Mercy Health System Corp — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764 procedures
Procedures with negotiated rates only
These 764 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 |
|---|---|---|---|
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $117,209 – $325,842 · median $117,209 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $204,008 – $567,141 · median $204,008 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $140,696 – $391,134 · median $140,696 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $49,426 – $137,406 · median $49,426 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $38,415 – $106,795 · median $38,415 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $25,799 – $71,722 · median $25,799 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $352,453 – $979,819 · median $352,453 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $76,559 – $212,835 · median $76,559 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $80,948 – $225,036 · median $80,948 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $58,847 – $163,595 · median $58,847 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,629 – $104,609 · median $37,629 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $54,328 – $151,031 · median $54,328 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,349 – $101,049 · median $36,349 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,347 – $117,724 · median $42,347 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $28,357 – $78,831 · median $28,357 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,382 – $65,001 · median $23,382 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $57,745 – $160,530 · median $57,745 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $32,900 – $91,462 · median $32,900 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,293 – $61,973 · median $22,293 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $39,484 – $109,764 · median $39,484 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,713 – $57,581 · median $20,713 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,636 – $43,467 · median $15,636 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $37,426 – $104,043 · median $37,426 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,106 – $61,455 · median $22,106 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,408 – $48,393 · median $17,408 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $32,397 – $90,064 · median $32,397 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,416 – $42,855 · median $15,416 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,027 – $30,655 · median $11,027 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $36,939 – $102,690 · median $36,939 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $21,448 – $59,626 · median $21,448 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,753 – $46,575 · median $16,753 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,711 – $52,017 · median $18,711 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,524 – $26,476 · median $9,524 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,207 – $39,495 · median $14,207 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,379 – $28,852 · median $10,379 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,010 – $63,967 · median $23,010 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,152 – $36,562 · median $13,152 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,640 – $46,258 · median $16,640 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,469 – $31,883 · median $11,469 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,697 – $24,179 · median $8,697 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $26,919 – $74,836 · median $26,919 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,015 – $50,081 · median $18,015 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,334 – $39,848 · median $14,334 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $19,271 – $53,572 · median $19,271 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,835 – $27,342 · median $9,835 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,690 – $18,598 · median $6,690 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,665 – $37,990 · median $13,665 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,445 – $23,477 · median $8,445 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,753 – $21,555 · median $7,753 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,229 – $47,896 · median $17,229 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,270 – $28,549 · median $10,270 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,603 – $21,137 · median $7,603 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,585 – $40,545 · median $14,585 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,929 – $27,603 · median $9,929 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,418 – $51,201 · median $18,418 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,937 – $24,846 · median $8,937 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,564 – $40,489 · median $14,564 | 21 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,840 – $27,356 · median $9,840 | 21 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,200 – $20,015 · median $7,200 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,238 – $59,041 · median $21,238 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,813 – $24,500 · median $8,813 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,903 – $60,891 · median $21,903 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,087 – $36,382 · median $13,087 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,911 – $24,772 · median $8,911 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,851 – $60,745 · median $21,851 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,711 – $35,337 · median $12,711 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,590 – $23,881 · median $8,590 | 21 plans |
| 088 | CONCUSSION WITH MCC | $14,783 – $41,098 · median $14,783 | 21 plans |
| 089 | CONCUSSION WITH CC | $11,112 – $30,892 · median $11,112 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,055 – $25,173 · median $9,055 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,226 – $47,888 · median $17,226 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,928 – $27,600 · median $9,928 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,521 – $20,909 · median $7,521 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $34,760 – $96,633 · median $34,760 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,916 – $63,707 · median $22,916 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,960 – $58,270 · median $20,960 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,896 – $97,011 · median $34,896 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,719 – $57,600 · median $20,719 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,741 – $35,419 · median $12,741 | 21 plans |
| 100 | SEIZURES WITH MCC | $19,074 – $53,027 · median $19,074 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $8,814 – $24,503 · median $8,814 | 21 plans |
