Loma Linda University Children's Hospital — Pricing
797 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 797 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 797
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 797 procedures
Procedures with negotiated rates only
These 797 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 216 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $11,745 – $292,583 · median $119,927 | 39 plans |
| 217 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $11,745 – $195,778 · median $97,715 | 39 plans |
| 218 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $11,745 – $180,359 · median $88,410 | 39 plans |
| 219 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $11,745 – $234,570 · median $111,169 | 39 plans |
| 220 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $11,745 – $160,575 · median $111,169 | 39 plans |
| 221 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $11,745 – $171,252 · median $111,169 | 39 plans |
| 228 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $11,745 – $151,074 · median $83,596 | 39 plans |
| 229 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,745 – $94,171 · median $65,974 | 39 plans |
| 231 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC | $11,745 – $256,895 · median $102,631 | 39 plans |
| 232 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC | $11,745 – $185,191 · median $82,667 | 39 plans |
| 233 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $11,745 – $236,962 · median $100,629 | 39 plans |
| 234 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $11,745 – $161,287 · median $74,373 | 39 plans |
| 235 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $11,745 – $178,385 · median $74,237 | 39 plans |
| 236 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $11,745 – $124,662 · median $61,666 | 39 plans |
| 242 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,978 – $102,832 · median $36,089 | 39 plans |
| 243 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,978 – $68,296 · median $27,707 | 39 plans |
| 244 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,978 – $54,711 · median $23,231 | 39 plans |
| 250 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $7,978 – $70,109 · median $32,556 | 39 plans |
| 251 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,978 – $47,372 · median $29,656 | 39 plans |
| 258 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $7,978 – $85,052 · median $31,946 | 39 plans |
| 259 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,978 – $53,286 · median $30,540 | 39 plans |
| 260 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $7,978 – $103,262 · median $31,691 | 39 plans |
| 261 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,978 – $57,528 · median $38,373 | 39 plans |
| 262 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,978 – $51,377 · median $34,379 | 39 plans |
| 286 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $4,504 – $67,098 · median $20,011 | 39 plans |
| 287 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,504 – $40,332 · median $19,364 | 39 plans |
| 619 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC | $12,166 – $82,657 · median $28,337 | 38 plans |
| 620 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC | $12,166 – $48,415 · median $28,337 | 38 plans |
| 621 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,166 – $45,616 · median $28,337 | 38 plans |
| 028 | MS-DRG 42.00: SPINAL PROCEDURES WITH MCC | $25,608 – $184,306 · median $58,958 | 37 plans |
| 029 | MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,608 – $101,762 · median $48,114 | 37 plans |
| 030 | MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC | $20,798 – $67,465 · median $29,890 | 37 plans |
| 252 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC | $25,651 – $103,996 · median $41,854 | 37 plans |
| 253 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC | $25,651 – $77,397 · median $38,236 | 37 plans |
| 254 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,823 – $56,697 · median $28,481 | 37 plans |
| 456 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $29,434 – $256,752 · median $99,575 | 37 plans |
| 457 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $29,434 – $173,996 · median $82,014 | 37 plans |
| 458 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,434 – $130,904 · median $71,046 | 37 plans |
| 469 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,506 – $99,094 · median $38,803 | 37 plans |
| 470 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $23,467 – $57,161 · median $33,721 | 37 plans |
| 471 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC | $24,564 – $147,254 · median $38,993 | 37 plans |
| 472 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC | $22,650 – $87,832 · median $30,096 | 37 plans |
| 473 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,963 – $71,770 · median $32,996 | 37 plans |
| 480 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,564 – $89,159 · median $40,772 | 37 plans |
| 481 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,830 – $74,534 · median $31,364 | 37 plans |
| 482 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $18,472 – $60,760 · median $26,545 | 37 plans |
| 492 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,433 – $107,658 · median $37,370 | 37 plans |
| 493 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,710 – $72,789 · median $25,455 | 37 plans |
| 494 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,056 – $57,158 · median $21,638 | 37 plans |
| 956 | MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,608 – $115,880 · median $59,139 | 37 plans |
| 215 | MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT | $129,853 – $321,192 · median $174,653 | 36 plans |
| 280 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $20,535 – $49,761 · median $27,038 | 36 plans |
| 281 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $15,502 – $37,948 · median $22,273 | 36 plans |
| 282 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $12,537 – $35,155 · median $18,018 | 36 plans |
| 283 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,641 – $59,280 · median $26,787 | 36 plans |
| 284 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $13,702 – $35,381 · median $20,489 | 36 plans |
| 285 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $10,381 – $32,830 · median $17,683 | 36 plans |
| 288 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $34,413 – $82,808 · median $37,563 | 36 plans |
| 289 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $27,248 – $47,799 · median $33,040 | 36 plans |
| 290 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $18,103 – $38,760 · median $28,711 | 36 plans |
| 461 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $45,279 – $186,040 · median $64,494 | 36 plans |
| 462 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $36,596 – $86,819 · median $52,127 | 36 plans |
| 463 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $46,778 – $163,737 · median $67,223 | 36 plans |
| 464 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $34,033 – $112,353 · median $48,905 | 36 plans |
| 465 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $27,650 – $112,353 · median $36,675 | 36 plans |
| 466 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,477 – $154,448 · median $43,441 | 36 plans |
| 467 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,499 – $103,838 · median $35,474 | 36 plans |
| 468 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,986 – $79,528 · median $31,639 | 36 plans |
| 551 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC | $13,734 – $59,884 · median $19,739 | 36 plans |
| 552 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC | $13,778 – $59,884 · median $19,797 | 36 plans |
| 667 | MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC | $19,005 – $39,453 · median $24,494 | 36 plans |
| 707 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $22,398 – $58,831 · median $24,494 | 36 plans |
| 708 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $22,398 – $45,910 · median $24,494 | 36 plans |
| 735 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $22,398 – $42,096 · median $24,494 | 36 plans |
| 741 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $22,398 – $44,363 · median $24,494 | 36 plans |
| 742 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $22,398 – $55,378 · median $24,494 | 36 plans |
| 743 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $22,165 – $41,880 · median $24,494 | 36 plans |
| 652 | MS-DRG 42.00: KIDNEY TRANSPLANT | $7,611 – $322,497 · median $90,000 | 27 plans |
| 650 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $7,611 – $285,000 · median $90,141 | 26 plans |
| 651 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $7,611 – $285,000 · median $82,084 | 26 plans |
| 266 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $25,651 – $216,703 · median $155,367 | 25 plans |
| 267 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $25,651 – $162,712 · median $116,659 | 25 plans |
| 268 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $25,651 – $202,135 · median $111,805 | 25 plans |
| 269 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,651 – $126,136 · median $69,501 | 25 plans |
| 270 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $25,651 – $155,612 · median $84,289 | 25 plans |
| 271 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,651 – $104,420 · median $55,944 | 25 plans |
| 272 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,651 – $75,857 · median $40,069 | 25 plans |
| 273 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $7,978 – $118,545 · median $52,172 | 25 plans |
| 274 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $7,978 – $94,616 · median $35,562 | 25 plans |
| 453 | MS-DRG 40.00: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $29,434 – $152,808 · median $96,665 | 25 plans |
| 454 | MS-DRG 40.00: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $29,434 – $128,918 · median $75,453 | 25 plans |
| 455 | MS-DRG 40.00: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $29,434 – $111,708 · median $63,390 | 25 plans |
| 459 | MS-DRG 40.00: SPINAL FUSION EXCEPT CERVICAL WITH MCC | $29,434 – $76,782 · median $52,096 | 25 plans |
| 460 | MS-DRG 40.00: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,434 – $81,808 · median $32,713 | 25 plans |
| 005 | MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $7,611 – $322,847 · median $175,425 | 24 plans |
