Memorial Hospital at Gulfport — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $14,657 – $40,232 · median $19,853 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $6,946 – $18,678 · median $9,217 | 18 plans |
| 102 | HEADACHES WITH MCC | $8,738 – $23,497 · median $11,595 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $6,407 – $17,229 · median $8,502 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,535 – $45,730 · median $22,566 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,908 – $23,955 · median $11,821 | 18 plans |
| 115 | Extraocular procedures except orbit | $11,512 – $31,026 · median $15,310 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,465 – $33,814 · median $16,686 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,128 – $21,858 · median $10,786 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,766 – $23,572 · median $11,632 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,112 – $13,746 · median $6,783 | 18 plans |
| 123 | Neurological eye disorders | $6,053 – $16,277 · median $8,032 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,826 – $26,424 · median $13,039 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,222 – $16,733 · median $8,257 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,605 – $48,861 · median $24,111 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,372 – $19,823 · median $9,782 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,540 – $28,343 · median $13,986 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,131 – $16,486 · median $8,135 | 18 plans |
| 139 | Salivary gland procedures | $10,347 – $27,824 · median $13,730 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,191 – $85,705 · median $42,292 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,787 – $43,539 · median $21,485 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,799 – $31,865 · median $15,724 | 18 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,772 – $66,913 · median $33,019 | 18 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,075 – $35,600 · median $17,567 | 18 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,929 – $24,010 · median $11,848 | 18 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,795 – $46,490 · median $22,941 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,381 – $25,226 · median $12,448 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,034 – $16,226 · median $8,007 | 18 plans |
| 149 | Dysequilibrium | $5,633 – $15,148 · median $7,475 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $10,416 – $28,010 · median $13,822 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,712 – $15,361 · median $7,580 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,552 – $22,997 · median $11,348 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,363 – $14,423 · median $7,117 | 18 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,172 – $32,957 · median $16,263 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,036 – $18,919 · median $9,336 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,067 – $13,626 · median $6,724 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,250 – $33,184 · median $16,375 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,088 – $19,061 · median $9,406 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,971 – $13,367 · median $6,596 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,822 – $93,405 · median $46,092 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,338 – $51,007 · median $25,170 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,818 – $37,774 · median $18,640 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,568 – $78,026 · median $38,503 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,563 – $37,028 · median $18,272 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,203 – $27,437 · median $13,539 | 18 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $22,157 – $62,185 · median $30,686 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,619 – $28,555 · median $14,091 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,138 – $16,506 · median $8,145 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,104 – $32,758 · median $16,165 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,476 – $20,105 · median $9,921 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,800 – $15,598 · median $7,697 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,013 – $35,419 · median $17,478 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,367 – $22,500 · median $11,103 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,311 – $16,972 · median $8,375 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,902 – $32,167 · median $15,873 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,049 – $21,645 · median $10,681 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,861 – $15,760 · median $7,777 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,852 – $32,019 · median $15,800 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,566 – $20,346 · median $10,040 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,533 – $14,879 · median $7,342 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,325 – $25,076 · median $12,374 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,463 – $22,758 · median $11,230 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,474 – $17,410 · median $8,591 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,877 – $13,116 · median $6,472 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,930 – $26,703 · median $13,177 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,180 – $16,617 · median $8,200 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,693 – $12,619 · median $6,227 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,957 – $38,181 · median $18,841 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,461 – $20,062 · median $9,900 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,278 – $14,194 · median $7,004 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,134 – $35,774 · median $17,653 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,346 – $22,443 · median $11,075 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,103 – $13,721 · median $6,771 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,285 – $19,590 · median $9,667 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,250 – $14,117 · median $6,966 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,112 – $16,435 · median $8,110 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,982 – $38,256 · median $18,878 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,826 – $18,356 · median $9,058 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,600 – $131,058 · median $62,974 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,493 – $54,387 · median $26,838 | 18 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $76,328 – $220,765 · median $108,939 | 18 plans |
| 215 | Other heart assist system implant | $74,258 – $214,704 · median $105,948 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,725 – $195,580 · median $96,511 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,620 – $130,869 · median $64,579 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,099 – $120,563 · median $59,493 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,478 – $156,800 · median $77,375 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,581 – $107,338 · median $52,967 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,707 – $93,069 · median $45,926 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,411 – $100,987 · median $49,833 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,418 – $62,949 · median $31,063 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,576 – $171,724 · median $84,739 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,202 – $123,793 · median $61,087 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $55,024 – $158,399 · median $78,164 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $37,744 – $107,814 · median $51,214 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,648 – $119,243 · median $58,842 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,380 – $83,332 · median $40,946 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,782 – $102,073 · median $50,369 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,074 – $59,016 · median $29,122 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,366 – $30,598 · median $15,099 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,395 – $68,739 · median $33,920 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,509 – $45,653 · median $22,528 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,407 – $36,572 · median $18,047 | 18 plans |
