Crozer Chester 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.
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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $79,208 – $212,045 · median $98,555 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $60,298 – $142,707 · median $66,328 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $55,632 – $131,663 · median $61,195 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,548 – $170,493 · median $79,242 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $49,644 – $117,492 · median $54,608 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,184 – $102,203 · median $47,502 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $46,769 – $134,328 · median $51,445 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $73,840 – $186,483 · median $85,886 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $57,094 – $135,124 · median $62,803 | 30 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,367 – $172,206 · median $79,311 | 30 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $49,788 – $118,003 · median $54,347 | 30 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,443 – $130,250 · median $60,538 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $38,775 – $91,770 · median $42,265 | 30 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $32,168 – $76,133 · median $35,385 | 30 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,716 – $51,396 · median $23,888 | 30 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,605 – $41,666 · median $19,366 | 30 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,145 – $52,695 · median $24,492 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,384 – $36,409 · median $16,922 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,992 – $54,082 · median $25,136 | 30 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,019 – $38,489 · median $17,854 | 30 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,019 – $31,089 · median $14,056 | 30 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $20,596 – $113,104 · median $52,091 | 30 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,596 – $76,854 · median $35,396 | 30 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,596 – $59,441 · median $27,376 | 30 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,596 – $73,456 · median $34,141 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $18,346 – $43,421 · median $20,181 | 30 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,587 – $19,990 · median $11,633 | 30 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,022 – $32,343 · median $18,501 | 30 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,022 – $19,770 · median $11,533 | 30 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,022 – $16,980 · median $9,580 | 30 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,022 – $28,571 · median $16,481 | 30 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,022 – $19,420 · median $11,329 | 30 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,022 – $16,980 · median $9,815 | 30 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,587 – $22,968 · median $13,153 | 30 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,587 – $17,874 · median $10,427 | 30 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,587 – $17,874 · median $10,427 | 30 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,587 – $18,367 · median $10,714 | 30 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,587 – $13,835 · median $8,070 | 30 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,587 – $13,034 · median $7,377 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,127 – $108,592 · median $49,554 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,787 – $63,398 · median $29,466 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,174 – $40,645 · median $18,891 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $32,299 – $76,442 · median $35,529 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,486 – $43,683 · median $19,934 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,991 – $35,436 · median $15,871 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $23,976 – $79,937 · median $35,802 | 29 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,949 – $147,261 · median $67,200 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,304 – $92,825 · median $42,032 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $48,142 – $113,938 · median $52,956 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $32,649 – $77,271 · median $35,914 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,005 – $56,812 · median $26,405 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,873 – $126,361 · median $57,662 | 27 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $35,927 – $85,030 · median $39,520 | 27 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $98,254 – $232,537 · median $108,079 | 27 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $29,547 – $86,625 · median $32,502 | 27 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,285 – $50,538 · median $23,062 | 27 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,745 – $26,140 · median $11,929 | 27 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,778 – $135,732 · median $61,939 | 27 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $27,322 – $64,664 · median $30,055 | 27 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $197,681 – $467,851 · median $215,472 | 26 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $130,689 – $309,302 · median $142,451 | 26 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $50,554 – $119,646 · median $55,104 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $38,698 – $91,587 · median $42,181 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $25,361 – $60,021 · median $27,643 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $75,007 – $177,520 · median $81,758 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $51,760 – $122,500 · median $56,418 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $33,438 – $79,138 · median $36,448 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,080 – $99,591 · median $45,867 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $29,110 – $68,894 · median $31,729 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,689 – $56,065 · median $25,821 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,826 – $134,490 · median $61,940 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,845 – $75,367 · median $34,711 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $21,465 – $50,801 · median $23,397 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $39,496 – $93,474 · median $43,050 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,641 – $48,851 · median $22,499 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,686 – $37,123 · median $17,097 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,726 – $86,919 · median $40,031 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,918 – $51,874 · median $23,891 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,866 – $42,283 · median $19,474 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $31,516 – $74,589 · median $34,353 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,831 – $37,467 · median $17,255 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,490 – $27,193 · median $12,524 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,656 – $84,387 · median $38,865 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $21,766 – $51,513 · median $23,725 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,173 – $40,643 · median $18,719 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,512 – $46,178 · median $21,268 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,501 – $22,486 · median $10,356 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,801 – $35,030 · median $16,133 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,057 – $26,169 · median $12,052 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,022 – $56,853 · median $26,184 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,290 – $31,454 · median $14,486 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,983 – $42,561 · median $19,602 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,274 – $29,048 · median $13,378 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,235 – $21,856 · median $10,066 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,851 – $61,181 · median $28,177 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,387 – $41,149 · median $18,952 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,936 – $32,982 · median $15,190 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $19,298 – $45,672 · median $21,035 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,377 – $24,560 · median $11,311 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,362 – $17,424 · median $8,025 | 26 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,396 – $34,070 · median $15,691 | 26 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,135 – $21,619 · median $9,957 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,388 – $19,852 · median $9,143 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,001 – $40,235 · median $18,531 | 26 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,717 – $25,363 · median $11,681 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,930 – $18,768 · median $8,644 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $15,228 – $36,040 · median $16,598 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,611 – $25,113 · median $11,566 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,850 – $39,879 · median $18,367 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,460 – $22,388 · median $10,311 | 26 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $15,234 – $36,055 · median $16,605 | 26 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,203 – $24,147 · median $11,121 | 26 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,164 – $16,955 · median $7,809 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,033 – $45,642 · median $20,635 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,349 – $22,125 · median $10,190 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,335 – $52,860 · median $24,345 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,804 – $32,670 · median $15,046 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,819 – $23,239 · median $10,703 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,838 – $51,683 · median $23,803 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,081 – $30,959 · median $14,258 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,158 – $21,674 · median $9,982 | 26 plans |
| 088 | CONCUSSION WITH MCC | $13,990 – $33,111 · median $15,249 | 26 plans |
| 089 | CONCUSSION WITH CC | $10,884 – $25,758 · median $11,863 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,913 – $21,094 · median $9,715 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,772 – $42,061 · median $19,372 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,761 – $25,467 · median $11,729 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,289 – $19,617 · median $9,035 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $34,524 – $81,707 · median $37,631 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,041 – $54,532 · median $25,115 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,041 – $54,532 · median $25,115 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $33,936 – $80,315 · median $36,990 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,950 – $49,583 · median $22,836 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,831 – $32,733 · median $15,075 | 26 plans |
| 100 | SEIZURES WITH MCC | $19,262 – $45,588 · median $20,996 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $9,504 – $22,492 · median $10,359 | 26 plans |
| 102 | HEADACHES WITH MCC | $11,685 – $27,656 · median $12,737 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $8,848 – $20,940 · median $9,644 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,751 – $51,479 · median $23,709 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,893 – $28,147 · median $12,963 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,094 – $35,723 · median $16,452 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,356 – $38,711 · median $17,828 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,943 – $25,899 · median $11,709 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,719 – $27,736 · median $12,774 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,270 – $17,207 · median $7,925 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,416 – $19,919 · median $9,174 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,010 – $30,792 · median $14,181 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,623 – $20,408 · median $9,399 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $23,169 – $54,834 · median $25,254 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,022 – $23,719 · median $10,924 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,879 – $32,848 · median $15,128 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,511 – $20,143 · median $9,277 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,644 – $32,292 · median $14,599 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,095 – $52,293 · median $24,084 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,468 – $29,508 · median $13,590 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,393 – $19,865 · median $9,149 | 26 plans |
| 149 | DYSEQUILIBRIUM | $7,905 – $18,710 · median $8,617 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $13,729 – $32,492 · median $14,964 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,002 – $18,938 · median $8,722 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,459 – $27,120 · median $12,490 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,577 – $17,932 · median $8,259 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,968 – $37,792 · median $17,405 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,613 – $22,751 · median $10,478 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,216 – $17,079 · median $7,866 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,071 – $38,035 · median $17,517 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,677 – $22,903 · median $10,548 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,099 – $16,801 · median $7,738 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $43,336 – $102,564 · median $47,236 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $24,140 – $57,133 · median $26,313 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,149 – $42,954 · median $19,783 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $36,373 – $86,085 · median $39,647 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,812 – $42,155 · median $19,415 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,469 – $31,877 · median $14,681 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,976 – $33,076 · median $15,233 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,520 – $20,165 · median $9,287 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,878 – $37,579 · median $17,307 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,150 – $25,849 · median $11,063 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,109 – $19,192 · median $8,839 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,083 – $40,431 · median $18,621 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,234 – $26,588 · median $12,245 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,731 – $20,664 · median $9,517 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,611 – $36,945 · median $17,015 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,847 – $25,671 · median $11,823 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,182 – $19,365 · median $8,919 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,544 – $36,787 · median $16,942 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,259 – $24,279 · median $11,182 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,783 – $18,421 · median $8,484 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,400 – $29,347 · median $13,516 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,351 – $26,863 · median $12,372 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,929 – $21,133 · median $9,733 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,985 – $16,532 · median $7,614 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,137 – $31,091 · median $14,319 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,571 – $20,284 · median $9,342 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,760 – $16,000 · median $7,369 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $18,334 – $43,390 · median $19,984 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,130 – $23,975 · median $11,042 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,473 – $17,687 · median $8,146 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,244 – $40,810 · median $18,796 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,208 – $26,527 · median $12,217 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,259 – $17,181 · median $7,913 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,917 – $23,469 · median $10,809 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,438 – $17,604 · median $8,108 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,488 – $20,089 · median $9,252 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,368 – $43,471 · median $20,021 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,358 – $22,147 · median $10,200 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $60,383 – $142,909 · median $65,818 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,671 – $60,755 · median $27,981 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $47,260 – $111,851 · median $51,514 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $27,766 – $65,715 · median $30,265 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,900 – $35,265 · median $16,241 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,521 – $76,967 · median $35,448 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $24,471 – $57,915 · median $26,673 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,098 – $40,465 · median $18,637 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $25,053 – $59,294 · median $27,308 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,587 – $39,256 · median $18,080 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,230 – $21,845 · median $10,061 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $25,655 – $60,718 · median $27,451 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $33,114 – $78,372 · median $36,095 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $36,924 – $87,388 · median $40,247 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $27,670 – $70,249 · median $31,760 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,107 – $38,120 · median $17,556 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,505 – $22,494 · median $10,360 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,700 – $18,223 · median $8,393 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,988 – $44,938 · median $20,697 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,846 – $18,569 · median $8,552 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,198 – $14,669 · median $6,756 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,108 – $61,791 · median $28,458 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,513 – $36,715 · median $16,909 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,029 – $24,956 · median $10,932 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,019 – $30,811 · median $14,190 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,949 – $21,179 · median $9,754 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,081 – $14,393 · median $6,629 | 26 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,314 – $29,143 · median $13,422 | 26 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,293 – $19,628 · median $9,040 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,079 – $38,055 · median $17,526 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,510 – $17,774 · median $8,186 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,100 – $12,069 · median $5,559 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,889 – $37,603 · median $17,318 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,870 – $25,726 · median $11,848 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,593 – $17,969 · median $8,276 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,720 – $27,739 · median $12,775 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,216 – $17,079 · median $7,866 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $11,826 – $27,988 · median $12,890 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,935 – $18,779 · median $8,649 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,786 – $34,993 · median $16,116 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,547 – $22,594 · median $10,406 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,111 – $28,664 · median $13,201 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,830 – $18,532 · median $8,535 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,181 – $14,627 · median $6,737 | 26 plans |
| 311 | ANGINA PECTORIS | $7,454 – $17,641 · median $8,125 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,041 – $21,398 · median $9,855 | 26 plans |
| 313 | CHEST PAIN | $7,593 – $17,969 · median $8,276 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,805 – $49,240 · median $22,678 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,876 – $23,374 · median $10,765 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,311 – $17,303 · median $7,969 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $47,647 – $112,765 · median $51,935 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,325 – $55,203 · median $25,424 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,667 – $37,080 · median $17,077 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,178 – $102,188 · median $47,063 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,734 – $53,804 · median $24,780 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,195 – $38,329 · median $17,652 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $32,872 – $78,054 · median $35,831 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $20,547 – $48,628 · median $22,396 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,265 – $38,494 · median $17,728 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,292 – $81,158 · median $37,378 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $20,427 – $48,345 · median $22,266 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,132 – $35,812 · median $16,493 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,769 – $60,987 · median $28,088 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,706 – $34,804 · median $16,029 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,473 – $29,519 · median $13,595 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $22,762 – $53,872 · median $24,811 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,597 – $29,814 · median $13,731 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,129 – $21,606 · median $9,951 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,239 – $54,999 · median $25,330 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,851 – $35,147 · median $16,187 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,163 – $26,420 · median $12,168 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $27,957 – $66,166 · median $30,473 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,655 – $39,416 · median $18,154 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,279 – $31,428 · median $14,474 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $40,185 – $95,105 · median $43,801 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,709 – $51,379 · median $23,663 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,480 – $31,903 · median $14,693 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,369 – $38,741 · median $17,842 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,384 – $24,575 · median $11,318 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,451 – $17,635 · median $8,122 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,085 – $40,435 · median $18,623 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,491 – $24,829 · median $11,435 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,703 – $18,230 · median $8,396 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,419 – $48,326 · median $22,257 