Holy Redeemer Hospital and Medical Center — Pricing
792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792 procedures
Procedures with negotiated rates only
These 792 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 |
|---|---|---|---|
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,300 – $32,124 · median $14,183 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,300 – $105,942 · median $46,234 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,300 – $72,351 · median $31,649 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,300 – $43,656 · median $19,190 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,300 – $74,322 · median $32,505 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,300 – $26,307 · median $11,658 | 13 plans |
| 795 | NORMAL NEWBORN | $1,300 – $5,279 · median $2,516 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $214,457 – $501,987 · median $335,527 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,016 – $196,382 · median $131,360 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $163,214 – $381,933 · median $247,928 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,674 – $251,811 · median $165,973 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $81,199 – $189,783 · median $126,946 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,079 – $86,418 · median $57,694 | 12 plans |
| 007 | LUNG TRANSPLANT | $99,602 – $232,899 · median $150,423 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,582 – $96,966 · median $64,861 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $52,508 – $142,087 · median $64,889 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,238 – $96,160 · median $63,006 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,409 – $73,132 · median $47,846 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,351 – $47,226 · median $31,589 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $99,853 – $233,487 · median $143,714 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,106 – $107,566 · median $71,951 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,106 – $107,566 · median $56,350 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $287,058 – $672,080 · median $439,486 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $60,493 – $141,272 · median $89,622 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,511 – $143,657 · median $96,092 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,237 – $98,502 · median $65,888 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,048 – $62,915 · median $42,084 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,590 – $101,671 · median $68,008 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,111 – $67,750 · median $45,318 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,212 – $79,701 · median $53,312 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,459 – $54,507 · median $36,399 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,965 – $43,979 · median $29,417 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,438 – $108,343 · median $71,328 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,726 – $59,820 · median $40,014 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,121 – $39,659 · median $26,528 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,070 – $74,681 · median $49,664 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,438 – $38,059 · median $25,118 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,330 – $28,433 · median $19,019 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,773 – $69,301 · median $46,355 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,497 – $40,539 · median $27,117 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,137 – $32,668 · median $21,851 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,454 – $59,182 · median $39,587 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,450 – $28,715 · median $19,208 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,851 – $20,284 · median $13,568 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,886 – $67,223 · median $44,965 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,371 – $40,243 · median $26,919 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,563 – $31,322 · median $20,951 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,502 – $35,865 · median $22,702 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,202 – $16,420 · median $10,984 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,597 – $26,715 · median $17,342 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,492 – $19,443 · median $12,667 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,241 – $44,626 · median $28,298 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,344 – $23,780 · median $15,879 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,234 – $32,896 · median $21,419 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,501 – $21,806 · median $14,262 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,982 – $15,903 · median $10,638 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,757 – $48,177 · median $32,226 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,740 – $31,737 · median $21,229 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,879 – $25,035 · median $16,746 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,324 – $35,450 · median $23,712 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,929 – $18,122 · median $12,122 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,429 – $12,266 · median $8,205 | 12 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,260 – $25,928 · median $17,264 | 12 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,899 – $15,709 · median $10,508 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,280 – $14,259 · median $9,538 | 12 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,420 – $30,987 · median $20,727 | 12 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,210 – $18,782 · median $12,563 | 12 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,900 – $13,369 · median $8,943 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,950 – $27,544 · median $18,310 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,123 – $18,577 · median $12,426 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,295 – $30,695 · median $20,532 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,168 – $16,340 · median $10,930 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,956 – $27,557 · median $18,433 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,784 – $17,784 · median $11,895 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,265 – $11,881 · median $7,947 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,314 – $35,425 · median $23,696 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,076 – $16,124 · median $10,786 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,842 – $41,348 · median $27,481 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,770 – $24,778 · median $16,487 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,466 – $17,039 · median $11,331 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,430 – $40,382 · median $27,012 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,170 – $23,374 · median $15,635 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,918 – $15,754 · median $10,538 | 12 plans |
| 088 | CONCUSSION WITH MCC | $10,924 – $25,140 · median $16,816 | 12 plans |
| 089 | CONCUSSION WITH CC | $8,349 – $19,106 · median $12,780 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,715 – $15,278 · median $10,188 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,060 – $32,486 · median $21,303 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,247 – $18,867 · median $12,397 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,197 – $14,066 · median $9,409 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,948 – $65,023 · median $43,175 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,428 – $42,721 · median $28,576 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,428 – $42,721 · median $28,033 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,460 – $63,881 · median $42,730 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,694 – $38,659 · median $25,494 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,792 – $24,830 · median $16,609 | 12 plans |
| 100 | SEIZURES WITH MCC | $15,295 – $35,380 · median $23,433 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $7,204 – $16,426 · median $10,987 | 12 plans |