| 102 | HEADACHES WITH MCC | $11,654 – $32,399 · median $11,654 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $8,171 – $22,716 · median $8,171 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,093 – $66,979 · median $24,093 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,895 – $33,069 · median $11,895 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,076 – $41,911 · median $15,076 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,624 – $48,994 · median $17,624 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,576 – $32,181 · median $11,576 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,368 – $34,382 · median $12,368 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,235 – $20,114 · median $7,235 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,804 – $21,696 · median $7,804 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,757 – $35,464 · median $12,757 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,742 – $21,523 · median $7,742 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,478 – $70,829 · median $25,478 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,102 – $28,084 · median $10,102 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,505 – $40,324 · median $14,505 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,394 – $23,336 · median $8,394 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,474 – $31,897 · median $11,474 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $36,246 – $100,765 · median $36,246 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,928 – $55,399 · median $19,928 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,891 – $41,396 · median $14,891 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,919 – $88,735 · median $31,919 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,665 – $46,327 · median $16,665 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,793 – $32,785 · median $11,793 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,303 – $56,443 · median $20,303 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,934 – $33,175 · median $11,934 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,624 – $23,974 · median $8,624 | 21 plans |
| 149 | DYSEQUILIBRIUM | $7,237 – $20,119 · median $7,237 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $12,686 – $35,268 · median $12,686 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,486 – $20,810 · median $7,486 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,478 – $31,910 · median $11,478 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,142 – $19,856 · median $7,142 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,826 – $41,215 · median $14,826 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,168 – $25,487 · median $9,168 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,384 – $17,748 · median $6,384 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,440 – $45,703 · median $16,440 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,090 – $25,271 · median $9,090 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,572 – $18,271 · median $6,572 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $45,193 – $125,636 · median $45,193 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $24,505 – $68,125 · median $24,505 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,060 – $50,206 · median $18,060 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $38,921 – $108,201 · median $38,921 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,519 – $48,702 · median $17,519 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,080 – $36,363 · median $13,080 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,522 – $82,072 · median $29,522 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,533 – $37,621 · median $13,533 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,915 – $22,004 · median $7,915 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,338 – $45,421 · median $16,338 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,551 – $26,553 · median $9,551 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,415 – $20,614 · median $7,415 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,738 – $46,532 · median $16,738 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,645 – $29,594 · median $10,645 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,754 – $21,557 · median $7,754 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,173 – $42,180 · median $15,173 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,175 – $28,286 · median $10,175 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,342 – $20,411 · median $7,342 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,958 – $41,584 · median $14,958 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,643 – $26,808 · median $9,643 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,254 – $20,167 · median $7,254 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,897 – $33,074 · median $11,897 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,654 – $29,618 · median $10,654 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,235 – $22,892 · median $8,235 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,253 – $17,383 · median $6,253 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,802 – $35,589 · median $12,802 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,978 – $22,179 · median $7,978 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,098 – $16,953 · median $6,098 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $18,242 – $50,711 · median $18,242 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,655 – $26,840 · median $9,655 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,557 – $21,010 · median $7,557 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,082 – $47,487 · median $17,082 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,415 – $28,954 · median $10,415 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,868 – $19,093 · median $6,868 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,272 – $25,776 · median $9,272 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,761 – $18,795 · median $6,761 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,985 – $22,198 · median $7,985 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,428 – $48,449 · median $17,428 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,851 – $24,607 · median $8,851 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $66,179 – $183,976 · median $66,179 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,973 – $72,204 · median $25,973 | 21 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $103,119 – $286,670 · median $103,119 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $97,802 – $271,891 · median $97,802 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $92,930 – $258,345 · median $92,930 | 21 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $60,989 – $169,548 · median $60,989 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $54,594 – $151,773 · median $54,594 | 21 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $73,860 – $205,330 · median $73,860 | 21 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $50,271 – $139,753 · median $50,271 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,571 – $123,908 · median $44,571 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $48,302 – $134,279 · median $48,302 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,523 – $84,853 · median $30,523 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $77,723 – $216,071 · median $77,723 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $57,003 – $158,470 · median $57,003 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $74,705 – $207,680 · median $74,705 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $49,824 – $138,512 · median $49,824 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,353 – $156,662 · median $56,353 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $38,762 – $107,760 · median $38,762 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $46,084 – $128,114 · median $46,084 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,980 – $75,006 · median $26,980 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,446 – $37,381 · median $13,446 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $33,157 – $92,178 · median $33,157 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,897 – $60,873 · median $21,897 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,611 – $48,959 · median $17,611 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,450 – $120,792 · median $43,450 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $22,597 – $62,819 · median $22,597 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,291 – $42,510 · median $15,291 | 21 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,189 – $89,484 · median $32,189 | 21 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $24,512 – $68,144 · median $24,512 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,709 – $46,450 · median $16,709 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,389 – $73,363 · median $26,389 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,796 – $43,913 · median $15,796 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,593 – $26,667 · median $9,593 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,018 – $72,331 · median $26,018 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,966 – $49,946 · median $17,966 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,820 – $88,458 · median $31,820 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,111 – $50,350 · median $18,111 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,850 – $44,062 · median $15,850 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $27,133 – $75,431 · median $27,133 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,349 – $87,150 · median $31,349 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $33,913 – $94,278 · median $33,913 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $59,849 – $166,379 · median $59,849 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $46,786 – $130,065 · median $46,786 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $65,669 – $182,559 · median $65,669 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,885 – $110,881 · median $39,885 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $48,476 – $134,763 · median $48,476 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $33,168 – $92,207 · median $33,168 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,445 – $65,177 · median $23,445 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $37,383 – $103,926 · median $37,383 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,108 – $86,480 · median $31,108 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $67,401 – $187,374 · median $67,401 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $59,505 – $165,425 · median $59,505 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $45,851 – $127,465 · median $45,851 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $42,771 – $118,904 · median $42,771 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $30,724 – $85,411 · median $30,724 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,287 – $42,499 · median $15,287 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,847 – $24,593 · median $8,847 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,983 – $19,412 · median $6,983 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,968 – $52,732 · median $18,968 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,189 – $19,986 · median $7,189 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,789 – $13,313 · median $4,789 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,730 – $57,629 · median $20,730 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,459 – $29,076 · median $10,459 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,913 – $69,258 · median $24,913 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,247 – $39,606 · median $14,247 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,492 – $29,169 · median $10,492 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,394 – $34,454 · median $12,394 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,306 – $23,091 · median $8,306 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,485 – $15,248 · median $5,485 | 21 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,575 – $29,397 · median $10,575 | 21 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,738 – $21,512 · median $7,738 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,447 – $42,943 · median $15,447 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,083 – $19,691 · median $7,083 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,320 – $12,010 · median $4,320 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,189 – $42,225 · median $15,189 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,319 – $28,688 · median $10,319 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,903 – $19,191 · median $6,903 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,837 – $30,126 · median $10,837 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,409 – $17,817 · median $6,409 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $11,103 – $30,868 · median $11,103 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,321 – $20,353 · median $7,321 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,812 – $41,178 · median $14,812 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,130 – $25,380 · median $9,130 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,612 – $32,282 · median $11,612 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,237 – $20,119 · median $7,237 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,404 – $15,022 · median $5,404 | 21 plans |
| 311 | ANGINA PECTORIS | $6,791 – $18,880 · median $6,791 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,373 – $23,277 · median $8,373 | 21 plans |
| 313 | CHEST PAIN | $7,035 – $19,558 · median $7,035 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,136 – $55,978 · median $20,136 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,366 – $26,037 · median $9,366 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,740 – $18,737 · median $6,740 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,829 – $116,286 · median $41,829 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,403 – $59,501 · median $21,403 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $27,607 – $76,747 · median $27,607 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,553 – $48,797 · median $17,553 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $39,707 – $110,386 · median $39,707 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,505 – $79,244 · median $28,505 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,403 – $70,622 · median $25,403 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $48,687 – $135,351 · median $48,687 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,999 – $66,716 · median $23,999 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,391 – $42,786 · median $15,391 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,311 – $120,404 · median $43,311 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,800 – $63,385 · median $22,800 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,105 – $44,772 · median $16,105 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $35,062 – $97,473 · median $35,062 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $20,002 – $55,606 · median $20,002 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,465 – $42,994 · median $15,465 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,304 – $95,365 · median $34,304 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $20,249 – $56,292 · median $20,249 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,426 – $40,104 · median $14,426 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,323 – $73,177 · median $26,323 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,848 – $41,279 · median $14,848 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,431 – $34,558 · median $12,431 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,493 – $68,091 · median $24,493 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,561 – $34,919 · median $12,561 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,447 – $26,263 · median $9,447 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,067 – $64,127 · median $23,067 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,036 – $39,019 · median $14,036 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,721 – $29,804 · median $10,721 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $28,081 – $78,066 · median $28,081 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,543 – $45,990 · median $16,543 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,146 – $36,546 · median $13,146 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $41,034 – $114,074 · median $41,034 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,124 – $58,724 · median $21,124 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,367 – $34,380 · median $12,367 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,914 – $44,240 · median $15,914 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,567 – $26,595 · median $9,567 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,227 – $20,092 · median $7,227 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,829 – $46,785 · median $16,829 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,083 – $28,031 · median $10,083 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,967 – $19,369 · median $6,967 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,189 – $56,124 · median $20,189 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,575 – $32,178 · median $11,575 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,640 – $24,019 · median $8,640 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,236 – $47,917 · median $17,236 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,524 – $26,476 · median $9,524 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,171 – $17,155 · median $6,171 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,749 – $52,123 · median $18,749 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,377 – $28,847 · median $10,377 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,356 – $20,449 · median $7,356 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,487 – $37,493 · median $13,487 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,490 – $23,602 · median $8,490 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,100 – $41,978 · median $15,100 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,407 – $26,151 · median $9,407 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,658 – $18,508 · median $6,658 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,016 – $38,963 · median $14,016 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,731 – $21,493 · median $7,731 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,461 – $15,182 · median $5,461 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,315 – $34,236 · median $12,315 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,628 – $21,206 · median $7,628 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,604 – $43,379 · median $15,604 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,075 – $25,229 · median $9,075 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,308 – $17,535 · median $6,308 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $21,600 – $60,048 · median $21,600 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,587 – $40,553 · median $14,587 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,760 – $29,913 · median $10,760 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $52,763 – $146,681 · median $52,763 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,728 – $77,085 · median $27,728 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,686 – $57,507 · median $20,686 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $35,712 – $99,279 · median $35,712 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,834 – $52,357 · median $18,834 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,084 – $41,933 · median $15,084 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $29,192 – $81,152 · median $29,192 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,874 – $55,250 · median $19,874 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,552 – $40,455 · median $14,552 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $33,828 – $94,041 · median $33,828 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,010 – $52,849 · median $19,010 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,922 – $35,924 · median $12,922 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,281 – $61,941 · median $22,281 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,748 – $43,780 · median $15,748 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,674 – $35,233 · median $12,674 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $30,725 – $85,417 · median $30,725 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,465 – $45,772 · median $16,465 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,609 – $37,833 · median $13,609 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $37,516 – $104,295 · median $37,516 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,501 – $56,994 · median $20,501 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,435 – $42,908 · median $15,435 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,439 – $51,259 · median $18,439 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,975 – $27,731 · median $9,975 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,518 – $18,120 · median $6,518 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,946 – $47,109 · median $16,946 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,642 – $29,584 · median $10,642 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,063 – $22,416 · median $8,063 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,074 – $44,687 · median $16,074 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,294 – $23,057 · median $8,294 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,002 – $16,687 · median $6,002 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,599 – $48,925 · median $17,599 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,215 – $25,617 · median $9,215 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,950 – $19,321 · median $6,950 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,734 – $43,741 · median $15,734 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,509 – $29,214 · median $10,509 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,780 – $21,629 · median $7,780 | 21 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $84,859 – $235,909 · median $84,859 | 21 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $58,607 – $162,928 · median $58,607 | 21 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $44,160 – $122,765 · median $44,160 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $80,728 – $224,424 · median $80,728 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $58,215 – $161,838 · median $58,215 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,447 – $120,781 · median $43,447 | 21 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $63,542 – $176,647 · median $63,542 | 21 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,097 – $97,569 · median $35,097 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $65,323 – $181,597 · median $65,323 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $27,335 – $75,992 · median $27,335 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $54,279 – $150,895 · median $54,279 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,819 – $80,116 · median $28,819 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,006 – $50,057 · median $18,006 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $49,716 – $138,211 · median $49,716 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $33,456 – $93,007 · median $33,456 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,645 – $71,294 · median $25,645 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $31,959 – $88,846 · median $31,959 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $18,111 – $50,347 · median $18,111 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $47,157 – $131,097 · median $47,157 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,379 – $78,893 · median $28,379 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $23,647 – $65,738 · median $23,647 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,264 – $114,714 · median $41,264 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,626 – $57,339 · median $20,626 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,370 – $31,609 · median $11,370 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $32,334 – $89,889 · median $32,334 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,911 – $63,693 · median $22,911 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,941 – $49,877 · median $17,941 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $28,316 – $78,720 · median $28,316 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,958 – $55,484 · median $19,958 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,306 – $42,550 · median $15,306 