| 006 | MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC | $7,611 – $285,000 · median $124,975 | 24 plans |
| 518 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $14,908 – $108,653 · median $17,582 | 24 plans |
| 519 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,908 – $59,780 · median $17,582 | 24 plans |
| 520 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,314 – $45,210 · median $18,795 | 24 plans |
| 001 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $7,611 – $853,950 · median $282,500 | 23 plans |
| 002 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $7,611 – $334,073 · median $203,763 | 23 plans |
| 222 | MS-DRG 31.00: CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC | $11,745 – $124,263 · median $119,757 | 21 plans |
| 223 | MS-DRG 31.00: CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC | $11,745 – $106,570 · median $94,546 | 21 plans |
| 224 | MS-DRG 31.00: CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC | $11,745 – $113,336 · median $101,501 | 21 plans |
| 225 | MS-DRG 31.00: CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC | $11,745 – $101,501 · median $97,504 | 21 plans |
| 226 | MS-DRG 31.00: CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC | $11,745 – $92,297 · median $91,296 | 21 plans |
| 227 | MS-DRG 31.00: CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC | $11,745 – $91,296 · median $83,643 | 21 plans |
| 246 | MS-DRG 31.00: PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS | $7,978 – $39,873 · median $30,287 | 21 plans |
| 247 | MS-DRG 31.00: PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC | $7,978 – $37,475 · median $28,460 | 21 plans |
| 248 | MS-DRG 31.00: PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS | $7,978 – $38,180 · median $29,001 | 21 plans |
| 249 | MS-DRG 31.00: PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC | $7,978 – $35,065 · median $17,320 | 21 plans |
| 010 | MS-DRG 42.00: PANCREAS TRANSPLANT | $7,611 – $241,709 · median $102,276 | 20 plans |
| 008 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $7,611 – $171,250 · median $96,050 | 19 plans |
| 019 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $7,611 – $240,324 · median $101,898 | 18 plans |
| 016 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $6,823 – $214,200 · median $110,157 | 16 plans |
| 017 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $6,823 – $214,200 · median $110,157 | 16 plans |
| 319 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $56,595 – $133,172 · median $77,662 | 16 plans |
| 320 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $32,402 – $70,175 · median $43,023 | 16 plans |
| 521 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $49,072 – $88,362 · median $54,446 | 16 plans |
| 522 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $32,854 – $75,160 · median $40,588 | 16 plans |
| 245 | MS-DRG 42.00: AICD GENERATOR PROCEDURES | $7,611 – $148,148 · median $69,815 | 15 plans |
| 768 | MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,760 – $40,426 · median $20,272 | 15 plans |
| 014 | MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT | $6,823 – $397,194 · median $177,700 | 14 plans |
| 034 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC | $7,611 – $117,890 · median $59,316 | 14 plans |
| 035 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC | $7,611 – $68,963 · median $42,202 | 14 plans |
| 036 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,611 – $55,572 · median $34,070 | 14 plans |
| 230 | MS-DRG 31.00: OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $11,745 – $81,188 · median $61,670 | 14 plans |
| 265 | MS-DRG 42.00: AICD LEAD PROCEDURES | $7,611 – $108,143 · median $55,935 | 13 plans |
| 483 | MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $7,611 – $77,251 · median $45,217 | 13 plans |
| 497 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,611 – $43,923 · median $25,082 | 13 plans |
| 516 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,611 – $60,987 · median $37,581 | 13 plans |
| 517 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $46,055 · median $27,886 | 13 plans |
| 545 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC | $6,823 – $76,606 · median $44,993 | 13 plans |
| 783 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,000 – $55,845 · median $34,413 | 13 plans |
| 784 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC | $6,000 – $40,237 · median $20,232 | 13 plans |
| 785 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,000 – $37,262 · median $17,587 | 13 plans |
| 786 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,000 – $48,988 · median $30,187 | 13 plans |
| 787 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,000 – $39,936 · median $19,836 | 13 plans |
| 788 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,000 – $37,705 · median $17,587 | 13 plans |
| 796 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,236 – $42,986 · median $23,849 | 13 plans |
| 797 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,236 – $38,607 · median $18,087 | 13 plans |
| 798 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,236 – $38,607 · median $18,087 | 13 plans |
| 805 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,236 – $39,030 · median $18,644 | 13 plans |
| 806 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,236 – $35,134 · median $13,518 | 13 plans |
| 807 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,236 – $33,908 · median $11,906 | 13 plans |
| 003 | MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $7,611 – $649,720 · median $243,838 | 12 plans |
| 004 | MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $7,611 – $428,365 · median $167,038 | 12 plans |
| 007 | MS-DRG 42.00: LUNG TRANSPLANT | $7,611 – $396,194 · median $155,876 | 12 plans |
| 011 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,611 – $163,582 · median $75,170 | 12 plans |
| 012 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,611 – $124,408 · median $61,578 | 12 plans |
| 013 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $7,611 – $80,337 · median $46,287 | 12 plans |
| 018 | MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $6,823 – $1,143,301 · median $415,089 | 12 plans |
| 020 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $7,611 – $244,380 · median $103,203 | 12 plans |
| 021 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $7,611 – $167,566 · median $76,552 | 12 plans |
| 022 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,611 – $107,028 · median $55,548 | 12 plans |
| 023 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,611 – $172,956 · median $78,422 | 12 plans |
| 024 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $7,611 – $115,252 · median $58,401 | 12 plans |
| 025 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $7,611 – $135,582 · median $65,455 | 12 plans |
| 026 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $7,611 – $92,725 · median $50,585 | 12 plans |
| 027 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,611 – $74,814 · median $44,371 | 12 plans |
| 031 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC | $7,611 – $127,042 · median $62,492 | 12 plans |
| 032 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC | $7,611 – $64,743 · median $40,386 | 12 plans |
| 033 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,611 – $48,369 · median $32,501 | 12 plans |
| 037 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC | $7,611 – $100,676 · median $53,344 | 12 plans |
| 038 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC | $7,611 – $48,848 · median $32,732 | 12 plans |
| 039 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,611 – $41,021 · median $25,825 | 12 plans |
| 040 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $7,611 – $114,355 · median $58,090 | 12 plans |
| 041 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,611 – $68,460 · median $42,166 | 12 plans |
| 042 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,611 – $53,283 · median $34,868 | 12 plans |
| 052 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC | $6,823 – $61,011 · median $38,589 | 12 plans |
| 053 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,823 – $37,942 · median $22,573 | 12 plans |
| 054 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,823 – $46,146 · median $31,094 | 12 plans |
| 055 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,823 – $40,351 · median $25,135 | 12 plans |
| 056 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $6,823 – $75,914 · median $44,753 | 12 plans |
| 057 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,823 – $43,807 · median $28,689 | 12 plans |
| 058 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $6,823 – $55,960 · median $36,157 | 12 plans |
| 059 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,823 – $42,233 · median $27,071 | 12 plans |
| 060 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,823 – $37,531 · median $21,863 | 12 plans |
| 061 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $6,823 – $81,956 · median $46,849 | 12 plans |
| 062 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $6,823 – $53,990 · median $35,208 | 12 plans |
| 063 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $6,823 – $44,806 · median $29,717 | 12 plans |
| 064 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,823 – $60,305 · median $38,249 | 12 plans |
| 065 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,823 – $39,298 · median $24,054 | 12 plans |
| 066 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,823 – $34,632 · median $16,862 | 12 plans |
| 067 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,823 – $45,518 · median $30,448 | 12 plans |
| 068 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,823 – $37,376 · median $21,596 | 12 plans |
| 069 | MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,823 – $36,220 · median $19,601 | 12 plans |
| 070 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $6,823 – $52,713 · median $34,593 | 12 plans |
| 071 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,823 – $39,824 · median $24,594 | 12 plans |
| 072 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,823 – $35,511 · median $18,379 | 12 plans |
| 073 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,823 – $46,856 · median $31,773 | 12 plans |
| 074 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,823 – $39,661 · median $24,426 | 12 plans |
| 075 | MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC | $6,823 – $52,216 · median $34,354 | 12 plans |