| 102 | HEADACHES WITH MCC | $9,013 – $20,663 · median $13,822 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $6,661 – $15,151 · median $10,135 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,359 – $40,215 · median $26,900 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,185 – $21,066 · median $14,091 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,839 – $27,284 · median $18,250 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,886 – $29,736 · median $19,891 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,398 – $19,222 · median $12,500 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,041 – $20,729 · median $13,866 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,353 – $12,088 · median $8,086 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,303 – $14,314 · median $9,575 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,112 – $23,237 · median $15,543 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,474 – $14,715 · median $9,843 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,534 – $42,968 · median $28,742 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,634 – $17,433 · median $11,661 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,832 – $24,924 · median $16,672 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,381 – $14,497 · median $9,697 | 12 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,637 – $24,468 · median $15,819 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,363 – $75,369 · median $50,103 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,536 – $38,288 · median $25,611 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,154 – $28,022 · median $18,744 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,310 – $58,843 · median $38,705 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,556 – $31,306 · median $20,941 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,206 – $21,114 · median $14,123 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,644 – $40,883 · median $25,756 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,662 – $22,184 · median $14,806 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,284 – $14,269 · median $9,545 | 12 plans |
| 149 | DYSEQUILIBRIUM | $5,879 – $13,321 · median $8,911 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $10,707 – $24,632 · median $16,477 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,959 – $13,508 · median $9,036 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,825 – $20,223 · median $13,527 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,607 – $12,683 · median $8,484 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,564 – $28,982 · median $18,786 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,295 – $16,638 · median $11,129 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,308 – $11,983 · median $8,015 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,649 – $29,182 · median $19,520 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,348 – $16,762 · median $11,212 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,211 – $11,755 · median $7,863 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,254 – $82,141 · median $54,944 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,339 – $44,855 · median $30,004 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,372 – $33,218 · median $22,220 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,481 – $68,616 · median $44,889 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,092 – $32,563 · median $21,781 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,492 – $24,128 · median $16,139 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,912 – $25,112 · median $16,797 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,389 – $14,515 · median $9,709 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,490 – $28,808 · median $19,269 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,740 – $17,680 · median $11,826 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,048 – $13,717 · median $9,175 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,488 – $31,148 · median $20,670 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,639 – $19,787 · median $13,235 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,564 – $14,925 · median $9,983 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,267 – $28,287 · median $18,562 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,318 – $19,035 · median $12,732 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,109 – $13,859 · median $9,271 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,212 – $28,157 · median $18,676 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,831 – $17,892 · median $11,968 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,778 – $13,084 · median $8,752 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,606 – $22,052 · median $14,739 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,736 – $20,013 · median $13,332 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,728 – $15,310 · median $10,241 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,116 – $11,534 · median $7,715 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,217 – $23,483 · median $15,708 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,431 – $14,613 · median $9,775 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,930 – $11,097 · median $7,423 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,525 – $33,577 · median $21,712 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,724 – $17,643 · median $11,801 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,521 – $12,482 · median $8,349 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,621 – $31,459 · median $21,043 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,618 – $19,737 · median $13,160 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,344 – $12,067 · median $8,071 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,547 – $17,228 · median $11,449 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,492 – $12,414 · median $8,304 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,362 – $14,453 · median $9,668 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,553 – $33,642 · median $22,005 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,084 – $16,142 · median $10,798 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,387 – $115,252 · median $77,092 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,608 – $47,828 · median $31,630 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $80,784 – $188,810 · median $124,540 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,605 – $171,992 · median $115,046 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,316 – $115,086 · median $76,418 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,447 – $106,022 · median $70,919 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,049 – $137,890 · median $92,235 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,483 – $94,392 · median $63,139 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,127 – $81,845 · median $54,746 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,099 – $88,807 · median $59,197 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,822 – $55,357 · median $37,029 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,651 – $151,013 · median $100,607 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,660 – $108,863 · median $71,369 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,649 – $139,296 · median $92,834 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,662 – $94,811 · median $62,713 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,952 – $104,862 · median $70,143 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,472 – $73,282 · median $48,955 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,507 – $89,763 · median $57,750 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,345 – $51,898 · median $33,632 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,679 – $26,908 · median $17,999 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,995 – $60,449 · median $40,434 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,330 – $40,147 · median $26,855 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,921 – $32,162 · median $21,513 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,365 – $87,088 · median $58,253 