Sauk Prairie 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.
Procedures published 770
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 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 | $100,886 – $588,502 · median $198,077 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $40,794 – $237,968 · median $80,095 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $76,411 – $445,729 · median $150,023 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $49,865 – $290,879 · median $97,904 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $37,118 – $216,521 · median $72,876 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $16,693 – $97,377 · median $32,775 | 10 plans |
| 007 | LUNG TRANSPLANT | $46,621 – $271,954 · median $91,534 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $20,177 – $117,697 · median $39,614 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $25,833 – $150,690 · median $50,719 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $19,635 – $114,536 · median $38,550 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $15,178 – $88,536 · median $29,799 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $10,374 – $60,518 · median $20,369 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $43,264 – $252,376 · median $84,944 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $21,347 – $124,524 · median $41,912 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $19,556 – $114,078 · median $38,396 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $155,458 – $906,839 · median $305,222 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $25,685 – $149,827 · median $50,428 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $28,328 – $165,245 · median $55,618 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $19,058 – $111,170 · median $37,417 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $11,439 – $66,725 · median $22,458 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $20,629 – $120,336 · median $40,503 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $14,083 – $82,150 · median $27,650 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $16,368 – $95,481 · median $32,137 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $11,193 – $65,293 · median $21,976 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,082 – $52,981 · median $17,832 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $21,630 – $126,174 · median $42,468 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,282 – $71,644 · median $24,114 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,903 – $46,099 · median $15,516 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $16,130 – $94,091 · median $31,669 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,672 – $44,751 · median $15,062 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $5,986 – $34,921 · median $11,754 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $13,935 – $81,285 · median $27,359 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $8,606 – $50,201 · median $16,896 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $6,994 – $40,799 · median $13,732 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $11,852 – $69,134 · median $23,269 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $5,841 – $34,075 · median $11,469 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,232 – $24,686 · median $8,309 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $13,900 – $81,085 · median $27,292 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,915 – $46,173 · median $15,541 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $6,220 – $36,282 · median $12,212 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $6,521 – $38,037 · median $12,803 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,525 – $20,563 · median $6,921 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,497 – $32,065 · median $10,792 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,671 – $21,412 · median $7,207 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $8,363 – $48,785 · median $16,420 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,664 – $27,208 · median $9,158 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $6,154 – $35,900 · median $12,083 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,467 – $26,059 · median $8,771 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,311 – $19,316 · median $6,501 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,926 – $57,899 · median $19,488 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $6,326 – $36,901 · median $12,420 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,054 – $29,480 · median $9,922 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,240 – $42,231 · median $14,214 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,637 – $21,216 · median $7,141 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,464 – $14,372 · median $4,837 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,287 – $30,843 · median $10,381 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,112 – $18,152 · median $6,110 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,876 – $16,775 · median $5,646 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,993 – $34,961 · median $11,767 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $3,694 – $21,546 · median $7,252 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,722 – $15,880 · median $5,345 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,775 – $33,690 · median $11,339 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,711 – $21,647 · median $7,286 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $6,903 – $40,268 · median $13,553 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,971 – $17,329 · median $5,833 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $6,516 – $38,010 · median $12,793 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,224 – $18,808 · median $6,330 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $8,228 – $47,998 · median $16,155 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,025 – $29,312 · median $9,866 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,441 – $20,072 · median $6,756 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,179 – $47,710 · median $16,058 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,690 – $27,357 · median $9,208 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,293 – $19,209 · median $6,465 | 10 plans |
| 088 | CONCUSSION WITH MCC | $4,866 – $28,388 · median $9,555 | 10 plans |
| 089 | CONCUSSION WITH CC | $3,955 – $23,071 · median $7,765 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,964 – $17,287 · median $5,819 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,322 – $36,880 · median $12,413 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,683 – $21,483 · median $7,231 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,867 – $16,722 · median $5,628 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $12,670 – $73,907 · median $24,876 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $9,285 – $54,163 · median $18,230 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,285 – $54,163 · median $18,230 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $13,002 – $75,848 · median $25,529 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $8,262 – $48,193 · median $16,221 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,905 – $28,610 · median $9,630 | 10 plans |
| 100 | SEIZURES WITH MCC | $6,972 – $40,673 · median $13,690 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $3,249 – $18,955 · median $6,380 | 10 plans |