| 245 | AICD generator procedures | $34,743 – $99,031 · median $48,868 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,923 – $46,865 · median $23,126 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,731 – $31,666 · median $15,626 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,661 – $69,517 · median $34,304 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,587 – $51,737 · median $25,530 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,024 – $35,452 · median $17,494 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,027 – $53,023 · median $26,165 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,639 – $34,323 · median $16,937 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,721 – $18,074 · median $8,919 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,335 – $56,853 · median $28,055 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,082 – $35,620 · median $17,577 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,494 – $69,027 · median $34,062 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,050 – $38,455 · median $18,976 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,421 – $30,758 · median $15,178 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,481 – $54,353 · median $26,821 | 18 plans |
| 264 | Other circulatory system O.R. procedures | $25,109 – $70,828 · median $34,951 | 18 plans |
| 265 | AICD lead procedures | $25,608 – $72,289 · median $35,672 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $42,386 – $121,404 · median $59,908 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $33,483 – $95,341 · median $47,047 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,071 – $135,119 · median $66,676 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,717 – $84,317 · median $41,607 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,448 – $104,020 · median $51,330 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,758 – $69,801 · median $34,444 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,236 – $50,707 · median $25,022 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $27,983 – $79,242 · median $39,103 | 18 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $22,519 – $63,247 · median $31,210 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,836 – $143,213 · median $70,670 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,795 – $125,530 · median $61,944 | 18 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $33,117 – $94,271 · median $46,519 | 18 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $35,550 – $101,392 · median $50,033 | 18 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $23,097 – $64,937 · median $32,044 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,277 – $33,263 · median $16,414 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,947 – $18,680 · median $9,218 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,464 – $14,694 · median $7,251 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,450 – $39,626 · median $19,554 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,584 – $15,016 · median $7,410 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,231 – $11,377 · median $5,614 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,236 – $44,853 · median $22,133 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,212 – $22,083 · median $10,897 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,823 – $55,354 · median $27,315 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,829 – $31,952 · median $15,767 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,378 – $19,839 · median $9,790 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,833 – $26,442 · median $13,048 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,490 – $17,452 · median $8,612 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,135 – $11,119 · median $5,487 | 18 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,254 – $24,885 · median $12,280 | 18 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,952 – $16,005 · median $7,898 | 18 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,256 – $33,202 · median $16,384 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,308 – $14,275 · median $7,044 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,329 – $8,951 · median $4,417 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,112 – $32,781 · median $16,176 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,068 – $21,696 · median $10,706 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,376 – $14,457 · median $7,134 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,767 – $23,574 · median $11,633 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,067 – $13,626 · median $6,724 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $8,853 – $23,807 · median $11,748 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,657 – $15,213 · median $7,507 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,280 – $30,345 · median $14,974 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,981 – $18,774 · median $9,264 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,088 – $24,438 · median $12,059 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,571 – $14,982 · median $7,393 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,216 – $11,338 · median $5,595 | 18 plans |
| 311 | Angina pectoris | $5,262 – $14,151 · median $6,983 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,566 – $17,657 · median $8,713 | 18 plans |
| 313 | Chest pain | $5,376 – $14,457 · median $7,134 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,822 – $43,641 · median $21,535 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,252 – $19,501 · median $9,623 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,145 – $13,835 · median $6,827 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,324 – $89,020 · median $43,928 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,938 – $46,909 · median $23,148 | 18 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $20,621 – $57,690 · median $28,468 | 18 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $13,438 – $36,663 · median $18,137 | 18 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $30,400 – $86,317 · median $42,594 | 18 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $23,032 – $64,749 · median $31,951 | 18 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $20,727 – $58,000 · median $28,621 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,074 – $102,926 · median $50,790 | 18 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,723 – $49,205 · median $24,281 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,945 – $32,292 · median $15,935 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,702 – $93,055 · median $45,919 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,277 – $47,900 · median $23,637 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,343 – $33,458 · median $16,510 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,926 – $70,293 · median $34,687 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $15,626 – $43,069 · median $21,253 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,396 – $33,612 · median $16,586 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,997 – $73,428 · median $36,234 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,536 – $42,806 · median $21,123 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,541 – $31,109 · median $15,351 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,567 – $54,604 · median $26,945 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,219 – $30,169 · median $14,887 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,385 – $25,236 · median $12,453 