| 076 | MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC | $6,823 – $37,878 · median $22,463 | 12 plans |
| 077 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,823 – $46,878 · median $31,783 | 12 plans |
| 078 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,823 – $39,029 · median $23,776 | 12 plans |
| 079 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,823 – $34,326 · median $16,333 | 12 plans |
| 080 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC | $6,823 – $60,262 · median $38,229 | 12 plans |
| 081 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,823 – $37,707 · median $22,166 | 12 plans |
| 082 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $6,823 – $70,339 · median $42,818 | 12 plans |
| 083 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,823 – $44,602 · median $29,507 | 12 plans |
| 084 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,823 – $38,435 · median $23,166 | 12 plans |
| 085 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $6,823 – $68,696 · median $42,248 | 12 plans |
| 086 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,823 – $43,483 · median $28,356 | 12 plans |
| 087 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,823 – $37,411 · median $21,657 | 12 plans |
| 088 | MS-DRG 42.00: CONCUSSION WITH MCC | $6,823 – $44,890 · median $29,803 | 12 plans |
| 089 | MS-DRG 42.00: CONCUSSION WITH CC | $6,823 – $40,082 · median $24,859 | 12 plans |
| 090 | MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC | $6,823 – $37,032 · median $21,003 | 12 plans |
| 091 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,823 – $55,263 · median $35,821 | 12 plans |
| 092 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,823 – $39,892 · median $24,664 | 12 plans |
| 093 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,823 – $36,067 · median $19,337 | 12 plans |
| 094 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $6,823 – $110,614 · median $56,792 | 12 plans |
| 095 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $6,823 – $72,674 · median $43,628 | 12 plans |
| 096 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,823 – $72,674 · median $43,628 | 12 plans |
| 097 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $6,823 – $108,671 · median $56,118 | 12 plans |
| 098 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,823 – $65,765 · median $40,878 | 12 plans |
| 099 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,823 – $44,643 · median $29,549 | 12 plans |
| 100 | MS-DRG 42.00: SEIZURES WITH MCC | $6,823 – $60,186 · median $38,192 | 12 plans |
| 101 | MS-DRG 42.00: SEIZURES WITHOUT MCC | $6,823 – $37,947 · median $22,580 | 12 plans |
| 102 | MS-DRG 42.00: HEADACHES WITH MCC | $6,823 – $41,323 · median $26,136 | 12 plans |
| 103 | MS-DRG 42.00: HEADACHES WITHOUT MCC | $6,823 – $36,931 · median $20,829 | 12 plans |
| 113 | MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC | $7,611 – $68,411 · median $42,149 | 12 plans |
| 114 | MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC | $7,611 – $41,644 · median $26,465 | 12 plans |
| 115 | MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,611 – $46,598 · median $31,559 | 12 plans |
| 116 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC | $7,611 – $50,585 · median $33,568 | 12 plans |
| 117 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,611 – $40,175 · median $24,954 | 12 plans |
| 121 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,823 – $41,376 · median $26,190 | 12 plans |
| 122 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,823 – $34,490 · median $16,617 | 12 plans |
| 123 | MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS | $6,823 – $36,264 · median $19,677 | 12 plans |
| 124 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,823 – $43,374 · median $28,244 | 12 plans |
| 125 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,823 – $36,583 · median $20,229 | 12 plans |
| 135 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,611 – $73,095 · median $43,775 | 12 plans |
| 136 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,611 – $38,749 · median $23,489 | 12 plans |
| 137 | MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC | $7,611 – $44,718 · median $29,626 | 12 plans |
| 138 | MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC | $7,611 – $36,410 · median $19,930 | 12 plans |
| 139 | MS-DRG 42.00: SALIVARY GLAND PROCEDURES | $7,611 – $44,355 · median $29,253 | 12 plans |
| 140 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC | $7,611 – $128,212 · median $62,898 | 12 plans |
| 141 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,611 – $65,134 · median $40,575 | 12 plans |
| 142 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,611 – $47,669 · median $32,164 | 12 plans |
| 143 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $7,611 – $100,100 · median $53,144 | 12 plans |
| 144 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,611 – $53,256 · median $34,855 | 12 plans |
| 145 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $41,683 · median $26,505 | 12 plans |
| 146 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $6,823 – $69,548 · median $42,544 | 12 plans |
| 147 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,823 – $42,535 · median $27,381 | 12 plans |
| 148 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,823 – $36,228 · median $19,616 | 12 plans |
| 149 | MS-DRG 42.00: DYSEQUILIBRIUM | $6,823 – $35,473 · median $18,313 | 12 plans |
| 150 | MS-DRG 42.00: EPISTAXIS WITH MCC | $6,823 – $44,486 · median $29,387 | 12 plans |
| 151 | MS-DRG 42.00: EPISTAXIS WITHOUT MCC | $6,823 – $35,622 · median $18,570 | 12 plans |
| 152 | MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC | $6,823 – $40,973 · median $25,775 | 12 plans |
| 153 | MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC | $6,823 – $34,965 · median $17,436 | 12 plans |
| 154 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,823 – $49,303 · median $32,951 | 12 plans |
| 155 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,823 – $38,116 · median $22,837 | 12 plans |
| 156 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,823 – $34,407 · median $16,473 | 12 plans |
| 157 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC | $6,823 – $49,642 · median $33,114 | 12 plans |
| 158 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC | $6,823 – $38,215 · median $22,940 | 12 plans |
| 159 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,823 – $34,225 · median $16,159 | 12 plans |
| 163 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC | $7,611 – $139,733 · median $66,895 | 12 plans |
| 164 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC | $7,611 – $76,305 · median $44,888 | 12 plans |
| 165 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,611 – $56,509 · median $36,421 | 12 plans |
| 166 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $7,611 – $116,726 · median $58,913 | 12 plans |
| 167 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,611 – $55,393 · median $35,884 | 12 plans |
| 168 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $44,084 · median $28,974 | 12 plans |
| 175 | MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $6,823 – $44,868 · median $29,780 | 12 plans |
| 176 | MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC | $6,823 – $36,424 · median $19,954 | 12 plans |
| 177 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,823 – $49,006 · median $32,808 | 12 plans |
| 178 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,823 – $38,946 · median $23,691 | 12 plans |
| 179 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,823 – $35,788 · median $18,857 | 12 plans |
| 180 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC | $6,823 – $52,986 · median $34,725 | 12 plans |
| 181 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC | $6,823 – $40,625 · median $25,417 | 12 plans |
| 182 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,823 – $36,751 · median $20,518 | 12 plans |
| 183 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC | $6,823 – $48,121 · median $32,381 | 12 plans |
| 184 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC | $6,823 – $40,025 · median $24,801 | 12 plans |
| 185 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,823 – $35,902 · median $19,053 | 12 plans |
| 186 | MS-DRG 42.00: PLEURAL EFFUSION WITH MCC | $6,823 – $47,899 · median $32,275 | 12 plans |
| 187 | MS-DRG 42.00: PLEURAL EFFUSION WITH CC | $6,823 – $39,115 · median $23,865 | 12 plans |
| 188 | MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC | $6,823 – $35,284 · median $17,987 | 12 plans |
| 189 | MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,823 – $42,429 · median $27,273 | 12 plans |
| 190 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,823 – $40,805 · median $25,603 | 12 plans |
| 191 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,823 – $37,058 · median $21,047 | 12 plans |
| 192 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,823 – $34,049 · median $15,856 | 12 plans |
| 193 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,823 – $43,570 · median $28,445 | 12 plans |
| 194 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,823 – $36,503 · median $20,089 | 12 plans |
| 195 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,823 – $33,701 · median $15,255 | 12 plans |
| 196 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC | $6,823 – $57,118 · median $36,715 | 12 plans |
| 197 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC | $6,823 – $38,916 · median $23,661 | 12 plans |
| 198 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,823 – $34,804 · median $17,159 | 12 plans |
| 199 | MS-DRG 42.00: PNEUMOTHORAX WITH MCC | $6,823 – $53,517 · median $34,980 | 12 plans |
| 200 | MS-DRG 42.00: PNEUMOTHORAX WITH CC | $6,823 – $40,585 · median $25,376 | 12 plans |
| 201 | MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC | $6,823 – $34,473 · median $16,588 | 12 plans |
| 202 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC | $6,823 – $38,586 · median $23,321 | 12 plans |
| 203 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,823 – $34,750 · median $17,066 | 12 plans |
| 204 | MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS | $6,823 – $36,375 · median $19,868 | 12 plans |
| 205 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,823 – $57,231 · median $36,769 | 12 plans |
| 206 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,823 – $37,721 · median $22,191 | 12 plans |
