,066 – $25,392 · median $17,821 | 21 plans |
| 638 | DIABETES WITH CC | $5,655 – $16,852 · median $11,116 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,920 – $12,507 · median $7,705 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,428 – $23,795 · median $16,567 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,910 – $14,988 · median $9,653 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,973 – $25,162 · median $17,640 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,387 – $28,701 · median $20,418 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,468 – $18,887 · median $12,714 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,848 – $14,831 · median $9,530 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,292 – $84,797 · median $64,456 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,189 – $46,922 · median $34,723 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,356 – $36,135 · median $26,254 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,090 – $52,997 · median $39,492 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,547 – $31,607 · median $22,699 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,792 – $27,211 · median $19,249 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,033 – $42,839 · median $31,517 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,340 – $23,575 · median $16,394 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,533 – $19,052 · median $12,843 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,318 – $51,065 · median $37,975 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,592 – $26,712 · median $18,857 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,606 – $19,233 · median $12,986 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,695 – $52,008 · median $38,715 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $11,038 – $30,332 · median $21,698 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,980 – $20,170 · median $13,721 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,050 – $48,829 · median $36,220 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,793 – $27,214 · median $19,251 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,167 – $18,134 · median $12,122 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,023 – $31,054 · median $22,265 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,918 – $19,748 · median $13,390 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,194 – $69,079 · median $52,117 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,757 – $39,643 · median $29,008 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,357 – $28,627 · median $20,360 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $9,345 – $26,092 · median $18,370 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $5,526 – $16,530 · median $10,863 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,788 – $12,177 · median $7,446 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,381 – $31,191 · median $22,373 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,612 – $19,248 · median $12,997 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,987 – $15,179 · median $9,803 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,321 – $21,025 · median $14,392 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,108 – $15,482 · median $10,041 | 21 plans |
| 693 | URINARY STONES WITH MCC | $8,484 – $23,936 · median $16,677 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,933 – $15,043 · median $9,696 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,217 – $20,764 · median $14,188 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,348 – $13,578 · median $8,546 | 21 plans |
| 697 | URETHRAL STRICTURE | $6,801 – $19,722 · median $13,369 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,439 – $28,832 · median $20,521 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,405 – $18,729 · median $12,590 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,353 – $13,593 · median $8,558 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,622 – $34,297 · median $24,812 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,681 – $26,933 · median $19,030 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,684 – $39,461 · median $28,865 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,842 – $24,831 · median $17,380 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,083 – $35,617 · median $25,847 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,939 – $20,068 · median $13,641 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,486 – $26,446 · median $18,648 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,672 – $19,399 · median $13,116 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,179 – $38,042 · median $27,751 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,282 – $25,934 · median $18,246 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,704 – $32,563 · median $23,450 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,475 – $23,913 · median $16,660 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,128 – $31,286 · median $22,448 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,369 – $20,747 · median $14,174 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,860 – $13,052 · median $7,588 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,384 – $21,181 · median $14,515 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,556 – $14,100 · median $8,956 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,357 – $26,122 · median $18,394 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,119 – $15,509 · median $10,062 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,680 – $19,420 · median $13,132 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,240 – $13,310 · median $8,335 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,413 – $36,347 · median $26,421 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,490 – $23,951 · median $16,690 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,555 – $59,171 · median $44,338 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,002 – $35,250 · median $25,560 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,266 – $25,895 · median $18,215 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,251 – $59,302 · median $43,740 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,419 – $31,284 · median $22,446 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,999 – $25,225 · median $17,689 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,578 – $31,683 · median $22,759 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,829 – $22,295 · median $15,390 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,930 – $35,069 · median $25,417 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,178 – $20,665 · median $14,110 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,961 – $30,139 · median $21,547 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,297 – $16,275 · median $10,413 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,754 – $24,612 · median $17,208 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,202 – $43,261 · median $31,849 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,312 – $26,010 · median $18,306 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,356 – $31,792 · median $22,844 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,977 – $19,880 · median $13,493 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,061 – $17,868 · median $11,914 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,035 – $25,316 · median $17,761 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,177 – $18,160 · median $12,144 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,187 – $13,177 · median $8,231 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,357 – $18,611 · median $12,497 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,594 – $11,706 · median $7,065 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,575 – $15,077 · median $5,737 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,663 – $29,391 · median $20,960 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,327 – $18,535 · median $12,437 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,131 – $13,036 · median $8,121 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $4,500 – $15,985 · median $8,845 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,570 – $34,543 · median $7,375 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,570 – $14,916 · median $7,375 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,570 – $13,476 · median $7,375 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,570 – $23,208 · median $7,375 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,570 – $15,713 · median $7,375 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,570 – $13,490 · median $7,375 | 21 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,372 – $31,167 · median $22,354 | 21 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,503 – $96,602 · median $73,723 | 21 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,612 – $66,826 · median $50,348 | 21 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,454 – $41,390 · median $30,380 | 21 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,310 – $68,573 · median $51,720 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,313 – $26,012 · median $18,307 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,575 – $17,902 · median $6,798 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,575 – $15,346 · median $6,798 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,575 – $14,682 · median $6,798 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $28,577 – $74,251 · median $56,176 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,727 – $47,082 · median $34,848 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,045 – $32,853 · median $23,678 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,140 – $65,642 · median $49,419 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,730 – $32,063 · median $23,058 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,556 – $24,117 · median $16,820 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,575 – $15,184 · median $5,737 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,575 – $10,609 · median $5,737 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,575 – $9,486 · median $5,737 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,932 – $37,578 · median $27,387 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,988 – $22,694 · median $15,702 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,604 – $19,229 · median $12,982 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,861 – $24,880 · median $17,419 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,794 – $17,200 · median $11,389 | 21 plans |
| 813 | COAGULATION DISORDERS | $9,625 – $26,792 · median $18,920 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,419 – $36,295 · median $26,380 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,398 – $18,713 · median $12,578 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,988 – $12,678 · median $7,839 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,651 – $38,742 · median $20,938 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,652 – $21,008 · median $13,076 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,426 – $16,279 · median $10,666 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,061 – $95,358 · median $72,747 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,188 – $38,063 · median $27,768 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,597 – $21,716 · median $14,934 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,928 – $75,134 · median $56,870 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,296 – $38,489 · median $28,103 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,515 – $24,013 · median $16,738 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,517 – $76,603 · median $58,023 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,584 – $39,210 · median $28,668 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,751 – $29,613 · median $21,134 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,940 – $52,621 · median $39,197 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,497 – $26,472 · median $18,668 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,588 – $21,692 · median $14,916 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,553 – $14,093 · median $8,951 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,300 – $10,954 · median $6,486 | 21 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $34,641 – $89,435 · median $68,097 | 21 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,161 – $35,648 · median $25,872 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,695 – $21,960 · median $15,127 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,494 – $78,602 · median $59,593 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,109 – $35,674 · median $25,892 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,518 – $25,506 · median $17,910 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,412 – $53,805 · median $40,126 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,294 – $28,469 · median $20,236 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,376 – $18,657 · median $12,533 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,587 – $34,211 · median $24,744 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,682 – $21,927 · median $15,101 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,374 – $16,147 · median $10,563 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,359 – $43,655 · median $32,157 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,255 – $23,362 · median $16,227 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,360 – $16,113 · median $10,536 | 21 plans |
| 849 | RADIOTHERAPY | $17,097 – $45,503 · median $33,609 | 21 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $54,641 – $139,516 · median $107,412 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,163 – $80,724 · median $61,258 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,608 – $34,263 · median $24,784 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,447 – $26,348 · median $18,571 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,702 – $74,563 · median $56,422 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,513 – $36,528 · median $26,563 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,789 – $24,700 · median $17,278 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,508 – $31,507 · median $22,621 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,297 – $18,459 · median $12,378 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,601 – $16,718 · median $11,011 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,454 – $26,366 · median $18,585 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,487 – $16,432 · median $10,787 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,208 – $35,765 · median $25,964 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,506 – $18,984 · median $12,790 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,604 – $14,221 · median $9,051 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,613 – $111,901 · median $85,734 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,257 – $33,384 · median $24,095 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,457 – $18,860 · median $12,693 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,388 – $63,759 · median $47,940 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $720 – $17,863 · median $11,910 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $720 – $17,558 · median $11,671 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $720 – $19,658 · median $13,319 | 21 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $720 – $33,760 · median $24,390 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $720 – $28,113 · median $19,957 | 21 plans |