| 102 | HEADACHES WITH MCC | $4,035 – $23,539 · median $7,923 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $3,011 – $17,562 · median $5,911 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,464 – $49,373 · median $16,618 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,871 – $28,413 · median $9,563 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,526 – $32,233 · median $10,849 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,509 – $37,970 · median $12,780 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,906 – $22,783 · median $7,668 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,188 – $24,429 · median $8,222 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,829 – $16,502 · median $5,554 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,875 – $16,771 · median $5,645 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,763 – $27,785 · median $9,352 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,764 – $16,124 · median $5,427 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,812 – $45,570 · median $15,338 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,655 – $21,321 · median $7,176 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,376 – $31,357 · median $10,554 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,190 – $18,610 · median $6,264 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,449 – $25,950 · median $8,734 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $15,355 – $89,571 · median $30,148 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,852 – $45,803 · median $15,416 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $5,747 – $33,524 · median $11,284 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,488 – $78,679 · median $26,482 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,238 – $36,391 · median $12,248 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,328 – $25,248 · median $8,498 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,623 – $44,465 · median $14,966 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,577 – $26,702 · median $8,987 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,870 – $16,739 · median $5,634 | 10 plans |
| 149 | DYSEQUILIBRIUM | $2,706 – $15,784 · median $5,312 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $4,793 – $27,962 · median $9,411 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,642 – $15,414 · median $5,188 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,256 – $24,826 · median $8,356 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,658 – $15,502 · median $5,218 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,629 – $32,834 · median $11,051 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,299 – $19,247 · median $6,478 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,488 – $14,513 · median $4,885 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,180 – $36,053 · median $12,135 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,275 – $19,106 · median $6,431 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,551 – $14,879 · median $5,008 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $16,134 – $94,118 · median $31,678 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,086 – $53,004 · median $17,840 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,891 – $40,198 · median $13,530 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,456 – $78,492 · median $26,419 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,492 – $37,871 · median $12,747 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,919 – $28,694 · median $9,658 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $10,715 – $62,504 · median $21,038 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,945 – $28,846 · median $9,709 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,898 – $16,905 · median $5,690 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,626 – $32,817 · median $11,045 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,514 – $20,496 · median $6,899 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,718 – $15,855 · median $5,336 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,358 – $37,086 · median $12,482 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,856 – $22,491 · median $7,570 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,714 – $15,830 · median $5,328 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,508 – $32,128 · median $10,814 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,831 – $22,346 · median $7,521 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,831 – $16,517 · median $5,559 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,611 – $32,729 · median $11,016 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,561 – $20,771 · median $6,991 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,582 – $15,061 · median $5,069 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,447 – $25,943 · median $8,732 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,988 – $23,262 · median $7,829 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,035 – $17,703 · median $5,958 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,311 – $13,482 · median $4,538 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,732 – $27,602 · median $9,290 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,901 – $16,924 · median $5,696 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,263 – $13,199 · median $4,442 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $6,794 – $39,631 · median $13,339 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,417 – $19,931 · median $6,708 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,578 – $15,040 · median $5,062 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $6,351 – $37,046 · median $12,469 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,957 – $23,085 · median $7,770 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,574 – $15,017 · median $5,054 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,496 – $20,395 · median $6,865 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,412 – $14,070 · median $4,736 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,907 – $16,955 · median $5,707 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,592 – $38,451 · median $12,942 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,388 – $19,763 · median $6,652 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $23,165 – $135,129 · median $45,481 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,895 – $57,723 · median $19,428 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $40,748 – $237,695 · median $80,003 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $39,147 – $228,356 · median $76,860 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $20,545 – $119,845 · median $40,337 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $35,845 – $209,097 · median $70,378 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $35,218 – $205,439 · median $69,146 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $23,671 – $138,081 · median $46,475 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,671 – $138,081 · median $46,475 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $27,642 – $161,244 · median $54,271 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $19,198 – $111,989 · median $37,693 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $18,145 – $105,844 · median $35,625 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,811 – $103,895 · median $34,969 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,338 – $66,140 · median $22,261 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $30,348 – $177,028 · median $59,584 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $21,825 – $127,315 · median $42,851 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $27,523 – $160,549 · median $54,037 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $19,666 – $114,717 · median $38,611 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $21,127 – $123,241 · median $41,480 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $15,080 – $87,965 · median $29,607 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,718 – $103,356 · median $34,787 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,262 – $59,861 · median $20,148 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,984 – $29,072 · median $9,785 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $11,494 – $67,049 · median $22,567 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,671 – $44,749 · median $15,062 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,507 – $37,958 · median $12,776 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $16,425 – $95,810 · median $32,248 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $7,857 – $45,833 · median $15,426 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $5,380 – $31,385 · median $10,563 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $12,558 – $73,254 · median $24,656 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $9,344 – $54,508 · median $18,346 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $6,414 – $37,416 · median $12,593 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,711 – $56,645 · median $19,066 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $6,112 – $35,656 · median $12,001 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,932 – $22,936 · median $7,720 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $11,312 – $65,984 · median $22,209 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,280 – $42,464 · median $14,292 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,710 – $68,309 · median $22,991 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,806 – $39,701 · median $13,362 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $5,868 – $34,228 · median $11,520 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,007 – $64,205 · median $21,610 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $12,026 – $70,153 · median $23,612 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $13,026 – $75,982 · median $25,574 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $22,062 – $128,696 · median $43,316 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $17,139 – $99,977 · median $33,650 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $24,760 – $144,436 · median $48,614 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $15,204 – $88,687 · median $29,850 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $18,995 – $110,802 · median $37,294 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,803 – $74,682 · median $25,136 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,191 – $53,613 · median $18,045 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $14,852 – $86,636 · median $29,160 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $11,850 – $69,126 · median $23,266 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $25,669 – $149,738 · median $50,399 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $21,624 – $126,139 · median $42,456 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $16,627 – $96,989 · median $32,644 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $20,038 – $116,890 · median $39,343 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,983 – $75,734 · median $25,491 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,775 – $33,686 · median $11,338 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,309 – $19,301 · median $6,496 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,603 – $15,185 · median $5,111 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $7,131 – $41,597 · median $14,001 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,492 – $14,536 · median $4,893 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,156 – $12,577 · median $4,233 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $7,966 – $46,469 · median $15,640 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,852 – $22,472 · median $7,564 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,742 – $56,830 · median $19,128 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,145 – $35,845 · median $12,065 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,347 – $19,524 · median $6,571 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,622 – $26,960 · median $9,074 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,056 – $17,829 · median $6,001 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,038 – $11,886 · median $4,001 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,623 – $32,800 · median $11,040 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,282 – $13,314 · median $4,481 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,638 – $9,557 · median $3,217 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,878 – $34,287 · median $11,540 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,843 – $22,418 · median $7,545 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,591 – $15,114 · median $5,087 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,308 – $25,129 · median $8,458 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,424 – $14,137 · median $4,758 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $4,284 – $24,990 · median $8,411 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,718 – $15,857 · median $5,337 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,673 – $33,092 · median $11,138 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,288 – $19,177 · median $6,455 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,334 – $25,284 · median $8,510 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,649 – $15,450 · median $5,200 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,038 – $11,888 · median $4,001 | 10 plans |
| 311 | ANGINA PECTORIS | $2,527 – $14,740 · median $4,961 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,138 – $18,304 · median $6,161 | 10 plans |
| 313 | CHEST PAIN | $2,592 – $15,120 · median $5,089 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,507 – $43,789 · median $14,738 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,468 – $20,229 · median $6,809 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,456 – $14,324 · median $4,821 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $24,071 – $140,417 · median $47,261 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $8,720 – $50,866 · median $17,120 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $16,066 – $93,721 · median $31,544 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,659 – $50,511 · median $17,001 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $9,795 – $57,137 · median $19,231 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $6,347 – $37,023 · median $12,461 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $15,579 – $90,875 · median $30,587 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,344 – $66,171 · median $22,272 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $11,557 – $67,418 · median $22,692 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,955 – $104,735 · median $35,252 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $8,799 – $51,328 · median $17,276 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,768 – $33,648 · median $11,325 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,547 – $96,527 · median $32,489 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,630 – $50,341 · median $16,944 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,058 – $35,341 · median $11,895 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $13,035 – $76,035 · median $25,592 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $8,432 – $49,186 · median $16,555 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $5,896 – $34,396 · median $11,577 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $12,855 – $74,989 · median $25,240 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,591 – $44,283 · median $14,905 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,526 – $32,235 · median $10,850 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,298 – $54,239 · median $18,256 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,417 – $31,599 · median $10,635 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,270 – $24,910 · median $8,384 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,264 – $48,208 · median $16,226 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,712 – $27,485 · median $9,251 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,134 – $18,283 · median $6,154 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $8,971 – $52,330 · median $17,613 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,488 – $32,015 · median $10,775 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,204 – $24,524 · median $8,254 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,447 – $60,942 · median $20,512 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,057 – $35,330 · median $11,891 