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,298 – $47,963 · median $23,668 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,487 – $25,512 · median $12,589 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,638 – $17,851 · median $8,809 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,658 – $49,015 · median $24,187 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,329 – $30,489 · median $15,045 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,309 – $22,344 · median $11,026 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,218 – $59,437 · median $29,330 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,690 – $34,473 · median $17,011 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,047 – $27,017 · median $13,332 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,444 – $86,444 · median $42,657 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,504 – $45,637 · median $22,520 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,212 – $27,461 · median $13,551 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,475 – $33,843 · median $16,700 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,669 – $20,622 · median $10,176 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,260 – $14,145 · median $6,980 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,015 – $35,423 · median $17,480 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,757 – $20,859 · median $10,293 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,467 – $14,700 · median $7,254 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,530 – $42,788 · median $21,114 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,259 – $24,900 · median $12,287 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,654 – $17,894 · median $8,830 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,501 – $36,846 · median $18,182 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,430 – $19,979 · median $9,859 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,798 – $12,903 · median $6,367 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,235 – $38,996 · median $19,243 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,207 – $22,071 · median $10,891 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,647 – $15,185 · median $7,493 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,527 – $25,619 · median $12,642 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,553 – $17,622 · median $8,696 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,162 – $32,927 · median $16,248 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,479 – $20,113 · median $9,925 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,051 – $13,584 · median $6,703 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,077 – $29,788 · median $14,699 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,041 – $16,244 · median $8,016 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,124 – $11,089 · median $5,472 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,680 – $26,030 · median $12,845 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,170 – $15,813 · median $7,385 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,378 – $33,559 · median $16,560 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,094 – $19,075 · median $9,413 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,796 – $12,897 · median $6,364 | 18 plans |
| 397 | Appendix Procedures with MCC | $18,067 – $50,213 · median $24,778 | 18 plans |
| 398 | Appendix Procedures without MCC/CC | $11,389 – $30,665 · median $15,132 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,469 – $22,774 · median $10,979 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,495 – $110,013 · median $54,287 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,355 – $56,912 · median $28,084 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,699 – $43,282 · median $21,358 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,152 – $70,954 · median $35,013 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,427 – $42,486 · median $20,965 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,651 – $31,433 · median $15,511 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,857 – $55,453 · median $27,364 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,670 – $43,197 · median $21,316 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,423 – $33,691 · median $16,625 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,169 – $71,005 · median $35,038 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,607 – $40,086 · median $19,781 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,326 – $27,767 · median $13,702 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,365 – $48,160 · median $23,765 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,394 – $33,607 · median $16,584 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,929 – $26,701 · median $13,176 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,347 – $71,525 · median $35,295 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,250 – $33,186 · median $16,376 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,073 – $29,777 · median $14,694 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,071 – $82,426 · median $40,674 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,720 – $46,271 · median $22,833 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,615 – $31,326 · median $15,458 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,476 – $39,701 · median $19,591 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,062 – $21,680 · median $10,698 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,249 – $14,115 · median $6,965 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,545 – $36,976 · median $18,246 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,498 – $22,853 · median $11,277 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,917 – $15,912 · median $7,852 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,431 – $33,715 · median $16,637 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,482 – $17,432 · median $8,602 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,635 – $12,465 · median $6,151 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,000 – $38,309 · median $18,904 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,281 – $19,580 · median $9,662 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,296 – $14,240 · median $7,027 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,574 – $34,134 · median $16,844 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,173 – $21,977 · median $10,845 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,008 – $16,157 · median $7,973 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,543 – $171,628 · median $84,692 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,646 – $116,309 · median $57,394 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,806 – $87,504 · median $43,180 | 18 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $43,396 – $124,360 · median $61,367 | 18 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $20,739 – $58,035 · median $28,638 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,303 – $109,451 · median $54,010 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,326 – $59,753 · median $29,486 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,932 – $35,182 · median $17,361 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,182 – $103,242 · median $50,946 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,625 – $69,412 · median $34,252 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,074 – $53,161 · median $26,233 | 18 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $23,542 – $66,240 · median $32,687 | 18 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $13,966 – $38,210 · median $18,902 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,539 – $98,433 · median $48,573 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,970 – $58,712 · median $28,972 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,302 – $47,975 · median $22,404 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,960 – $90,882 · median $44,847 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,848 – $43,718 · median $21,573 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,765 – $23,570 · median $11,631 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,721 – $69,691 · median $34,390 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,103 – $47,392 · median $23,386 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,207 – $35,987 · median $17,758 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,273 – $59,599 · median $29,410 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,278 – $42,048 · median $20,749 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,896 – $32,148 · median $15,864 | 18 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,554 – $51,639 · median $25,482 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,200 – $65,239 · median $32,193 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,596 – $42,980 · median $21,209 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,853 – $32,023 · median $15,802 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,520 – $39,829 · median $19,654 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,333 – $25,096 · median $12,384 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,497 – $71,965 · median $35,512 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,535 – $48,656 · median $24,010 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,966 – $38,208 · median $18,854 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,286 – $71,345 · median $35,206 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,572 – $39,983 · median $19,730 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,118 – $27,208 · median $13,426 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,393 – $51,167 · median $25,249 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,748 – $23,524 · median $11,608 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,850 – $64,214 · median $31,687 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,269 – $36,167 · median $17,847 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,529 – $28,314 · median $13,972 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,235 – $53,633 · median $26,466 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,063 – $35,565 · median $17,550 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,063 – $35,565 · median $17,550 | 18 plans |
| 506 | Major thumb or joint procedures | $11,291 – $30,379 · median $14,991 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,331 – $39,278 · median $19,382 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,726 – $26,154 · median $12,906 | 18 plans |
| 509 | Arthroscopy | $13,075 – $35,600 · median $17,567 | 18 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $20,699 – $57,919 · median $28,581 | 18 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $14,490 – $39,744 · median $19,612 | 18 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $12,044 – $32,582 · median $16,078 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,336 – $30,511 · median $15,056 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,684 – $20,662 · median $10,196 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,321 – $62,667 · median $30,924 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,840 – $40,767 · median $20,117 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,247 – $30,250 · median $14,927 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,725 – $72,630 · median $35,840 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,565 – $39,961 · median $19,719 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,801 – $29,044 · median $13,563 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,091 – $59,066 · median $29,147 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,507 – $42,721 · median $20,886 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,470 – $30,902 · median $15,249 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,134 – $16,496 · median $8,140 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,022 – $26,950 · median $13,299 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,111 – $16,433 · median $8,109 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,926 – $18,624 · median $9,190 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,060 – $13,608 · median $6,715 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,914 – $40,984 · median $20,224 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,752 – $26,225 · median $12,941 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,593 – $17,730 · median $8,749 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,825 – $37,796 · median $18,651 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,995 – $21,499 · median $10,609 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,695 – $15,314 · median $7,557 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,407 – $51,208 · median $25,269 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,724 – $23,461 · median $11,577 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,623 – $15,122 · median $7,462 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,860 – $40,826 · median $20,146 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,082 – $24,421 · median $12,051 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,497 – $17,470 · median $8,621 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,727 – $34,580 · median $17,064 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,263 – $19,531 · median $9,638 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,842 – $26,466 · median $13,060 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,290 – $16,913 · median $8,346 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,148 – $27,289 · median $13,466 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,153 – $16,546 · median $8,165 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,642 – $31,405 · median $15,497 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,510 – $17,505 · median $8,638 | 18 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,764 – $37,618 · median $18,563 | 18 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,581 – $23,076 · median $11,387 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,161 – $16,569 · median $8,176 | 18 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $11,029 – $29,658 · median $14,635 | 18 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,736 – $18,113 · median $8,938 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,777 – $31,800 · median $15,692 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,684 – $20,664 · median $10,197 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,638 – $15,160 · median $7,481 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,752 – $61,002 · median $30,102 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,504 – $33,930 · median $16,743 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,609 – $23,151 · median $11,424 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,545 – $124,796 · median $61,582 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,900 – $70,216 · median $34,649 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,736 – $40,463 · median $19,967 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,264 – $109,336 · median $53,953 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,347 – $53,962 · median $26,628 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,616 – $34,256 · median $16,904 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,477 – $66,052 · median $32,594 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,188 – $35,930 · median $17,730 | 18 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,846 – $29,165 · median $14,392 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,037 – $35,488 · median $17,512 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,286 – $33,289 · median $16,427 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,087 – $41,491 · median $20,474 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,656 – $40,228 · median $19,851 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $15,149 – $41,671 · median $20,563 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $9,214 – $24,778 · median $12,227 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,396 – $17,199 · median $8,487 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,556 – $42,863 · median $21,151 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,147 – $21,908 · median $10,811 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,075 – $35,600 · median $17,567 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,131 – $21,864 · median $10,789 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,443 – $17,325 · median $8,549 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,209 – $19,386 · median $9,566 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,518 – $12,149 · median $5,995 | 18 plans |
