Froedtert Holy Family Memorial Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $196,151 – $825,696 · median $390,156 | 26 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $79,316 – $333,880 · median $157,764 | 26 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $148,564 – $625,379 · median $295,503 | 26 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $96,952 – $408,118 · median $192,843 | 26 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $72,168 – $303,789 · median $143,546 | 26 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,456 – $136,625 · median $64,558 | 26 plans |
| 007 | LUNG TRANSPLANT | $90,644 – $381,565 · median $180,296 | 26 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,229 – $165,134 · median $78,029 | 26 plans |
| 010 | PANCREAS TRANSPLANT | $50,226 – $211,425 · median $99,902 | 26 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,176 – $160,700 · median $75,933 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,510 – $124,220 · median $58,696 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,171 – $84,909 · median $40,121 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $84,118 – $354,095 · median $167,317 | 26 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $41,504 – $174,713 · median $82,555 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,023 – $160,057 · median $75,630 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $302,255 – $1,272,338 · median $601,203 | 26 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,938 – $210,214 · median $99,330 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,077 – $231,846 · median $109,552 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,054 – $155,977 · median $73,702 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,240 – $93,619 · median $44,237 | 26 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,109 – $168,838 · median $79,779 | 26 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,381 – $115,260 · median $54,463 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,824 – $133,964 · median $63,300 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,763 – $91,609 · median $43,287 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,659 – $74,335 · median $35,125 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,055 – $177,029 · median $83,649 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,879 – $100,519 · median $47,497 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,365 – $64,679 · median $30,562 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,361 – $132,013 · median $62,379 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,916 – $62,788 · median $29,668 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,639 – $48,996 · median $23,151 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,093 – $114,046 · median $53,889 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,732 – $70,434 · median $33,281 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,598 – $57,243 · median $27,048 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,043 – $96,998 · median $45,834 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,357 – $47,808 · median $22,590 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,228 – $34,635 · median $16,366 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,026 – $113,766 · median $53,757 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,390 – $64,783 · median $30,611 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,093 – $50,905 · median $24,054 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,678 – $53,368 · median $25,217 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,854 – $28,851 · median $13,633 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,687 – $44,989 · median $21,258 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,137 – $30,041 · median $14,195 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,260 – $68,448 · median $32,343 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,068 – $38,174 · median $18,038 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,966 – $50,369 · median $23,800 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,686 – $36,562 · median $17,276 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,438 – $27,101 · median $12,806 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,298 – $81,235 · median $38,385 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,299 – $51,774 · median $24,464 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,826 – $41,362 · median $19,544 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,076 – $59,252 · median $27,998 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,072 – $29,767 · median $14,066 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,790 – $20,165 · median $9,528 | 26 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,280 – $43,274 · median $20,448 | 26 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,050 – $25,469 · median $12,034 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,591 – $23,536 · median $11,121 | 26 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,653 – $49,052 · median $23,178 | 26 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,181 – $30,230 · median $14,284 | 26 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,293 – $22,281 · median $10,528 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,229 – $47,269 · median $22,336 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,215 – $30,371 · median $14,351 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,421 – $56,497 · median $26,696 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,776 – $24,314 · median $11,489 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,669 – $53,330 · median $25,199 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,269 – $26,388 · median $12,469 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,998 – $67,343 · median $31,821 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,770 – $41,126 · median $19,433 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,690 – $28,162 · median $13,307 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,902 – $66,939 · median $31,630 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,118 – $38,383 · median $18,137 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,402 – $26,951 · median $12,735 | 26 plans |
| 088 | CONCUSSION WITH MCC | $9,462 – $39,829 · median $18,820 | 26 plans |
| 089 | CONCUSSION WITH CC | $7,690 – $32,369 · median $15,295 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,762 – $24,255 · median $11,461 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,292 – $51,745 · median $24,450 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,160 – $30,142 · median $14,242 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,574 – $23,462 · median $11,086 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,634 – $103,696 · median $48,998 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,053 – $75,994 · median $35,908 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,053 – $75,994 · median $35,908 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,281 – $106,418 · median $50,284 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,063 – $67,617 · median $31,950 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,536 – $40,142 · median $18,968 | 26 plans |
| 100 | SEIZURES WITH MCC | $13,556 – $57,066 · median $26,965 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $6,318 – $26,594 · median $12,566 | 26 plans |