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,842 – $28,245 · median $9,507 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $15,814 – $92,249 · median $31,049 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,372 – $48,836 · median $16,437 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,032 – $29,356 · median $9,881 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $12,379 – $72,211 · median $24,305 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,691 – $50,700 · median $17,065 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,731 – $33,430 · median $11,252 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,601 – $21,004 · median $7,070 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,523 – $14,717 · median $4,953 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,383 – $37,235 · median $12,533 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,676 – $21,441 · median $7,217 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,619 – $15,275 · median $5,141 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,699 – $44,913 · median $15,117 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,355 – $25,402 · median $8,550 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,327 – $19,410 · median $6,533 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,581 – $38,388 · median $12,921 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,531 – $20,595 · median $6,932 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,269 – $13,238 · median $4,456 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,064 – $41,206 · median $13,869 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,901 – $22,754 · median $7,658 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,882 – $16,813 · median $5,659 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,971 – $28,995 · median $9,759 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,077 – $17,951 · median $6,042 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,696 – $33,228 · median $11,184 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,515 – $20,502 · median $6,901 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,453 – $14,307 · median $4,816 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,316 – $31,013 · median $10,438 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,843 – $16,586 · median $5,582 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,958 – $11,424 · median $3,845 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,566 – $26,634 · median $8,965 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,807 – $16,372 · median $5,510 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,757 – $33,585 · median $11,304 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,369 – $19,650 · median $6,614 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,336 – $13,629 · median $4,587 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $8,622 – $50,293 · median $16,928 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,449 – $31,786 · median $10,698 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,121 – $24,039 · median $8,091 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $14,474 – $84,431 · median $28,417 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $19,694 – $114,881 · median $38,666 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,441 – $60,904 · median $20,499 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,991 – $46,612 · median $15,688 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $12,836 – $74,878 · median $25,202 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,838 – $45,723 · median $15,389 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,716 – $33,342 · median $11,222 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $11,892 – $69,369 · median $23,348 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,569 – $44,153 · median $14,861 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $5,978 – $34,871 · median $11,737 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $12,825 – $74,815 · median $25,181 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,440 – $43,401 · median $14,608 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,908 – $28,629 · median $9,636 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,591 – $50,114 · median $16,867 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,090 – $35,524 · median $11,956 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,917 – $28,682 · median $9,654 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $12,266 – $71,549 · median $24,082 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,255 – $36,488 · median $12,281 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $5,038 – $29,390 · median $9,892 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $14,951 – $87,213 · median $29,354 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,876 – $45,946 · median $15,464 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $5,401 – $31,506 · median $10,604 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,676 – $231,445 · median $77,899 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $25,987 – $151,591 · median $51,022 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $20,239 – $118,062 · median $39,737 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $32,435 – $189,202 · median $63,681 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $20,762 – $121,109 · median $40,763 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,086 – $41,332 · median $13,912 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,802 – $22,180 · median $7,465 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,565 – $14,963 · median $5,036 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,612 – $38,571 · median $12,982 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,072 – $23,753 · median $7,995 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,072 – $17,919 · median $6,031 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,869 – $34,234 · median $11,522 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,028 – $17,665 · median $5,946 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,237 – $13,049 · median $4,392 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $6,461 – $37,689 · median $12,685 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,475 – $20,271 · median $6,823 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,519 – $14,694 · median $4,946 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,015 – $35,089 · median $11,810 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,940 – $22,982 · median $7,735 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,978 – $17,373 · median $5,847 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $24,054 – $140,314 · median $47,227 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,267 – $89,057 · median $29,975 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,187 – $111,922 · median $37,670 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $11,629 – $67,838 · median $22,833 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $30,252 – $176,471 · median $59,396 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $21,467 – $125,225 · median $42,148 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $15,021 – $87,625 · median $29,493 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $19,883 – $115,983 · median $39,037 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $9,576 – $55,860 · median $18,801 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $20,518 – $119,690 · median $40,285 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,213 – $65,409 · median $22,015 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,565 – $38,298 · median $12,890 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $18,739 – $109,313 · median $36,793 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $12,696 – $74,059 · median $24,927 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $9,893 – $57,708 · median $19,423 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $10,920 – $63,697 · median $21,439 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $6,944 – $40,507 · median $13,634 