| 207 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $6,823 – $196,060 · median $86,438 | 12 plans |
| 208 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $6,823 – $81,362 · median $46,643 | 12 plans |
| 212 | MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $7,611 – $330,259 · median $132,999 | 12 plans |
| 239 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $7,611 – $152,699 · median $71,394 | 12 plans |
| 240 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,611 – $88,286 · median $49,045 | 12 plans |
| 241 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,611 – $46,299 · median $31,251 | 12 plans |
| 255 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $7,611 – $79,322 · median $45,935 | 12 plans |
| 256 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,611 – $51,346 · median $33,935 | 12 plans |
| 257 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,611 – $37,523 · median $21,850 | 12 plans |
| 263 | MS-DRG 42.00: VEIN LIGATION AND STRIPPING | $7,611 – $81,311 · median $46,625 | 12 plans |
| 264 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $7,611 – $105,957 · median $55,176 | 12 plans |
| 275 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $7,611 – $214,243 · median $92,747 | 12 plans |
| 276 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $7,611 – $187,789 · median $83,568 | 12 plans |
| 277 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $7,611 – $141,027 · median $67,344 | 12 plans |
| 278 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $7,611 – $151,680 · median $71,040 | 12 plans |
| 279 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $7,611 – $97,145 · median $52,119 | 12 plans |
| 291 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC | $6,823 – $43,387 · median $28,257 | 12 plans |
| 292 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC | $6,823 – $37,088 · median $21,098 | 12 plans |
| 293 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,823 – $32,650 · median $13,570 | 12 plans |
| 294 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,823 – $42,296 · median $27,136 | 12 plans |
| 295 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,823 – $36,074 · median $19,349 | 12 plans |
| 296 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC | $6,823 – $49,670 · median $33,127 | 12 plans |
| 297 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC | $6,823 – $34,861 · median $17,257 | 12 plans |
| 298 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,823 – $31,131 · median $11,948 | 12 plans |
| 299 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,823 – $49,039 · median $32,824 | 12 plans |
| 300 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC | $6,823 – $40,061 · median $24,838 | 12 plans |
| 301 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,823 – $34,989 · median $17,477 | 12 plans |
| 302 | MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC | $6,823 – $41,377 · median $26,191 | 12 plans |
| 303 | MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC | $6,823 – $34,407 · median $16,473 | 12 plans |
| 304 | MS-DRG 42.00: HYPERTENSION WITH MCC | $6,823 – $41,541 · median $26,359 | 12 plans |
| 305 | MS-DRG 42.00: HYPERTENSION WITHOUT MCC | $6,823 – $35,518 · median $18,391 | 12 plans |
| 306 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,823 – $46,121 · median $31,069 | 12 plans |
| 307 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,823 – $38,013 · median $22,696 | 12 plans |
| 308 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,823 – $41,982 · median $26,813 | 12 plans |
| 309 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,823 – $35,357 · median $18,112 | 12 plans |
| 310 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,823 – $32,803 · median $13,734 | 12 plans |
| 311 | MS-DRG 42.00: ANGINA PECTORIS | $6,823 – $34,774 · median $17,107 | 12 plans |
| 312 | MS-DRG 42.00: SYNCOPE AND COLLAPSE | $6,823 – $37,231 · median $21,346 | 12 plans |
| 313 | MS-DRG 42.00: CHEST PAIN | $6,823 – $34,989 · median $17,477 | 12 plans |
| 314 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $6,823 – $65,286 · median $40,648 | 12 plans |
| 315 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,823 – $38,523 · median $23,256 | 12 plans |
| 316 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,823 – $34,553 · median $16,725 | 12 plans |
| 321 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $7,611 – $86,304 · median $48,357 | 12 plans |
| 322 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,611 – $54,848 · median $35,621 | 12 plans |
| 323 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $7,611 – $129,128 · median $63,216 | 12 plans |
| 324 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,611 – $96,863 · median $52,021 | 12 plans |
| 325 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $7,611 – $86,767 · median $48,518 | 12 plans |
| 326 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $7,611 – $153,975 · median $71,836 | 12 plans |
| 327 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $7,611 – $73,610 · median $43,953 | 12 plans |
| 328 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,611 – $48,309 · median $32,472 | 12 plans |
| 329 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,611 – $139,208 · median $66,713 | 12 plans |
| 330 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,611 – $71,658 · median $43,276 | 12 plans |
| 331 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,611 – $50,052 · median $33,311 | 12 plans |
| 332 | MS-DRG 42.00: RECTAL RESECTION WITH MCC | $7,611 – $105,157 · median $54,899 | 12 plans |
| 333 | MS-DRG 42.00: RECTAL RESECTION WITH CC | $7,611 – $64,431 · median $40,236 | 12 plans |
| 334 | MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC | $7,611 – $50,282 · median $33,422 | 12 plans |
| 335 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC | $7,611 – $109,847 · median $56,526 | 12 plans |
| 336 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC | $7,611 – $64,036 · median $40,046 | 12 plans |
| 337 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,611 – $46,657 · median $31,619 | 12 plans |
| 344 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,611 – $81,686 · median $46,755 | 12 plans |
| 345 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,611 – $45,998 · median $30,942 | 12 plans |
| 346 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,611 – $42,542 · median $27,388 | 12 plans |
| 347 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC | $7,611 – $71,752 · median $43,309 | 12 plans |
| 348 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC | $7,611 – $42,735 · median $27,587 | 12 plans |
| 349 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,611 – $37,367 · median $21,581 | 12 plans |
| 350 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,611 – $73,325 · median $43,855 | 12 plans |
| 351 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,611 – $46,222 · median $31,172 | 12 plans |
| 352 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,611 – $40,515 · median $25,305 | 12 plans |
| 353 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,611 – $88,917 · median $49,264 | 12 plans |
| 354 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,611 – $51,571 · median $34,043 | 12 plans |
| 355 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,611 – $43,790 · median $28,672 | 12 plans |
| 356 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $7,611 – $129,319 · median $63,282 | 12 plans |
| 357 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,611 – $68,272 · median $42,086 | 12 plans |
| 358 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $44,101 · median $28,991 | 12 plans |
| 368 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,823 – $50,628 · median $33,589 | 12 plans |
| 369 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,823 – $39,308 · median $24,064 | 12 plans |
| 370 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,823 – $34,770 · median $17,100 | 12 plans |
| 371 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,823 – $52,992 · median $34,728 | 12 plans |
| 372 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,823 – $39,474 · median $24,235 | 12 plans |
| 373 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,823 – $35,159 · median $17,771 | 12 plans |
| 374 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC | $6,823 – $64,009 · median $40,033 | 12 plans |
| 375 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC | $6,823 – $42,306 · median $27,146 | 12 plans |
| 376 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,823 – $37,397 · median $21,632 | 12 plans |
| 377 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,823 – $55,121 · median $35,752 | 12 plans |
| 378 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC | $6,823 – $38,858 · median $23,601 | 12 plans |
| 379 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,823 – $33,900 · median $15,598 | 12 plans |
| 380 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC | $6,823 – $58,337 · median $37,301 | 12 plans |
| 381 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC | $6,823 – $40,324 · median $25,108 | 12 plans |
| 382 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,823 – $35,499 · median $18,357 | 12 plans |
| 383 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,823 – $42,810 · median $27,664 | 12 plans |
| 384 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,823 – $37,207 · median $21,304 | 12 plans |
| 385 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC | $6,823 – $49,257 · median $32,929 | 12 plans |
| 386 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC | $6,823 – $38,952 · median $23,697 | 12 plans |
| 387 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,823 – $34,377 · median $16,422 | 12 plans |
| 388 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,823 – $45,731 · median $30,667 | 12 plans |
| 389 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC | $6,823 – $36,241 · median $19,638 | 12 plans |
| 390 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,823 – $32,629 · median $13,547 | 12 plans |
| 391 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,823 – $43,098 · median $27,960 | 12 plans |
| 392 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,823 – $35,939 · median $19,116 | 12 plans |
| 393 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,823 – $50,203 · median $33,384 | 12 plans |