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,872 – $66,365 · median $23,872 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,617 – $87,895 · median $31,617 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,321 – $53,713 · median $19,321 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,890 – $41,393 · median $14,890 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,261 – $56,326 · median $20,261 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,952 – $33,226 · median $11,952 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $33,224 – $92,364 · median $33,224 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,083 – $64,172 · median $23,083 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,991 – $50,015 · median $17,991 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,363 – $95,530 · median $34,363 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,122 – $53,160 · median $19,122 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,766 – $38,269 · median $13,766 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,085 – $69,736 · median $25,085 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,450 – $34,611 · median $12,450 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,127 – $86,533 · median $31,127 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,714 – $46,466 · median $16,714 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,338 – $37,081 · median $13,338 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,763 – $71,621 · median $25,763 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,632 – $46,237 · median $16,632 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,427 – $45,668 · median $16,427 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,103 – $39,205 · median $14,103 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,501 – $56,994 · median $20,501 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,829 – $38,445 · median $13,829 | 21 plans |
| 509 | ARTHROSCOPY | $13,180 – $36,640 · median $13,180 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $26,133 – $72,650 · median $26,133 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,183 – $53,328 · median $19,183 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,549 – $43,225 · median $15,549 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,617 – $43,416 · median $15,617 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,075 – $28,010 · median $10,075 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $30,350 – $84,372 · median $30,350 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,632 – $54,577 · median $19,632 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,407 – $40,050 · median $14,407 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,039 – $97,407 · median $35,039 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,942 – $52,658 · median $18,942 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,805 – $38,378 · median $13,805 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $28,750 – $79,924 · median $28,750 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,315 – $56,475 · median $20,315 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,717 – $43,693 · median $15,717 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,862 – $21,855 · median $7,862 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,516 – $34,794 · median $12,516 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,643 – $21,246 · median $7,643 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,363 – $26,029 · median $9,363 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,897 – $19,173 · median $6,897 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,093 – $53,078 · median $19,093 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,530 – $34,834 · median $12,530 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,320 – $23,129 · median $8,320 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,556 – $48,805 · median $17,556 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,546 – $29,318 · median $10,546 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,455 – $20,725 · median $7,455 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,958 – $66,605 · median $23,958 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,585 – $32,205 · median $11,585 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,989 – $22,209 · median $7,989 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,762 – $52,158 · median $18,762 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,651 – $32,388 · median $11,651 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,138 – $25,404 · median $9,138 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,391 – $45,567 · median $16,391 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,356 – $26,010 · median $9,356 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,040 – $36,251 · median $13,040 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,974 – $22,169 · median $7,974 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,494 – $37,514 · median $13,494 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,999 – $22,238 · median $7,999 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,003 – $41,709 · median $15,003 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,516 – $23,674 · median $8,516 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,812 – $49,518 · median $17,812 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,942 – $30,418 · median $10,942 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,577 – $21,063 · median $7,577 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,658 – $40,750 · median $14,658 | 21 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,680 – $24,131 · median $8,680 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,052 – $41,845 · median $15,052 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,673 – $26,890 · median $9,673 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,293 – $20,273 · median $7,293 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,061 – $78,010 · median $28,061 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,295 – $45,301 · median $16,295 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,014 – $30,618 · median $11,014 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,581 – $165,635 · median $59,581 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,686 – $90,867 · median $32,686 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,682 – $54,715 · median $19,682 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,464 – $151,411 · median $54,464 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,449 – $70,749 · median $25,449 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,517 – $43,137 · median $15,517 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $32,078 – $89,176 · median $32,078 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,819 – $46,755 · median $16,819 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,994 – $36,124 · median $12,994 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,768 – $46,615 · median $16,768 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,670 – $40,782 · median $14,670 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,846 – $52,392 · median $18,846 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,220 – $45,091 · median $16,220 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $20,104 – $55,888 · median $20,104 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $11,686 – $32,487 · median $11,686 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,645 – $21,254 · median $7,645 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,915 – $58,145 · median $20,915 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,765 – $27,146 · median $9,765 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,421 – $42,871 · median $15,421 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,580 – $32,192 · median $11,580 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,549 – $18,207 · median $6,549 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,922 – $27,584 · median $9,922 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,174 – $17,163 · median $6,174 | 21 plans |