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,383 – $101,403 · median $34,130 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $10,606 – $61,868 · median $20,823 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $8,789 – $51,267 · median $17,255 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $15,454 – $90,151 · median $30,343 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,193 – $47,790 · median $16,085 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,249 – $24,784 · median $8,342 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,437 – $72,547 · median $24,418 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,853 – $51,643 · median $17,382 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,692 – $39,037 · median $13,139 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $10,484 – $61,158 · median $20,585 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,540 – $43,985 · median $14,804 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $5,872 – $34,251 · median $11,528 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $9,979 – $58,210 · median $19,592 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $11,618 – $67,769 · median $22,810 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,528 – $43,913 · median $14,780 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,638 – $32,890 · median $11,070 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $6,368 – $37,147 · median $12,503 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,020 – $23,453 · median $7,894 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $13,218 – $77,104 · median $25,951 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $9,130 – $53,258 · median $17,926 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,223 – $42,137 · median $14,182 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $13,053 – $76,140 · median $25,627 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $6,494 – $37,882 · median $12,750 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,350 – $25,374 · median $8,540 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,860 – $63,353 · median $21,323 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,253 – $42,311 · median $14,241 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $11,393 – $66,461 · median $22,369 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $6,293 – $36,710 · median $12,356 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,845 – $28,264 · median $9,513 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $10,048 – $58,613 · median $19,728 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,729 – $39,253 · median $13,212 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $6,454 – $37,649 · median $12,672 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,857 – $28,333 · median $9,536 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $6,503 – $37,934 · median $12,768 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,452 – $31,802 · median $10,704 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $10,874 – $63,431 · median $21,349 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,486 – $43,667 · median $14,698 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $5,959 – $34,763 · median $11,701 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,667 – $33,060 · median $11,127 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,680 – $21,468 · median $7,226 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $11,473 – $66,925 · median $22,525 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,481 – $43,640 · median $14,688 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $5,532 – $32,271 · median $10,862 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $13,454 – $78,483 · median $26,416 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,201 – $42,004 · median $14,138 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $5,378 – $31,372 · median $10,559 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $10,333 – $60,274 · median $20,287 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $7,624 – $44,472 · median $14,968 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,644 – $32,922 · median $11,081 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,902 – $16,928 · median $5,698 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,615 – $26,922 · median $9,061 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,907 – $16,960 · median $5,708 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,435 – $20,040 · median $6,745 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,593 – $15,126 · median $5,091 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $7,091 – $41,364 · median $13,922 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,667 – $27,222 · median $9,162 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,835 – $16,535 · median $5,565 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $6,359 – $37,097 · median $12,486 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,701 – $21,588 · median $7,266 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,717 – $15,847 · median $5,334 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,934 – $52,116 · median $17,541 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,152 – $24,221 · median $8,152 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,010 – $17,560 · median $5,910 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $6,951 – $40,549 · median $13,648 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,346 – $25,351 · median $8,533 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,147 – $18,356 · median $6,178 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,034 – $35,198 · median $11,847 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,461 – $20,187 · median $6,795 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,667 – $27,222 · median $9,162 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,988 – $17,432 · median $5,867 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,758 – $27,758 · median $9,343 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,990 – $17,443 · median $5,871 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,353 – $31,225 · median $10,510 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,216 – $18,757 · median $6,313 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,714 – $39,163 · median $13,181 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,054 – $23,648 · median $7,959 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,894 – $16,882 · median $5,682 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,129 – $29,921 · median $10,071 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,224 – $18,806 · median $6,330 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,557 – $32,416 · median $10,910 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,508 – $20,462 · median $6,887 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,697 – $15,735 · median $5,296 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,588 – $61,763 · median $20,788 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,082 – $35,480 · median $11,942 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,127 – $24,072 · median $8,102 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,585 – $137,579 · median $46,306 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,497 – $72,899 · median $24,536 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,469 – $37,737 · median $12,701 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,644 – $102,925 · median $34,642 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,543 – $55,665 · median $18,736 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,783 – $33,734 · median $11,354 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $11,659 – $68,009 · median $22,890 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $6,221 – $36,288 · median $12,214 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,195 – $30,305 · median $10,200 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $6,936 – $40,459 · median $13,617 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,208 – $36,212 · median $12,188 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,707 – $44,955 · median $15,131 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,945 – $40,511 · median $13,635 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $6,967 – $40,641 · median $13,679 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $4,271 – $24,912 · median $8,385 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,120 – $18,203 · median $6,127 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,635 – $44,535 · median $14,989 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,897 – $22,733 · median $7,651 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $6,002 – $35,009 · median $11,783 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,073 – $23,757 · median $7,996 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,770 – $16,157 · median $5,438 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,750 – $21,874 · median $7,362 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,178 – $12,705 · median $4,276 | 10 plans |
