Englewood Hospital and Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,873 – $132,110 · median $50,271 | 37 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,873 – $145,870 · median $53,630 | 37 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,873 – $156,709 · median $56,432 | 37 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,873 – $111,854 · median $41,584 | 37 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,873 – $50,826 · median $10,967 | 37 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,873 – $81,873 · median $18,049 | 37 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,873 – $47,935 · median $11,708 | 37 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,873 – $40,127 · median $9,634 | 37 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,873 – $69,856 · median $15,901 | 37 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,873 – $46,726 · median $11,490 | 37 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,873 – $39,055 · median $9,879 | 37 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,873 – $261,230 · median $97,009 | 36 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,873 – $175,580 · median $65,554 | 36 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,873 – $175,580 · median $60,758 | 36 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,873 – $205,034 · median $75,632 | 36 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,873 – $142,402 · median $52,124 | 36 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,873 – $134,588 · median $47,038 | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,873 – $144,533 · median $43,853 | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,873 – $225,104 · median $81,023 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,873 – $161,890 · median $62,370 | 36 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,873 – $204,150 · median $74,779 | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,873 – $131,424 · median $48,386 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,873 – $85,257 · median $33,894 | 36 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,873 – $56,901 · median $23,804 | 36 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,873 – $78,223 · median $19,263 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,873 – $121,830 · median $46,961 | 36 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $2,873 – $58,279 · median $23,079 | 36 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $2,873 – $59,808 · median $15,960 | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,873 – $69,310 · median $24,799 | 36 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,873 – $83,904 · median $27,197 | 36 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,873 – $55,770 · median $18,106 | 36 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,873 – $86,860 · median $32,901 | 36 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,873 – $50,482 · median $19,040 | 36 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,873 – $52,420 · median $15,962 | 36 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,873 – $112,406 · median $31,577 | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,873 – $64,776 · median $17,367 | 36 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,873 – $58,818 · median $15,382 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,873 – $60,626 · median $15,594 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,425 – $48,045 · median $12,508 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,873 – $57,622 · median $14,060 | 36 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,873 – $47,538 · median $12,679 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,873 – $41,012 · median $9,906 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,873 – $36,932 · median $9,750 | 36 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,873 – $265,882 · median $117,632 | 35 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,873 – $76,117 · median $28,210 | 35 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,873 – $54,741 · median $15,756 | 35 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,873 – $93,148 · median $33,131 | 35 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,873 – $47,577 · median $18,027 | 35 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,873 – $72,029 · median $25,402 | 35 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,873 – $45,339 · median $16,640 | 35 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,873 – $53,872 · median $10,251 | 35 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,873 – $81,642 · median $27,326 | 35 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,873 – $89,204 · median $35,433 | 35 plans |
| 265 | AICD LEAD PROCEDURES | $2,873 – $105,073 · median $36,151 | 35 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,814 – $33,961 · median $7,951 | 35 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $4,417 – $59,088 · median $21,574 | 35 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,417 – $46,398 · median $11,776 | 35 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $4,417 – $72,264 · median $26,494 | 35 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,332 – $34,281 · median $13,429 | 35 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,417 – $28,505 · median $10,723 | 35 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,771 – $20,403 · median $7,697 | 35 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,417 – $46,980 · median $11,603 | 35 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,417 – $15,117 · median $6,163 | 35 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,873 – $208,127 · median $56,582 | 35 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,873 – $110,950 · median $28,155 | 35 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,873 – $79,704 · median $21,289 | 35 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,873 – $125,944 · median $32,023 | 35 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,873 – $74,344 · median $18,406 | 35 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,873 – $60,794 · median $15,608 | 35 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,873 – $102,760 · median $30,018 | 35 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,873 – $55,748 · median $15,756 | 35 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,873 – $41,177 · median $12,463 | 35 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,873 – $113,517 · median $30,793 | 35 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,873 – $61,892 · median $15,756 | 35 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,873 – $46,032 · median $11,351 | 35 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,873 – $118,222 · median $33,161 | 35 plans |
| 666 | PROSTATECTOMY WITH CC | $2,873 – $67,621 · median $17,009 | 35 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,873 – $38,853 · median $11,126 | 35 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,873 – $77,952 · median $19,933 | 35 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,873 – $93,086 · median $24,399 | 35 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,873 – $59,284 · median $13,050 | 35 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,873 – $178,845 · median $40,983 | 35 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,873 – $86,570 · median $20,510 | 35 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,873 – $62,200 · median $15,709 | 35 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,873 – $161,218 · median $38,358 | 35 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,873 – $76,045 · median $18,201 | 35 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,873 – $54,135 · median $14,344 | 35 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,873 – $72,747 · median $18,454 | 35 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,417 – $46,279 · median $10,033 | 35 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,417 – $33,126 · median $7,584 | 35 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,417 – $28,976 · median $6,939 | 35 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,873 – $36,129 · median $13,426 | 34 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,873 – $28,970 · median $11,069 | 34 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,873 – $57,946 · median $23,452 | 34 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,873 – $37,395 · median $9,707 | 34 