| 102 | HEADACHES WITH MCC | $7,846 – $33,026 · median $15,605 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $5,854 – $24,641 · median $11,643 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,456 – $69,273 · median $32,733 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,470 – $39,865 · median $18,837 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,743 – $45,224 · median $21,369 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,656 – $53,274 · median $25,173 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,594 – $31,965 · median $15,104 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,142 – $34,275 · median $16,196 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,500 – $23,153 · median $10,940 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,590 – $23,530 · median $11,118 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,261 – $38,984 · median $18,421 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,374 – $22,622 · median $10,690 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,189 – $63,937 · median $30,211 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,107 – $29,915 · median $14,135 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,452 – $43,996 · median $20,789 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,203 – $26,111 · median $12,338 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,649 – $36,409 · median $17,204 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,855 – $125,673 · median $59,383 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,266 – $64,264 · median $30,366 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,174 – $47,036 · median $22,226 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,224 – $110,390 · median $52,161 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,129 – $51,058 · median $24,126 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,415 – $35,425 · median $16,739 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,821 – $62,387 · median $29,479 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,900 – $37,463 · median $17,702 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,579 – $23,486 · median $11,097 | 26 plans |
| 149 | DYSEQUILIBRIUM | $5,261 – $22,145 · median $10,464 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $9,320 – $39,231 · median $18,538 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,138 – $21,627 · median $10,219 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,275 – $34,832 · median $16,459 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,167 – $21,750 · median $10,277 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,944 – $46,067 · median $21,767 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,415 – $27,004 · median $12,760 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,837 – $20,363 · median $9,622 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,017 – $50,584 · median $23,902 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,368 – $26,806 · median $12,666 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,959 – $20,875 · median $9,864 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,370 – $132,052 · median $62,397 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,667 – $74,367 · median $35,140 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,398 – $56,400 · median $26,650 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,162 – $110,128 · median $52,037 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,623 – $53,135 · median $25,107 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,564 – $40,260 · median $19,023 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,833 – $87,697 · median $41,438 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,614 – $40,472 · median $19,124 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,635 – $23,719 · median $11,207 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,938 – $46,043 · median $21,756 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,831 – $28,757 · median $13,588 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,285 – $22,245 · median $10,511 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,361 – $52,033 · median $24,587 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,496 – $31,556 · median $14,911 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,276 – $22,210 · median $10,495 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,708 – $45,077 · median $21,300 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,448 – $31,353 · median $14,815 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,505 – $23,173 · median $10,950 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,909 – $45,920 · median $21,698 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,923 – $29,143 · median $13,771 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,020 – $21,132 · median $9,985 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,647 – $36,400 · median $17,200 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,753 – $32,637 · median $15,422 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,901 – $24,838 · median $11,736 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,494 – $18,916 · median $8,938 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,200 – $38,727 · median $18,299 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,641 – $23,745 · median $11,220 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,399 – $18,518 · median $8,750 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,209 – $55,604 · median $26,274 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,643 – $27,964 · median $13,214 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,013 – $21,102 · median $9,971 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,348 – $51,977 · median $24,560 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,694 – $32,390 · median $15,305 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,005 – $21,070 · median $9,956 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,798 – $28,615 · median $13,521 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,690 – $19,741 · median $9,328 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,651 – $23,789 · median $11,241 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,816 – $53,949 · median $25,492 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,587 – $27,729 · median $13,102 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,039 – $189,592 · median $89,586 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,239 – $80,988 · median $38,268 | 26 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $79,225 – $333,497 · median $157,583 | 26 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $76,112 – $320,394 · median $151,392 | 26 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $39,945 – $168,148 · median $79,453 | 26 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,693 – $293,373 · median $138,624 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,474 – $288,240 · median $136,199 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,023 – $193,735 · median $91,543 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,023 – $193,735 · median $91,543 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,744 – $226,233 · median $106,899 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,327 – $157,126 · median $74,245 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,278 – $148,504 · median $70,171 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,629 – $145,770 · median $68,879 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,045 – $92,797 · median $43,848 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,004 – $248,379 · median $117,363 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,435 – $178,628 · median $84,405 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,512 – $225,258 · median $106,439 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,236 – $160,953 · median $76,053 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,077 – $172,912 · median $81,704 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,319 – $123,419 · median $58,318 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,449 – $145,013 · median $68,521 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,952 – $83,987 · median $39,685 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,690 – $40,790 · median $19,274 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,348 – $94,073 · median $44,451 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,915 – $62,785 · median $29,667 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,651 – $53,256 · median $25,165 | 26 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,934 – $134,427 · median $63,519 | 26 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,276 – $64,305 · median $30,385 | 26 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,461 – $44,034 · median $20,807 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,416 – $102,779 · median $48,565 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,168 – $76,477 · median $36,137 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,471 – $52,496 · median $24,805 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,880 – $79,476 · median $37,554 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,884 – $50,027 · median $23,639 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,645 – $32,181 · median $15,206 | 26 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,993 – $92,579 · median $43,745 | 26 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,154 – $59,579 · median $28,152 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,768 – $95,841 · median $45,286 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,232 – $55,702 · median $26,320 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,408 – $48,023 · median $22,692 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,400 – $90,083 · median $42,566 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,382 – $98,427 · median $46,509 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $25,325 – $106,607 · median $50,374 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,895 – $180,567 · median $85,321 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,323 – $140,272 · median $66,281 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,141 – $202,650 · median $95,756 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,560 – $124,432 · median $58,797 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,931 – $155,461 · median $73,458 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,892 – $104,783 · median $49,512 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,870 – $75,222 · median $35,544 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,876 – $121,554 · median $57,436 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,040 – $96,987 · median $45,828 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,909 – $210,090 · median $99,271 | 26 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,043 – $176,978 · median $83,626 | 26 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,327 – $136,079 · median $64,300 | 26 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,960 – $164,003 · median $77,494 | 26 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,243 – $106,259 · median $50,209 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,228 – $47,263 · median $22,333 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,433 – $27,080 · median $12,796 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,061 – $21,305 · median $10,067 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,864 – $58,362 · median $27,577 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,845 – $20,395 · median $9,637 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,192 – $17,646 · median $8,338 | 26 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,488 – $65,198 · median $30,807 | 26 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,490 – $31,529 · median $14,898 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,942 – $79,735 · median $37,676 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,947 – $50,292 · median $23,764 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,507 – $27,393 · median $12,944 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,986 – $37,826 · median $17,873 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,943 – $25,015 · median $11,820 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,962 – $16,677 · median $7,880 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,932 – $46,020 · median $21,745 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,438 – $18,680 · median $8,827 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,185 – $13,409 · median $6,336 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,428 – $48,106 · median $22,731 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,472 – $31,453 · median $14,862 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,037 – $21,205 · median $10,020 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,376 – $35,257 · median $16,659 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,712 – $19,835 · median $9,372 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $8,329 – $35,062 · median $16,568 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,285 – $22,248 · median $10,513 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,030 – $46,429 · median $21,939 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,392 – $26,907 · median $12,714 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,427 – $35,475 · median $16,762 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,149 – $21,677 · median $10,243 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,962 – $16,680 · median $7,881 | 26 plans |
| 311 | ANGINA PECTORIS | $4,913 – $20,681 · median $9,772 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,101 – $25,681 · median $12,135 | 26 plans |
| 313 | CHEST PAIN | $5,040 – $21,214 · median $10,024 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,595 – $61,438 · median $29,031 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,743 – $28,383 · median $13,411 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,774 – $20,097 · median $9,496 | 26 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $46,802 – $197,011 · median $93,091 | 26 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,954 – $71,368 · median $33,723 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,238 – $131,495 · median $62,134 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,836 – $70,870 · median $33,487 | 26 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,044 – $80,166 · median $37,880 | 26 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,340 – $51,945 · median $24,545 | 26 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,289 – $127,503 · median $60,247 | 26 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,055 – $92,841 · median $43,869 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,471 – $94,591 · median $44,696 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,909 – $146,949 · median $69,436 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,108 – $72,016 · median $34,029 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,215 – $47,210 · median $22,308 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,173 – $135,431 · median $63,994 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,779 – $70,631 · median $33,374 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,779 – $49,585 · median $23,430 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,343 – $106,680 · median $50,408 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $16,394 – $69,011 · median $32,609 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,464 – $48,259 · median $22,803 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,994 – $105,213 · median $49,715 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,760 – $62,131 · median $29,358 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,744 – $45,227 · median $21,371 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,078 – $76,100 · median $35,958 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,532 – $44,334 · median $20,949 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,303 – $34,950 · median $16,515 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,068 – $67,638 · median $31,960 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,161 – $38,562 · median $18,221 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,094 – $25,651 · median $12,121 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,442 – $73,421 · median $34,693 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,671 – $44,918 · median $21,225 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,174 – $34,408 · median $16,258 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,312 – $85,505 · median $40,402 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,776 – $49,570 · median $23,423 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,414 – $39,629 · median $18,725 