| 602 | CELLULITIS WITH MCC | $11,072 – $29,773 · median $14,692 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,638 – $17,849 · median $8,808 | 18 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,196 – $30,108 · median $14,857 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,961 – $18,719 · median $9,237 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,061 – $32,633 · median $16,103 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,513 – $17,513 · median $8,642 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,690 – $46,184 · median $22,790 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,799 – $29,040 · median $14,330 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,670 – $78,324 · median $38,650 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,286 – $39,144 · median $19,316 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,383 – $25,232 · median $12,451 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,788 – $55,253 · median $27,265 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,969 – $32,363 · median $15,970 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,016 – $29,623 · median $14,618 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,818 – $75,832 · median $37,420 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,155 – $38,763 · median $19,128 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,559 – $20,328 · median $10,031 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,762 – $58,102 · median $28,671 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,362 – $30,586 · median $15,093 | 18 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,547 – $25,674 · median $12,669 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,228 – $79,960 · median $39,457 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,483 – $45,578 · median $22,491 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,560 – $28,397 · median $14,013 | 18 plans |
| 637 | DIABETES WITH MCC | $10,975 – $29,512 · median $14,563 | 18 plans |
| 638 | DIABETES WITH CC | $6,912 – $18,587 · median $9,172 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,722 – $12,698 · median $6,266 | 18 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $10,008 – $26,912 · median $13,280 | 18 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,889 – $15,835 · median $7,814 | 18 plans |
| 642 | Inborn errors of metabolism | $9,353 – $25,151 · median $12,411 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,387 – $33,585 · median $16,573 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,788 – $20,942 · median $10,334 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,868 – $15,780 · median $7,787 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,808 – $93,367 · median $46,073 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,953 – $70,370 · median $34,725 | 18 plans |
| 652 | Kidney transplant | $22,176 – $62,242 · median $30,714 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,505 – $112,969 · median $55,746 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,450 – $57,190 · median $28,221 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,294 – $42,096 · median $20,773 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,468 – $66,023 · median $32,580 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,569 – $37,046 · median $18,281 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,325 – $30,479 · median $15,040 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,804 – $52,371 · median $25,843 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,098 – $27,155 · median $13,400 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,736 – $20,804 · median $10,266 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,510 – $63,219 · median $31,196 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,487 – $30,953 · median $15,274 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,137 – $21,882 · median $10,798 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,683 – $69,582 · median $34,336 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $12,317 – $33,383 · median $16,473 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,746 – $20,828 · median $10,278 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,102 – $59,099 · median $29,163 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,627 – $31,360 · median $15,475 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,202 – $19,367 · median $9,557 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,846 – $34,931 · median $17,237 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,247 – $22,178 · median $10,944 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,917 – $84,902 · median $41,896 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,894 – $46,780 · median $23,084 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,750 – $31,721 · median $15,653 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $11,311 – $30,436 · median $15,019 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $6,699 – $18,014 · median $8,889 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,577 – $12,309 · median $6,074 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,968 – $38,214 · median $18,857 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,933 – $21,333 · median $10,527 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,458 – $14,676 · median $7,242 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,819 – $23,716 · median $11,703 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,048 – $16,265 · median $8,026 | 18 plans |
| 693 | URINARY STONES WITH MCC | $11,081 – $29,798 · median $14,704 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,889 – $15,835 · median $7,814 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,499 – $22,855 · median $11,278 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,213 – $14,019 · median $6,918 | 18 plans |
| 697 | Urethral stricture | $7,550 – $20,301 · median $10,018 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,550 – $34,063 · median $16,809 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,686 – $20,668 · median $10,199 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,231 – $14,068 · median $6,942 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,348 – $39,326 · median $19,406 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,172 – $30,043 · median $14,825 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,470 – $45,537 · median $22,471 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,307 – $30,426 · median $15,014 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,140 – $38,718 · median $19,106 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,061 – $21,675 · median $10,696 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,897 – $29,303 · median $14,460 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,082 – $19,043 · median $9,397 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,547 – $45,764 · median $22,583 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,696 – $28,762 · median $14,193 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,759 – $37,602 · median $18,555 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,284 – $24,964 · median $12,319 | 18 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,882 – $35,036 · median $17,289 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,462 – $22,756 · median $11,229 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,491 – $14,765 · median $7,286 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,515 – $25,587 · median $12,626 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,610 – $15,085 · median $7,444 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,073 – $29,777 · median $14,694 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,158 – $16,559 · median $8,171 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,296 – $22,310 · median $11,009 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,574 – $12,299 · median $6,069 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,471 – $42,613 · median $21,028 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,148 – $24,600 · median $12,139 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,172 – $79,795 · median $39,376 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,748 – $40,498 · median $19,984 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,415 – $30,740 · median $15,169 | 18 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $28,472 – $80,673 · median $39,809 | 18 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $13,501 – $36,848 · median $18,183 | 18 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $10,351 – $27,836 · median $13,736 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,559 – $37,018 · median $18,267 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,845 – $24,292 · median $11,344 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,441 – $39,598 · median $19,540 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,723 – $20,768 · median $10,248 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,506 – $33,936 · median $16,746 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,198 – $19,357 · median $9,552 | 18 plans |
| 748 | Female reproductive system reconstructive procedures | $10,266 – $27,607 · median $13,623 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,834 – $52,458 · median $25,886 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,718 – $26,132 · median $12,895 | 18 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,439 – $36,665 · median $18,093 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,366 – $22,496 · median $11,101 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,197 – $19,353 · median $9,550 | 18 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,666 – $28,681 · median $14,153 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,681 – $20,656 · median $10,193 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,823 – $12,970 · median $6,400 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,427 – $19,973 · median $9,856 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,777 – $12,846 · median $6,339 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,538 – $15,195 · median $10,675 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,471 – $28,158 · median $13,895 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,109 – $21,805 · median $10,760 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,377 – $14,459 · median $7,135 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $7,045 – $18,944 · median $9,348 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,125 – $22,772 · median $15,264 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,125 – $16,599 · median $9,698 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,125 – $16,599 · median $8,311 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,125 – $19,976 · median $13,761 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,125 – $16,599 · median $9,598 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,125 – $16,599 · median $8,562 | 18 plans |
| 789 | Neonates, died or transferred to another acute care facility | $13,393 – $36,530 · median $18,026 | 18 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,600 – $120,471 · median $57,887 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,300 – $82,274 · median $39,533 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $700 – $49,643 · median $23,854 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $900 – $84,515 · median $40,610 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $600 – $29,915 · median $14,375 | 18 plans |
| 795 | Normal newborn | $1,166 – $4,687 · median $2,003 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,538 – $15,781 · median $10,583 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,538 – $11,969 · median $8,432 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,538 – $11,969 · median $8,432 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,830 – $96,356 · median $47,548 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,085 – $59,048 · median $29,138 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,279 – $33,269 · median $16,417 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,730 – $72,646 · median $35,848 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,236 – $36,072 · median $17,800 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,332 – $22,405 · median $11,056 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,538 – $12,337 · median $8,677 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,538 – $11,228 · median $6,419 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,538 – $11,228 · median $5,974 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,769 – $46,413 · median $22,903 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,333 – $25,098 · median $12,385 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,173 – $19,288 · median $9,518 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,602 – $28,511 · median $14,069 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,955 – $18,703 · median $9,229 | 18 plans |
| 813 | Coagulation disorders | $11,630 – $31,370 · median $15,480 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,386 – $42,364 · median $20,905 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,657 – $20,591 · median $10,161 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,969 – $13,363 · median $6,594 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,463 – $51,374 · median $25,351 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,706 – $26,101 · median $12,880 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,153 – $16,546 · median $8,165 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,219 – $117,989 · median $58,223 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,368 – $45,240 · median $22,324 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,619 – $23,177 · median $11,437 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,308 – $94,830 · median $46,795 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,139 – $44,571 · median $21,994 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,275 – $24,942 · median $12,308 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,973 – $96,776 · median $47,755 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,251 – $47,823 · median $23,599 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,010 – $32,483 · median $16,029 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,262 – $62,493 · median $30,838 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,021 – $29,638 · median $14,625 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,674 – $23,325 · median $11,510 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,632 – $15,146 · median $7,474 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,917 – $10,534 · median $5,198 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,177 – $112,011 · median $55,273 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,700 – $43,284 · median $21,359 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,576 – $25,751 · median $12,707 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,577 – $101,471 · median $50,072 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,954 – $41,101 · median $20,282 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,327 – $27,771 · median $13,704 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,990 – $64,625 · median $31,890 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,768 – $31,776 · median $15,680 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,927 – $21,317 · median $10,519 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,020 – $38,368 · median $18,933 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,007 – $24,221 · median $11,952 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,306 – $16,958 · median $8,368 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,593 – $51,753 · median $25,538 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,576 – $25,751 · median $12,707 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,171 – $16,595 · median $8,189 | 18 plans |