| 602 | CELLULITIS WITH MCC | $5,117 – $29,847 · median $10,046 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,135 – $18,289 · median $6,156 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,300 – $30,914 · median $10,405 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,298 – $19,236 · median $6,474 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,448 – $31,777 · median $10,696 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,263 – $19,034 · median $6,407 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,890 – $46,028 · median $15,492 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $5,037 – $29,385 · median $9,890 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $12,555 – $73,235 · median $24,649 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $6,733 – $39,276 · median $13,220 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,106 – $29,784 · median $10,025 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $10,395 – $60,635 · median $20,409 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $5,761 – $33,606 · median $11,311 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $5,430 – $31,676 · median $10,662 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $12,813 – $74,743 · median $25,157 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $6,458 – $37,672 · median $12,680 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,507 – $26,290 · median $8,849 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,872 – $63,422 · median $21,347 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,398 – $31,487 · median $10,598 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,782 – $27,894 · median $9,389 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,416 – $78,263 · median $26,342 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,844 – $45,755 · median $15,400 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,254 – $30,650 · median $10,316 | 10 plans |
| 637 | DIABETES WITH MCC | $5,172 – $30,171 · median $10,155 | 10 plans |
| 638 | DIABETES WITH CC | $3,226 – $18,820 · median $6,334 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,236 – $13,045 · median $4,391 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,808 – $28,048 · median $9,440 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,802 – $16,342 · median $5,500 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,120 – $29,864 · median $10,052 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,926 – $34,568 · median $11,635 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,690 – $21,525 · median $7,245 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,766 – $16,134 · median $5,430 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $16,925 – $98,729 · median $33,230 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $13,341 – $77,822 · median $26,193 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $11,626 – $67,820 · median $22,827 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $18,707 – $109,124 · median $36,729 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,077 – $58,785 · median $19,786 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,620 – $44,449 · median $14,960 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $11,462 – $66,860 · median $22,504 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $6,588 – $38,430 · median $12,935 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $5,586 – $32,588 · median $10,968 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $9,147 – $53,359 · median $17,959 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,758 – $27,756 · median $9,342 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,727 – $21,743 · median $7,318 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $11,021 – $64,292 · median $21,639 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,473 – $31,924 · median $10,745 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,769 – $21,985 · median $7,400 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $11,236 – $65,545 · median $22,061 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $6,297 – $36,735 · median $12,364 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,982 – $23,230 · median $7,819 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $10,512 – $61,320 · median $20,639 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,587 – $32,592 · median $10,970 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,518 – $20,523 · median $6,908 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,462 – $37,695 · median $12,687 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,886 – $22,670 · median $7,630 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $15,126 – $88,234 · median $29,698 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $8,419 – $49,111 · median $16,530 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,909 – $34,469 · median $11,602 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $5,332 – $31,101 · median $10,468 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $3,153 – $18,392 · median $6,190 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,161 – $12,606 · median $4,243 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,493 – $37,878 · median $12,749 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,772 – $22,004 · median $7,406 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,845 – $16,596 · median $5,586 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,177 – $24,366 · median $8,201 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,914 – $17,000 · median $5,722 | 10 plans |
| 693 | URINARY STONES WITH MCC | $4,840 – $28,235 · median $9,503 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,814 – $16,416 · median $5,525 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,118 – $24,020 · median $8,085 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,480 – $14,469 · median $4,870 | 10 plans |
| 697 | URETHRAL STRICTURE | $3,880 – $22,634 · median $7,618 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,956 – $34,742 · median $11,694 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,654 – $21,315 · median $7,174 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,484 – $14,488 · median $4,876 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,201 – $42,006 · median $14,138 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $5,523 – $32,218 · median $10,844 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,378 – $48,869 · median $16,448 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,044 – $29,425 · median $9,904 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,502 – $43,760 · median $14,729 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,959 – $23,094 · median $7,773 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,412 – $31,571 · median $10,626 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,807 – $22,205 · median $7,474 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $8,054 – $46,983 · median $15,814 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,296 – $30,891 · median $10,397 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,806 – $39,701 · median $13,362 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,835 – $28,205 · median $9,493 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,515 – $38,004 · median $12,791 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,114 – $23,997 · median $8,077 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,361 – $13,770 · median $4,635 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,213 – $24,574 · median $8,271 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,599 – $15,162 · median $5,103 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,338 – $31,141 · median $10,481 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,920 – $17,035 · median $5,734 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,811 – $22,233 · median $7,483 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,419 – $14,112 · median $4,750 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,668 – $44,730 · median $15,055 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,844 – $28,256 · median $9,510 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $12,868 – $75,065 · median $25,265 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,418 – $43,273 · median $14,565 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,287 – $30,839 · median $10,380 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $12,898 – $75,239 · median $25,324 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $6,515 – $38,002 · median $12,791 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,134 – $29,948 · median $10,080 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $6,605 – $38,531 · median $12,969 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,467 – $26,055 · median $8,769 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,377 – $43,031 · median $14,483 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,095 – $23,888 · median $8,040 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $6,254 – $36,479 · median $12,278 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,095 – $18,054 · median $6,076 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,994 – $29,133 · median $9,806 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $9,243 – $53,920 · median $18,148 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,313 – $30,992 · median $10,431 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,630 – $38,676 · median $13,017 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,916 – $22,844 · median $7,689 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,458 – $20,171 · median $6,789 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,155 – $30,070 · median $10,121 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,524 – $20,559 · median $6,920 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,389 – $13,936 · median $4,690 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,627 – $21,158 · median $7,121 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,054 – $11,981 · median $4,032 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,858 – $17,889 · median $7,574 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $6,083 – $35,486 · median $11,944 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,610 – $21,057 · median $7,087 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,357 – $13,749 · median $4,628 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $3,029 – $17,667 · median $5,946 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,838 – $40,984 · median $17,353 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,816 – $17,840 · median $7,493 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,448 – $17,840 · median $6,770 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,938 – $27,536 · median $11,659 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,020 – $18,643 · median $7,894 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,452 – $17,840 · median $6,777 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,900 – $30,085 · median $12,738 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,075 – $99,218 · median $42,010 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,075 – $67,759 · median $28,690 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,900 – $40,886 · median $17,311 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,075 – $69,606 · median $29,471 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,900 – $24,638 · median $10,432 | 10 plans |
| 795 | NORMAL NEWBORN | $719 – $3,335 · median $1,412 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,201 – $19,481 · median $8,249 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,601 – $16,700 · median $7,071 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,446 – $15,977 · median $6,765 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $16,304 – $95,107 · median $32,011 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $10,114 – $58,997 · median $19,857 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,872 – $40,087 · median $13,492 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $14,343 – $83,666 · median $28,160 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $6,692 – $39,037 · median $13,139 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,882 – $28,476 · median $9,584 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,885 – $18,016 · median $7,628 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,714 – $12,587 · median $5,329 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,427 – $12,000 · median $4,765 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $7,948 – $46,366 · median $15,606 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,557 – $26,584 · median $8,948 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,768 – $21,979 · median $7,398 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,055 – $29,490 · median $9,926 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,306 – $19,282 · median $6,490 | 10 plans |
| 813 | COAGULATION DISORDERS | $5,491 – $32,031 · median $10,781 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,656 – $44,661 · median $15,032 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,650 – $21,294 · median $7,167 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,275 – $13,272 · median $4,467 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $8,214 – $47,914 · median $16,127 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,173 – $24,343 · median $8,193 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,096 – $18,058 · median $6,078 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $21,113 – $123,161 · median $41,453 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,059 – $47,011 · median $15,823 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,334 – $25,284 · median $8,510 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $16,505 – $96,281 · median $32,406 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,156 – $47,578 · median $16,014 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,858 – $28,337 · median $9,538 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $16,840 – $98,234 · median $33,063 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,320 – $48,535 · median $16,336 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,134 – $35,780 · median $12,043 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $11,376 – $66,360 · median $22,335 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,418 – $31,605 · median $10,638 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,329 – $25,253 · median $8,499 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,598 – $15,154 · median $5,100 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,882 – $10,981 · median $3,696 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $19,764 – $115,288 · median $38,803 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $7,509 – $43,802 · median $14,743 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,390 – $25,610 · median $8,620 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,295 – $100,890 · median $33,957 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,515 – $43,835 · median $14,754 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,198 – $30,322 · median $10,206 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $11,646 – $67,933 · median $22,865 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,873 – $34,259 · median $11,531 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,637 – $21,218 · median $7,142 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,181 – $41,891 · median $14,100 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,383 – $25,565 · median $8,605 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,066 – $17,884 · median $6,019 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $9,333 – $54,443 · median $18,324 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,710 – $27,472 · median $9,247 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,058 – $17,837 · median $6,004 | 10 plans |