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,784 – $41,213 · median $27,567 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,080 – $27,847 · median $18,627 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,287 – $61,133 · median $40,500 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,613 – $45,497 · median $30,433 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,500 – $31,176 · median $20,854 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,096 – $46,629 · median $31,035 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,077 – $30,183 · median $19,978 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,978 – $15,895 · median $10,632 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,534 – $49,997 · median $33,443 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,564 – $31,324 · median $20,953 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,103 – $60,702 · median $40,604 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,628 – $33,817 · median $22,620 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,739 – $27,049 · median $18,093 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,595 – $47,798 · median $31,972 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,779 – $62,286 · median $40,653 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $27,328 – $63,571 · median $41,514 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,763 – $106,762 · median $71,413 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,980 – $83,842 · median $56,082 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,911 – $118,823 · median $79,481 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,842 – $74,148 · median $49,598 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,238 – $91,475 · median $61,188 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,394 – $61,383 · median $41,059 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,227 – $44,592 · median $29,827 | 12 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,937 – $69,685 · median $46,613 | 12 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,934 – $55,619 · median $37,204 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,679 – $29,251 · median $19,522 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,205 – $16,427 · median $10,988 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,709 – $12,922 · median $8,644 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,067 – $34,847 · median $23,250 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,830 – $13,205 · median $8,833 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,464 – $10,005 · median $6,692 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,029 – $39,443 · median $25,973 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,482 – $19,420 · median $12,990 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,971 – $48,678 · median $32,504 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,187 – $28,098 · median $18,795 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,640 – $17,447 · median $11,670 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,119 – $23,253 · median $15,554 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,744 – $15,347 · median $10,266 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,367 – $9,778 · median $6,541 | 12 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,534 – $21,884 · median $14,356 | 12 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,201 – $14,075 · median $9,415 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,656 – $29,198 · median $19,531 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,552 – $12,553 · median $8,154 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,553 – $7,872 · median $5,265 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,498 – $28,827 · median $18,958 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,337 – $19,079 · median $12,695 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,620 – $12,714 · median $8,504 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,042 – $20,731 · median $13,867 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,308 – $11,983 · median $8,015 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $9,130 – $20,936 · median $13,706 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,904 – $13,378 · median $8,949 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,584 – $26,685 · median $17,850 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,240 – $16,509 · median $11,043 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,366 – $21,490 · median $14,346 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,817 – $13,175 · median $8,813 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,449 – $9,971 · median $6,670 | 12 plans |
| 311 | ANGINA PECTORIS | $5,505 – $12,444 · median $8,320 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,821 – $15,527 · median $10,386 | 12 plans |
| 313 | CHEST PAIN | $4,573 – $12,714 · median $6,013 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,574 – $38,378 · median $25,395 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,513 – $17,149 · median $11,471 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,387 – $12,166 · median $8,138 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,608 – $78,284 · median $51,968 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,801 – $41,252 · median $27,594 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,827 – $90,513 · median $60,544 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,663 – $43,271 · median $28,944 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,315 – $28,398 · median $18,995 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,122 – $81,832 · median $54,738 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,173 – $42,124 · median $28,176 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,752 – $29,422 · median $19,681 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,578 – $61,816 · median $41,349 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $16,360 – $37,875 · median $25,335 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,810 – $29,558 · median $19,771 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,755 – $64,573 · median $43,193 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,261 – $37,643 · median $25,180 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,870 – $27,357 · median $18,299 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,689 – $48,019 · median $31,894 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,517 – $26,530 · median $17,746 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,666 – $22,192 · median $14,845 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,197 – $42,179 · median $28,213 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,769 – $22,435 · median $15,007 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,894 – $15,699 · median $10,501 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,592 – $43,104 · median $28,611 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,638 – $26,812 · median $17,896 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,581 – $19,649 · median $13,144 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,504 – $52,269 · median $34,714 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,133 – $30,315 · median $20,278 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,335 – $23,759 · median $15,892 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,641 – $76,019 · median $50,724 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,324 – $40,133 · median $26,845 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,501 – $24,149 · median $16,153 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,896 – $29,761 · median $19,907 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,934 – $18,135 · median $12,130 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,503 – $12,439 · median $8,321 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,490 – $31,151 · median $20,658 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,023 – $18,343 · median $12,270 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,711 – $12,927 · median $8,647 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,254 – $37,627 · median $24,597 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,540 – $21,897 · median $14,647 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,910 – $15,736 · median $10,526 