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,747 – $129,429 · median $61,158 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,277 – $68,519 · median $32,376 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,785 – $41,188 · median $19,462 | 26 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,068 – $101,315 · median $47,873 | 26 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,899 – $71,135 · median $33,613 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,142 – $46,904 · median $22,163 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,001 – $29,470 · median $13,925 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,905 – $20,648 · median $9,757 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,411 – $52,243 · median $24,686 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,146 – $30,083 · median $14,215 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,091 – $21,432 · median $10,127 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,970 – $63,015 · median $29,776 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,467 – $35,640 · median $16,840 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,470 – $27,234 · median $12,868 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,795 – $53,860 · median $25,450 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,864 – $28,895 · median $13,654 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,412 – $18,574 · median $8,777 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,734 – $57,814 · median $27,318 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,584 – $31,924 · median $15,085 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,604 – $23,589 · median $11,146 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,664 – $40,681 · median $19,222 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,983 – $25,186 · median $11,901 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,075 – $46,621 · median $22,029 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,834 – $28,766 · median $13,592 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,769 – $20,074 · median $9,485 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,337 – $43,512 · median $20,560 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,528 – $23,271 · median $10,996 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,808 – $16,028 · median $7,574 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,877 – $37,369 · median $17,658 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,457 – $22,970 · median $10,854 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,194 – $47,122 · median $22,266 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,549 – $27,569 · median $13,027 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,543 – $19,122 · median $9,036 | 26 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,763 – $70,563 · median $33,342 | 26 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,594 – $44,597 · median $21,073 | 26 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,012 – $33,727 · median $15,937 | 26 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,141 – $118,460 · median $55,975 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,290 – $161,183 · median $76,162 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,300 – $85,451 · median $40,377 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,536 – $65,398 · median $30,902 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,957 – $105,057 · median $49,641 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,240 – $64,152 · median $30,313 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,113 – $46,780 · median $22,104 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,121 – $97,328 · median $45,989 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,716 – $61,948 · median $29,272 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,623 – $48,925 · median $23,118 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,936 – $104,968 · median $49,600 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,466 – $60,893 · median $28,773 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,542 – $40,168 · median $18,980 | 26 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,703 – $70,313 · median $33,224 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,840 – $49,841 · median $23,551 | 26 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,560 – $40,242 · median $19,015 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,848 – $100,387 · median $47,435 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,162 – $51,194 · median $24,190 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,796 – $41,235 · median $19,484 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,069 – $122,364 · median $57,819 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,314 – $64,464 · median $30,461 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,501 – $44,205 · median $20,888 | 26 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $77,142 – $324,729 · median $153,440 | 26 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,526 – $212,689 · median $100,499 | 26 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,351 – $165,647 · median $78,271 | 26 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,062 – $265,459 · median $125,434 | 26 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,366 – $169,922 · median $80,291 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,776 – $57,991 · median $27,402 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,393 – $31,120 · median $14,705 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,987 – $20,993 · median $9,920 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,856 – $54,117 · median $25,571 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,917 – $33,327 · median $15,747 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,973 – $25,142 · median $11,880 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,410 – $48,032 · median $22,696 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,888 – $24,785 · median $11,711 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,349 – $18,309 · median $8,651 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,562 – $52,879 · median $24,986 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,757 – $28,442 · median $13,439 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,898 – $20,616 · median $9,741 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,695 – $49,231 · median $23,263 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,660 – $32,245 · median $15,237 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,791 – $24,376 · median $11,518 | 26 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,767 – $196,867 · median $93,023 | 26 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,683 – $124,951 · median $59,042 | 26 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,304 – $157,031 · median $74,200 | 26 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,611 – $95,181 · median $44,975 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $58,819 – $247,598 · median $116,994 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,738 – $175,697 · median $83,020 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,206 – $122,941 · median $58,092 | 26 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,658 – $162,730 · median $76,893 | 26 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,618 – $78,374 · median $37,033 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,893 – $167,930 · median $79,350 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,801 – $91,772 · median $43,364 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,765 – $53,734 · median $25,390 | 26 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,435 – $153,372 · median $72,471 | 26 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,684 – $103,908 · median $49,098 | 26 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,234 – $80,967 · median $38,258 | 26 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,231 – $89,370 · median $42,229 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,501 – $56,833 · median $26,855 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $33,798 – $142,273 · median $67,226 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,621 – $86,804 · median $41,016 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,088 – $71,930 · median $33,988 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,048 – $126,486 · median $59,767 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,929 – $67,051 · median $31,683 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,261 – $34,773 · median $16,431 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,180 – $101,786 · median $48,096 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,213 – $72,458 · median $34,238 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,011 – $54,771 · median $25,880 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,384 – $85,808 · median $40,546 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,660 – $61,712 · median $29,160 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,416 – $48,056 · median $22,707 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,402 – $81,671 · median $38,591 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,588 – $95,083 · median $44,929 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,637 – $61,612 · median $29,113 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,962 – $46,147 · median $21,805 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,381 – $52,119 · median $24,627 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,817 – $32,905 · median $15,548 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,699 – $108,180 · median $51,117 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,751 – $74,724 · median $35,308 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,044 – $59,120 · median $27,935 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,378 – $106,828 · median $50,478 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,626 – $53,150 · median $25,114 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,457 – $35,601 · median $16,822 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,116 – $88,887 · median $42,001 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,102 – $59,364 · median $28,051 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,152 – $93,248 · median $44,061 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,236 – $51,506 · median $24,338 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,421 – $39,656 · median $18,738 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,536 – $82,237 · median $38,858 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,083 – $55,074 · median $26,024 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,549 – $52,823 · median $24,960 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,444 – $39,753 · median $18,784 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,644 – $53,224 · median $25,149 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,600 – $44,620 · median $21,084 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,142 – $88,996 · median $42,052 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,555 – $61,267 · median $28,950 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,587 – $48,775 · median $23,047 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,019 – $46,385 · median $21,918 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,156 – $30,121 · median $14,233 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,306 – $93,899 · median $44,369 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,546 – $61,229 · median $28,932 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,756 – $45,277 · median $21,394 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,159 – $110,116 · median $52,032 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,000 – $58,934 · median $27,847 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,456 – $44,016 · median $20,798 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,090 – $84,568 · median $39,960 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,823 – $62,396 · median $29,483 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,973 – $46,191 · median $21,826 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,642 – $23,751 · median $11,223 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,973 – $37,773 · median $17,848 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,653 – $23,795 · median $11,244 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,680 – $28,118 · median $13,286 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,042 – $21,223 · median $10,028 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,787 – $58,035 · median $27,423 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,073 – $38,194 · median $18,047 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,511 – $23,200 · median $10,962 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,364 – $52,048 · median $24,594 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,195 – $30,289 · median $14,312 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,282 – $22,234 · median $10,506 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,370 – $73,121 · median $34,551 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,073 – $33,984 · median $16,058 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,853 – $24,638 · median $11,642 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,515 – $56,892 · median $26,883 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,450 – $35,569 · median $16,807 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,118 – $25,754 · median $12,169 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,732 – $49,385 · median $23,335 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,729 – $28,324 · median $13,383 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,073 – $38,194 · median $18,047 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,810 – $24,458 · median $11,557 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,252 – $38,946 · median $18,402 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,814 – $24,473 · median $11,564 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,407 – $43,810 · median $20,701 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,252 – $26,317 · median $12,435 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,053 – $54,947 · median $25,964 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,882 – $33,179 · median $15,678 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,627 – $23,686 · median $11,192 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,973 – $41,980 · median $19,836 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,268 – $26,385 · median $12,467 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,804 – $45,481 · median $21,490 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,820 – $28,710 · median $13,566 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,245 – $22,077 · median $10,432 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,586 – $86,657 · median $40,947 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,826 – $49,779 · median $23,522 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,023 – $33,775 · median $15,959 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,856 – $193,030 · median $91,210 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,298 – $102,281 · median $48,330 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,578 – $52,947 · median $25,018 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,306 – $144,409 · median $68,236 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,553 – $78,100 · median $36,904 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,244 – $47,331 · median $22,365 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,668 – $95,419 · median $45,087 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,095 – $50,914 · median $24,058 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,101 – $42,520 · median $20,091 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,485 – $56,765 · median $26,823 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,070 – $50,808 · median $24,008 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,984 – $63,074 · median $29,803 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,503 – $56,839 · median $26,857 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $13,546 – $57,022 · median $26,944 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $8,303 – $34,953 · median $16,516 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,067 – $25,539 · median $12,068 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,844 – $62,484 · median $29,525 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,577 – $31,895 · median $15,071 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,669 – $49,119 · median $23,210 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,918 – $33,333 · median $15,750 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,385 – $22,670 · median $10,712 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,291 – $30,690 · median $14,501 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,235 – $17,826 · median $8,423 | 26 plans |