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,320 – $29,159 · median $13,429 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,149 – $21,652 · median $9,972 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,729 – $41,959 · median $19,325 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,093 – $23,886 · median $11,001 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,889 – $16,304 · median $7,509 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,702 – $44,263 · median $20,386 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,040 – $26,127 · median $12,033 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,922 – $18,749 · median $8,635 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,646 – $29,929 · median $13,784 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,026 – $21,361 · median $9,838 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,955 – $37,760 · median $17,390 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,153 – $24,030 · median $11,067 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,197 – $17,033 · median $7,845 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,533 – $34,396 · median $15,841 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,402 – $19,884 · median $9,158 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,068 – $14,360 · median $6,614 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,832 – $30,370 · median $13,987 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,206 – $19,422 · median $8,945 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,241 – $38,437 · median $17,702 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,683 – $22,918 · median $10,555 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,886 – $16,297 · median $7,506 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $50,855 – $120,359 · median $55,432 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,814 – $63,461 · median $29,227 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,643 – $48,856 · median $22,501 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $33,171 – $78,507 · median $36,157 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,282 – $48,002 · median $22,108 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,278 – $36,159 · median $16,653 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,153 – $64,689 · median $28,507 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,604 – $48,764 · median $22,459 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,300 – $38,578 · median $17,768 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $33,194 – $78,561 · median $36,182 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,196 – $45,431 · median $20,924 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,619 – $32,231 · median $14,844 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $33,430 – $79,119 · median $36,439 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,072 – $38,038 · median $17,518 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,529 – $34,385 · median $15,836 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $38,365 – $90,799 · median $41,818 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,996 – $52,059 · median $23,976 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,230 – $36,044 · median $16,600 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,022 – $45,019 · median $20,734 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,862 – $25,708 · median $11,840 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,437 – $17,602 · median $8,107 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,788 – $42,098 · median $19,389 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,394 – $26,965 · median $12,419 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,251 – $19,528 · median $8,994 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,311 – $38,604 · median $17,779 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,939 – $21,157 · median $9,744 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,691 – $15,835 · median $7,293 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,391 – $43,527 · median $20,047 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,912 – $23,459 · median $10,804 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,494 – $17,737 · median $8,169 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,501 – $39,054 · median $17,986 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,997 – $26,027 · median $11,987 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,362 – $19,791 · median $9,115 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $78,751 – $186,381 · median $85,839 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $53,706 – $127,105 · median $58,539 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $40,664 – $96,241 · median $44,324 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $50,601 – $119,757 · median $55,155 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,100 – $66,505 · median $30,629 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,976 – $40,176 · median $18,504 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $45,613 – $107,951 · median $49,718 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,629 – $65,389 · median $30,115 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,768 – $53,885 · median $24,817 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,194 – $99,860 · median $45,991 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,840 – $49,323 · median $22,716 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,718 – $27,734 · median $12,773 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $32,600 – $77,154 · median $35,534 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,504 – $53,259 · median $24,529 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,340 – $41,039 · median $18,901 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $28,031 – $66,340 · median $30,553 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $20,084 – $47,533 · median $21,892 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,602 – $36,926 · median $17,006 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $24,427 – $57,811 · median $26,625 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $30,584 – $72,383 · median $33,337 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,506 – $48,532 · median $22,352 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,545 – $36,791 · median $16,944 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,080 – $45,156 · median $20,797 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,409 – $29,369 · median $13,526 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $33,629 – $79,590 · median $36,656 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,076 – $54,614 · median $25,153 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,346 – $43,418 · median $19,997 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $33,348 – $78,926 · median $36,350 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,149 – $45,321 · median $20,873 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,365 – $31,632 · median $14,568 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,213 – $57,305 · median $26,392 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,697 – $27,684 · median $12,750 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,120 – $71,284 · median $32,831 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,422 – $41,232 · median $18,990 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,866 – $32,817 · median $15,114 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,330 – $59,947 · median $27,609 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,149 – $40,587 · median $18,693 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,010 – $40,587 · median $18,350 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,801 – $35,030 · median $16,133 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,830 – $44,565 · median $20,525 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,888 – $30,503 · median $14,048 | 26 plans |