| 849 | Radiotherapy | $19,405 – $54,130 · median $26,711 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,536 – $101,351 · median $50,013 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,746 – $40,492 · median $19,981 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,167 – $32,943 · median $16,256 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,146 – $91,428 · median $45,116 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,998 – $44,155 · median $21,789 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,709 – $26,109 · median $12,884 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,642 – $37,261 · median $18,387 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,535 – $20,263 · median $9,999 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,767 – $18,198 · median $8,980 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,122 – $29,909 · median $14,759 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,668 – $17,930 · median $8,848 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,758 – $43,454 · median $21,443 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,914 – $21,280 · median $10,501 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,423 – $14,583 · median $7,196 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,000 – $140,973 · median $67,739 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,497 – $39,762 · median $19,621 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,770 – $20,893 · median $10,310 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,117 – $79,633 · median $39,296 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,224 – $19,426 · median $9,586 | 18 plans |
| 881 | Depressive neuroses | $6,889 – $18,524 · median $9,141 | 18 plans |
| 882 | Neuroses except depressive | $7,250 – $19,495 · median $9,620 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,748 – $37,569 · median $18,539 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,476 – $33,847 · median $16,702 | 18 plans |
| 885 | Psychoses | $10,623 – $28,566 · median $14,096 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,350 – $36,406 · median $17,965 | 18 plans |
| 887 | Other mental disorder diagnoses | $8,963 – $24,103 · median $11,894 | 18 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,703 – $12,647 · median $6,241 | 18 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $10,911 – $29,342 · median $14,479 | 18 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $13,242 – $36,088 · median $17,808 | 18 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $6,648 – $17,878 · median $8,822 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,585 – $89,784 · median $44,305 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,050 – $38,455 · median $18,976 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,187 – $24,705 · median $12,191 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,643 – $78,245 · median $38,611 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,324 – $33,401 · median $16,482 | 18 plans |
| 906 | Hand procedures for injuries | $16,022 – $44,228 · median $21,825 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,492 – $80,730 · median $39,837 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,877 – $40,877 · median $20,171 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,558 – $25,702 · median $12,683 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,117 – $32,795 · median $16,183 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,906 – $18,571 · median $9,164 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,945 – $35,219 · median $17,379 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,005 – $13,458 · median $6,641 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,265 – $33,229 · median $16,397 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,666 – $17,926 · median $8,846 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,538 – $36,955 · median $18,236 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,656 – $20,587 · median $10,159 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,183 – $13,936 · median $6,877 | 18 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,609 – $34,236 · median $16,894 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,686 – $20,668 · median $10,199 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $165,138 – $480,743 · median $237,228 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,149 – $135,348 · median $66,789 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,931 – $64,451 · median $31,804 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,867 – $87,685 · median $42,277 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,768 – $43,485 · median $21,458 | 18 plans |
| 935 | Non-extensive burns | $16,119 – $44,510 · median $21,964 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,886 – $64,321 · median $31,740 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,530 – $42,788 · median $21,114 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,443 – $39,604 · median $19,543 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,481 – $30,935 · median $15,265 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,414 – $22,626 · median $11,165 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,693 – $26,065 · median $12,862 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,987 – $16,101 · median $7,945 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,131 – $21,866 · median $10,790 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,417 – $11,877 · median $5,861 | 18 plans |
| 951 | Other factors influencing health status | $4,273 – $11,490 · median $5,670 | 18 plans |
| 955 | Craniotomy for multiple significant trauma | $48,184 – $138,376 · median $68,283 | 18 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,375 – $77,461 · median $38,224 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,586 – $151,262 · median $74,642 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,364 – $83,285 · median $41,098 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,217 – $53,579 · median $26,439 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,721 – $55,054 · median $27,167 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,298 – $30,400 · median $15,001 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,877 – $18,494 · median $9,126 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,695 – $128,162 · median $63,243 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,282 – $53,769 · median $26,533 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,586 – $60,515 · median $29,862 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,712 – $28,805 · median $14,214 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,559 – $20,326 · median $10,030 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,866 – $29,220 · median $14,419 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,823 – $96,338 · median $47,539 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,862 – $49,615 · median $24,483 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,462 – $33,806 · median $16,682 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,162 – $70,982 · median $35,027 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,793 – $34,775 · median $17,160 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,508 – $23,416 · median $11,555 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,740 – $85,744 · median $60,240 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $27,997 – $54,223 · median $37,660 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $73,431 – $145,189 · median $102,004 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,083 – $98,443 · median $69,163 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,017 – $76,287 · median $52,984 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $58,653 – $115,601 · median $81,217 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,784 – $75,821 · median $52,660 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,328 – $92,927 · median $65,287 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,182 – $56,597 · median $39,309 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,566 – $71,380 · median $50,149 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,277 – $42,772 · median $30,050 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $64,685 – $127,677 · median $89,701 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $212,276 – $570,831 · median $289,429 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $83,044 – $223,314 · median $113,227 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $6,700 – $434,311 · median $214,852 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,400 – $286,344 · median $141,653 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,254 – $215,810 · median $109,423 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,544 – $98,269 · median $49,826 | 14 plans |