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,024 – $32,402 · median $21,595 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,693 – $17,570 · median $11,752 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,037 – $11,347 · median $7,590 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,831 – $34,293 · median $22,939 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,478 – $19,409 · median $12,953 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,893 – $13,353 · median $8,932 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,810 – $22,529 · median $15,070 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,808 – $15,497 · median $10,366 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,553 – $28,956 · median $19,368 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,743 – $17,687 · median $11,831 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,292 – $11,945 · median $7,990 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,374 – $26,195 · median $17,522 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,291 – $14,285 · median $9,555 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,356 – $9,752 · median $6,523 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,964 – $22,891 · median $15,312 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,129 – $13,906 · median $9,302 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,790 – $29,512 · median $19,635 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,354 – $16,775 · median $11,221 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,034 – $11,341 · median $7,586 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,487 – $96,745 · median $64,713 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,556 – $50,049 · median $33,478 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,440 – $38,062 · median $25,460 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,826 – $62,397 · median $41,737 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,141 – $37,362 · median $24,991 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,992 – $27,642 · median $18,490 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,008 – $48,765 · median $32,619 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,408 – $37,987 · median $25,410 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,839 – $29,627 · median $19,728 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,845 – $62,441 · median $41,767 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,240 – $35,252 · median $23,580 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,616 – $24,418 · median $16,333 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,271 – $42,352 · median $28,329 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,808 – $29,554 · median $19,769 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,216 – $23,481 · median $15,706 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,041 – $62,899 · median $40,542 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,650 – $29,184 · median $19,521 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,371 – $26,186 · median $17,166 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,132 – $72,485 · median $47,783 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,562 – $40,691 · median $27,218 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,952 – $27,548 · median $17,879 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,096 – $34,913 · median $23,080 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,331 – $19,065 · median $12,746 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,491 – $12,412 · median $8,056 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,072 – $32,516 · median $21,443 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,771 – $20,097 · median $13,443 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,166 – $13,993 · median $9,360 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,849 – $29,649 · median $19,832 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,737 – $15,330 · median $10,254 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,872 – $10,962 · median $7,332 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,573 – $33,689 · median $22,535 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,543 – $17,219 · median $11,518 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,539 – $12,523 · median $8,243 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,006 – $30,018 · median $20,079 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,443 – $19,327 · median $12,928 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,258 – $14,209 · median $9,504 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,615 – $150,930 · median $100,932 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,851 – $102,282 · median $68,417 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,039 – $76,951 · median $51,473 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,873 – $109,362 · median $73,153 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,977 – $51,036 · median $34,138 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,277 – $96,251 · median $63,515 | 12 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,622 – $52,547 · median $35,149 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,399 – $30,939 · median $20,695 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,946 – $90,791 · median $60,730 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,248 – $61,040 · median $40,830 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,148 – $46,750 · median $31,271 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,057 – $58,252 · median $38,888 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,536 – $33,602 · median $22,476 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,141 – $86,562 · median $57,901 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,231 – $51,631 · median $34,536 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,201 – $42,189 · median $28,221 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,307 – $79,922 · median $51,167 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,603 – $38,445 · median $25,716 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,041 – $20,728 · median $13,865 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,352 – $61,286 · median $40,923 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,982 – $41,676 · median $27,877 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,701 – $31,647 · median $21,168 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,564 – $52,412 · median $35,058 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,976 – $36,977 · median $24,734 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,261 – $28,271 · median $18,911 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,577 – $45,411 · median $29,343 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,681 – $57,371 · median $38,376 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,326 – $37,797 · median $25,233 | 12 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,213 – $28,161 · median $18,837 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,143 – $35,025 · median $23,429 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,613 – $22,070 · median $14,762 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,206 – $63,286 · median $42,076 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,457 – $42,788 · median $28,621 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,535 – $33,600 · median $22,475 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,973 – $62,741 · median $41,967 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,201 – $35,161 · median $23,519 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,406 – $23,926 · median $16,004 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,399 – $44,996 · median $30,098 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,023 – $20,687 · median $13,837 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,296 – $56,469 · median $37,772 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,769 – $31,805 · median $21,275 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,821 – $24,900 · median $16,655 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,325 – $47,165 · median $31,001 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,543 – $31,276 · median $20,920 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,543 – $31,276 · median $20,920 | 12 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,597 – $26,715 · median $17,486 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,937 – $34,541 · median $22,752 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,011 – $23,000 · median $15,385 | 12 plans |