| 394 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,823 – $38,225 · median $22,950 | 12 plans |
| 395 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,823 – $33,895 · median $15,591 | 12 plans |
| 397 | MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC | $7,611 – $75,117 · median $44,476 | 12 plans |
| 398 | MS-DRG 42.00: APPENDIX PROCEDURES WITH CC | $7,611 – $46,346 · median $31,299 | 12 plans |
| 399 | MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC | $7,611 – $40,816 · median $25,614 | 12 plans |
| 405 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $7,611 – $164,576 · median $75,515 | 12 plans |
| 406 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $7,611 – $85,139 · median $47,953 | 12 plans |
| 407 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,611 – $64,749 · median $40,389 | 12 plans |
| 408 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $7,611 – $106,145 · median $55,242 | 12 plans |
| 409 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,611 – $63,557 · median $39,816 | 12 plans |
| 410 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,611 – $47,023 · median $31,853 | 12 plans |
| 411 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $7,611 – $82,957 · median $47,196 | 12 plans |
| 412 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,611 – $64,622 · median $40,328 | 12 plans |
| 413 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,611 – $50,400 · median $33,479 | 12 plans |
| 414 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,611 – $106,221 · median $55,268 | 12 plans |
| 415 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,611 – $59,968 · median $38,087 | 12 plans |
| 416 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,611 – $44,315 · median $29,212 | 12 plans |
| 417 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,611 – $72,046 · median $43,411 | 12 plans |
| 418 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,611 – $50,276 · median $33,419 | 12 plans |
| 419 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,611 – $43,568 · median $28,444 | 12 plans |
| 420 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,611 – $107,000 · median $55,538 | 12 plans |
| 421 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,611 – $49,645 · median $33,116 | 12 plans |
| 422 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,611 – $45,724 · median $30,660 | 12 plans |
| 423 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,611 – $123,307 · median $61,196 | 12 plans |
| 424 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,611 – $69,221 · median $42,430 | 12 plans |
| 425 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $46,862 · median $31,775 | 12 plans |
| 432 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $6,823 – $59,392 · median $37,810 | 12 plans |
| 433 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,823 – $40,050 · median $24,826 | 12 plans |
| 434 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,823 – $34,749 · median $17,063 | 12 plans |
| 435 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,823 – $55,315 · median $35,846 | 12 plans |
| 436 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,823 – $40,872 · median $25,671 | 12 plans |
| 437 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,823 – $36,008 · median $19,236 | 12 plans |
| 438 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $6,823 – $50,437 · median $33,497 | 12 plans |
| 439 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,823 – $37,073 · median $21,074 | 12 plans |
| 440 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,823 – $33,593 · median $15,069 | 12 plans |
| 441 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $6,823 – $57,309 · median $36,807 | 12 plans |
| 442 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,823 – $38,578 · median $23,313 | 12 plans |
| 443 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,823 – $34,837 · median $17,215 | 12 plans |
| 444 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC | $6,823 – $51,064 · median $33,799 | 12 plans |
| 445 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC | $6,823 – $40,258 · median $25,041 | 12 plans |
| 446 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,823 – $36,180 · median $19,533 | 12 plans |
| 474 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,611 – $135,958 · median $65,585 | 12 plans |
| 475 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,611 – $65,401 · median $40,703 | 12 plans |
| 476 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,611 – $41,374 · median $26,188 | 12 plans |
| 477 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,611 – $104,257 · median $54,586 | 12 plans |
| 478 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,611 – $70,897 · median $43,012 | 12 plans |
| 479 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,611 – $53,835 · median $35,133 | 12 plans |
| 485 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $7,611 – $97,596 · median $52,275 | 12 plans |
| 486 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,611 – $64,297 · median $40,172 | 12 plans |
| 487 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,611 – $47,905 · median $32,278 | 12 plans |
| 488 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,611 – $59,583 · median $37,902 | 12 plans |
| 489 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,611 – $42,444 · median $27,287 | 12 plans |
| 495 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,611 – $106,731 · median $55,445 | 12 plans |
| 496 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,611 – $59,813 · median $38,013 | 12 plans |
| 498 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,611 – $76,545 · median $44,972 | 12 plans |
| 499 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,611 – $41,342 · median $26,154 | 12 plans |
| 500 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC | $7,611 – $96,062 · median $51,743 | 12 plans |
| 501 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC | $7,611 – $54,105 · median $35,263 | 12 plans |
| 502 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,611 – $44,699 · median $29,606 | 12 plans |
| 503 | MS-DRG 42.00: FOOT PROCEDURES WITH MCC | $7,611 – $80,234 · median $46,252 | 12 plans |
| 504 | MS-DRG 42.00: FOOT PROCEDURES WITH CC | $7,611 – $53,205 · median $34,830 | 12 plans |
| 505 | MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC | $7,611 – $53,205 · median $34,830 | 12 plans |
| 506 | MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES | $7,611 – $46,146 · median $31,094 | 12 plans |
| 507 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,611 – $58,758 · median $37,504 | 12 plans |
| 508 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,611 – $43,185 · median $28,050 | 12 plans |
| 509 | MS-DRG 42.00: ARTHROSCOPY | $7,611 – $53,256 · median $34,855 | 12 plans |
| 510 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $7,611 – $86,646 · median $48,476 | 12 plans |
| 511 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,611 – $59,456 · median $37,840 | 12 plans |
| 512 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,611 – $48,742 · median $32,681 | 12 plans |
| 513 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,611 – $46,238 · median $31,189 | 12 plans |
| 514 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,611 – $39,337 · median $24,093 | 12 plans |
| 515 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $7,611 – $93,749 · median $50,941 | 12 plans |
| 533 | MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC | $6,823 – $46,512 · median $31,470 | 12 plans |
| 534 | MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC | $6,823 – $36,417 · median $19,942 | 12 plans |
| 535 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC | $6,823 – $43,743 · median $28,623 | 12 plans |
| 536 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,823 – $36,373 · median $19,866 | 12 plans |
| 537 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,823 – $37,908 · median $22,514 | 12 plans |
| 538 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,823 – $34,394 · median $16,451 | 12 plans |
| 539 | MS-DRG 42.00: OSTEOMYELITIS WITH MCC | $6,823 – $61,311 · median $38,734 | 12 plans |
| 540 | MS-DRG 42.00: OSTEOMYELITIS WITH CC | $6,823 – $43,235 · median $28,101 | 12 plans |
| 541 | MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC | $6,823 – $37,282 · median $21,434 | 12 plans |
| 542 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $6,823 – $56,542 · median $36,437 | 12 plans |
| 543 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,823 – $39,923 · median $24,696 | 12 plans |
| 544 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,823 – $35,589 · median $18,514 | 12 plans |
| 546 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC | $6,823 – $41,298 · median $26,109 | 12 plans |
| 547 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,823 – $35,455 · median $18,281 | 12 plans |
| 548 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC | $6,823 – $61,075 · median $38,620 | 12 plans |
| 549 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC | $6,823 – $41,971 · median $26,801 | 12 plans |
| 550 | MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,823 – $37,100 · median $21,120 | 12 plans |
| 553 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,823 – $43,404 · median $28,274 | 12 plans |
| 554 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,823 – $36,710 · median $20,447 | 12 plans |
| 555 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,823 – $43,980 · median $28,867 | 12 plans |
| 556 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,823 – $36,453 · median $20,003 | 12 plans |
| 557 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,823 – $46,981 · median $31,832 | 12 plans |
| 558 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,823 – $37,124 · median $21,162 | 12 plans |
| 559 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,823 – $56,276 · median $36,309 | 12 plans |
| 560 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,823 – $41,028 · median $25,832 | 12 plans |
| 561 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,823 – $36,468 · median $20,030 | 12 plans |
| 562 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,823 – $45,640 · median $30,574 | 12 plans |
| 563 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,823 – $37,550 · median $21,897 | 12 plans |
| 564 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,823 – $47,572 · median $32,117 | 12 plans |