| 602 | CELLULITIS WITH MCC | $14,341 – $39,867 · median $14,341 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,576 – $23,841 · median $8,576 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,519 – $40,364 · median $14,519 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,806 – $24,482 · median $8,806 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,281 – $42,480 · median $15,281 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,660 – $24,075 · median $8,660 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,656 – $60,203 · median $21,656 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,184 – $39,431 · median $14,184 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,964 – $105,540 · median $37,964 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,094 – $53,080 · median $19,094 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,223 – $31,200 · median $11,223 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,004 – $69,510 · median $25,004 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,629 – $43,448 · median $15,629 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,626 – $40,659 · median $14,626 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,701 – $102,028 · median $36,701 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,916 – $49,808 · median $17,916 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,774 – $29,950 · median $10,774 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $28,052 – $77,983 · median $28,052 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,383 – $39,984 · median $14,383 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,936 – $33,181 · median $11,936 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $38,507 – $107,050 · median $38,507 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,755 – $60,479 · median $21,755 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,469 – $37,442 · median $13,469 | 21 plans |
| 637 | DIABETES WITH MCC | $13,975 – $38,851 · median $13,975 | 21 plans |
| 638 | DIABETES WITH CC | $8,717 – $24,232 · median $8,717 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,068 – $16,870 · median $6,068 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,693 – $35,286 · median $12,693 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,588 – $21,095 · median $7,588 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,579 – $34,970 · median $12,579 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,848 – $44,057 · median $15,848 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,269 – $28,547 · median $10,269 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,392 – $20,550 · median $7,392 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,126 – $119,891 · median $43,126 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $33,189 – $92,265 · median $33,189 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $51,887 – $144,246 · median $51,887 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,295 – $73,099 · median $26,295 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,273 – $56,358 · median $20,273 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,121 – $83,737 · median $30,121 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,752 – $49,350 · median $17,752 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,273 – $39,678 · median $14,273 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $24,874 – $69,149 · median $24,874 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,987 – $36,102 · median $12,987 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,141 – $28,193 · median $10,141 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,774 – $79,991 · median $28,774 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,068 – $39,109 · median $14,068 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,268 – $28,544 · median $10,268 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,657 – $82,447 · median $29,657 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $16,539 – $45,979 · median $16,539 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,153 – $28,225 · median $10,153 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,065 – $75,240 · median $27,065 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,791 – $41,119 · median $14,791 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,321 – $25,912 · median $9,321 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,487 – $45,833 · median $16,487 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,081 – $25,245 · median $9,081 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $35,480 – $98,635 · median $35,480 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,897 – $63,654 · median $22,897 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,287 – $42,499 · median $15,287 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $14,468 – $40,221 · median $14,468 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $8,730 – $24,269 · median $8,730 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,935 – $16,498 · median $5,935 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,706 – $49,223 · median $17,706 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,112 – $28,111 · median $10,112 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,583 – $21,081 · median $7,583 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,346 – $31,543 · median $11,346 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,832 – $21,773 · median $7,832 | 21 plans |
| 693 | URINARY STONES WITH MCC | $13,660 – $37,974 · median $13,660 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,600 – $21,129 · median $7,600 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,553 – $32,117 · median $11,553 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,734 – $18,721 · median $6,734 | 21 plans |
| 697 | URETHRAL STRICTURE | $10,760 – $29,913 · median $10,760 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,937 – $44,304 · median $15,937 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,877 – $27,459 · median $9,877 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,889 – $19,151 · median $6,889 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,878 – $52,479 · median $18,878 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,063 – $39,096 · median $14,063 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,875 – $58,033 · median $20,875 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,522 – $34,810 · median $12,522 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,417 – $56,760 · median $20,417 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,480 – $31,915 · median $11,480 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,989 – $38,889 · median $13,989 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,282 – $25,803 · median $9,282 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,226 – $59,009 · median $21,226 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,716 – $38,131 · median $13,716 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,460 – $48,539 · median $17,460 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,360 – $31,580 · median $11,360 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,045 – $50,164 · median $18,045 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,772 – $29,945 · median $10,772 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,857 – $21,842 · median $7,857 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,982 – $33,311 · median $11,982 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,105 – $19,752 · median $7,105 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,617 – $43,416 · median $15,617 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,767 – $21,592 · median $7,767 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,716 – $27,010 · median $9,716 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,060 – $16,846 · median $6,060 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,902 – $58,108 · median $20,902 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,167 – $33,824 · median $12,167 