| 509 | ARTHROSCOPY | $13,556 – $31,306 · median $19,614 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,934 – $50,934 · median $34,070 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,112 – $34,951 · median $23,378 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,423 – $28,653 · median $19,166 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,646 – $26,831 · median $17,948 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,949 – $18,170 · median $12,154 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,716 – $55,110 · median $36,863 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,496 – $35,851 · median $23,980 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,548 – $26,601 · median $17,794 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,455 – $63,870 · median $42,723 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,193 – $35,141 · median $23,506 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,095 – $25,541 · median $17,084 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,364 – $51,943 · median $34,745 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,229 – $37,568 · median $25,130 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,793 – $27,175 · median $17,734 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,385 – $14,506 · median $9,703 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,310 – $23,700 · median $15,778 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,362 – $14,451 · median $9,638 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,184 – $16,378 · median $10,955 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,301 – $11,967 · median $8,005 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,577 – $36,041 · median $24,108 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,037 – $23,062 · median $15,426 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,849 – $15,592 · median $10,255 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,381 – $33,238 · median $22,173 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,263 – $18,906 · median $12,646 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,942 – $13,467 · median $9,008 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,415 – $45,032 · median $30,122 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,000 – $20,631 · median $13,800 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,870 – $13,298 · median $8,895 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,518 – $35,902 · median $23,717 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,360 – $21,476 · median $14,365 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,751 – $15,363 · median $10,277 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,173 – $30,410 · median $20,308 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,525 – $17,176 · median $11,489 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,128 – $23,274 · median $15,568 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,542 – $14,873 · median $9,949 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,437 – $23,998 · median $16,052 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,404 – $14,551 · median $9,733 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,981 – $27,617 · median $17,909 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,764 – $15,394 · median $10,297 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,314 – $33,081 · median $21,853 | 12 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,855 – $20,293 · median $13,484 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,413 – $14,570 · median $9,746 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,326 – $26,081 · median $17,446 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,992 – $15,928 · median $10,633 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,130 – $27,965 · median $18,706 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,950 – $18,172 · median $12,134 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,884 – $13,332 · median $8,918 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,091 – $53,645 · median $35,458 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,929 – $29,838 · median $19,959 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,883 – $20,359 · median $13,618 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,036 – $109,745 · median $71,727 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,550 – $61,748 · median $41,303 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,382 – $35,583 · median $23,802 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,233 – $96,150 · median $64,315 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,448 – $47,454 · median $31,629 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,052 – $30,125 · median $20,150 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,986 – $58,086 · median $38,334 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,680 – $31,597 · median $21,078 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,141 – $25,648 · median $17,159 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,514 – $31,208 · median $20,139 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,689 – $29,275 · median $18,928 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,767 – $36,487 · median $23,960 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,293 – $35,376 · median $22,930 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $15,835 – $36,645 · median $22,972 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $9,494 – $21,790 · median $14,310 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,649 – $15,125 · median $9,831 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,282 – $37,693 · median $25,213 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,417 – $19,266 · median $12,887 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,556 – $31,306 · median $20,658 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,400 – $19,227 · median $12,861 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,696 – $15,235 · median $9,700 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,470 – $17,048 · median $11,403 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,754 – $10,684 · median $7,146 | 12 plans |
| 602 | CELLULITIS WITH MCC | $11,369 – $26,183 · median $17,514 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,893 – $15,697 · median $10,500 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,495 – $26,477 · median $17,710 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,220 – $16,461 · median $11,011 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,442 – $28,697 · median $18,897 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,767 – $15,401 · median $10,302 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,529 – $40,614 · median $27,167 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,094 – $25,537 · median $17,082 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,593 – $68,878 · median $45,592 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,886 – $34,423 · median $23,026 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,664 – $22,189 · median $14,568 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,933 – $48,589 · median $32,501 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,341 – $28,460 · median $19,037 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,313 – $26,051 · median $17,425 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,657 – $66,686 · median $43,999 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,743 – $34,088 · median $22,797 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,824 – $17,876 · median $11,957 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,002 – $51,095 · median $34,177 | 12 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,674 – $26,897 · median $17,992 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,830 – $22,577 · median $15,102 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,207 – $70,316 · median $45,294 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,301 – $40,081 · median $26,810 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,853 – $24,973 · median $16,704 | 12 plans |
