Ascension St. John Jane Phillips Medical Center — 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.
Procedures published 771
Lowest published price —
Average published price —
Highest published price —
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 |
|---|---|---|---|
| 652 | KIDNEY TRANSPLANT | $19,262 – $78,608 · median $19,839 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $176,651 – $397,465 · median $181,067 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,112 – $155,502 · median $70,840 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $134,404 – $302,408 · median $137,764 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $88,613 – $199,380 · median $90,829 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,785 – $150,266 · median $68,454 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,411 – $68,424 · median $31,171 | 12 plans |
| 007 | LUNG TRANSPLANT | $81,958 – $184,405 · median $84,007 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,123 – $76,777 · median $34,976 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $50,002 – $112,504 · median $51,252 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,840 – $76,139 · median $34,686 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,735 – $57,904 · median $26,379 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,619 – $37,392 · median $17,034 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $82,165 – $184,871 · median $84,219 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,853 – $85,169 · median $38,799 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,853 – $85,169 · median $38,799 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $236,507 – $532,140 · median $242,419 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,714 – $111,856 · median $50,957 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,553 – $113,744 · median $51,817 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,666 – $77,997 · median $35,532 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,142 – $49,819 · median $22,695 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,778 – $80,501 · median $36,673 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,841 – $53,643 · median $24,437 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,047 – $63,106 · median $28,748 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,181 – $43,158 · median $19,661 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,476 – $34,821 · median $15,863 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,126 – $85,784 · median $39,079 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,051 – $47,365 · median $21,577 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,956 – $31,400 · median $14,305 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,280 – $59,131 · median $26,937 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,393 – $30,135 · median $13,728 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,006 – $22,513 · median $10,256 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,387 – $54,872 · median $24,997 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,266 – $32,098 · median $14,622 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,496 – $25,866 · median $11,783 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,826 – $46,859 · median $21,347 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,104 – $22,735 · median $10,357 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,138 – $16,061 · median $7,317 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,656 – $53,225 · median $24,247 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,165 – $31,872 · median $14,519 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,023 – $24,801 · median $11,298 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,621 – $28,398 · median $12,937 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,778 – $13,001 · median $5,923 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,402 – $21,154 · median $9,637 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,842 – $15,394 · median $7,013 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,704 – $35,335 · median $16,097 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,371 – $18,834 · median $8,580 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,576 – $26,045 · median $11,865 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,673 – $17,265 · median $7,865 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,597 – $12,593 · median $5,737 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,954 – $38,146 · median $17,377 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,169 – $25,129 · median $11,448 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,810 – $19,822 · median $9,030 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,475 – $28,069 · median $12,787 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,378 – $14,351 · median $6,538 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,317 – $9,713 · median $4,425 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,130 – $20,543 · median $9,359 | 12 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,529 – $12,441 · median $5,667 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,019 – $11,292 · median $5,144 | 12 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,905 – $24,535 · median $11,177 | 12 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,609 – $14,871 · median $6,774 | 12 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,704 – $10,585 · median $4,822 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,693 – $21,809 · median $9,935 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,538 – $14,710 · median $6,701 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,802 – $24,305 · median $11,072 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,751 – $12,939 · median $5,894 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,697 – $21,819 · median $9,940 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,258 – $14,080 · median $6,414 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,181 – $9,408 · median $4,286 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,467 – $28,050 · median $12,779 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,675 – $12,768 · median $5,816 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,551 – $32,740 · median $14,915 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,720 – $19,619 · median $8,938 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,996 – $13,490 · median $6,146 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,211 – $31,975 · median $14,566 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,226 – $18,508 · median $8,432 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,544 – $12,474 · median $5,683 | 12 plans |
| 088 | CONCUSSION WITH MCC | $8,847 – $19,905 · median $9,068 | 12 plans |
| 089 | CONCUSSION WITH CC | $6,724 – $15,129 · median $6,892 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,376 – $12,096 · median $5,510 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,432 – $25,722 · median $11,718 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,640 – $14,941 · median $6,806 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,950 – $11,138 · median $5,074 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,882 – $51,484 · median $23,454 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,033 – $33,825 · median $15,409 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,033 – $33,825 · median $15,409 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,483 – $50,586 · median $23,045 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,604 – $30,609 · median $13,944 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,738 – $19,660 · median $8,956 | 12 plans |
| 100 | SEIZURES WITH MCC | $12,451 – $28,014 · median $12,762 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $5,780 – $13,005 · median $5,924 | 12 plans |