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,873 – $58,242 · median $21,482 | 34 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,873 – $127,128 · median $52,547 | 34 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,873 – $110,163 · median $38,630 | 34 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $4,417 – $42,834 · median $16,143 | 34 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,417 – $24,543 · median $9,915 | 34 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $4,417 – $52,893 · median $19,125 | 34 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,417 – $18,484 · median $7,804 | 34 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,417 – $37,939 · median $6,270 | 34 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $4,417 – $45,579 · median $15,661 | 34 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,417 – $24,826 · median $11,707 | 34 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,417 – $22,671 · median $8,953 | 34 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,417 – $26,779 · median $6,717 | 34 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,417 – $41,707 · median $16,671 | 34 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,417 – $18,303 · median $7,549 | 34 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,989 – $12,339 · median $5,254 | 34 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $4,417 – $43,598 · median $15,917 | 34 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,417 – $27,017 · median $7,393 | 34 plans |
| 304 | HYPERTENSION WITH MCC | $4,417 – $31,777 · median $11,802 | 34 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,417 – $20,643 · median $8,185 | 34 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,417 – $42,079 · median $14,776 | 34 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,417 – $24,385 · median $9,353 | 34 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,417 – $32,150 · median $12,008 | 34 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,417 – $19,645 · median $8,082 | 34 plans |
| 311 | ANGINA PECTORIS | $4,417 – $35,751 · median $7,655 | 34 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,417 – $23,274 · median $9,404 | 34 plans |
| 313 | CHEST PAIN | $4,417 – $19,226 · median $7,514 | 34 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,417 – $114,642 · median $22,371 | 34 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,417 – $41,529 · median $10,324 | 34 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,417 – $76,517 · median $7,497 | 34 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,873 – $64,012 · median $24,497 | 34 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,873 – $44,938 · median $17,289 | 34 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,873 – $40,989 · median $15,823 | 34 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,873 – $68,969 · median $26,143 | 34 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,873 – $40,180 · median $15,812 | 34 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,873 – $66,541 · median $23,524 | 34 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,873 – $49,755 · median $15,893 | 34 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,873 – $75,316 · median $18,228 | 34 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,873 – $77,444 · median $29,286 | 34 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,873 – $98,312 · median $35,679 | 34 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,873 – $42,396 · median $16,009 | 34 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,873 – $99,081 · median $30,499 | 34 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,873 – $60,228 · median $21,684 | 34 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,873 – $96,394 · median $35,676 | 34 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,873 – $45,299 · median $17,067 | 34 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,873 – $113,422 · median $41,455 | 34 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,873 – $62,064 · median $23,684 | 34 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,873 – $53,435 · median $18,374 | 34 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,873 – $155,243 · median $51,868 | 34 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,873 – $81,786 · median $27,572 | 34 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,873 – $89,803 · median $29,552 | 34 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,873 – $34,399 · median $13,236 | 34 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,873 – $298,164 · median $21,576 | 34 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,873 – $58,083 · median $16,637 | 34 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,417 – $29,090 · median $10,006 | 34 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,873 – $97,704 · median $31,035 | 34 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,873 – $56,346 · median $17,525 | 34 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,873 – $191,771 · median $64,825 | 34 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,873 – $91,397 · median $20,785 | 34 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,873 – $86,910 · median $22,752 | 34 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,873 – $43,977 · median $13,477 | 34 plans |
| 100 | SEIZURES WITH MCC | $4,417 – $51,718 · median $19,409 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,873 – $62,781 · median $23,084 | 33 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,873 – $40,986 · median $15,756 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,873 – $48,282 · median $16,401 | 33 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,417 – $35,331 · median $13,221 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,873 – $27,112 · median $11,995 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,873 – $73,130 · median $15,756 | 33 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,873 – $32,997 · median $14,682 | 33 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,873 – $113,896 · median $42,752 | 33 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,873 – $42,629 · median $15,756 | 33 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,873 – $100,045 · median $31,911 | 33 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,873 – $46,274 · median $17,238 | 33 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $32,105 · median $11,950 | 33 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,417 – $21,285 · median $8,813 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,417 – $31,568 · median $11,935 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,417 – $19,712 · median $7,680 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,873 – $119,678 · median $46,541 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,873 – $67,398 · median $24,457 | 33 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,873 – $51,115 · median $18,257 | 33 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,873 – $99,808 · median $38,759 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,873 – $48,156 · median $17,907 | 33 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $36,487 · median $13,413 | 33 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,417 – $41,729 · median $17,179 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,417 – $40,853 · median $16,411 | 33 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,417 – $41,617 · median $16,087 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,417 – $19,151 · median $8,131 | 33 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,417 – $17,891 · median $7,745 | 33 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $2,873 – $163,647 · median $61,995 | 33 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,873 – $183,661 · median $63,871 | 33 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,873 – $112,772 · median $43,271 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,873 – $140,893 · median $49,298 | 33 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,873 – $94,964 · median $33,264 | 33 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,873 – $70,733 · median $26,262 | 33 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,873 – $122,252 · median $32,608 | 33 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,873 – $119,173 · median $42,270 | 33 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,873 – $64,229 · median $22,958 | 33 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,873 – $133,179 · median $48,786 | 33 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,873 – $78,808 · median $25,502 | 33 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,873 – $42,786 · median $16,943 | 33 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,873 – $122,740 · median $44,160 | 33 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,873 – $96,684 · median $33,495 | 33 plans |