| 509 | ARTHROSCOPY | $17,165 – $40,624 · median $18,710 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,270 – $64,540 · median $29,724 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,041 – $45,064 · median $20,755 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,799 – $37,391 · median $16,904 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,861 – $35,171 · median $16,198 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,402 – $24,618 · median $11,338 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $29,420 – $69,628 · median $32,067 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,504 – $46,161 · median $21,260 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,743 – $34,891 · median $16,069 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,679 – $80,302 · median $36,305 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $19,139 – $45,297 · median $20,862 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,197 – $33,599 · median $15,474 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,038 – $35,590 · median $16,391 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,516 – $20,154 · median $9,282 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,249 – $31,356 · median $14,441 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,487 – $20,086 · median $9,251 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,479 – $22,434 · median $10,332 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,208 – $17,059 · median $7,857 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,603 – $46,393 · median $21,367 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,920 – $30,579 · median $14,083 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,074 – $21,476 · median $9,891 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,159 – $42,978 · median $19,794 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,781 – $25,515 · median $11,751 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,981 – $18,888 · median $8,699 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,231 – $57,348 · median $26,412 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,669 – $27,617 · median $12,719 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,893 – $18,681 · median $8,604 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,531 – $46,224 · median $21,289 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,104 – $28,646 · median $13,193 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,957 – $21,198 · median $9,763 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,703 – $39,532 · median $18,207 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,890 – $23,406 · median $10,780 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,030 – $30,837 · median $14,202 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,705 – $20,601 · median $9,488 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,402 – $31,719 · median $14,608 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,538 – $20,208 · median $9,307 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,266 – $36,129 · median $16,639 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,972 – $21,235 · median $9,780 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,079 – $42,787 · median $19,706 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,495 – $27,204 · median $12,529 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,549 – $20,232 · median $9,318 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,475 – $34,257 · median $15,777 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,248 – $21,886 · median $10,080 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,444 – $36,552 · median $16,834 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,403 – $24,620 · median $11,339 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,911 – $18,723 · median $8,623 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $55,089 – $136,199 · median $61,577 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,837 – $77,716 · median $35,136 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,351 – $45,835 · median $20,722 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,549 – $119,633 · median $55,098 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,478 – $60,299 · median $27,365 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,556 – $39,184 · median $17,715 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,952 – $73,254 · median $33,738 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,314 – $40,978 · median $18,873 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,252 – $33,729 · median $15,249 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,648 – $40,504 · median $18,312 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,904 – $38,148 · median $17,247 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,832 – $46,936 · median $21,617 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,866 – $45,583 · median $20,609 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $19,914 – $47,129 · median $21,706 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $12,265 – $29,028 · median $13,369 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,834 – $20,907 · median $9,629 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,453 – $48,406 · median $22,294 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,966 – $25,954 · median $11,953 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,165 – $40,624 · median $18,710 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,946 – $25,906 · median $11,931 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,891 – $21,042 · median $9,691 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,824 – $23,250 · median $10,708 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,547 – $15,496 · median $7,137 | 26 plans |
| 602 | CELLULITIS WITH MCC | $14,527 – $34,381 · median $15,834 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,128 – $21,604 · median $9,950 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,678 – $34,739 · median $15,999 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,522 – $22,536 · median $10,379 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,822 – $37,445 · median $17,245 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,976 – $21,244 · median $9,784 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,957 – $51,965 · median $23,933 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,195 – $33,595 · median $15,472 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,508 – $86,404 · median $39,794 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,769 – $44,422 · median $20,459 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,471 – $29,515 · median $13,593 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $26,063 – $61,682 · median $28,408 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,699 – $37,156 · median $17,112 | 26 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,459 – $34,220 · median $15,760 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,380 – $83,733 · median $38,564 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,597 – $44,013 · median $20,271 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,250 – $24,260 · median $11,173 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,353 – $64,735 · median $29,814 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,895 – $35,252 · median $16,235 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,671 – $29,988 · median $13,558 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $37,249 – $88,156 · median $40,601 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,682 – $51,316 · median $23,634 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,904 – $32,906 · median $15,155 | 26 plans |
| 637 | DIABETES WITH MCC | $14,409 – $34,101 · median $15,705 | 26 plans |