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,290 – $103,665 · median $37,290 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,991 – $52,796 · median $18,991 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,165 – $36,600 · median $13,165 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,699 – $96,463 · median $34,699 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,205 – $47,830 · median $17,205 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,541 – $34,864 · median $12,541 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,156 – $47,694 · median $17,156 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,228 – $31,213 · median $11,228 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,117 – $50,366 · median $18,117 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,022 – $27,861 · median $10,022 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,144 – $44,881 · median $16,144 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,600 – $23,907 · median $8,600 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,551 – $37,671 · median $13,551 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,188 – $67,243 · median $24,188 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,121 – $36,477 · median $13,121 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,831 – $49,571 · median $17,831 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,489 – $29,158 · median $10,489 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,580 – $26,633 · median $9,580 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,380 – $39,976 · median $14,380 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,608 – $26,710 · median $9,608 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,295 – $17,500 · median $6,295 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,635 – $26,784 · median $9,635 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,907 – $16,421 · median $5,907 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,639 – $32,705 · median $11,764 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,880 – $41,367 · median $14,880 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,753 – $21,555 · median $7,753 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,969 – $19,375 · median $6,969 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $9,575 – $26,619 · median $9,575 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,096 – $47,425 · median $17,060 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,909 – $27,547 · median $9,909 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,400 – $23,352 · median $8,400 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,096 – $46,833 · median $16,846 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,167 – $28,265 · median $10,167 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,292 – $23,051 · median $8,292 | 21 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,600 – $48,691 · median $17,515 | 21 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,194 – $159,839 · median $57,496 | 21 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,400 – $109,262 · median $39,303 | 21 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,600 – $66,054 · median $23,761 | 21 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,400 – $112,229 · median $40,370 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,600 – $39,931 · median $14,364 | 21 plans |
| 795 | NORMAL NEWBORN | $1,101 – $5,683 · median $2,044 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,639 – $38,030 · median $13,680 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,639 – $26,797 · median $9,639 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,639 – $22,522 · median $8,102 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $47,498 – $132,043 · median $47,498 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,062 – $75,232 · median $27,062 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,231 – $47,901 · median $17,231 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,925 – $91,532 · median $32,925 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,886 – $49,722 · median $17,886 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,691 – $32,500 · median $11,691 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,639 – $27,124 · median $9,757 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,256 – $20,172 · median $7,256 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,373 – $17,716 · median $6,373 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,060 – $58,546 · median $21,060 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,633 – $32,341 · median $11,633 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,722 – $27,026 · median $9,722 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,538 – $37,637 · median $13,538 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,729 – $24,266 · median $8,729 | 21 plans |
| 813 | COAGULATION DISORDERS | $15,034 – $41,795 · median $15,034 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,467 – $56,898 · median $20,467 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,623 – $26,752 · median $9,623 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,907 – $19,202 · median $6,907 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $27,053 – $75,208 · median $27,053 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,801 – $38,368 · median $13,801 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,791 – $24,439 · median $8,791 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $57,942 – $161,078 · median $57,942 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,462 – $59,663 · median $21,462 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,962 – $33,255 · median $11,962 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,168 – $120,008 · median $43,168 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,469 – $59,684 · median $21,469 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,465 – $34,654 · median $12,465 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,371 – $123,352 · median $44,371 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $22,275 – $61,925 · median $22,275 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,803 – $43,932 · median $15,803 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,276 – $84,167 · median $30,276 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,237 – $42,358 · median $15,237 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,399 – $28,908 · median $10,399 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,170 – $19,933 · median $7,170 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,010 – $13,927 · median $5,010 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $53,660 – $149,175 · median $53,660 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $21,494 – $59,753 · median $21,494 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,618 – $37,857 · median $13,618 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $46,440 – $129,103 · median $46,440 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,258 – $53,538 · median $19,258 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,577 – $34,965 · median $12,577 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $30,002 – $83,407 · median $30,002 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,163 – $42,153 · median $15,163 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,314 – $28,672 · median $10,314 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,909 – $49,786 · median $17,909 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,182 – $31,086 · median $11,182 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,387 – $23,315 · median $8,387 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,488 – $65,296 · median $23,488 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,712 – $32,559 · median $11,712 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,112 – $22,552 · median $8,112 | 21 plans |