| 333 | RECTAL RESECTION WITH CC | $2,873 – $62,544 · median $22,605 | 33 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,873 – $43,737 · median $17,611 | 33 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,873 – $95,354 · median $34,964 | 33 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,873 – $56,309 · median $22,264 | 33 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,873 – $31,675 · median $13,372 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,873 – $61,299 · median $23,031 | 33 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,873 – $42,724 · median $15,462 | 33 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,873 – $26,138 · median $10,285 | 33 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,873 – $31,184 · median $13,796 | 33 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,873 – $77,492 · median $28,408 | 33 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,873 – $39,871 · median $15,756 | 33 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,873 – $117,301 · median $41,063 | 33 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,873 – $62,098 · median $23,696 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $41,394 · median $15,756 | 33 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,417 – $47,347 · median $18,013 | 33 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,417 – $57,110 · median $21,636 | 33 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,417 – $32,300 · median $12,835 | 33 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,417 – $48,813 · median $18,713 | 33 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,417 – $24,986 · median $9,970 | 33 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,873 – $149,197 · median $55,022 | 33 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,873 – $59,270 · median $22,325 | 33 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,873 – $58,140 · median $21,899 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,873 – $45,930 · median $17,160 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,873 – $55,187 · median $20,787 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,873 – $37,989 · median $14,653 | 33 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,873 – $64,886 · median $24,279 | 33 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,873 – $36,471 · median $14,114 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,873 – $94,727 · median $35,776 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,873 – $51,577 · median $17,395 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,873 – $39,302 · median $15,670 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $42,078 · median $15,997 | 33 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,417 – $26,026 · median $10,429 | 33 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,417 – $18,684 · median $7,591 | 33 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $2,873 – $244,450 · median $87,456 | 33 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,873 – $185,257 · median $59,977 | 33 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $2,873 – $143,262 · median $44,884 | 33 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,873 – $174,615 · median $61,771 | 33 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,873 – $90,550 · median $29,767 | 33 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,873 – $154,846 · median $55,991 | 33 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,873 – $86,028 · median $30,840 | 33 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,873 – $104,090 · median $35,471 | 33 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,873 – $90,154 · median $33,175 | 33 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,873 – $55,647 · median $19,401 | 33 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $2,873 – $147,253 · median $49,014 | 33 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,873 – $74,870 · median $24,555 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,873 – $120,293 · median $45,299 | 33 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,873 – $64,925 · median $22,725 | 33 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,873 – $99,767 · median $34,873 | 33 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,873 – $70,194 · median $24,584 | 33 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,873 – $53,995 · median $18,697 | 33 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,873 – $90,446 · median $29,908 | 33 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,873 – $74,018 · median $26,734 | 33 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,873 – $102,737 · median $32,683 | 33 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,873 – $64,905 · median $21,731 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,873 – $49,655 · median $16,340 | 33 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,873 – $59,898 · median $20,181 | 33 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,873 – $39,461 · median $13,194 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $2,873 – $105,628 · median $36,929 | 33 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,873 – $70,962 · median $25,224 | 33 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,873 – $56,633 · median $19,937 | 33 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,873 – $111,357 · median $36,467 | 33 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,873 – $60,965 · median $20,256 | 33 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,873 – $44,875 · median $14,275 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,873 – $80,558 · median $26,495 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,873 – $53,801 · median $15,756 | 33 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,873 – $97,610 · median $32,178 | 33 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,873 – $54,111 · median $18,379 | 33 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,873 – $41,350 · median $14,930 | 33 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,873 – $81,840 · median $27,743 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,873 – $55,336 · median $18,599 | 33 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,873 – $55,445 · median $18,083 | 33 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,873 – $46,216 · median $15,756 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,873 – $63,456 · median $19,909 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,873 – $44,457 · median $15,293 | 33 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,873 – $86,188 · median $29,912 | 33 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,873 – $62,253 · median $20,714 | 33 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,873 – $49,309 · median $16,650 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,873 – $49,492 · median $15,834 | 33 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,873 – $31,624 · median $11,058 | 33 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,873 – $99,975 · median $32,054 | 33 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,873 – $62,618 · median $20,902 | 33 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $44,681 · median $15,909 | 33 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,873 – $114,887 · median $37,357 | 33 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,873 – $62,870 · median $20,245 | 33 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,873 – $45,609 · median $15,299 | 33 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,873 – $98,758 · median $29,646 | 33 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,873 – $70,705 · median $21,603 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,417 – $45,712 · median $16,240 | 33 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $4,417 – $59,416 · median $19,181 | 33 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,417 – $52,105 · median $12,474 | 33 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,417 – $54,320 · median $17,598 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,417 – $45,940 · median $14,011 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,417 – $27,231 · median $8,975 | 33 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,417 – $47,160 · median $16,036 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,417 – $34,541 · median $11,059 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,873 – $38,121 · median $12,317 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,873 – $112,633 · median $35,131 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,873 – $176,178 · median $54,379 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,873 – $88,847 · median $27,134 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,873 – $55,716 · median $17,439 | 33 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,873 – $102,475 · median $33,082 | 33 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,873 – $56,209 · median $18,262 | 33 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,873 – $44,250 · median $15,361 | 33 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,873 – $57,758 · median $18,560 | 33 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,873 – $54,335 · median $17,344 | 33 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,873 – $64,624 · median $21,531 | 33 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,873 – $61,626 · median $20,377 | 33 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,873 – $57,416 · median $15,297 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,873 – $145,733 · median $39,121 | 33 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,873 – $74,440 · median $19,844 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,873 – $47,766 · median $14,265 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,873 – $133,326 · median $37,894 | 33 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,873 – $69,236 · median $19,656 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,873 – $40,522 · median $12,592 | 33 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,873 – $105,374 · median $30,004 | 33 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,873 – $61,383 · median $15,756 | 33 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,873 – $137,838 · median $39,925 | 33 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,873 – $87,619 · median $23,009 | 33 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $52,612 · median $14,972 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $876 – $22,895 · median $6,832 | 33 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $2,873 – $171,543 · median $47,287 | 33 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $2,873 – $140,622 · median $36,213 | 33 plans |
| 652 | KIDNEY TRANSPLANT | $2,873 – $121,331 · median $32,100 | 33 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,873 – $107,768 · median $29,662 | 33 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,873 – $60,017 · median $16,014 | 33 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,873 – $38,314 · median $10,402 | 33 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,873 – $69,824 · median $18,054 | 33 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,873 – $45,299 · median $11,825 | 33 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,873 – $136,521 · median $42,357 | 33 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,873 – $93,987 · median $23,600 | 33 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,873 – $69,282 · median $16,509 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,873 – $94,119 · median $23,406 | 33 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,873 – $65,231 · median $15,756 | 33 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,873 – $86,989 · median $20,195 | 33 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,873 – $43,250 · median $11,570 | 33 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,873 – $61,091 · median $15,430 | 33 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,873 – $38,083 · median $10,635 | 33 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,873 – $82,936 · median $23,101 | 33 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,873 – $52,515 · median $15,157 | 33 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,873 – $74,105 · median $19,085 | 33 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,873 – $51,012 · median $13,509 | 33 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,873 – $76,231 · median $20,610 | 33 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,873 – $49,806 · median $11,441 | 33 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,873 – $68,588 · median $17,472 | 33 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,873 – $40,032 · median $10,157 | 33 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,873 – $115,876 · median $26,394 | 33 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $62,827 · median $14,844 | 33 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,417 – $78,162 · median $18,624 | 33 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,417 – $41,744 · median $10,747 | 33 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,873 – $70,446 · median $16,996 | 33 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,873 – $38,662 · median $11,636 | 33 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $2,873 – $229,946 · median $47,992 | 33 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $2,873 – $132,117 · median $29,637 | 33 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $2,873 – $75,467 · median $17,437 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,873 – $166,471 · median $37,365 | 33 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,873 – $84,722 · median $18,697 | 33 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,873 – $105,440 · median $25,861 | 33 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,873 – $60,387 · median $13,695 | 33 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $45,837 · median $10,159 | 33 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,873 – $261,573 · median $58,988 | 33 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,873 – $99,248 · median $22,843 | 33 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $57,714 · median $12,330 | 33 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,873 – $207,657 · median $47,242 | 33 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,873 – $109,245 · median $22,787 | 33 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,873 – $64,852 · median $13,572 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,873 – $233,506 · median $48,199 | 33 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,873 – $115,948 · median $24,114 | 33 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $77,986 · median $17,040 | 33 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,873 – $149,212 · median $31,783 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,873 – $68,811 · median $15,600 | 33 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,873 – $236,520 · median $50,450 | 33 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,873 – $100,316 · median $21,093 | 33 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $71,696 · median $16,793 | 33 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,873 – $218,280 · median $45,751 | 33 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,873 – $97,828 · median $22,309 | 33 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,873 – $64,915 · median $14,010 | 33 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,873 – $159,407 · median $39,765 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,873 – $211,731 · median $44,759 | 33 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,873 – $97,605 · median $19,505 | 33 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,873 – $56,494 · median $13,104 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,873 – $185,550 · median $39,082 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,873 – $82,202 · median $17,018 | 33 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,873 – $89,662 · median $22,345 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,873 – $198,037 · median $40,304 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,873 – $102,237 · median $20,696 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,873 – $68,963 · median $13,608 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,873 – $1,070,571 · median $237,114 | 33 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,873 – $332,614 · median $69,096 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,873 – $153,536 · median $32,395 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,873 – $173,622 · median $33,152 | 33 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,873 – $113,838 · median $22,254 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,873 – $98,925 · median $20,395 | 33 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,873 – $326,263 · median $68,666 | 33 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,873 – $199,944 · median $38,696 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,873 – $385,952 · median $76,641 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,873 – $218,979 · median $42,383 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,873 – $142,539 · median $27,715 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,873 – $303,139 · median $63,641 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,873 – $154,437 · median $27,039 | 33 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,873 – $243,045 · median $47,983 | 33 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,873 – $134,194 · median $24,995 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,873 – $87,486 · median $17,239 | 33 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,873 – $172,667 · median $35,508 | 33 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,873 – $89,062 · median $17,694 | 33 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,873 – $59,201 · median $12,062 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $4,417 – $40,310 · median $10,174 | 32 plans |
| 102 | HEADACHES WITH MCC | $4,417 – $29,931 · median $12,867 | 32 plans |
| 103 | HEADACHES WITHOUT MCC | $4,417 – $26,316 · median $9,517 | 32 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,417 – $31,064 · median $12,919 | 32 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,417 – $20,983 · median $7,640 | 32 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,417 – $37,205 · median $9,095 | 32 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,417 – $25,601 · median $9,070 | 32 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $4,417 – $56,541 · median $22,341 | 32 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,417 – $33,953 · median $13,380 | 32 plans |
| 149 | DYSEQUILIBRIUM | $4,417 – $20,269 · median $8,573 | 32 plans |
| 150 | EPISTAXIS WITH MCC | $4,417 – $35,555 · median $13,682 | 32 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,417 – $26,807 · median $8,523 | 32 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,417 – $41,750 · median $17,274 | 32 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,417 – $24,473 · median $10,034 | 32 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,417 – $18,454 · median $7,393 | 32 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,417 – $76,842 · median $18,838 | 32 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,417 – $43,275 · median $10,498 | 32 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,417 – $32,819 · median $7,868 | 32 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,417 – $36,679 · median $14,285 | 32 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,417 – $21,496 · median $8,830 | 32 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,417 – $26,062 · median $11,153 | 32 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,417 – $20,161 · median $8,479 | 32 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $4,417 – $47,158 · median $18,268 | 32 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,417 – $28,599 · median $11,821 | 32 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,417 – $20,129 · median $8,920 | 32 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,417 – $28,415 · median $11,394 | 32 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,417 – $21,002 · median $8,458 | 32 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,417 – $26,412 · median $11,019 | 32 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,417 – $32,989 · median $12,307 | 32 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,417 – $29,579 · median $12,602 | 32 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,417 – $22,511 · median $9,281 | 32 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,417 – $17,143 · median $7,138 | 32 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,417 – $35,098 · median $14,822 | 32 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,417 – $21,520 · median $9,266 | 32 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,417 – $16,783 · median $7,095 | 32 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,417 – $50,394 · median $19,647 | 32 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,417 – $25,344 · median $10,905 | 32 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,417 – $19,125 · median $7,676 | 32 plans |
| 199 | PNEUMOTHORAX WITH MCC | $4,417 – $47,107 · median $17,319 | 32 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,417 – $29,355 · median $11,073 | 32 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,417 – $19,095 · median $7,833 | 32 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,417 – $31,393 · median $10,994 | 32 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,417 – $110,324 · median $9,228 | 32 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,417 – $48,893 · median $20,796 | 32 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,417 – $194,064 · median $10,504 | 32 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $4,417 – $186,439 · median $71,472 | 32 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,417 – $97,846 · median $30,299 | 32 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,417 – $47,231 · median $17,481 | 32 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,417 – $26,708 · median $10,884 | 32 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,417 – $18,713 · median $7,652 | 32 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,417 – $27,264 · median $11,002 | 32 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,417 – $19,424 · median $7,929 | 32 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,417 – $24,682 · median $9,523 | 32 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,417 – $26,188 · median $10,563 | 32 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,417 – $16,834 · median $7,032 | 32 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,417 – $52,397 · median $20,053 | 32 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,417 – $28,933 · median $11,607 | 32 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,417 – $21,378 · median $8,170 | 32 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,417 – $36,869 · median $13,727 | 32 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,417 – $22,826 · median $9,387 | 32 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,417 – $42,252 · median $17,024 | 32 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,417 – $26,070 · median $10,630 | 32 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,417 – $18,193 · median $7,372 | 32 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,417 – $39,435 · median $15,458 | 32 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,417 – $21,090 · median $8,699 | 32 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,417 – $14,952 · median $6,185 | 32 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,417 – $33,867 · median $13,583 | 32 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,417 – $20,818 · median $8,484 | 32 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,417 – $42,748 · median $17,340 | 32 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,417 – $17,330 · median $7,029 | 32 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,417 – $52,557 · median $20,405 | 32 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,417 – $28,204 · median $11,412 | 32 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,417 – $19,026 · median $7,636 | 32 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,417 – $49,045 · median $19,045 | 32 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,417 – $30,887 · median $11,997 | 32 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,417 – $24,719 · median $8,618 | 32 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,417 – $44,207 · median $17,418 | 32 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,417 – $23,436 · median $9,292 | 32 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,417 – $16,856 · median $6,813 | 