| 638 | DIABETES WITH CC | $9,462 – $22,395 · median $10,314 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,796 – $16,084 · median $7,408 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,231 – $31,315 · median $14,422 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,216 – $19,446 · median $8,956 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,434 – $29,428 · median $13,553 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,253 – $38,465 · median $17,715 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,529 – $24,918 · median $11,476 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,192 – $19,387 · median $8,929 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $52,194 – $123,527 · median $56,891 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,940 – $63,758 · median $29,364 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,106 – $47,585 · median $21,916 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,939 – $73,223 · median $33,724 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,820 – $42,174 · median $19,424 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,846 – $35,137 · median $16,182 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $24,758 – $58,595 · median $26,986 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,342 – $32,639 · median $14,542 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,466 – $24,770 · median $11,408 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $29,669 – $70,218 · median $32,339 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,061 – $35,645 · median $16,416 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,954 – $25,925 · median $11,940 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $32,550 – $77,036 · median $35,480 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $16,161 – $38,248 · median $17,615 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,477 – $24,796 · median $11,420 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,804 – $65,804 · median $30,306 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,245 – $36,081 · median $16,617 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,816 – $23,231 · median $10,699 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,862 – $39,907 · median $18,380 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,088 – $26,242 · median $12,086 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $39,486 – $93,453 · median $43,040 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,227 – $52,604 · median $24,227 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,409 – $36,468 · median $16,795 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $14,827 – $35,091 · median $16,161 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $9,203 – $21,780 · median $10,031 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,620 – $15,668 · median $7,216 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,348 – $43,425 · median $20,000 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,706 – $25,337 · median $11,669 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,692 – $18,204 · median $8,384 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,785 – $27,890 · median $12,845 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,411 – $19,906 · median $9,168 | 26 plans |
| 693 | URINARY STONES WITH MCC | $14,538 – $34,407 · median $15,846 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,216 – $19,446 · median $8,956 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,395 – $26,968 · median $12,420 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,394 – $17,500 · median $8,060 | 26 plans |
| 697 | URETHRAL STRICTURE | $10,239 – $24,232 · median $11,160 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,469 – $38,978 · median $17,952 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,405 – $24,625 · median $11,341 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,416 – $17,552 · median $8,084 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,852 – $44,617 · median $20,549 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,649 – $34,670 · median $15,967 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,664 – $51,272 · median $23,614 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,822 – $35,080 · median $16,156 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,577 – $43,966 · median $20,249 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,861 – $25,704 · median $11,838 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,314 – $33,877 · median $15,602 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,669 – $22,883 · median $10,539 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,767 – $51,516 · median $23,726 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,069 – $33,297 · median $15,335 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,071 – $42,769 · median $19,698 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,350 – $29,228 · median $13,405 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,910 – $40,020 · median $18,432 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,350 – $26,861 · median $12,371 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,732 – $18,299 · median $8,428 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,631 – $29,895 · median $13,768 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,877 – $18,642 · median $8,586 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,529 – $34,385 · median $15,836 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,544 – $20,221 · median $9,313 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,148 – $26,384 · median $12,151 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,615 – $15,657 · median $7,211 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,340 – $48,139 · median $22,171 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,185 – $28,837 · median $13,281 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,174 – $87,981 · median $40,520 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,382 – $45,872 · median $21,127 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,965 – $35,417 · median $16,311 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $37,572 – $88,921 · median $40,953 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,730 – $41,961 · median $19,326 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,650 – $32,305 · median $14,878 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,807 – $42,144 · median $19,410 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,045 – $28,507 · median $13,129 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,975 – $44,908 · median $20,683 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,450 – $24,731 · median $11,390 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,411 – $38,841 · median $17,888 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,811 – $23,220 · median $10,694 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,546 – $32,060 · median $14,494 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,797 – $58,688 · median $27,029 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,878 – $30,479 · median $14,037 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,647 – $41,766 · median $19,236 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,232 – $26,583 · median $12,243 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,809 – $23,215 · median $10,692 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,032 – $33,210 · median $15,295 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,399 – $24,612 · median $11,335 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,919 – $16,375 · median $7,542 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,090 – $23,880 · median $10,998 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,863 – $16,243 · median $7,481 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,796 – $32,650 · median $15,037 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,919 – $25,843 · median $11,684 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,593 – $17,971 · median $8,277 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $8,489 – $22,777 · median $10,298 | 26 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $44,672 – $105,725 · median $48,693 | 26 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,781 – $65,749 · median $30,281 | 26 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,110 – $38,127 · median $17,560 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $33,937 – $80,320 · median $36,992 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,379 – $41,130 · median $18,943 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,191 – $26,486 · median $12,198 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,060 – $52,210 · median $24,046 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,410 – $29,371 · median $13,527 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,780 – $23,146 · median $10,660 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,955 – $33,028 · median $15,211 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,515 – $22,518 · median $10,371 | 26 plans |