| 102 | HEADACHES WITH MCC | $7,271 – $16,361 · median $7,453 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $5,332 – $11,997 · median $5,465 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,153 – $31,844 · median $14,507 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,414 – $16,681 · median $7,599 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,601 – $21,603 · median $9,841 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,464 – $23,545 · median $10,726 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,765 – $15,220 · median $6,934 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,295 – $16,413 · median $7,477 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,254 – $9,572 · median $4,360 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,037 – $11,334 · median $5,163 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,177 – $18,398 · median $8,381 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,179 – $11,652 · median $5,308 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,120 – $34,021 · median $15,498 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,135 – $13,804 · median $6,288 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,771 – $19,735 · median $8,990 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,102 – $11,480 · median $5,230 | 12 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,610 – $19,373 · median $8,826 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,523 – $59,677 · median $27,186 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,473 – $30,315 · median $13,810 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,861 – $22,187 · median $10,108 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,707 – $46,591 · median $21,225 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,017 – $24,788 · median $11,292 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,430 – $16,718 · median $7,616 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,387 – $32,370 · median $14,746 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,806 – $17,564 · median $8,002 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,022 – $11,299 · median $5,147 | 12 plans |
| 149 | DYSEQUILIBRIUM | $4,688 – $10,548 · median $4,805 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $8,668 – $19,503 · median $8,885 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,754 – $10,696 · median $4,873 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,116 – $16,012 · median $7,294 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,464 – $10,043 · median $4,575 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,199 – $22,948 · median $10,454 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,855 – $13,174 · median $6,002 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,217 – $9,488 · median $4,323 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,269 – $23,106 · median $10,526 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,899 – $13,272 · median $6,046 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,137 – $9,308 · median $4,240 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,906 – $65,038 · median $29,628 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,785 – $35,515 · median $16,179 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,690 – $26,302 · median $11,982 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,152 – $54,343 · median $24,756 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,459 – $25,783 · median $11,745 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,491 – $19,104 · median $8,703 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,244 – $43,299 · median $19,725 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,837 – $19,884 · median $9,058 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,108 – $11,494 · median $5,236 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,138 – $22,811 · median $10,392 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,222 – $14,000 · median $6,378 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,827 – $10,861 · median $4,948 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,961 – $24,662 · median $11,235 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,963 – $15,666 · median $7,137 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,253 – $11,818 · median $5,384 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,954 – $22,397 · median $10,203 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,698 – $15,071 · median $6,866 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,877 – $10,973 · median $4,999 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,909 – $22,296 · median $10,157 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,296 – $14,166 · median $6,454 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,604 – $10,359 · median $4,719 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,761 – $17,463 · median $7,955 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,045 – $15,851 · median $7,221 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,388 – $12,123 · median $5,523 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,059 – $9,133 · median $4,161 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,265 – $18,596 · median $8,471 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,143 – $11,571 · median $5,271 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,906 – $8,789 · median $4,004 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,817 – $26,589 · median $12,113 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,208 – $13,969 · median $6,364 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,393 – $9,884 · median $4,503 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,071 – $24,909 · median $11,348 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,945 – $15,627 · median $7,119 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,245 – $9,552 · median $4,351 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,063 – $13,641 · median $6,214 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,367 – $9,826 · median $4,476 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,086 – $11,443 · median $5,213 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,839 – $26,638 · median $12,135 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,681 – $12,782 · median $5,823 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,563 – $91,268 · median $41,577 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,834 – $37,876 · median $17,255 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $68,318 – $153,716 · median $70,026 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $66,444 – $149,498 · median $68,105 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,524 – $136,180 · median $62,037 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,499 – $91,122 · median $41,511 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,311 – $83,950 · median $38,244 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,524 – $109,179 · median $49,737 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,217 – $74,738 · median $34,047 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,801 – $64,803 · median $29,522 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,251 – $70,315 · median $32,032 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,481 – $43,831 · median $19,968 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,143 – $119,571 · median $54,471 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,309 – $86,196 · median $39,267 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,018 – $110,291 · median $50,244 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,365 – $75,071 · median $34,199 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,901 – $83,028 · median $37,824 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,788 – $58,023 · median $26,433 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,587 – $71,072 · median $32,377 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,263 – $41,092 · median $18,720 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,469 – $21,305 · median $9,706 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,274 – $47,866 · median $21,805 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,128 – $31,789 · median $14,481 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,319 – $25,467 · median $11,601 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,647 – $68,955 · median $31,413 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,505 – $32,635 · median $14,867 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,800 – $22,049 · median $10,045 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,513 – $48,405 · median $22,051 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,011 – $36,025 · median $16,411 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,971 – $24,685 · median $11,245 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,409 – $36,919 · median $16,819 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,622 – $23,899 · median $10,887 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,594 – $12,586 · median $5,734 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,595 – $39,588 · median $18,034 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,023 – $24,802 · median $11,299 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,366 – $48,074 · median $21,901 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,900 – $26,775 · median $12,197 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,519 – $21,417 · median $9,757 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,820 – $37,845 · median $17,241 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,919 – $49,318 · median $22,467 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $22,370 – $50,334 · median $22,930 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,570 – $84,532 · median $38,509 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,505 – $66,385 · median $30,242 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,815 – $94,083 · median $42,860 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,093 – $58,709 · median $26,745 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,191 – $72,430 · median $32,996 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,602 – $48,605 · median $22,142 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,692 – $35,306 · median $16,084 | 12 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,522 – $55,175 · median $25,135 | 12 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,573 – $44,039 · median $20,062 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,319 – $99,718 · median $45,427 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,847 – $87,405 · median $39,818 | 12 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,177 – $65,649 · median $29,907 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,377 – $70,597 · median $32,161 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,096 – $45,215 · median $20,598 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,295 – $23,164 · median $10,552 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,781 – $13,008 · median $5,926 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,548 – $10,232 · median $4,661 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,264 – $27,593 · median $12,570 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,647 – $10,455 · median $4,763 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,520 – $7,921 · median $3,608 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,881 – $31,233 · median $14,228 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,834 – $15,376 · median $7,004 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,130 – $38,542 · median $17,558 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,888 – $22,248 · median $10,135 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,140 – $13,815 · median $6,293 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,184 – $18,414 · median $8,389 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,402 – $12,154 · median $5,537 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,443 – $7,747 · median $3,529 | 12 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,701 – $17,327 · median $7,894 | 12 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,953 – $11,145 · median $5,077 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,275 – $23,119 · median $10,532 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,418 – $9,940 · median $4,528 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,770 – $6,232 · median $2,839 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,146 – $22,828 · median $10,399 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,714 – $15,106 · median $6,882 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,474 – $10,066 · median $4,585 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,295 – $16,414 · median $7,478 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,217 – $9,488 · median $4,323 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $7,368 – $16,578 · median $7,552 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,708 – $10,593 · median $4,826 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,391 – $21,130 · median $9,626 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,809 – $13,071 · median $5,955 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,564 – $17,018 · median $7,753 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,637 – $10,432 · median $4,753 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,509 – $7,895 · median $3,597 | 12 plans |
| 311 | ANGINA PECTORIS | $4,381 – $9,857 · median $4,490 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,465 – $12,295 · median $5,601 | 12 plans |
| 313 | CHEST PAIN | $4,474 – $10,066 · median $4,585 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,505 – $30,387 · median $13,843 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,035 – $13,579 · median $6,186 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,281 – $9,632 · median $4,388 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $38,797 – $87,293 · median $39,767 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,548 – $61,984 · median $28,237 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,516 – $32,662 · median $14,879 | 12 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,854 – $40,171 · median $18,300 | 12 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,346 – $25,529 · median $11,630 | 12 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,712 – $60,103 · median $27,380 | 12 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,038 – $45,086 · median $20,539 | 12 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,950 – $40,387 · median $18,398 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,852 – $71,667 · median $32,648 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,228 – $34,264 · median $15,609 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,993 – $22,485 · median $10,243 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,798 – $64,795 · median $29,518 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,824 – $33,355 · median $15,195 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,355 – $23,298 · median $10,613 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,753 – $48,945 · median $22,297 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $13,328 – $29,988 · median $13,661 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,401 – $23,402 · median $10,661 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,728 – $51,138 · median $23,296 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,248 – $29,809 · median $13,580 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,627 – $21,661 · median $9,868 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,898 – $38,021 · median $17,321 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,340 – $21,015 · median $9,573 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,810 – $17,571 · median $8,005 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,843 – $33,396 · median $15,214 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,895 – $17,763 · median $8,092 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,525 – $12,431 · median $5,663 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,176 – $34,147 · median $15,556 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,437 – $21,233 · median $9,673 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,915 – $15,558 · median $7,087 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,394 – $41,386 · median $18,853 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,669 – $24,005 · median $10,935 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,361 – $18,812 · median $8,570 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,751 – $60,190 · median $27,420 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,123 – $31,777 · median $14,476 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,498 – $19,121 · median $8,711 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,473 – $23,564 · median $10,735 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,382 – $14,360 · median $6,542 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,377 – $9,848 · median $4,486 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,965 – $24,671 · median $11,239 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,455 – $14,525 · median $6,617 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,549 – $10,235 · median $4,663 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,243 – $29,796 · median $13,574 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,706 – $17,339 · median $7,899 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,537 – $12,459 · median $5,676 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,403 – $25,656 · median $11,688 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,183 – $13,912 · median $6,338 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,993 – $8,983 · median $4,092 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,069 – $27,154 · median $12,370 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,831 – $15,369 · median $7,001 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,699 – $10,574 · median $4,817 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,929 – $17,840 · median $8,127 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,454 – $12,271 · median $5,590 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,190 – $22,927 · median $10,444 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,224 – $14,004 · median $6,380 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,204 – $9,459 · median $4,309 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,219 – $20,744 · median $9,450 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,028 – $11,313 · median $5,154 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,431 – $7,720 · median $3,517 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,058 – $18,132 · median $8,260 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,894 – $11,011 · median $5,016 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,385 – $23,367 · median $10,645 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,904 – $13,283 · median $6,051 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,991 – $8,980 · median $4,091 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,539 – $34,962 · median $15,927 | 12 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,491 – $21,355 · median $9,728 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,050 – $15,863 · median $7,226 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,643 – $55,446 · median $25,259 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,045 – $76,602 · median $34,896 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,612 – $39,627 · median $18,052 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,394 – $30,136 · median $13,729 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,958 – $49,405 · median $22,507 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,147 – $29,582 · median $13,476 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,727 – $21,887 · median $9,971 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,162 – $38,614 · median $17,591 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,368 – $30,078 · median $13,702 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,426 – $23,459 · median $10,687 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,973 – $49,440 · median $22,523 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,405 – $27,912 · median $12,716 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,593 – $19,335 · median $8,808 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,905 – $33,536 · median $15,277 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,402 – $23,404 · median $10,662 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,264 – $18,593 · median $8,470 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,134 – $49,802 · median $22,687 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,270 – $23,107 · median $10,527 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,215 – $20,734 · median $9,445 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,508 – $57,392 · median $26,145 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,319 – $32,218 · median $14,677 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,694 – $21,812 · median $9,937 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $65,737 – $147,909 · median $67,381 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,521 – $100,172 · median $45,634 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,527 – $77,686 · median $35,390 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $52,306 – $117,688 · median $53,614 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,307 – $77,190 · median $35,164 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,287 – $27,645 · median $12,594 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,709 – $15,095 · median $6,877 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,368 – $9,827 · median $4,477 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,443 – $25,746 · median $11,729 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,072 – $15,912 · median $7,249 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,924 – $11,079 · median $5,047 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,435 – $23,478 · median $10,696 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,395 – $12,139 · median $5,530 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,858 – $8,680 · median $3,954 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,855 – $26,675 · median $12,152 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,060 – $13,634 · median $6,211 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,406 – $9,915 · median $4,517 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,565 – $23,770 · median $10,829 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,801 – $15,302 · median $6,971 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,000 – $11,250 · median $5,125 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,047 – $94,605 · median $43,098 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,609 – $57,619 · median $26,249 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,297 – $72,669 · median $33,105 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,353 – $43,545 · median $19,837 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,112 – $119,503 · median $54,440 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $35,993 – $80,985 · median $36,893 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,079 – $60,928 · median $27,756 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,487 – $86,597 · median $39,450 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,960 – $40,409 · median $18,409 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,872 – $76,211 · median $34,718 | 12 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,493 – $41,609 · median $18,955 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,887 – $24,496 · median $11,159 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,950 – $71,887 · median $32,749 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,480 – $48,330 · median $22,017 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,452 – $37,017 · median $16,863 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,499 – $46,123 · median $21,012 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,825 – $26,607 · median $12,121 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,462 – $68,539 · median $31,223 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,169 – $40,880 · median $18,623 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,846 – $33,404 · median $15,218 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,125 – $63,281 · median $28,828 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,529 – $30,439 · median $13,867 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,294 – $16,411 · median $7,476 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,567 – $48,526 · median $22,106 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,666 – $32,998 · median $15,032 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,137 – $25,057 · median $11,415 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,445 – $41,501 · median $18,906 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,013 – $29,280 · median $13,338 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,949 – $22,386 · median $10,198 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,981 – $35,957 · median $16,380 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,217 – $45,489 · median $20,723 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,300 – $29,926 · median $13,633 | 12 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,910 – $22,297 · median $10,158 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,326 – $27,733 · median $12,634 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,768 – $17,478 · median $7,962 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,271 – $50,109 · median $22,828 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,058 – $33,881 · median $15,435 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,825 – $26,607 · median $12,121 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,078 – $49,676 · median $22,630 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,373 – $27,840 · median $12,683 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,423 – $18,951 · median $8,633 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,834 – $35,627 · median $16,230 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,280 – $16,380 · median $7,462 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,872 – $44,712 · median $20,369 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,194 – $25,187 · median $11,474 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,762 – $19,715 · median $8,981 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,598 – $37,346 · median $17,013 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,011 – $24,774 · median $11,286 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,011 – $24,774 · median $11,286 | 12 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,401 – $21,153 · median $9,636 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,155 – $27,349 · median $12,459 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,094 – $18,212 · median $8,297 | 12 plans |
| 509 | ARTHROSCOPY | $11,016 – $24,786 · median $11,292 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,924 – $40,330 · median $18,373 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,301 – $27,678 · median $12,609 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,083 – $22,687 · median $10,335 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,442 – $21,245 · median $9,678 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,395 – $14,388 · median $6,554 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,393 – $43,635 · median $19,878 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,616 – $28,386 · median $12,932 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,361 – $21,063 · median $9,595 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,476 – $50,572 · median $23,038 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,366 – $27,823 · median $12,675 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,988 – $20,223 · median $9,213 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,279 – $41,129 · median $18,736 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,222 – $29,749 · median $13,553 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,563 – $21,517 · median $9,802 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,105 – $11,485 · median $5,232 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,341 – $18,767 · median $8,549 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,086 – $11,443 · median $5,213 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,763 – $12,967 · median $5,907 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,211 – $9,476 · median $4,317 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,686 – $28,543 · median $13,003 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,118 – $18,266 · median $8,321 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,486 – $12,345 · median $5,624 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,696 – $26,316 · median $11,988 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,653 – $14,969 · median $6,819 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,740 – $10,664 · median $4,858 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,847 – $35,655 · median $16,243 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,261 – $16,337 · median $7,442 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,680 – $10,530 · median $4,797 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,634 – $28,427 · median $12,950 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,557 – $17,004 · median $7,746 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,407 – $12,165 · median $5,542 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,701 – $24,078 · median $10,969 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,045 – $13,600 · median $6,196 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,193 – $18,434 · median $8,398 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,234 – $11,777 · median $5,365 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,445 – $19,001 · median $8,656 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,121 – $11,522 · median $5,249 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,719 – $21,868 · median $9,962 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,417 – $12,189 · median $5,553 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,641 – $26,192 · median $11,932 | 12 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,142 – $16,070 · median $7,321 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,128 – $11,537 · median $5,256 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,180 – $20,655 · median $9,409 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,605 – $12,611 · median $5,745 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,842 – $22,143 · median $10,088 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,395 – $14,388 · median $6,554 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,691 – $10,555 · median $4,809 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,880 – $42,481 · median $19,352 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,504 – $23,634 · median $10,766 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,165 – $16,121 · median $7,344 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,620 – $86,895 · median $39,585 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,730 – $48,891 · median $22,273 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,521 – $28,173 · median $12,834 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,835 – $76,129 · median $34,681 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,699 – $37,573 · median $17,116 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,601 – $23,852 · median $10,866 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,440 – $45,990 · median $20,951 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,119 – $25,018 · median $11,397 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,026 – $20,308 · median $9,251 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,982 – $24,710 · median $11,257 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,301 – $23,178 · median $10,559 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,840 – $28,890 · median $13,161 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,449 – $28,011 · median $12,761 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $12,896 – $29,016 · median $13,218 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $7,668 – $17,252 · median $7,859 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,322 – $11,975 · median $5,455 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,265 – $29,845 · median $13,596 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,780 – $15,254 · median $6,949 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,016 – $24,786 · median $11,292 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,767 – $15,225 · median $6,936 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,362 – $12,064 · median $5,496 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,003 – $13,507 · median $6,153 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,760 – $8,460 · median $3,854 | 12 plans |