32 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,417 – $52,514 · median $19,710 | 32 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,417 – $46,829 · median $17,627 | 32 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,417 – $30,283 · median $11,560 | 32 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,417 – $23,005 · median $8,656 | 32 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,417 – $25,566 · median $8,825 | 32 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,417 – $40,077 · median $14,042 | 32 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,417 – $25,111 · median $8,793 | 32 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,417 – $30,426 · median $9,887 | 32 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,417 – $23,568 · median $7,384 | 32 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,417 – $63,534 · median $21,045 | 32 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,417 – $42,474 · median $13,680 | 32 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,417 – $27,617 · median $9,305 | 32 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,417 – $34,400 · median $11,322 | 32 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,417 – $25,641 · median $8,235 | 32 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,417 – $82,726 · median $26,147 | 32 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,417 – $27,672 · median $8,332 | 32 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,417 – $67,549 · median $20,966 | 32 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,417 – $41,578 · median $12,780 | 32 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,417 – $29,485 · median $9,311 | 32 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,417 – $31,581 · median $10,340 | 32 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,417 – $42,600 · median $13,800 | 32 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,417 – $26,594 · median $9,033 | 32 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,417 – $63,429 · median $19,366 | 32 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,417 – $36,619 · median $12,108 | 32 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,417 – $26,962 · median $8,861 | 32 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $4,417 – $48,072 · median $15,393 | 32 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,417 – $29,783 · median $9,632 | 32 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,417 – $51,866 · median $16,462 | 32 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,417 – $25,844 · median $8,158 | 32 plans |
| 592 | SKIN ULCERS WITH MCC | $4,417 – $59,760 · median $21,388 | 32 plans |
| 593 | SKIN ULCERS WITH CC | $4,417 – $40,350 · median $12,958 | 32 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,417 – $29,106 · median $9,176 | 32 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $4,417 – $71,659 · median $21,983 | 32 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,417 – $35,290 · median $11,526 | 32 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,417 – $58,491 · median $18,358 | 32 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,417 – $39,778 · median $11,522 | 32 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,417 – $24,072 · median $9,099 | 32 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,417 – $35,767 · median $10,444 | 32 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,417 – $24,741 · median $6,655 | 32 plans |
| 602 | CELLULITIS WITH MCC | $4,417 – $51,779 · median $15,451 | 32 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,417 – $30,500 · median $9,500 | 32 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,417 – $53,935 · median $15,618 | 32 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,417 – $32,940 · median $9,934 | 32 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,417 – $54,833 · median $16,878 | 32 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,417 – $30,014 · median $9,332 | 32 plans |
| 637 | DIABETES WITH MCC | $4,417 – $51,490 · median $15,320 | 32 plans |
| 638 | DIABETES WITH CC | $4,417 – $32,994 · median $9,868 | 32 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,417 – $46,214 · median $14,023 | 32 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,417 – $28,391 · median $8,495 | 32 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,417 – $48,622 · median $13,816 | 32 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,417 – $62,912 · median $17,353 | 32 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,417 – $38,581 · median $11,044 | 32 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,417 – $29,139 · median $8,468 | 32 plans |
| 682 | RENAL FAILURE WITH MCC | $4,417 – $58,231 · median $15,781 | 32 plans |
| 683 | RENAL FAILURE WITH CC | $4,417 – $34,832 · median $9,582 | 32 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,417 – $24,133 · median $6,735 | 32 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $4,417 – $74,533 · median $19,663 | 32 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,417 – $41,757 · median $11,239 | 32 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,417 – $27,352 · median $7,988 | 32 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,417 – $44,424 · median $12,428 | 32 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,417 – $31,720 · median $8,709 | 32 plans |
| 693 | URINARY STONES WITH MCC | $4,417 – $50,875 · median $15,463 | 32 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,417 – $29,286 · median $8,495 | 32 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,417 – $45,699 · median $11,998 | 32 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,417 – $27,782 · median $7,589 | 32 plans |
| 697 | URETHRAL STRICTURE | $4,417 – $40,222 · median $10,858 | 32 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,417 – $64,918 · median $17,592 | 32 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,417 – $41,484 · median $10,907 | 32 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,417 – $30,182 · median $7,613 | 32 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $4,417 – $70,625 · median $18,267 | 32 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,417 – $45,077 · median $11,949 | 32 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,417 – $26,919 · median $7,798 | 32 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,417 – $53,215 · median $13,361 | 32 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,417 – $30,898 · median $8,121 | 32 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,417 – $59,040 · median $15,453 | 32 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,417 – $33,502 · median $8,856 | 32 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,417 – $41,956 · median $11,726 | 32 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,417 – $23,658 · median $6,792 | 32 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,417 – $48,468 · median $11,819 | 32 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,417 – $39,431 · median $10,251 | 32 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,417 – $65,609 · median $14,906 | 32 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,417 – $29,533 · median $7,065 | 32 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,417 – $39,938 · median $10,560 | 32 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,417 – $25,578 · median $6,822 | 32 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,417 – $33,519 · median $7,717 | 32 plans |
| 779 | ABORTION WITHOUT D&C | $4,417 – $45,426 · median $9,922 | 32 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,417 – $75,763 · median $18,822 | 32 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,417 – $250,205 · median $60,713 | 32 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,417 – $171,115 · median $41,651 | 32 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,417 – $103,391 · median $25,367 | 32 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,417 – $176,262 · median $42,769 | 32 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,417 – $62,474 · median $15,522 | 32 plans |
| 795 | NORMAL NEWBORN | $1,607 – $8,471 · median $2,626 | 32 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,873 – $61,403 · median $12,789 | 32 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $4,417 – $98,559 · median $23,755 | 32 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,417 – $55,365 · median $13,118 | 32 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,417 – $43,594 · median $10,444 | 32 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,417 – $62,597 · median $14,821 | 32 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,417 – $40,029 · median $9,926 | 32 plans |