| 565 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,823 – $39,338 · median $24,094 | 12 plans |
| 566 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,823 – $35,482 · median $18,328 | 12 plans |
| 570 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC | $7,611 – $91,257 · median $50,076 | 12 plans |
| 571 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC | $7,611 – $50,758 · median $33,652 | 12 plans |
| 572 | MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,611 – $41,080 · median $25,886 | 12 plans |
| 573 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,611 – $186,692 · median $83,188 | 12 plans |
| 574 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,611 – $105,042 · median $54,859 | 12 plans |
| 575 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,611 – $60,532 · median $38,359 | 12 plans |
| 576 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,611 – $163,564 · median $75,163 | 12 plans |
| 577 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,611 – $80,725 · median $46,422 | 12 plans |
| 578 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,611 – $51,246 · median $33,887 | 12 plans |
| 579 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $7,611 – $98,812 · median $52,697 | 12 plans |
| 580 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,611 – $53,750 · median $35,093 | 12 plans |
| 581 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,611 – $45,295 · median $30,219 | 12 plans |
| 582 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,611 – $53,089 · median $34,774 | 12 plans |
| 583 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,611 – $49,800 · median $33,190 | 12 plans |
| 584 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,611 – $62,069 · median $39,099 | 12 plans |
| 585 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,611 – $60,180 · median $38,189 | 12 plans |
| 592 | MS-DRG 42.00: SKIN ULCERS WITH MCC | $6,823 – $62,339 · median $39,229 | 12 plans |
| 593 | MS-DRG 42.00: SKIN ULCERS WITH CC | $6,823 – $42,221 · median $27,058 | 12 plans |
| 594 | MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC | $6,823 – $36,910 · median $20,792 | 12 plans |
| 595 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC | $6,823 – $64,121 · median $40,087 | 12 plans |
| 596 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC | $6,823 – $40,210 · median $24,991 | 12 plans |
| 597 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC | $6,823 – $53,256 · median $34,855 | 12 plans |
| 598 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC | $6,823 – $40,179 · median $24,959 | 12 plans |
| 599 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,823 – $36,998 · median $20,944 | 12 plans |
| 600 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,823 – $38,442 · median $23,173 | 12 plans |
| 601 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,823 – $33,371 · median $14,687 | 12 plans |
| 602 | MS-DRG 42.00: CELLULITIS WITH MCC | $6,823 – $45,721 · median $30,657 | 12 plans |
| 603 | MS-DRG 42.00: CELLULITIS WITHOUT MCC | $6,823 – $37,366 · median $21,578 | 12 plans |
| 604 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,823 – $45,955 · median $30,898 | 12 plans |
| 605 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,823 – $37,975 · median $22,629 | 12 plans |
| 606 | MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC | $6,823 – $48,818 · median $32,717 | 12 plans |
| 607 | MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC | $6,823 – $37,130 · median $21,172 | 12 plans |
| 614 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,611 – $69,090 · median $42,385 | 12 plans |
| 615 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,611 – $45,207 · median $30,129 | 12 plans |
| 616 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,611 – $117,171 · median $59,067 | 12 plans |
| 617 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,611 – $58,558 · median $37,408 | 12 plans |
| 618 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,611 – $42,539 · median $27,385 | 12 plans |
| 622 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,611 – $113,442 · median $57,773 | 12 plans |
| 623 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,611 – $57,988 · median $37,134 | 12 plans |
| 624 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,611 – $39,102 · median $23,852 | 12 plans |
| 625 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,611 – $86,919 · median $48,571 | 12 plans |
| 626 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,611 – $46,290 · median $31,243 | 12 plans |
| 627 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,611 – $42,848 · median $27,704 | 12 plans |
| 628 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $7,611 – $119,618 · median $59,916 | 12 plans |
| 629 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,611 – $68,184 · median $42,044 | 12 plans |
| 630 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $44,757 · median $29,666 | 12 plans |
| 637 | MS-DRG 42.00: DIABETES WITH MCC | $6,823 – $45,538 · median $30,469 | 12 plans |
| 638 | MS-DRG 42.00: DIABETES WITH CC | $6,823 – $37,883 · median $22,470 | 12 plans |
| 639 | MS-DRG 42.00: DIABETES WITHOUT CC/MCC | $6,823 – $33,756 · median $15,351 | 12 plans |
| 640 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,823 – $43,716 · median $28,596 | 12 plans |
| 641 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,823 – $35,954 · median $19,143 | 12 plans |
| 642 | MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM | $6,823 – $42,482 · median $27,327 | 12 plans |
| 643 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC | $6,823 – $50,243 · median $33,403 | 12 plans |
| 644 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC | $6,823 – $39,533 · median $24,294 | 12 plans |
| 645 | MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,823 – $35,916 · median $19,077 | 12 plans |
| 653 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC | $7,611 – $169,000 · median $77,049 | 12 plans |
| 654 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC | $7,611 – $85,555 · median $48,098 | 12 plans |
| 655 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,611 – $62,975 · median $39,535 | 12 plans |
| 656 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $7,611 – $98,770 · median $52,683 | 12 plans |
| 657 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,611 – $55,421 · median $35,897 | 12 plans |
| 658 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,611 – $46,215 · median $31,165 | 12 plans |
| 659 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,611 – $78,346 · median $45,596 | 12 plans |
| 660 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,611 – $43,886 · median $28,771 | 12 plans |
| 661 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,611 – $39,436 · median $24,195 | 12 plans |
| 662 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC | $7,611 – $94,574 · median $51,227 | 12 plans |
| 663 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC | $7,611 – $46,547 · median $31,507 | 12 plans |
| 664 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,611 – $40,192 · median $24,972 | 12 plans |
| 665 | MS-DRG 42.00: PROSTATECTOMY WITH MCC | $7,611 – $104,093 · median $54,530 | 12 plans |
| 666 | MS-DRG 42.00: PROSTATECTOMY WITH CC | $7,611 – $49,940 · median $33,257 | 12 plans |
| 668 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC | $7,611 – $88,411 · median $49,088 | 12 plans |
| 669 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC | $7,611 – $46,914 · median $31,800 | 12 plans |
| 670 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,611 – $38,429 · median $23,160 | 12 plans |
| 671 | MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC | $7,611 – $52,256 · median $34,373 | 12 plans |
| 672 | MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC | $7,611 – $40,399 · median $25,185 | 12 plans |
| 673 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $7,611 – $127,012 · median $62,481 | 12 plans |
| 674 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,611 – $69,981 · median $42,694 | 12 plans |
| 675 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,611 – $47,454 · median $32,060 | 12 plans |
| 682 | MS-DRG 42.00: RENAL FAILURE WITH MCC | $6,823 – $46,185 · median $31,134 | 12 plans |
| 683 | MS-DRG 42.00: RENAL FAILURE WITH CC | $6,823 – $37,481 · median $21,777 | 12 plans |
| 684 | MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC | $6,823 – $33,484 · median $14,881 | 12 plans |
| 686 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,823 – $57,167 · median $36,738 | 12 plans |
| 687 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,823 – $39,807 · median $24,576 | 12 plans |
| 688 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,823 – $35,142 · median $17,742 | 12 plans |
| 689 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,823 – $41,477 · median $26,293 | 12 plans |
| 690 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,823 – $36,255 · median $19,663 | 12 plans |
| 693 | MS-DRG 42.00: URINARY STONES WITH MCC | $6,823 – $45,738 · median $30,675 | 12 plans |
| 694 | MS-DRG 42.00: URINARY STONES WITHOUT MCC | $6,823 – $35,954 · median $19,143 | 12 plans |
| 695 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,823 – $40,873 · median $25,673 | 12 plans |
| 696 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,823 – $34,682 · median $16,948 | 12 plans |
| 697 | MS-DRG 42.00: URETHRAL STRICTURE | $6,823 – $39,084 · median $23,833 | 12 plans |
| 698 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $6,823 – $50,958 · median $33,748 | 12 plans |
| 699 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,823 – $39,341 · median $24,097 | 12 plans |
| 700 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,823 – $34,716 · median $17,007 | 12 plans |
| 709 | MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC | $7,611 – $68,123 · median $42,014 | 12 plans |
| 710 | MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC | $7,611 – $46,178 · median $31,127 | 12 plans |
| 711 | MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC | $7,611 – $57,922 · median $37,101 | 12 plans |
| 712 | MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC | $7,611 – $40,047 · median $24,823 | 12 plans |
| 713 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,611 – $45,392 · median $30,318 | 12 plans |
| 714 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,611 – $38,202 · median $22,926 | 12 plans |