| 602 | CELLULITIS WITH MCC | $9,216 – $20,735 · median $9,446 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,525 – $12,431 · median $5,663 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,318 – $20,965 · median $9,551 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,793 – $13,035 · median $5,938 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,098 – $22,721 · median $10,351 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,421 – $12,196 · median $5,556 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,292 – $32,157 · median $14,649 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,987 – $20,220 · median $9,211 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,239 – $54,539 · median $24,845 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,118 – $27,266 · median $12,421 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,808 – $17,569 · median $8,003 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,099 – $38,473 · median $17,527 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,015 – $22,534 · median $10,266 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,167 – $20,626 · median $9,397 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,481 – $52,833 · median $24,068 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,004 – $27,009 · median $12,304 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,291 – $14,155 · median $6,448 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,980 – $40,456 · median $18,430 | 12 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,465 – $21,297 · median $9,702 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,945 – $17,876 · median $8,144 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,750 – $55,687 · median $25,369 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,112 – $31,752 · median $14,465 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,788 – $19,773 · median $9,008 | 12 plans |
| 637 | DIABETES WITH MCC | $9,133 – $20,550 · median $9,362 | 12 plans |
| 638 | DIABETES WITH CC | $5,752 – $12,943 · median $5,896 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,930 – $8,842 · median $4,028 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,329 – $18,741 · median $8,538 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,901 – $11,028 · median $5,024 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,784 – $17,514 · median $7,978 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,394 – $23,387 · median $10,654 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,482 – $14,584 · median $6,644 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,886 – $10,993 · median $5,008 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,894 – $65,011 · median $29,616 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,777 – $48,997 · median $22,321 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,960 – $78,659 · median $35,834 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,698 – $39,821 · median $18,141 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,028 – $29,312 · median $13,353 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,431 – $45,970 · median $20,942 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,465 – $25,795 · median $11,751 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,432 – $21,222 · median $9,668 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,207 – $36,466 · median $16,612 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,403 – $18,908 · median $8,614 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,439 – $14,487 · median $6,599 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,564 – $44,019 · median $20,053 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,579 – $21,552 · median $9,818 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,772 – $15,237 · median $6,941 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,533 – $48,450 · median $22,072 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $10,331 – $23,244 · median $10,589 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,445 – $14,502 · median $6,607 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,289 – $41,150 · median $18,746 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,705 – $21,837 · median $9,948 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,993 – $13,485 · median $6,143 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,810 – $24,322 · median $11,080 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,863 – $15,442 · median $7,035 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,278 – $59,126 · median $26,935 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,477 – $32,573 · median $14,839 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,816 – $22,087 · median $10,062 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $9,420 – $21,195 · median $9,656 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $5,575 – $12,544 · median $5,714 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,810 – $8,573 · median $3,905 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,826 – $26,608 · median $12,122 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,602 – $14,854 · median $6,767 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,542 – $10,219 · median $4,656 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,340 – $16,516 · median $7,524 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,034 – $11,326 · median $5,160 | 12 plans |
| 693 | URINARY STONES WITH MCC | $9,221 – $20,748 · median $9,452 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,901 – $11,027 · median $5,023 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,073 – $15,913 · median $7,249 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,338 – $9,761 · median $4,447 | 12 plans |
| 697 | URETHRAL STRICTURE | $6,283 – $14,137 · median $6,440 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,542 – $23,720 · median $10,806 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,396 – $14,391 · median $6,556 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,353 – $9,795 · median $4,462 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,170 – $27,383 · median $12,474 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,297 – $20,919 · median $9,530 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,092 – $31,708 · median $14,445 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,416 – $21,185 · median $9,651 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,983 – $26,961 · median $12,282 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,708 – $15,093 · median $6,876 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,068 – $20,404 · median $9,295 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,893 – $13,259 · median $6,040 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,163 – $31,866 · median $14,517 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,901 – $20,027 · median $9,123 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,636 – $26,182 · median $11,927 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,725 – $17,382 · median $7,919 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,843 – $24,396 · median $11,114 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,042 – $15,846 · median $7,219 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,570 – $10,281 · median $4,684 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,922 – $17,824 · median $8,120 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,668 – $10,503 · median $4,785 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,215 – $20,734 · median $9,445 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,125 – $11,530 · median $5,253 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,904 – $15,534 · median $7,076 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,806 – $8,564 · median $3,901 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,187 – $29,672 · median $13,517 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,613 – $17,128 · median $7,803 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,694 – $55,560 · median $25,311 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,533 – $28,199 · median $12,846 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,513 – $21,404 · median $9,751 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,966 – $56,173 · median $25,590 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,403 – $25,657 · median $11,688 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,614 – $19,382 · median $8,830 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,456 – $25,776 · median $11,742 | 12 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,517 – $16,914 · median $7,705 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,254 – $27,572 · median $12,561 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,427 – $14,461 · median $6,588 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,502 – $23,629 · median $10,764 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,990 – $13,478 · median $6,140 | 12 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,543 – $19,222 · median $8,757 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,234 – $36,526 · median $16,639 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,087 – $18,197 · median $8,290 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,347 – $25,530 · median $11,630 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,962 – $15,665 · median $7,136 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,989 – $13,475 · median $6,139 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,876 – $19,970 · median $9,098 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,393 – $14,384 · median $6,553 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,013 – $9,030 · median $4,114 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,181 – $13,907 · median $6,335 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,976 – $8,945 · median $4,075 | 12 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,876 – $15,470 · median $7,048 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,715 – $19,608 · median $8,932 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,748 – $15,182 · median $6,916 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,474 – $10,067 · median $4,586 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $5,862 – $13,190 · median $6,009 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,552 – $25,993 · median $11,841 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,792 – $15,283 · median $6,962 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,487 – $12,346 · median $5,624 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,134 – $22,801 · median $10,387 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,659 – $14,983 · median $6,826 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,676 – $12,771 · median $5,818 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,306 – $25,438 · median $11,589 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,285 – $83,892 · median $38,217 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,464 – $57,293 · median $26,100 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,364 – $34,570 · median $15,749 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,157 – $58,853 · median $26,811 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,258 – $20,831 · median $9,490 | 12 plans |
| 795 | NORMAL NEWBORN | $1,253 – $2,819 · median $1,284 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,006 – $18,014 · median $8,207 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,072 – $13,663 · median $6,224 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,072 – $13,663 · median $6,224 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,819 – $67,092 · median $30,564 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,273 – $41,115 · median $18,730 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,296 – $23,167 · median $10,554 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,482 – $50,583 · median $23,044 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,163 – $25,117 · median $11,442 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,933 – $15,600 · median $7,107 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,259 – $14,082 · median $6,415 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,538 – $10,210 · median $4,651 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,996 – $8,992 · median $4,096 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,365 – $32,321 · median $14,724 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,767 – $17,477 · median $7,962 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,969 – $13,430 · median $6,118 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,823 – $19,852 · median $9,044 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,788 – $13,023 · median $5,933 | 12 plans |
| 813 | COAGULATION DISORDERS | $9,708 – $21,843 · median $9,951 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,110 – $29,497 · median $13,437 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,373 – $14,338 · median $6,532 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,136 – $9,305 · median $4,239 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,899 – $35,774 · median $16,297 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,078 – $18,175 · median $8,280 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,121 – $11,522 · median $5,249 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,513 – $82,155 · median $37,426 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,000 – $31,499 · median $14,350 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,172 – $16,138 · median $7,352 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,346 – $66,030 · median $30,080 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,793 – $31,035 · median $14,138 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,719 – $17,367 · median $7,912 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,949 – $67,384 · median $30,697 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,799 – $33,298 · median $15,169 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,052 – $22,618 · median $10,304 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,339 – $43,514 · median $19,823 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,172 – $20,636 · median $9,401 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,218 – $16,241 · median $7,399 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,687 – $10,545 · median $4,804 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,260 – $7,335 · median $3,342 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $34,663 – $77,992 · median $35,530 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,395 – $30,139 · median $13,730 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,969 – $17,931 · median $8,169 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,401 – $70,652 · median $32,186 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,720 – $28,619 · median $13,038 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,594 – $19,337 · median $8,809 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,003 – $45,007 · median $20,503 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,833 – $22,125 · median $10,079 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,597 – $14,842 · median $6,761 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,873 – $26,714 · median $12,170 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,495 – $16,864 · median $7,683 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,248 – $11,807 · median $5,379 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,015 – $36,035 · median $16,416 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,969 – $17,930 · median $8,168 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,136 – $11,556 · median $5,264 | 12 plans |