| 007 | Lung transplant | $98,486 – $264,839 · median $134,282 | 14 plans |
| 008 | Simultaneous pancreas/kidney transplant | $41,004 – $110,264 · median $55,907 | 14 plans |
| 010 | Pancreas transplant | $60,085 – $161,573 · median $81,923 | 14 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $40,664 – $109,348 · median $55,443 | 14 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $30,925 – $83,161 · median $42,166 | 14 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $19,970 – $53,702 · median $27,229 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $98,735 – $265,508 · median $134,621 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,487 – $122,318 · median $62,019 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $45,487 – $122,318 · median $62,019 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $284,204 – $764,250 · median $387,499 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $59,740 – $160,647 · median $81,453 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,748 – $163,358 · median $82,828 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,654 – $112,011 · median $56,793 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,605 – $71,544 · median $36,275 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,994 – $115,614 · median $58,620 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,650 – $77,041 · median $39,062 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,703 – $90,631 · median $45,953 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,050 – $61,983 · median $31,427 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,597 – $50,010 · median $25,357 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,815 – $123,201 · median $62,467 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,296 – $68,024 · median $34,490 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,771 – $45,098 · median $22,866 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,580 – $84,923 · median $43,058 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,094 – $43,278 · median $21,943 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,024 – $32,333 · median $16,394 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,305 – $78,805 · median $39,956 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,143 – $46,099 · median $23,374 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,814 – $37,148 · median $18,835 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,026 – $67,298 · median $34,122 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,143 – $32,653 · median $16,556 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,577 – $23,066 · median $11,695 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,427 – $76,442 · median $38,758 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,018 – $45,762 · median $23,203 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,245 – $35,618 · median $18,059 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,166 – $40,783 · median $20,678 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,944 – $18,672 · median $9,467 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,297 – $30,379 · median $15,403 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,222 – $22,109 · median $11,210 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,871 – $50,746 · median $25,730 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,056 – $27,042 · median $13,711 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,911 – $37,407 · median $18,967 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,221 – $24,796 · median $12,572 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,725 – $18,084 · median $9,169 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,373 – $54,784 · median $27,777 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,421 – $36,090 · median $18,299 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,587 – $28,468 · median $14,434 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,991 – $40,311 · median $20,439 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,663 – $20,607 · median $10,449 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,187 – $13,948 · median $7,072 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,964 – $29,484 · median $14,949 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,643 – $17,864 · median $9,057 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,030 – $16,214 · median $8,221 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,104 – $35,237 · median $17,866 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,942 – $21,357 · median $10,829 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,654 – $15,203 · median $7,708 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,648 – $31,322 · median $15,881 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,856 – $21,124 · median $10,711 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,980 – $34,904 · median $17,698 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,910 – $18,581 · median $9,421 | 14 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,653 – $31,336 · median $15,888 | 14 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,520 – $20,222 · median $10,253 | 14 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,024 – $13,511 · median $6,850 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,980 – $40,283 · median $20,425 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,819 – $18,336 · median $9,297 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,485 – $47,019 · median $23,840 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,478 – $28,176 · median $14,286 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,205 – $19,375 · median $9,824 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,077 – $45,920 · median $23,283 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,884 – $26,580 · median $13,477 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,662 – $17,914 · median $9,083 | 14 plans |
| 088 | CONCUSSION WITH MCC | $10,631 – $28,588 · median $14,495 | 14 plans |
| 089 | CONCUSSION WITH CC | $8,079 – $21,726 · median $11,016 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,461 – $17,373 · median $8,809 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,737 – $36,941 · median $18,730 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,978 – $21,455 · median $10,878 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,948 – $15,995 · median $8,110 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,497 – $73,941 · median $37,490 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,065 – $48,579 · median $24,631 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,065 – $48,579 · median $24,631 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,014 – $72,642 · median $36,832 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,348 – $43,961 · median $22,290 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,500 – $28,235 · median $14,316 | 14 plans |
No procedures match that keyword.