| 813 | COAGULATION DISORDERS | $15,250 – $36,092 · median $16,622 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,227 – $47,872 · median $22,048 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,370 – $24,542 · median $11,303 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,097 – $16,797 · median $7,736 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,466 – $128,905 · median $59,368 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,529 – $50,953 · median $23,467 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,540 – $27,313 · median $12,579 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,981 – $104,090 · median $47,940 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,226 – $50,237 · median $23,137 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,340 – $29,204 · median $13,450 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,862 – $106,175 · median $48,900 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $22,699 – $53,722 · median $24,742 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,754 – $37,284 · median $17,171 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,341 – $69,441 · median $31,981 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,465 – $34,235 · median $15,767 | 26 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,760 – $122,500 · median $56,418 | 26 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $20,644 – $48,858 · median $22,502 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,706 – $30,071 · median $13,849 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $46,988 – $111,206 · median $51,217 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,656 – $50,787 · median $21,425 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,620 – $32,236 · median $14,846 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $30,306 – $71,725 · median $33,034 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,433 – $36,526 · median $16,822 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,698 – $25,320 · median $11,661 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,418 – $43,590 · median $20,076 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,013 – $28,431 · median $13,094 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,725 – $20,649 · median $9,510 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,478 – $57,932 · median $26,681 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,706 – $30,071 · median $13,849 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,560 – $20,260 · median $9,331 | 26 plans |
| 849 | RADIOTHERAPY | $20,863 – $60,479 · median $27,343 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $46,934 – $111,078 · median $51,158 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $19,380 – $50,329 · median $21,124 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,962 – $37,777 · median $17,398 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $42,441 – $100,445 · median $46,260 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,038 – $49,792 · median $22,932 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,868 – $30,455 · median $14,026 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,917 – $42,404 · median $19,530 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,221 – $24,190 · median $11,141 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,286 – $21,978 · median $10,122 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,588 – $34,526 · median $15,901 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,165 – $21,691 · median $9,990 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,721 – $49,040 · median $22,586 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,682 – $25,280 · median $11,643 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,649 – $18,104 · median $8,338 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,873 – $153,534 · median $70,711 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,049 – $45,084 · median $20,764 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,506 – $24,866 · median $11,452 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,101 – $87,807 · median $40,440 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,842 – $23,294 · median $10,531 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $9,434 – $22,327 · median $10,122 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,873 – $23,367 · median $10,607 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,657 – $42,734 · median $19,321 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,514 – $38,746 · median $17,517 | 26 plans |
| 885 | PSYCHOSES | $13,980 – $33,087 · median $14,959 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,023 – $41,488 · median $18,757 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,960 – $28,305 · median $12,797 | 26 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,691 – $16,030 · median $7,247 | 26 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,332 – $33,918 · median $15,417 | 26 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,386 – $41,147 · median $18,951 | 26 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,141 – $21,635 · median $9,964 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $41,697 – $98,683 · median $45,449 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,457 – $43,683 · median $20,119 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,232 – $28,950 · median $13,333 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $36,472 – $86,319 · median $39,755 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,169 – $38,268 · median $17,624 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,399 – $49,870 · median $22,546 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $37,597 – $88,982 · median $40,981 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,554 – $46,278 · median $21,314 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,684 – $30,019 · median $13,825 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,895 – $37,619 · median $17,325 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,455 – $22,377 · median $10,306 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,992 – $40,216 · median $18,522 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,140 – $16,899 · median $7,671 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,091 – $38,083 · median $17,540 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,163 – $21,687 · median $9,962 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,779 – $42,076 · median $19,379 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,368 – $24,538 · median $11,301 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,357 – $17,411 · median $8,019 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,547 – $39,162 · median $18,037 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,405 – $24,625 · median $11,133 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $7,210 – $517,603 · median $234,011 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $7,210 – $147,506 · median $66,688 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $7,210 – $71,538 · median $32,343 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $7,210 – $96,434 · median $43,598 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,210 – $49,073 · median $22,186 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $7,210 – $50,172 · median $22,683 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,168 – $71,399 · median $32,884 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,419 – $48,326 · median $22,257 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,514 – $44,915 · median $20,306 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,060 – $35,625 · median $16,106 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,060 – $26,722 · median $12,081 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,848 – $30,407 · median $14,004 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,337 – $19,730 · median $9,087 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,947 – $25,908 · median $11,932 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,425 – $15,205 · median $7,003 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,249 – $14,790 · median $6,812 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $63,696 – $150,750 · median $69,429 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $36,117 – $85,479 · median $39,368 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $69,531 – $164,558 · median $75,788 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $38,754 – $91,720 · median $42,242 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,305 – $59,889 · median $27,582 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,973 – $61,469 · median $28,310 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,810 – $35,052 · median $16,143 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,420 – $22,295 · median $10,268 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $59,072 – $139,806 · median $64,389 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $25,391 – $60,093 · median $27,676 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $28,445 – $67,322 · median $31,005 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,088 – $33,343 · median $15,356 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,250 – $24,258 · median $11,172 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,276 – $33,788 · median $15,561 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,664 – $105,706 · median $48,684 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $23,510 – $55,641 · median $25,626 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,353 – $38,702 · median $17,825 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,184 – $78,537 · median $36,171 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,791 – $39,740 · median $18,303 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,649 – $27,569 · median $12,697 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $121,255 – $286,975 · median $130,956 | 25 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $56,426 – $133,544 · median $60,940 | 25 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $56,426 – $133,544 · median $60,940 | 25 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $347,060 – $821,386 · median $374,824 | 25 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $73,780 – $174,614 · median $79,682 | 25 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,850 – $94,312 · median $43,038 | 25 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,759 – $49,131 · median $22,420 | 25 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,474 – $36,622 · median $16,712 | 25 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,342 – $74,177 · median $33,849 | 25 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,165 – $40,624 · median $18,538 | 25 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,918 – $28,205 · median $12,871 | 25 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,201 – $69,111 · median $31,537 | 25 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $100,998 – $239,032 · median $109,078 | 25 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $56,012 – $132,564 · median $60,493 | 25 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $44,212 – $104,638 · median $47,749 | 25 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $65,886 – $155,933 · median $71,157 | 25 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $57,880 – $136,985 · median $62,511 | 25 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,728 – $103,491 · median $47,226 | 25 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $46,952 – $111,121 · median $50,708 | 25 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $30,447 – $72,060 · median $32,883 | 25 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $57,807 – $136,812 · median $62,431 | 25 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,351 – $97,865 · median $44,659 | 25 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,285 – $52,743 · median $24,068 | 25 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $27,166 – $64,295 · median $29,340 | 25 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,646 – $41,764 · median $19,058 | 25 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $40,127 – $94,968 · median $43,337 | 25 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $30,362 – $71,858 · median $32,791 | 25 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $27,307 – $64,627 · median $29,491 | 25 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $23,781 – $56,282 · median $25,683 | 25 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,931 – $35,336 · median $16,125 | 25 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,358 – $26,881 · median $12,267 | 25 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $36,941 – $87,429 · median $39,897 | 25 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $97,158 – $229,944 · median $104,931 | 25 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $66,214 – $156,708 · median $71,511 | 25 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $51,547 – $121,996 · median $55,671 | 25 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $77,572 – $183,589 · median $83,777 | 25 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $51,239 – $121,266 · median $55,338 | 25 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,562 – $148,066 · median $67,567 | 25 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,513 – $91,149 · median $41,594 | 25 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,299 – $114,309 · median $52,163 | 25 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,361 – $69,489 · median $31,710 | 25 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $27,789 – $65,769 · median $30,012 | 25 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,389 – $48,254 · median $22,020 | 25 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,666 – $67,843 · median $30,959 | 25 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,409 – $38,834 · median $17,721 | 25 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,529 – $27,285 · median $12,451 | 25 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,319 – $102,523 · median $46,784 | 25 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $32,907 – $77,881 · median $35,540 | 25 plans |
| 652 | KIDNEY TRANSPLANT | $29,227 – $69,172 · median $31,565 | 25 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $959 – $31,655 · median $18,465 | 25 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $959 – $104,377 · median $58,370 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $959 – $71,283 · median $40,211 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $959 – $43,011 · median $24,699 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $959 – $73,225 · median $41,277 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $959 – $26,264 · median $15,321 | 25 plans |
| 795 | NORMAL NEWBORN | $959 – $5,184 · median $3,024 | 25 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $24,307 – $57,526 · median $26,251 | 25 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,864 – $30,446 · median $13,894 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,538 – $20,208 · median $9,222 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,607 – $27,471 · median $12,536 | 25 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,904 – $18,708 · median $8,537 | 25 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,816 – $13,765 · median $6,282 | 25 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $85,566 – $202,508 · median $92,411 | 25 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $259,489 – $614,134 · median $277,654 | 24 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $102,152 – $241,763 · median $109,303 | 24 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $98,755 – $233,723 · median $105,668 | 24 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $45,538 – $107,775 · median $48,726 | 24 plans |
| 007 | LUNG TRANSPLANT | $120,953 – $286,258 · median $129,419 | 24 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $50,969 – $120,628 · median $54,537 | 24 plans |
| 010 | PANCREAS TRANSPLANT | $74,199 – $175,606 · median $79,393 | 24 plans |
No procedures match that keyword.