| 849 | RADIOTHERAPY | $16,751 – $37,690 · median $17,170 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,770 – $129,983 · median $59,215 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,368 – $70,578 · median $32,152 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,532 – $28,197 · median $12,845 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,195 – $22,938 · median $10,449 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,293 – $63,660 · median $29,001 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,665 – $30,747 · median $14,007 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,080 – $18,181 · median $8,282 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,531 – $25,945 · median $11,819 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,271 – $14,110 · median $6,428 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,631 – $12,671 · median $5,772 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,256 – $20,827 · median $9,488 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,549 – $12,484 · median $5,687 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,448 – $30,257 · median $13,784 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,585 – $14,817 · median $6,750 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,512 – $10,153 · median $4,625 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,629 – $98,165 · median $44,720 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,307 – $27,691 · median $12,615 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,466 – $14,549 · median $6,628 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,644 – $55,449 · median $25,260 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,012 – $13,527 · median $6,162 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $5,733 – $12,899 · median $5,876 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,033 – $13,574 · median $6,184 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,643 – $26,196 · median $11,934 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,474 – $23,567 · median $10,736 | 12 plans |
| 885 | PSYCHOSES | $8,840 – $19,890 · median $9,061 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,266 – $25,350 · median $11,548 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,459 – $16,783 · median $7,645 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,914 – $8,807 · median $4,012 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,081 – $20,432 · median $9,308 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,169 – $25,129 · median $11,448 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,533 – $12,449 · median $5,671 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,785 – $62,516 · median $28,479 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,900 – $26,775 · median $12,197 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,645 – $17,202 · median $7,836 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,214 – $54,482 · median $24,820 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,336 – $23,257 · median $10,595 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,687 – $30,797 · median $14,030 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,983 – $56,212 · median $25,608 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,650 – $28,463 · median $12,966 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,954 – $17,896 · median $8,153 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,149 – $22,835 · median $10,403 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,747 – $12,930 · median $5,890 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,899 – $24,523 · median $11,171 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,164 – $9,370 · median $4,269 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,283 – $23,137 · median $10,540 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,547 – $12,480 · median $5,685 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,436 – $25,731 · median $11,722 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,371 – $14,334 · median $6,530 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,312 – $9,703 · median $4,420 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,594 – $23,837 · median $10,859 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,396 – $14,391 · median $6,556 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $148,782 – $334,760 · median $152,502 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $41,885 – $94,242 · median $42,933 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,945 – $44,877 · median $20,444 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,136 – $61,055 · median $27,814 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,457 – $30,279 · median $13,794 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $13,775 – $30,993 · median $14,119 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,905 – $44,786 · median $20,403 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,241 – $29,793 · median $13,572 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,256 – $27,576 · median $12,563 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,573 – $21,540 · median $9,812 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,002 – $15,754 · median $7,177 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,066 – $18,149 · median $8,268 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,983 – $11,211 · median $5,107 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,767 – $15,225 · median $6,936 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,676 – $8,271 · median $3,768 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,555 – $8,000 · median $3,644 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,822 – $96,351 · median $43,893 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,972 – $53,936 · median $24,571 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $46,810 – $105,323 · median $47,980 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,774 – $57,990 · median $26,418 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,580 – $37,306 · median $16,995 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,038 – $38,335 · median $17,464 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,409 – $21,170 · median $9,644 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,723 – $12,877 · median $5,866 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,662 – $89,238 · median $40,653 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,640 – $37,440 · median $17,056 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,727 – $42,136 · median $19,195 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,914 – $20,056 · median $9,137 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,290 – $14,152 · median $6,447 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,043 – $20,346 · median $9,269 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,818 – $67,089 · median $30,563 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,356 – $34,552 · median $15,740 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,462 – $23,539 · median $10,723 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,970 – $49,432 · median $22,519 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,762 – $24,215 · median $11,031 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,246 – $16,304 · median $7,427 | 12 plans |
No procedures match that keyword.