| 637 | DIABETES WITH MCC | $11,271 – $25,953 · median $17,156 | 12 plans |
| 638 | DIABETES WITH CC | $7,170 – $16,345 · median $10,858 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,960 – $11,167 · median $7,469 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,295 – $23,666 · median $15,615 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,137 – $13,925 · median $9,315 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,634 – $22,118 · median $14,795 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,800 – $29,535 · median $19,756 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,054 – $18,416 · median $12,319 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,117 – $13,877 · median $9,240 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,239 – $82,107 · median $54,921 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,607 – $61,883 · median $41,394 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $23,556 – $54,735 · median $36,613 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $42,597 – $99,345 · median $66,452 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,660 – $50,293 · median $33,641 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,995 – $37,020 · median $24,762 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,976 – $58,061 · median $38,837 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,099 – $32,579 · median $21,792 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,634 – $26,803 · median $17,928 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,851 – $46,055 · median $30,806 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,386 – $23,880 · median $15,973 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,002 – $18,295 · median $12,238 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,923 – $55,594 · median $36,838 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,812 – $27,220 · median $18,207 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,407 – $19,243 · median $12,872 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,311 – $61,190 · median $38,740 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $12,724 – $29,357 · median $19,637 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,012 – $18,316 · median $12,158 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,377 – $51,971 · median $34,338 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,965 – $27,578 · median $18,447 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,463 – $17,032 · median $11,392 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,305 – $30,718 · median $20,547 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,518 – $19,503 · median $12,896 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,062 – $74,663 · median $45,132 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,753 – $41,138 · median $27,517 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,100 – $27,895 · median $18,659 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $11,618 – $26,765 · median $17,903 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $6,955 – $15,841 · median $10,596 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,814 – $10,824 · median $7,241 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,537 – $33,605 · median $21,470 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,201 – $18,760 · median $12,549 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,702 – $12,906 · median $8,633 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,095 – $20,856 · median $13,951 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,299 – $14,303 · median $9,567 | 12 plans |
| 693 | URINARY STONES WITH MCC | $11,378 – $26,204 · median $17,456 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,137 – $13,925 · median $9,315 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,772 – $20,099 · median $13,444 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,456 – $12,329 · median $8,247 | 12 plans |
| 697 | URETHRAL STRICTURE | $7,814 – $17,853 · median $11,942 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,979 – $29,955 · median $19,719 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,951 – $18,176 · median $12,158 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,474 – $12,371 · median $8,275 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,955 – $34,583 · median $23,133 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,470 – $26,420 · median $17,672 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,286 – $40,046 · median $26,787 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,614 – $26,756 · median $17,697 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,727 – $34,049 · median $22,775 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,329 – $19,061 · median $12,750 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,193 – $25,769 · median $17,237 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,341 – $16,746 · median $11,202 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,371 – $40,245 · median $26,920 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,990 – $25,293 · median $16,437 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,307 – $33,067 · median $21,756 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,564 – $21,954 · median $14,685 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,344 – $30,811 · median $20,588 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,735 – $20,011 · median $13,386 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,736 – $12,984 · median $8,685 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,798 – $22,501 · median $15,051 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,856 – $13,266 · median $8,874 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,371 – $26,186 · median $17,488 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,409 – $14,562 · median $9,740 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,568 – $19,619 · median $13,123 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,810 – $10,816 · median $7,235 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,189 – $37,474 · median $25,066 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,427 – $21,633 · median $14,470 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,145 – $70,172 · median $46,938 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,394 – $35,613 · median $23,822 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,732 – $27,033 · median $17,548 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,474 – $70,944 · median $47,110 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,025 – $32,404 · median $21,675 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,642 – $24,479 · median $16,171 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,088 – $32,554 · median $21,775 | 12 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,312 – $21,362 · median $14,289 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,057 – $34,822 · median $23,114 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,989 – $18,263 · median $12,216 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,931 – $29,843 · median $19,438 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,459 – $17,023 · median $11,386 | 12 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,556 – $24,278 · median $16,239 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,884 – $46,131 · median $30,630 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,002 – $22,980 · median $15,371 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,956 – $32,244 · median $21,286 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,638 – $19,783 · median $13,232 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,458 – $17,019 · median $11,384 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,959 – $25,222 · median $16,778 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,947 – $18,165 · median $11,932 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,062 – $11,405 · median $7,629 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,691 – $17,564 · median $11,749 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,015 – $11,297 · median $7,314 | 12 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,533 – $18,716 · median $9,445 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,763 – $24,762 · median $16,564 