| 602 | CELLULITIS WITH MCC | $9,948 – $41,877 · median $19,788 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,096 – $25,660 · median $12,125 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,304 – $43,374 · median $20,495 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,411 – $26,989 · median $12,753 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,592 – $44,585 · median $21,067 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,344 – $26,706 · median $12,619 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,341 – $64,579 · median $30,515 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,794 – $41,229 · median $19,481 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,410 – $102,753 · median $48,553 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,091 – $55,107 · median $26,039 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,927 – $41,789 · median $19,746 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,210 – $85,074 · median $40,199 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,201 – $47,151 · median $22,280 | 26 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,558 – $44,444 · median $21,000 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,912 – $104,868 · median $49,552 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,556 – $52,855 · median $24,975 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,763 – $36,886 · median $17,429 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,139 – $88,984 · median $42,047 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,495 – $44,178 · median $20,875 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,297 – $39,137 · median $18,493 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,085 – $109,806 · median $51,886 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,250 – $64,196 · median $30,334 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,216 – $43,003 · median $20,320 | 26 plans |
| 637 | DIABETES WITH MCC | $10,056 – $42,331 · median $20,002 | 26 plans |
| 638 | DIABETES WITH CC | $6,273 – $26,406 · median $12,477 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,348 – $18,303 · median $8,649 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,348 – $39,352 · median $18,595 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,447 – $22,929 · median $10,834 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,954 – $41,901 · median $19,799 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,522 – $48,501 · median $22,917 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,174 – $30,201 · median $14,270 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,378 – $22,637 · median $10,696 | 26 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,907 – $138,522 · median $65,454 | 26 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,938 – $109,188 · median $51,593 | 26 plans |
| 652 | KIDNEY TRANSPLANT | $22,605 – $95,154 · median $44,962 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,372 – $153,107 · median $72,346 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,593 – $82,479 · median $38,973 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,815 – $62,364 · median $29,468 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,285 – $93,807 · median $44,326 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,809 – $53,919 · median $25,478 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,862 – $45,722 · median $21,605 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,785 – $74,865 · median $35,375 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,251 – $38,943 · median $18,401 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,247 – $30,507 · median $14,415 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,429 – $90,204 · median $42,623 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,641 – $44,791 · median $21,165 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,328 – $30,846 · median $14,575 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,847 – $91,963 · median $43,454 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $12,244 – $51,541 · median $24,354 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,743 – $32,593 · median $15,401 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,438 – $86,035 · median $40,653 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,863 – $45,728 · median $21,607 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,841 – $28,795 · median $13,606 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,564 – $52,888 · median $24,990 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,556 – $31,806 · median $15,029 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,409 – $123,796 · median $58,496 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,369 – $68,905 · median $32,559 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,489 – $48,362 · median $22,852 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $10,366 – $43,636 · median $20,619 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $6,130 – $25,805 · median $12,193 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,202 – $17,687 · median $8,358 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,625 – $53,144 · median $25,112 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,334 – $30,872 · median $14,588 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,532 – $23,285 · median $11,003 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,121 – $34,187 · median $16,154 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,666 – $23,851 · median $11,270 | 26 plans |
| 693 | URINARY STONES WITH MCC | $9,411 – $39,614 · median $18,719 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,471 – $23,032 · median $10,883 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,006 – $33,701 · median $15,924 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,823 – $20,301 · median $9,592 | 26 plans |
| 697 | URETHRAL STRICTURE | $7,544 – $31,756 · median $15,005 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,580 – $48,745 · median $23,033 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,104 – $29,906 · median $14,131 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,829 – $20,327 · median $9,605 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,001 – $58,937 · median $27,849 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,739 – $45,204 · median $21,360 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,288 – $68,566 · median $32,399 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,808 – $41,285 · median $19,508 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,585 – $61,397 · median $29,011 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,697 – $32,402 · median $15,310 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,523 – $44,296 · median $20,931 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,401 – $31,155 · median $14,721 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,660 – $65,920 · median $31,148 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,296 – $43,342 · median $20,480 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,232 – $55,702 · median $26,320 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,401 – $39,573 · median $18,699 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,667 – $53,321 · median $25,195 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,998 – $33,669 · median $15,909 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,590 – $19,320 · median $9,129 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,191 – $34,479 · median $16,292 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,054 – $21,273 · median $10,052 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,379 – $43,692 · median $20,645 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,678 – $23,901 · median $11,294 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,410 – $31,194 · median $14,740 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,704 – $19,800 · median $9,356 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,909 – $62,758 · median $29,654 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,418 – $39,644 · median $18,732 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,019 – $105,319 · median $49,765 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,423 – $60,714 · median $28,688 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,279 – $43,268 · median $20,445 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,078 – $105,564 · median $49,881 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,666 – $53,318 · median $25,194 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,982 – $42,019 · median $19,855 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,843 – $54,061 · median $25,545 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,684 – $36,556 · median $17,273 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,343 – $60,375 · median $28,528 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,962 – $33,515 · median $15,837 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,159 – $51,182 · median $24,184 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,017 – $25,330 · median $11,969 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,710 – $40,875 · median $19,314 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,972 – $75,652 · median $35,747 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,330 – $43,483 · median $20,547 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,891 – $54,264 · median $25,641 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,614 – $32,051 · median $15,145 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,723 – $28,300 · median $13,372 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,022 – $42,190 · median $19,935 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,852 – $28,845 · median $13,630 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,645 – $19,552 · median $9,239 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,052 – $29,685 · median $14,027 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,993 – $16,809 · median $7,943 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,481 – $21,833 · median $7,551 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,828 – $49,788 · median $23,526 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,018 – $29,544 · median $13,960 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,583 – $19,290 · median $9,115 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $5,889 – $24,788 · median $11,713 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,986 – $50,020 · median $17,184 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,420 – $21,598 · median $10,366 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,704 – $19,514 · median $10,366 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,986 – $33,607 · median $11,546 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,817 – $22,754 · median $10,366 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,711 – $19,535 · median $10,366 | 26 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,405 – $36,718 · median $12,614 | 26 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,556 – $121,093 · median $41,601 | 26 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,556 – $82,698 · median $28,411 | 26 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,405 – $49,900 · median $17,143 | 26 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,556 – $84,951 · median $29,185 | 26 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,405 – $30,070 · median $10,330 | 26 plans |
| 795 | NORMAL NEWBORN | $1,000 – $4,071 · median $1,398 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,481 – $23,776 · median $8,168 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,481 – $20,382 · median $7,145 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,481 – $19,500 · median $6,990 | 26 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,700 – $133,440 · median $63,053 | 26 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,664 – $82,776 · median $39,113 | 26 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,361 – $56,244 · median $26,576 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,886 – $117,388 · median $55,468 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,011 – $54,771 · median $25,880 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,491 – $39,953 · median $18,879 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,481 – $21,988 · median $7,578 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,278 – $15,362 · median $5,907 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,719 – $13,736 · median $5,907 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,454 – $65,054 · median $30,739 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,861 – $37,298 · median $17,624 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,326 – $30,837 · median $14,571 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,829 – $41,376 · median $19,551 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,427 – $27,054 · median $12,783 | 26 plans |
| 813 | COAGULATION DISORDERS | $10,676 – $44,941 · median $21,236 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,886 – $62,661 · median $29,609 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,097 – $29,877 · median $14,117 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,424 – $18,621 · median $8,799 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,970 – $67,225 · median $31,765 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,114 – $34,155 · median $16,139 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,019 – $25,336 · median $11,972 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,050 – $172,800 · median $81,651 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,669 – $65,958 · median $31,166 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,427 – $35,475 · median $16,762 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,091 – $135,087 · median $63,831 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,858 – $66,754 · median $31,542 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,445 – $39,759 · median $18,787 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,742 – $137,827 · median $65,126 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,177 – $68,097 · median $32,177 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,926 – $50,201 · median $23,721 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,118 – $93,106 · median $43,994 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,534 – $44,343 · median $20,953 | 26 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,417 – $35,430 · median $16,742 | 26 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,051 – $21,261 · median $10,046 | 26 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,660 – $15,407 · median $7,280 | 26 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $38,426 – $161,754 · median $76,432 | 26 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,599 – $61,456 · median $29,039 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,536 – $35,931 · median $16,978 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,627 – $141,554 · median $66,887 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,611 – $61,503 · median $29,061 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,106 – $42,543 · median $20,102 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,642 – $95,313 · median $45,037 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,419 – $48,068 · median $22,713 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,072 – $29,770 · median $14,067 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,962 – $58,775 · median $27,772 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,521 – $35,869 · median $16,949 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,961 – $25,092 · median $11,856 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,146 – $76,385 · median $36,093 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,157 – $38,545 · median $18,213 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,945 – $25,027 · median $11,826 | 26 plans |