| 715 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,611 – $68,463 · median $42,167 | 12 plans |
| 716 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,611 – $45,012 · median $29,929 | 12 plans |
| 717 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,611 – $56,251 · median $36,297 | 12 plans |
| 718 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,611 – $42,351 · median $27,193 | 12 plans |
| 722 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,823 – $52,413 · median $34,449 | 12 plans |
| 723 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,823 – $40,804 · median $25,601 | 12 plans |
| 724 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,823 – $35,205 · median $17,850 | 12 plans |
| 725 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,823 – $42,787 · median $27,641 | 12 plans |
| 726 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,823 – $35,429 · median $18,237 | 12 plans |
| 727 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,823 – $45,724 · median $30,660 | 12 plans |
| 728 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,823 – $36,461 · median $20,018 | 12 plans |
| 729 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,823 – $40,491 · median $25,280 | 12 plans |
| 730 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,823 – $33,477 · median $14,868 | 12 plans |
| 734 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,611 – $63,748 · median $39,908 | 12 plans |
| 736 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $7,611 – $119,372 · median $59,831 | 12 plans |
| 737 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,611 – $60,583 · median $38,383 | 12 plans |
| 738 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,611 – $46,398 · median $31,353 | 12 plans |
| 739 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $7,611 – $120,685 · median $60,286 | 12 plans |
| 740 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,611 – $55,124 · median $35,754 | 12 plans |
| 744 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,611 – $59,237 · median $37,735 | 12 plans |
| 745 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,611 – $39,411 · median $24,169 | 12 plans |
| 746 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,611 – $50,767 · median $33,656 | 12 plans |
| 747 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,611 – $38,422 · median $23,153 | 12 plans |
| 748 | MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,611 – $44,203 · median $29,096 | 12 plans |
| 749 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,611 – $78,476 · median $45,642 | 12 plans |
| 750 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $43,169 · median $28,033 | 12 plans |
| 754 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,823 – $54,851 · median $35,623 | 12 plans |
| 755 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,823 – $40,622 · median $25,414 | 12 plans |
| 756 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,823 – $38,419 · median $23,150 | 12 plans |
| 757 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,823 – $44,956 · median $29,870 | 12 plans |
| 758 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,823 – $39,332 · median $24,089 | 12 plans |
| 759 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,823 – $33,947 · median $15,679 | 12 plans |
| 760 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,823 – $38,854 · median $23,597 | 12 plans |
| 761 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,823 – $33,860 · median $15,530 | 12 plans |
| 769 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,611 – $44,589 · median $29,493 | 12 plans |
| 770 | MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,611 – $40,138 · median $24,916 | 12 plans |
| 776 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,823 – $34,990 · median $17,480 | 12 plans |
| 779 | MS-DRG 42.00: ABORTION WITHOUT D&C | $6,823 – $38,133 · median $22,855 | 12 plans |
| 789 | MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $6,823 – $54,648 · median $35,525 | 12 plans |
| 790 | MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $6,823 – $180,223 · median $80,943 | 12 plans |
| 791 | MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS | $6,823 – $123,080 · median $61,117 | 12 plans |
| 792 | MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS | $6,823 – $74,265 · median $44,181 | 12 plans |
| 793 | MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS | $6,823 – $126,433 · median $62,280 | 12 plans |
| 794 | MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,823 – $45,820 · median $30,759 | 12 plans |
| 795 | MS-DRG 42.00: NORMAL NEWBORN | $1,053 – $27,696 · median $4,895 | 12 plans |
| 799 | MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC | $7,611 – $144,147 · median $68,426 | 12 plans |
| 800 | MS-DRG 42.00: SPLENIC PROCEDURES WITH CC | $7,611 – $88,335 · median $49,062 | 12 plans |
| 801 | MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC | $7,611 – $49,770 · median $33,176 | 12 plans |
| 802 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,611 – $108,677 · median $56,120 | 12 plans |
| 803 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,611 – $53,962 · median $35,195 | 12 plans |
| 804 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,611 – $40,558 · median $25,349 | 12 plans |
| 808 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,823 – $69,433 · median $42,504 | 12 plans |
| 809 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,823 – $42,445 · median $27,289 | 12 plans |
| 810 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,823 – $38,374 · median $23,103 | 12 plans |
| 811 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC | $6,823 – $44,836 · median $29,748 | 12 plans |
| 812 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC | $6,823 – $37,964 · median $22,610 | 12 plans |
| 813 | MS-DRG 42.00: COAGULATION DISORDERS | $6,823 – $46,929 · median $31,808 | 12 plans |
| 814 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $6,823 – $63,376 · median $39,728 | 12 plans |
| 815 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,823 – $39,287 · median $24,042 | 12 plans |
| 816 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,823 – $34,222 · median $16,154 | 12 plans |
| 817 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $7,611 – $76,854 · median $45,079 | 12 plans |
| 818 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,611 – $43,148 · median $28,012 | 12 plans |
| 819 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $36,453 · median $20,003 | 12 plans |
| 820 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $7,611 – $176,509 · median $79,655 | 12 plans |
| 821 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $7,611 – $67,677 · median $41,800 | 12 plans |
| 822 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $41,099 · median $25,905 | 12 plans |
| 823 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $7,611 – $141,864 · median $67,634 | 12 plans |
| 824 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,611 – $66,677 · median $41,318 | 12 plans |
| 825 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,611 – $42,336 · median $27,176 | 12 plans |
| 826 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $7,611 – $144,774 · median $68,644 | 12 plans |
| 827 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $7,611 – $71,543 · median $43,236 | 12 plans |
| 828 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $48,594 · median $32,609 | 12 plans |
| 829 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $7,611 – $93,488 · median $50,850 | 12 plans |
| 830 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,611 – $45,626 · median $30,559 | 12 plans |
| 831 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,823 – $41,203 · median $26,011 | 12 plans |
| 832 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,823 – $35,472 · median $18,310 | 12 plans |
| 833 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,823 – $32,240 · median $13,132 | 12 plans |
| 834 | MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC | $6,823 – $167,566 · median $76,552 | 12 plans |
| 835 | MS-DRG 42.00: ACUTE LEUKEMIA WITH CC | $6,823 – $64,752 · median $40,391 | 12 plans |
| 836 | MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC | $6,823 – $42,902 · median $27,759 | 12 plans |
| 837 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $6,823 – $151,798 · median $71,081 | 12 plans |
| 838 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $6,823 – $61,487 · median $38,818 | 12 plans |
| 839 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,823 – $44,318 · median $29,215 | 12 plans |
| 840 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $6,823 – $96,678 · median $51,957 | 12 plans |
| 841 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,823 – $47,535 · median $32,100 | 12 plans |
| 842 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,823 – $39,795 · median $24,565 | 12 plans |
| 843 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $6,823 – $57,397 · median $36,849 | 12 plans |
| 844 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,823 – $41,830 · median $26,657 | 12 plans |
| 845 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,823 – $36,741 · median $20,501 | 12 plans |
| 846 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $6,823 – $77,421 · median $45,276 | 12 plans |
| 847 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,823 – $42,902 · median $27,759 | 12 plans |
| 848 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,823 – $36,487 · median $20,062 | 12 plans |
| 849 | MS-DRG 42.00: RADIOTHERAPY | $6,823 – $80,977 · median $46,509 | 12 plans |
| 853 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $7,611 – $151,619 · median $71,019 | 12 plans |
| 854 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,611 – $60,574 · median $38,379 | 12 plans |
| 855 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $49,282 · median $32,941 | 12 plans |
| 856 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $7,611 – $136,774 · median $65,868 | 12 plans |
| 857 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,611 – $66,056 · median $41,019 | 12 plans |
| 858 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,611 – $43,154 · median $28,017 | 12 plans |
| 862 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,823 – $55,742 · median $36,052 | 12 plans |
| 863 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,823 – $39,057 · median $23,805 | 12 plans |
| 864 | MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS | $6,823 – $37,610 · median $22,000 | 12 plans |