| 849 | RADIOTHERAPY | $25,854 – $71,874 · median $25,854 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $47,925 – $133,232 · median $47,925 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $19,607 – $54,508 · median $19,607 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,390 – $45,564 · median $16,390 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $42,465 – $118,054 · median $42,465 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,540 – $57,100 · median $20,540 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,389 – $34,441 · median $12,389 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,731 – $49,292 · median $17,731 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,731 – $27,053 · median $9,731 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,558 – $23,791 · median $8,558 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,798 – $43,919 · median $15,798 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,891 – $24,718 · median $8,891 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,125 – $55,946 · median $20,125 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,496 – $29,179 · median $10,496 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,721 – $18,683 · median $6,721 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $66,723 – $185,489 · median $66,723 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,075 – $53,030 · median $19,075 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,965 – $27,701 · median $9,965 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,801 – $99,526 · median $35,801 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,244 – $25,699 · median $9,244 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $8,784 – $24,421 · median $8,784 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,098 – $25,293 · median $9,098 | 21 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,050 – $50,180 · median $18,050 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $16,917 – $47,029 · median $16,917 | 21 plans |
| 885 | PSYCHOSES | $13,183 – $36,647 · median $13,183 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,198 – $45,030 · median $16,198 | 21 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,505 – $34,765 · median $12,505 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,609 – $15,594 · median $5,609 | 21 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,501 – $43,092 · median $15,501 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,120 – $47,593 · median $17,120 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,298 – $23,067 · median $8,298 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $41,503 – $115,379 · median $41,503 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,139 – $50,427 · median $18,139 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,988 – $33,327 · median $11,988 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,255 – $86,890 · median $31,255 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,261 – $42,425 · median $15,261 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,110 – $50,345 · median $18,110 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,686 – $99,207 · median $35,686 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,281 – $53,601 · median $19,281 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,086 – $36,379 · median $13,086 | 21 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,408 – $40,053 · median $14,408 | 21 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,796 – $24,453 · median $8,796 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,081 – $47,484 · median $17,081 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,416 – $17,835 · median $6,416 | 21 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,377 – $42,749 · median $15,377 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,348 – $23,208 · median $8,348 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,565 – $48,832 · median $17,565 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,002 – $27,805 · median $10,002 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,789 – $18,872 · median $6,789 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,802 – $46,710 · median $16,802 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,788 – $27,209 · median $9,788 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $252,191 – $701,092 · median $252,191 | 21 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,290 – $184,287 · median $66,290 | 21 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $30,866 – $85,808 · median $30,866 | 21 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,111 – $80,929 · median $29,111 | 21 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,126 – $55,952 · median $20,126 | 21 plans |
| 935 | NON-EXTENSIVE BURNS | $19,635 – $54,585 · median $19,635 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,864 – $85,802 · median $30,864 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,835 – $57,922 · median $20,835 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,865 – $49,664 · median $17,865 | 21 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,551 – $40,452 · median $14,551 | 21 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,800 – $27,244 · median $9,800 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,085 – $33,595 · median $12,085 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,775 – $21,616 · median $7,775 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,375 – $28,842 · median $10,375 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,222 – $17,298 · median $6,222 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,758 – $16,006 · median $5,758 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $58,358 – $162,234 · median $58,358 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $37,204 – $103,426 · median $37,204 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $69,282 – $192,603 · median $69,282 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $38,797 – $107,855 · median $38,797 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,333 – $67,647 · median $24,333 | 21 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,264 – $73,014 · median $26,264 | 21 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,470 – $40,226 · median $14,470 | 21 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,257 – $25,734 · median $9,257 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $65,840 – $183,035 · median $65,840 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,697 – $74,219 · median $26,697 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $28,007 – $77,858 · median $28,007 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,153 – $36,565 · median $13,153 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,199 – $22,794 · median $8,199 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,658 – $37,969 · median $13,658 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $45,449 – $126,349 · median $45,449 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $23,890 – $66,413 · median $23,890 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,753 – $43,794 · median $15,753 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,408 – $90,093 · median $32,408 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,344 – $45,437 · median $16,344 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,446 – $29,041 · median $10,446 | 21 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $259,267 – $720,763 · median $259,267 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $99,095 – $275,485 · median $99,095 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $46,372 – $128,914 · median $46,372 | 20 plans |
| 007 | LUNG TRANSPLANT | $117,422 – $326,434 · median $117,422 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $50,434 – $140,208 · median $50,434 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $46,149 – $128,295 · median $46,149 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $109,719 – $305,019 · median $109,719 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $59,188 – $164,542 · median $59,188 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $59,188 – $164,542 · median $59,188 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $28,847 – $80,195 · median $28,847 | 20 plans |
No procedures match that keyword.