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,378 – $19,175 · median $11,480 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,621 – $12,715 · median $8,505 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $7,304 – $16,659 · median $11,143 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,201 – $31,448 · median $15,816 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,431 – $18,489 · median $13,192 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,838 – $16,884 · median $12,014 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,485 – $27,587 · median $15,093 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,270 – $18,127 · median $13,073 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,075 – $16,884 · median $12,189 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,385 – $21,794 · median $10,278 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,558 – $16,529 · median $9,430 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,558 – $16,529 · median $9,430 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,361 – $84,735 · median $56,680 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,358 – $51,927 · median $33,291 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,681 – $29,257 · median $19,570 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,462 – $63,885 · median $42,733 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,733 – $31,721 · median $21,218 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,603 – $19,703 · median $13,179 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,785 – $17,038 · median $9,430 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,698 – $12,353 · median $8,763 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,041 – $10,880 · median $8,277 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,615 – $40,815 · median $26,531 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,614 – $22,071 · median $14,764 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,433 – $16,962 · median $11,346 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,895 – $25,072 · median $16,771 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,214 – $16,447 · median $11,001 | 12 plans |
| 813 | COAGULATION DISORDERS | $11,968 – $27,587 · median $18,453 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,095 – $37,255 · median $23,762 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,923 – $18,108 · median $12,112 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,209 – $11,751 · median $7,860 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,477 – $45,178 · median $30,220 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,991 – $22,953 · median $15,354 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,404 – $14,551 · median $9,733 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,481 – $103,759 · median $66,363 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,174 – $39,784 · median $26,340 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,893 – $20,382 · median $13,633 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,788 – $83,393 · median $53,705 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,923 – $39,196 · median $26,218 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,556 – $21,934 · median $14,672 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,519 – $85,104 · median $56,926 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,144 – $42,056 · median $28,131 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,386 – $28,565 · median $19,107 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,651 – $54,956 · median $36,760 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,318 – $26,063 · median $17,434 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,949 – $20,512 · median $13,720 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,879 – $13,319 · median $8,800 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,147 – $9,263 · median $6,196 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,237 – $98,502 · median $65,888 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,440 – $38,064 · median $25,387 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,859 – $22,645 · median $15,147 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,281 – $89,233 · median $59,688 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,621 – $36,145 · median $24,177 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,618 – $24,422 · median $16,336 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,451 – $56,831 · median $37,658 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,121 – $27,943 · median $18,691 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,195 – $18,746 · median $12,539 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,595 – $33,741 · median $22,569 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,285 – $21,300 · median $14,084 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,559 – $14,913 · median $9,975 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,619 – $45,511 · median $29,698 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,859 – $22,645 · median $14,996 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,423 – $14,594 · median $9,762 | 12 plans |
| 849 | RADIOTHERAPY | $20,511 – $47,602 · median $29,917 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,236 – $89,128 · median $59,126 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,392 – $35,608 · median $23,818 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,559 – $28,970 · median $18,938 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,511 – $80,401 · median $53,303 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,767 – $38,830 · median $25,704 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,994 – $22,961 · median $15,358 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,180 – $32,767 · median $21,918 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,799 – $17,819 · median $11,919 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,024 – $16,003 · median $10,575 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,420 – $26,302 · median $17,593 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,924 – $15,768 · median $10,547 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,504 – $38,214 · median $25,537 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,181 – $18,714 · median $12,518 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,667 – $12,824 · median $8,578 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,109 – $123,972 · median $82,002 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,118 – $34,967 · median $23,389 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,036 – $18,373 · median $12,290 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,084 – $70,029 · median $41,320 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,485 – $17,083 · median $11,280 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $7,147 – $16,290 · median $10,711 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,511 – $17,144 · median $11,094 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,295 – $33,038 · median $20,768 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,898 – $29,765 · median $19,455 | 12 plans |