| 849 | RADIOTHERAPY | $18,965 – $79,833 · median $37,722 | 26 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $60,612 – $255,144 · median $120,560 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,567 – $145,511 · median $68,757 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,986 – $58,872 · median $27,818 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,480 – $44,114 · median $20,844 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,838 – $134,023 · median $63,328 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,989 – $63,097 · median $29,815 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,749 – $41,040 · median $19,392 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,765 – $53,734 · median $25,390 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,985 – $29,402 · median $13,893 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,213 – $26,155 · median $12,359 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,487 – $44,146 · median $20,860 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,087 – $25,622 · median $12,107 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,651 – $61,674 · median $29,142 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,217 – $30,380 · median $14,355 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,107 – $21,500 · median $10,159 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,379 – $203,649 · median $96,228 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,596 – $57,234 · median $27,044 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,163 – $30,151 · median $14,247 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,284 – $113,875 · median $52,186 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,284 – $28,291 · median $12,965 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $2,284 – $27,723 · median $12,705 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,284 – $31,638 · median $14,499 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,284 – $57,935 · median $26,550 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,284 – $47,405 · median $21,724 | 26 plans |
| 885 | PSYCHOSES | $2,284 – $41,155 · median $18,860 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,284 – $61,147 · median $28,022 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,284 – $31,553 · median $14,460 | 26 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,284 – $18,176 · median $8,330 | 26 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,284 – $41,709 · median $19,114 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,374 – $123,649 · median $58,426 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,400 – $56,409 · median $26,654 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,187 – $34,461 · median $16,283 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,710 – $108,224 · median $51,138 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,383 – $43,707 · median $20,652 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,749 – $57,876 · median $27,348 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,873 – $113,121 · median $53,452 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,965 – $58,787 · median $27,778 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,188 – $38,677 · median $18,276 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,441 – $48,162 · median $22,757 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,198 – $26,090 · median $12,328 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,770 – $49,547 · median $23,412 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,664 – $19,632 · median $9,276 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,978 – $46,211 · median $21,836 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,999 – $25,254 · median $11,933 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,815 – $53,943 · median $25,489 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,016 – $29,532 · median $13,954 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,818 – $20,283 · median $9,584 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,245 – $51,544 · median $24,356 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,123 – $29,986 · median $14,169 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $149,441 – $629,071 · median $297,248 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,205 – $211,336 · median $99,860 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,544 – $94,898 · median $44,841 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,257 – $114,739 · median $54,216 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,473 – $65,133 · median $30,777 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $14,419 – $60,696 · median $28,680 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,397 – $106,910 · median $50,517 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,357 – $68,854 · median $32,535 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,193 – $59,744 · median $28,230 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,364 – $31,551 · median $10,839 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,364 – $23,365 · median $8,027 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,885 – $37,402 · median $17,673 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,603 – $23,586 · median $11,145 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,327 – $35,053 · median $16,563 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,394 – $18,495 · median $8,739 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,892 – $16,382 · median $7,741 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,114 – $198,325 · median $93,712 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,339 – $110,873 · median $52,390 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,335 – $224,513 · median $106,086 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,495 – $124,158 · median $58,667 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,607 – $86,745 · median $40,989 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,135 – $80,549 · median $38,061 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,727 – $45,157 · median $21,337 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,583 – $27,711 · median $13,094 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,846 – $180,358 · median $85,222 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,460 – $77,708 · median $36,719 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,200 – $85,033 · median $40,180 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,064 – $38,156 · median $18,029 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,318 – $26,597 · median $12,568 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,083 – $38,235 · median $18,067 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,840 – $138,239 · median $65,321 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,208 – $72,437 · median $34,228 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,997 – $50,501 · median $23,863 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,997 – $101,014 · median $47,731 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,504 – $48,427 · median $22,883 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,394 – $35,333 · median $16,696 | 26 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,284 – $51,418 · median $17,864 | 24 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,284 – $26,011 · median $9,037 | 24 plans |
No procedures match that keyword.