| 813 | COAGULATION DISORDERS | $4,417 – $70,379 · median $16,972 | 32 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $4,417 – $86,262 · median $21,734 | 32 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,417 – $45,339 · median $10,869 | 32 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,417 – $30,232 · median $7,261 | 32 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,417 – $52,318 · median $12,250 | 32 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,417 – $36,437 · median $8,396 | 32 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,417 – $25,077 · median $6,167 | 32 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $4,417 – $283,462 · median $56,490 | 32 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $4,417 – $99,160 · median $22,193 | 32 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,417 – $54,942 · median $13,443 | 32 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $4,417 – $268,062 · median $53,234 | 32 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $4,417 – $106,383 · median $22,607 | 32 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,417 – $70,095 · median $14,589 | 32 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,417 – $151,847 · median $32,921 | 32 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,417 – $76,638 · median $16,545 | 32 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,417 – $51,857 · median $11,231 | 32 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $4,417 – $90,208 · median $20,041 | 32 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,417 – $56,035 · median $12,680 | 32 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,417 – $40,271 · median $9,055 | 32 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,417 – $127,061 · median $26,433 | 32 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,417 – $63,624 · median $13,443 | 32 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,417 – $49,099 · median $8,874 | 32 plans |
| 849 | RADIOTHERAPY | $4,417 – $118,832 · median $27,623 | 32 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,417 – $90,565 · median $19,188 | 32 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,417 – $47,176 · median $10,705 | 32 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,417 – $42,286 · median $9,674 | 32 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,417 – $71,558 · median $15,519 | 32 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,417 – $40,562 · median $9,541 | 32 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,417 – $108,151 · median $23,307 | 32 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,417 – $51,407 · median $11,212 | 32 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,417 – $35,307 · median $7,870 | 32 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,417 – $312,846 · median $70,944 | 32 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,417 – $91,088 · median $20,435 | 32 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,417 – $49,870 · median $11,019 | 32 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,417 – $42,265 · median $10,287 | 32 plans |
| 881 | DEPRESSIVE NEUROSES | $4,417 – $39,270 · median $9,837 | 32 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,417 – $40,381 · median $10,634 | 32 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,417 – $77,536 · median $19,695 | 32 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,417 – $71,017 · median $17,484 | 32 plans |
| 885 | PSYCHOSES | $4,417 – $60,920 · median $14,848 | 32 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,417 – $60,233 · median $19,949 | 32 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,417 – $53,257 · median $12,548 | 32 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,404 – $27,064 · median $6,904 | 32 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,417 – $78,795 · median $15,235 | 32 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,417 – $88,060 · median $18,602 | 32 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,417 – $40,958 · median $9,514 | 32 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,417 – $82,193 · median $16,959 | 32 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,417 – $44,685 · median $9,860 | 32 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,417 – $85,477 · median $18,168 | 32 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,417 – $33,136 · median $7,309 | 32 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,417 – $74,580 · median $17,175 | 32 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,417 – $39,981 · median $9,539 | 32 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $4,417 – $92,815 · median $19,035 | 32 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,417 – $52,041 · median $10,867 | 32 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,417 – $35,072 · median $7,547 | 32 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,417 – $80,624 · median $17,761 | 32 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,417 – $47,304 · median $10,907 | 32 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $4,417 – $115,340 · median $44,351 | 32 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,417 – $99,244 · median $22,421 | 32 plans |
| 935 | NON-EXTENSIVE BURNS | $4,417 – $99,004 · median $22,805 | 32 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,417 – $76,400 · median $16,030 | 32 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,417 – $58,076 · median $11,884 | 32 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,417 – $61,387 · median $13,600 | 32 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,417 – $40,570 · median $8,628 | 32 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,417 – $57,239 · median $11,816 | 32 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,417 – $38,247 · median $6,520 | 32 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,417 – $28,932 · median $6,492 | 32 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,417 – $142,188 · median $28,067 | 32 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,417 – $77,781 · median $15,763 | 32 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,417 – $47,763 · median $9,822 | 32 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $4,417 – $141,007 · median $30,792 | 32 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,417 – $67,230 · median $14,967 | 32 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,417 – $49,946 · median $10,625 | 32 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,417 – $69,584 · median $15,146 | 32 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $10,187 – $62,473 · median $29,695 | 24 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $10,187 – $218,801 · median $104,003 | 24 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $10,187 – $142,350 · median $67,663 | 24 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $10,187 – $124,918 · median $59,377 | 24 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $10,187 – $95,434 · median $45,848 | 24 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $10,187 – $101,123 · median $48,067 | 24 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $10,187 – $65,186 · median $30,985 | 24 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $10,187 – $124,758 · median $59,301 | 24 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $10,187 – $74,194 · median $28,279 | 24 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,187 – $54,025 · median $18,180 | 24 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $10,187 – $86,262 · median $41,003 | 24 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,187 – $85,510 · median $31,669 | 24 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $10,187 – $58,348 · median $27,734 | 24 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $10,187 – $50,670 · median $24,087 | 24 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,187 – $31,400 · median $15,075 | 24 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,105 – $23,621 · median $11,371 | 24 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $10,187 – $79,326 · median $38,649 | 24 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $10,187 – $210,440 · median $102,529 | 24 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $10,187 – $143,063 · median $69,702 | 24 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $10,187 – $111,128 · median $54,143 | 24 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $10,187 – $167,793 · median $81,751 | 24 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $10,187 – $110,456 · median $53,816 | 24 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $10,187 – $135,112 · median $65,713 | 24 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $10,187 – $82,748 · median $40,316 | 24 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $10,187 – $104,056 · median $50,697 | 24 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $10,187 – $62,821 · median $30,607 | 24 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $10,187 – $185,199 · median $88,031 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $177,860 – $563,895 · median $268,037 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $94,677 – $221,314 · median $105,197 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $118,947 – $429,315 · median $204,066 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $75,024 – $283,449 · median $134,732 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,287 – $213,916 · median $101,681 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,249 – $98,044 · median $46,604 | 21 plans |
| 007 | LUNG TRANSPLANT | $75,336 – $262,249 · median $124,655 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $35,656 – $109,869 · median $52,224 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $23,991 – $160,449 · median $76,266 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,575 – $108,966 · median $51,795 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,883 – $83,151 · median $39,524 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,543 – $54,111 · median $25,720 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $87,884 – $262,908 · median $124,968 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,671 – $121,751 · median $57,872 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,812 – $121,751 · median $57,872 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $263,602 – $754,568 · median $358,669 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $47,452 – $159,536 · median $75,832 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $69,393 – $162,209 · median $77,103 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $47,738 – $111,591 · median $53,043 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $30,672 – $71,698 · median $34,080 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,723 – $115,143 · median $54,731 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,219 – $77,118 · median $36,657 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,649 – $90,515 · median $43,025 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,097 – $62,273 · median $29,600 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,126 – $50,471 · median $23,990 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,673 – $122,622 · median $58,286 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,494 – $68,228 · median $32,431 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,382 – $45,628 · median $21,688 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,317 – $84,887 · median $40,350 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,523 – $43,834 · median $20,836 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,736 – $33,045 · median $15,707 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,972 – $78,856 · median $37,483 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,943 – $46,615 · median $22,158 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,118 – $37,791 · median $17,963 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,945 – $67,513 · median $32,091 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,739 – $33,360 · median $15,857 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,512 – $23,909 · median $11,365 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,738 – $76,527 · median $36,376 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,800 – $46,283 · median $22,000 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,522 – $36,283 · median $17,246 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,862 – $41,375 · median $19,667 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,375 – $19,578 · median $9,306 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,910 – $31,119 · median $14,792 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,162 – $22,966 · median $10,916 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,341 – $51,196 · median $24,335 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,256 – $27,829 · median $13,228 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,569 – $38,047 · median $18,085 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,168 – $25,615 · median $12,176 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,128 – $18,999 · median $9,031 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,605 – $55,177 · median $26,227 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,721 – $36,748 · median $17,468 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,507 – $29,235 · median $13,896 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,501 – $40,910 · median $19,446 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,192 – $21,486 · median $10,213 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,383 – $14,921 · median $7,093 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,935 – $30,236 · median $14,372 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,034 – $18,781 · median $8,927 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,339 – $17,155 · median $8,154 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,361 – $35,907 · median $17,068 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,508 – $22,225 · median $10,564 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,912 – $16,158 · median $7,680 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,710 – $32,048 · median $15,233 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,409 – $21,995 · median $10,455 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,221 – $35,580 · median $16,912 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,300 – $19,488 · median $9,263 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,039 – $40,882 · median $19,432 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,011 – $19,246 · median $9,148 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,330 – $47,522 · median $22,589 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,384 – $28,947 · median $13,760 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,672 – $20,271 · median $9,635 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,596 – $46,439 · median $22,074 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,050 – $27,373 · median $13,011 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,056 – $18,831 · median $8,951 | 21 plans |
| 088 | CONCUSSION WITH MCC | $12,557 – $30,110 · median $13,952 | 21 plans |
| 089 | CONCUSSION WITH CC | $9,663 – $22,589 · median $10,737 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,828 – $18,297 · median $8,697 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,080 – $60,341 · median $17,866 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,549 – $44,221 · median $10,610 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,246 – $44,221 · median $8,052 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $31,683 – $74,062 · median $35,204 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,988 – $49,060 · median $23,320 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,703 – $49,060 · median $23,320 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,480 – $72,781 · median $34,595 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,078 – $44,508 · median $21,156 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,274 – $29,005 · median $13,787 | 21 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $10,187 – $194,400 · median $186,206 | 4 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $10,187 – $98,016 · median $93,884 | 4 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $10,187 – $41,601 · median $39,848 | 4 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $10,187 – $59,058 · median $56,568 | 4 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,187 – $41,466 · median $39,718 | 4 plans |
No procedures match that keyword.