| 849 | RADIOTHERAPY | $9,754 – $56,900 · median $19,151 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $31,174 – $181,850 · median $61,207 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,779 – $103,711 · median $34,907 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,193 – $41,960 · median $14,123 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,390 – $31,441 · median $10,582 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,375 – $95,523 · median $32,151 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,709 – $44,972 · median $15,136 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,014 – $29,251 · median $9,845 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,565 – $38,298 · median $12,890 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,592 – $20,956 · median $7,053 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,196 – $18,642 · median $6,274 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,394 – $31,464 · median $10,590 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,131 – $18,262 · median $6,146 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,536 – $43,957 · median $14,795 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,712 – $21,653 · median $7,288 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,627 – $15,324 · median $5,158 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $24,882 – $145,148 · median $48,854 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $6,993 – $40,793 · median $13,730 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,684 – $21,489 · median $7,233 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,914 – $81,163 · median $27,318 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,457 – $20,164 · median $6,787 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $3,387 – $19,759 · median $6,650 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,866 – $22,550 · median $7,590 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,079 – $41,292 · median $13,898 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $5,792 – $33,787 · median $11,372 | 10 plans |
| 885 | PSYCHOSES | $5,028 – $29,333 · median $9,873 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,471 – $43,581 · median $14,669 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,855 – $22,489 · median $7,569 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,221 – $12,955 · median $4,360 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,096 – $29,728 · median $10,006 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $6,282 – $36,647 · median $12,335 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,178 – $18,539 · median $6,240 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $15,108 – $88,129 · median $29,662 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $6,892 – $40,205 · median $13,532 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,211 – $24,562 · median $8,267 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,223 – $77,135 · median $25,962 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $5,340 – $31,151 · median $10,485 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,071 – $41,250 · median $13,884 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,821 – $80,625 · median $27,137 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,183 – $41,899 · median $14,102 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,726 – $27,567 · median $9,278 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,885 – $34,327 · median $11,554 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,188 – $18,596 · median $6,259 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $6,054 – $35,314 · median $11,886 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,399 – $13,992 · median $4,710 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,646 – $32,936 · median $11,086 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,086 – $17,999 · median $6,058 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,591 – $38,447 · median $12,940 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,608 – $21,048 · median $7,084 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,478 – $14,456 · median $4,866 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $6,298 – $36,737 · median $12,365 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,664 – $21,372 · median $7,193 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $76,862 – $448,361 · median $150,908 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $25,822 – $150,627 · median $50,698 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,595 – $67,637 · median $22,765 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $14,019 – $81,778 · median $27,525 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,958 – $46,423 · median $15,625 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $7,416 – $43,260 · median $14,560 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,063 – $76,199 · median $25,647 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $8,413 – $49,075 · median $16,518 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,300 – $42,582 · median $14,332 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $5,575 – $32,521 · median $10,946 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,128 – $24,083 · median $8,106 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,570 – $26,657 · median $8,972 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,882 – $16,811 · median $5,658 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,283 – $24,984 · median $8,409 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,260 – $13,182 · median $4,437 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,002 – $11,676 · median $3,930 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $24,232 – $141,353 · median $47,576 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $13,547 – $79,023 · median $26,597 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,432 – $160,018 · median $53,859 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,170 – $88,492 · median $29,784 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,599 – $61,826 · median $20,809 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $9,842 – $57,410 · median $19,323 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,517 – $32,185 · median $10,833 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,386 – $19,751 · median $6,648 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $22,037 – $128,547 · median $43,266 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $9,495 – $55,385 · median $18,642 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,390 – $60,606 · median $20,399 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,662 – $27,195 · median $9,153 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,250 – $18,957 · median $6,380 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,672 – $27,252 · median $9,172 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $16,890 – $98,528 · median $33,162 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,851 – $51,629 · median $17,377 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,170 – $35,994 · median $12,115 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $12,342 – $71,996 · median $24,232 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $5,917 – $34,516 · median $11,617 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,317 – $25,183 · median $8,476 | 10 plans |
No procedures match that keyword.