| 865 | MS-DRG 42.00: VIRAL ILLNESS WITH MCC | $6,823 – $45,816 · median $30,755 | 12 plans |
| 866 | MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC | $6,823 – $37,423 · median $21,676 | 12 plans |
| 867 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $6,823 – $65,007 · median $40,513 | 12 plans |
| 868 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,823 – $39,770 · median $24,538 | 12 plans |
| 869 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,823 – $35,077 · median $17,629 | 12 plans |
| 870 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $6,823 – $210,893 · median $91,584 | 12 plans |
| 871 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $6,823 – $59,483 · median $37,853 | 12 plans |
| 872 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,823 – $39,499 · median $24,259 | 12 plans |
| 876 | MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $7,611 – $119,130 · median $59,747 | 12 plans |
| 880 | MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,823 – $38,471 · median $23,202 | 12 plans |
| 881 | MS-DRG 42.00: DEPRESSIVE NEUROSES | $6,823 – $37,839 · median $22,394 | 12 plans |
| 882 | MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE | $6,823 – $38,519 · median $23,252 | 12 plans |
| 883 | MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,823 – $56,203 · median $36,274 | 12 plans |
| 884 | MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,823 – $50,634 · median $33,592 | 12 plans |
| 885 | MS-DRG 42.00: PSYCHOSES | $6,823 – $44,875 · median $29,787 | 12 plans |
| 886 | MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $6,823 – $54,463 · median $35,436 | 12 plans |
| 887 | MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES | $6,823 – $41,748 · median $26,572 | 12 plans |
| 894 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,823 – $33,721 · median $15,290 | 12 plans |
| 895 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $6,823 – $45,419 · median $30,346 | 12 plans |
| 896 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $6,823 – $53,987 · median $35,206 | 12 plans |
| 897 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,823 – $37,386 · median $21,613 | 12 plans |
| 901 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,611 – $134,315 · median $65,015 | 12 plans |
| 902 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,611 – $57,528 · median $36,912 | 12 plans |
| 903 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,611 – $42,170 · median $27,006 | 12 plans |
| 904 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,611 – $117,053 · median $59,026 | 12 plans |
| 905 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,611 – $49,967 · median $33,270 | 12 plans |
| 906 | MS-DRG 42.00: HAND PROCEDURES FOR INJURIES | $7,611 – $66,165 · median $41,071 | 12 plans |
| 907 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $7,611 – $120,770 · median $60,316 | 12 plans |
| 908 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,611 – $61,150 · median $38,656 | 12 plans |
| 909 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,611 – $42,868 · median $27,724 | 12 plans |
| 913 | MS-DRG 42.00: TRAUMATIC INJURY WITH MCC | $6,823 – $49,060 · median $32,834 | 12 plans |
| 914 | MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC | $6,823 – $37,871 · median $22,451 | 12 plans |
| 915 | MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC | $6,823 – $52,686 · median $34,580 | 12 plans |
| 916 | MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC | $6,823 – $34,289 · median $16,270 | 12 plans |
| 917 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $6,823 – $49,709 · median $33,146 | 12 plans |
| 918 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,823 – $37,420 · median $21,672 | 12 plans |
| 919 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC | $6,823 – $55,284 · median $35,831 | 12 plans |
| 920 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC | $6,823 – $39,284 · median $24,039 | 12 plans |
| 921 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,823 – $34,624 · median $16,848 | 12 plans |
| 922 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $6,823 – $51,216 · median $33,872 | 12 plans |
| 923 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,823 – $39,341 · median $24,097 | 12 plans |
| 927 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $7,611 – $719,180 · median $267,938 | 12 plans |
| 928 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $7,611 – $202,478 · median $88,665 | 12 plans |
| 929 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $7,611 – $96,417 · median $51,866 | 12 plans |
| 933 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $6,823 – $131,174 · median $63,926 | 12 plans |
| 934 | MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,823 – $65,052 · median $40,535 | 12 plans |
| 935 | MS-DRG 42.00: NON-EXTENSIVE BURNS | $6,823 – $66,586 · median $41,274 | 12 plans |
| 939 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $7,611 – $96,223 · median $51,799 | 12 plans |
| 940 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,611 – $64,009 · median $40,033 | 12 plans |
| 941 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,611 – $59,247 · median $37,739 | 12 plans |
| 945 | MS-DRG 42.00: REHABILITATION WITH CC/MCC | $6,823 – $46,535 · median $31,494 | 12 plans |
| 946 | MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC | $6,823 – $40,713 · median $25,508 | 12 plans |
| 947 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC | $6,823 – $43,122 · median $27,985 | 12 plans |
| 948 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC | $6,823 – $36,140 · median $19,464 | 12 plans |
| 949 | MS-DRG 42.00: AFTERCARE WITH CC/MCC | $6,823 – $40,180 · median $24,960 | 12 plans |
| 950 | MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC | $6,823 – $33,181 · median $14,359 | 12 plans |
| 951 | MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS | $6,823 – $32,910 · median $13,891 | 12 plans |
| 955 | MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,611 – $207,007 · median $90,236 | 12 plans |
| 957 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,611 – $226,285 · median $96,925 | 12 plans |
| 958 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,611 – $124,593 · median $61,642 | 12 plans |
| 959 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,611 – $80,152 · median $46,223 | 12 plans |
| 963 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $6,823 – $82,359 · median $46,989 | 12 plans |
| 964 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,823 – $46,160 · median $31,108 | 12 plans |
| 965 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,823 – $37,817 · median $22,358 | 12 plans |
| 969 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $7,611 – $191,727 · median $84,935 | 12 plans |
| 970 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,611 – $80,437 · median $46,322 | 12 plans |
| 974 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC | $6,823 – $90,530 · median $49,824 | 12 plans |
| 975 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC | $6,823 – $45,042 · median $29,959 | 12 plans |
| 976 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,823 – $39,101 · median $23,851 | 12 plans |
| 977 | MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,823 – $45,333 · median $30,259 | 12 plans |
| 981 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,611 – $144,119 · median $68,417 | 12 plans |
| 982 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,611 – $74,223 · median $44,166 | 12 plans |
| 983 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,611 – $50,573 · median $33,562 | 12 plans |
| 987 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,611 – $106,188 · median $55,256 | 12 plans |
| 988 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,611 – $52,022 · median $34,260 | 12 plans |
| 989 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,611 – $41,267 · median $26,077 | 12 plans |
| 237 | MS-DRG 31.00: MAJOR CARDIOVASC PROCEDURES W MCC | $11,745 – $79,185 · median $60,147 | 11 plans |
| 238 | MS-DRG 31.00: MAJOR CARDIOVASC PROCEDURES W/O MCC | $11,745 – $68,582 · median $52,096 | 11 plans |
| 173 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $50,690 – $93,028 · median $57,033 | 8 plans |
| 317 | MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $83,484 – $187,547 · median $112,286 | 8 plans |
| 402 | MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $59,564 – $118,602 · median $72,713 | 8 plans |
| 426 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $128,597 – $317,572 · median $172,963 | 8 plans |
| 427 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $93,122 – $215,325 · median $125,249 | 8 plans |
| 428 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $76,308 – $166,862 · median $102,014 | 8 plans |
| 429 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $106,143 – $252,854 · median $142,762 | 8 plans |
| 430 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $75,954 – $165,844 · median $101,466 | 8 plans |
| 447 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $88,936 – $203,260 · median $119,619 | 8 plans |
| 448 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $61,365 – $123,795 · median $75,897 | 8 plans |
| 450 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $72,584 – $156,130 · median $95,720 | 8 plans |
| 451 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,873 – $93,555 · median $57,357 | 8 plans |
| 850 | MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES | $115,307 – $279,268 · median $155,089 | 8 plans |
| 780 | MS-DRG 35.00: FALSE LABOR | $3,009 – $5,106 · median $3,544 | 4 plans |
| 691 | MS-DRG 31.00: URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $6,240 – $7,890 · median $7,065 | 2 plans |
| 692 | MS-DRG 31.00: URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $6,240 – $7,890 · median $7,065 | 2 plans |
| 765 | MS-DRG 31.00: CESAREAN SECTION W CC/MCC | $5,000 – $5,000 · median $5,000 | 1 plans |
| 766 | MS-DRG 31.00: CESAREAN SECTION W/O CC/MCC | $5,000 – $5,000 · median $5,000 | 1 plans |
| 767 | MS-DRG 31.00: VAGINAL DELIVERY W STERILIZATION &/OR D&C | $4,760 – $4,760 · median $4,760 | 1 plans |
| 774 | MS-DRG 31.00: VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $4,760 – $4,760 · median $4,760 | 1 plans |
| 775 | MS-DRG 31.00: VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $4,760 – $4,760 · median $4,760 | 1 plans |
No procedures match that keyword.