| 885 | PSYCHOSES | $720 – $24,762 · median $17,326 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $720 – $35,482 · median $25,742 | 21 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $720 – $19,613 · median $13,283 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $720 – $12,439 · median $7,652 | 21 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $720 – $25,059 · median $17,559 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $720 – $30,265 · median $21,646 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $720 – $16,640 · median $10,950 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,481 – $69,000 · median $52,055 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,081 – $32,942 · median $23,747 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,380 – $21,172 · median $14,508 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,423 – $60,729 · median $45,561 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,800 – $26,130 · median $17,760 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,121 – $33,729 · median $21,861 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,226 – $63,355 · median $47,623 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,590 – $34,217 · median $24,748 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,283 – $23,433 · median $16,283 | 21 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,314 – $28,519 · median $20,276 | 21 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,588 – $16,683 · median $10,984 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,611 – $29,262 · median $20,859 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,204 – $13,220 · median $8,265 | 21 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,897 – $27,473 · median $19,454 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,408 – $16,234 · median $10,631 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,552 – $31,619 · median $22,709 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,325 – $18,529 · median $12,433 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,344 – $13,569 · median $8,539 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,039 – $30,333 · median $21,700 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,422 – $18,772 · median $12,624 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,551 – $340,040 · median $228,608 | 21 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,393 – $116,024 · median $88,970 | 21 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,196 – $53,582 · median $39,951 | 21 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,001 – $64,222 · median $47,342 | 21 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,988 – $37,620 · median $27,420 | 21 plans |
| 935 | NON-EXTENSIVE BURNS | $15,914 – $35,241 · median $25,552 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,896 – $60,024 · median $45,008 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,746 – $39,616 · median $28,987 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,795 – $34,730 · median $25,152 | 21 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,772 – $27,160 · median $19,209 | 21 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,236 – $20,812 · median $14,225 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,010 – $22,749 · median $15,746 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,051 – $15,340 · median $9,929 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,507 – $21,490 · median $14,757 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,961 – $12,610 · median $7,786 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,508 – $11,477 · median $6,897 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,473 – $109,046 · median $83,493 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,745 – $62,149 · median $46,676 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $48,082 – $123,090 · median $94,517 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,590 – $69,273 · median $52,269 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,577 – $49,210 · median $36,519 | 21 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,250 – $45,887 · median $33,910 | 21 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,671 – $26,908 · median $19,010 | 21 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,935 – $17,552 · median $11,666 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,625 – $99,411 · median $75,929 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,642 – $44,364 · median $32,714 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,211 – $48,292 · median $35,798 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,171 – $23,153 · median $16,063 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,644 – $16,955 · median $11,095 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,999 – $23,196 · median $15,723 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,605 – $76,824 · median $58,197 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,513 – $41,537 · median $30,495 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,815 – $29,774 · median $21,260 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,633 – $56,862 · median $42,526 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,371 – $28,661 · median $20,387 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,567 – $21,640 · median $14,875 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $272,483 – $685,000 · median $535,639 | 20 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $176,831 – $445,483 · median $347,608 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $71,504 – $181,740 · median $140,560 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,963 – $192,580 · median $149,070 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,524 – $96,384 · median $73,552 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,975 – $88,525 · median $60,014 | 19 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $41,818 – $115,422 · median $82,204 | 19 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,666 – $76,976 · median $58,316 | 19 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,384 – $61,245 · median $45,967 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,651 – $165,603 · median $130,964 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,158 – $75,959 · median $58,899 | 18 plans |
| 007 | LUNG TRANSPLANT | $81,716 – $207,311 · median $164,493 | 18 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,234 – $91,247 · median $71,190 | 18 plans |
| 010 | PANCREAS TRANSPLANT | $25,756 – $116,071 · median $40,240 | 18 plans |
| 652 | KIDNEY TRANSPLANT | $24,864 – $53,719 · median $41,021 | 18 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $5,950 – $5,950 · median $5,950 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $3,950 – $3,950 · median $3,950 | 1 plans |
No procedures match that keyword.