| 885 | PSYCHOSES | $10,916 – $25,120 · median $16,264 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,859 – $32,015 · median $17,872 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,241 – $21,196 · median $14,178 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,941 – $11,122 · median $7,297 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,207 – $25,803 · median $17,260 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,739 – $31,736 · median $21,228 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,904 – $15,722 · median $10,506 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,894 – $78,956 · median $52,758 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,628 – $33,817 · median $22,620 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,467 – $21,726 · median $14,532 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,563 – $68,809 · median $44,234 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,731 – $29,373 · median $19,268 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,795 – $38,894 · median $23,285 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,496 – $70,994 · median $46,896 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,537 – $35,947 · median $24,045 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,841 – $22,602 · median $15,119 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,503 – $28,840 · median $18,812 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,164 – $16,331 · median $10,924 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,413 – $30,971 · median $20,717 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,245 – $11,835 · median $7,916 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,666 – $29,221 · median $18,985 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,922 – $15,764 · median $10,308 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,065 – $32,498 · median $21,723 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,921 – $18,104 · median $12,110 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,425 – $12,256 · median $8,198 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,044 – $30,107 · median $19,474 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,951 – $18,176 · median $11,858 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $180,642 – $422,764 · median $243,450 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,997 – $119,025 · median $76,672 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,385 – $56,678 · median $36,552 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,106 – $77,110 · median $39,230 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,516 – $38,240 · median $24,053 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $16,901 – $39,142 · median $25,269 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,337 – $56,564 · median $37,511 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,254 – $37,627 · median $25,169 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,059 – $34,828 · median $23,048 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,805 – $27,204 · median $18,197 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,686 – $19,897 · median $13,309 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,977 – $22,921 · median $15,068 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,237 – $14,159 · median $9,471 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,401 – $19,229 · median $12,862 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,652 – $10,445 · median $6,987 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,506 – $10,105 · median $6,759 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,133 – $121,687 · median $80,935 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,269 – $68,119 · median $45,565 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,970 – $133,020 · median $88,751 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,455 – $73,241 · median $48,991 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,305 – $47,117 · median $31,208 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,858 – $48,414 · median $32,384 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,604 – $26,733 · median $17,835 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,135 – $16,263 · median $10,879 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,300 – $112,705 · median $75,389 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,376 – $47,284 · median $31,629 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,908 – $53,217 · median $35,046 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,005 – $25,331 · median $16,834 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,823 – $17,874 · median $11,634 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,161 – $25,696 · median $16,473 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,354 – $84,719 · median $55,720 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,817 – $43,631 · median $29,185 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,883 – $29,729 · median $19,886 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,837 – $62,422 · median $40,751 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,246 – $30,581 · median $20,456 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,983 – $20,592 · median $13,621 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,535 – $54,686 · median $25,897 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $83,059 – $194,140 · median $91,287 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,949 – $125,941 · median $59,309 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,312 – $110,390 · median $52,017 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,578 – $82,902 · median $39,127 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,251 – $89,164 · median $42,064 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,568 – $57,106 · median $27,031 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,251 – $110,248 · median $51,950 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,848 – $50,733 · median $24,043 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,955 – $32,242 · median $15,373 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,593 – $75,907 · median $35,847 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,497 – $56,940 · median $26,954 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,964 – $51,005 · median $24,171 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,041 – $44,157 · median $20,960 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,704 – $26,967 · median $12,899 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,742 – $20,027 · median $9,645 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,952 – $69,719 · median $32,946 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,875 – $186,682 · median $87,790 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,221 – $126,577 · median $59,607 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,061 – $98,089 · median $46,248 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,637 – $148,638 · median $69,951 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,805 – $97,490 · median $45,968 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,193 – $119,484 · median $56,281 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,255 – $72,772 · median $34,377 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,368 – $91,780 · median $43,290 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,667 – $54,996 · median $26,042 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $70,264 – $164,165 · median $77,232 | 9 plans |
| 222 | Other Inpatient Services: MS-DRG | $96,624 – $100,241 · median $100,241 | 3 plans |
| 223 | Other Inpatient Services: MS-DRG | $65,981 – $68,451 · median $68,451 | 3 plans |
| 224 | Other Inpatient Services: MS-DRG | $89,492 – $92,842 · median $92,842 | 3 plans |
| 225 | Other Inpatient Services: MS-DRG | $63,958 – $66,352 · median $66,352 | 3 plans |
| 226 | Other Inpatient Services: MS-DRG | $80,840 – $83,867 · median $83,867 | 3 plans |
| 227 | Other Inpatient Services: MS-DRG | $63,492 – $65,869 · median $65,869 | 3 plans |
| 246 | Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | $36,339 – $38,382 · median $38,382 | 3 plans |
| 247 | Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | $36,339 – $38,382 · median $38,382 | 3 plans |
| 248 | Other Inpatient Services: MS-DRG | $38,217 – $39,648 · median $39,648 | 3 plans |
| 249 | Other Inpatient Services: MS-DRG | $23,221 – $24,090 · median $24,090 | 3 plans |
| 338 | Other Inpatient Services: MS-DRG | $33,776 – $35,041 · median $35,041 | 3 plans |
| 339 | Other Inpatient Services: MS-DRG | $20,854 – $21,635 · median $21,635 | 3 plans |
| 340 | Other Inpatient Services: MS-DRG | $15,468 – $16,047 · median $16,047 | 3 plans |
| 341 | Other Inpatient Services: MS-DRG | $28,780 – $29,858 · median $29,858 | 3 plans |
| 342 | Other Inpatient Services: MS-DRG | $18,652 – $19,350 · median $19,350 | 3 plans |
| 343 | Other Inpatient Services: MS-DRG | $14,121 – $14,649 · median $14,649 | 3 plans |
| 453 | Other Inpatient Services: MS-DRG | $115,455 – $119,777 · median $119,777 | 3 plans |
| 454 | Other Inpatient Services: MS-DRG | $76,944 – $79,825 · median $79,825 | 3 plans |
| 455 | Other Inpatient Services: MS-DRG | $60,568 – $62,835 · median $62,835 | 3 plans |
| 459 | Spinal Fusion Except Cervical w/CC | $54,633 – $57,711 · median $57,711 | 3 plans |
| 460 | Spinal Fusion Except Cervical w/o CC | $42,626 – $45,025 · median $45,025 | 3 plans |
No procedures match that keyword.