Middlesex Hospital — Pricing
454 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 454 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 454 procedures
Procedures with negotiated rates only
These 454 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 |
|---|---|---|---|
| 603 | CELLULITIS WITHOUT MCC | $338 – $113,817 · median $14,088 | 33 plans |
| 795 | NORMAL NEWBORN | $133 – $9,294 · median $3,096 | 31 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $200 – $99,064 · median $18,881 | 31 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $200 – $41,009 · median $15,488 | 31 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $300 – $33,232 · median $7,649 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $502 – $18,194 · median $12,062 | 28 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,333 – $41,700 · median $16,079 | 27 plans |
| 885 | PSYCHOSES | $137 – $43,654 · median $11,051 | 26 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $528 – $9,106 · median $3,500 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,667 – $21,188 · median $7,976 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $352 – $53,152 · median $11,914 | 22 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $550 – $64,640 · median $17,429 | 22 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $185 – $26,034 · median $9,278 | 22 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $400 – $43,023 · median $12,324 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $200 – $38,159 · median $22,201 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,877 – $206,332 · median $22,667 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $600 – $46,416 · median $17,101 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $611 – $30,024 · median $17,394 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,582 – $33,128 · median $12,199 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,552 – $27,083 · median $7,880 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,176 – $50,114 · median $7,866 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $600 – $24,846 · median $7,744 | 17 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,826 – $97,200 · median $71,964 | 17 plans |
| 638 | DIABETES WITH CC | $5,771 – $30,669 · median $8,715 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,050 – $38,895 · median $4,812 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $200 – $23,267 · median $8,742 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,572 – $211,357 · median $45,706 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $200 – $29,599 · median $5,408 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,694 – $134,595 · median $71,722 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,625 – $50,672 · median $19,143 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,302 – $72,529 · median $14,382 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $6,891 – $32,315 · median $12,927 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,588 – $43,139 · median $10,099 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,652 – $82,618 · median $11,427 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,314 – $23,024 · median $8,901 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,106 – $27,585 · median $8,345 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $600 – $40,758 · median $18,974 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $600 – $28,108 · median $15,109 | 14 plans |
| 637 | DIABETES WITH MCC | $9,384 – $82,724 · median $13,478 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $700 – $44,065 · median $18,568 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,334 – $43,438 · median $18,715 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,340 – $62,008 · median $23,452 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,065 – $50,368 · median $11,474 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,090 – $44,080 · median $8,135 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $350 – $66,434 · median $6,994 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,637 – $84,586 · median $16,373 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $600 – $53,740 · median $15,343 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,850 – $25,932 · median $7,300 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,687 – $37,269 · median $10,831 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $600 – $155,217 · median $61,177 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,238 – $40,978 · median $10,533 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $200 – $20,822 · median $7,685 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $680 – $28,358 · median $6,124 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,939 – $25,020 · median $8,098 | 12 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $37,189 – $118,133 · median $77,797 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,585 – $53,727 · median $19,782 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $4,462 – $23,232 · median $8,494 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $333 – $42,889 · median $12,326 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $705 – $19,891 · median $12,294 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,311 – $23,136 · median $8,688 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $8,139 – $108,672 · median $18,782 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $200 – $39,500 · median $6,626 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $699 – $32,073 · median $15,488 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $600 – $56,498 · median $21,791 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $686 – $23,327 · median $12,954 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $550 – $25,022 · median $12,501 | 11 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,775 – $15,488 · median $8,376 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $693 – $35,128 · median $10,112 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,159 – $21,912 · median $8,004 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $27,036 – $179,613 · median $61,347 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,020 – $53,958 · median $9,966 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,039 – $38,720 · median $13,816 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,773 – $22,381 · median $9,022 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,504 – $20,270 · median $10,186 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,980 – $46,464 · median $14,356 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,815 – $28,188 · median $18,892 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $8,935 – $42,207 · median $18,043 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,269 – $53,740 · median $9,262 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,837 – $18,829 · median $7,418 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,702 – $79,903 · median $29,133 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,369 – $39,658 · median $16,831 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,728 – $119,360 · median $15,679 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,200 – $39,909 · median $16,105 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,057 – $74,083 · median $26,972 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,443 – $29,800 · median $12,185 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,127 – $40,610 · median $10,060 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,479 – $35,636 · median $16,122 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $583 – $19,459 · median $17,675 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,551 – $45,419 · median $16,829 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,154 – $50,314 · median $17,870 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,437 – $45,385 · median $18,141 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,343 – $66,256 · median $32,388 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $400 – $40,243 · median $25,245 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,742 – $47,655 · median $9,535 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,240 – $71,265 · median $24,931 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,618 – $41,688 · median $19,994 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,385 – $27,585 · median $16,089 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,308 – $44,293 · median $17,560 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,012 – $23,107 · median $8,252 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,913 – $16,778 · median $5,837 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $12,599 – $121,517 · median $13,521 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,806 – $18,090 · median $12,582 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $617 – $26,445 · median $10,381 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $7,744 – $29,625 · median $7,950 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,778 – $31,401 · median $12,970 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,371 – $20,061 · median $6,658 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $980 – $38,482 · median $7,110 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,195 – $37,438 · median $12,613 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,192 – $19,877 · median $10,226 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,426 – $57,134 · median $25,278 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $300 – $61,662 · median $32,075 | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,750 – $37,346 · median $14,679 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $941 – $28,440 · median $16,225 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,273 – $40,062 · median $17,705 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,681 – $40,575 · median $23,232 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,760 – $21,496 · median $9,312 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,967 – $21,396 · median $14,957 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $605 – $21,388 · median $17,893 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $600 – $40,568 · median $17,054 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $650 – $75,120 · median $19,092 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,868 – $39,417 · median $23,232 | 7 plans |
| 813 | COAGULATION DISORDERS | $12,584 – $35,185 · median $18,363 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,414 – $32,244 · median $17,799 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,875 – $30,976 · median $16,430 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,798 – $113,228 · median $22,993 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,610 – $12,619 · median $12,027 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,603 – $37,499 · median $15,856 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,027 – $30,976 · median $10,029 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,399 – $51,228 · median $23,549 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,903 – $23,584 · median $19,349 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,062 – $93,367 · median $22,481 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,282 – $38,655 · median $19,481 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,627 – $66,256 · median $39,950 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,524 – $85,914 · median $20,784 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,385 – $50,189 · median $23,335 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $550 – $75,655 · median $8,872 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,640 – $21,496 · median $12,734 | 6 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $75,236 – $133,158 · median $115,554 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,224 – $35,580 · median $20,521 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,057 – $27,425 · median $25,881 | 6 plans |
| 602 | CELLULITIS WITH MCC | $12,689 – $28,010 · median $13,572 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,746 – $101,410 · median $32,795 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,935 – $20,120 · median $11,203 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,176 – $18,546 · median $6,783 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $400 – $30,651 · median $9,509 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,990 – $110,215 · median $46,746 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,297 – $49,361 · median $17,625 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $838 – $16,505 · median $15,738 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,365 – $54,208 · median $9,577 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,693 – $92,718 · median $15,911 | 5 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $22,034 – $84,532 · median $38,151 | 5 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,547 – $17,381 · median $6,119 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,790 – $15,954 · median $14,390 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,966 – $20,920 · median $16,343 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $11,059 – $25,610 · median $24,598 | 5 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,568 – $104,710 · median $37,731 | 5 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,170 – $15,349 · median $14,634 | 5 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,785 – $101,681 · median $46,563 | 5 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,690 – $30,476 · median $9,176 | 5 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $786 – $22,586 · median $9,684 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $600 – $19,897 · median $14,017 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,924 – $86,197 · median $31,782 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,209 – $20,275 · median $7,744 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,396 – $40,866 · median $36,479 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,390 – $16,096 · median $7,392 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $400 – $20,820 · median $17,231 | 5 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $400 – $19,630 · median $11,698 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,336 – $17,078 · median $8,963 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,065 – $15,605 · median $15,519 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $12,386 – $40,210 · median $30,779 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $200 – $33,364 · median $15,240 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,486 – $37,452 · median $18,442 | 4 plans |
| 100 | SEIZURES WITH MCC | $12,240 – $44,673 · median $30,699 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,043 – $25,500 · median $17,370 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,069 – $7,245 · median $7,103 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,954 – $102,738 · median $60,644 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,222 – $8,555 · median $8,217 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,448 – $53,831 · median $24,535 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,639 – $35,580 · median $26,481 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,683 – $9,560 · median $9,220 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $8,577 – $26,789 · median $16,980 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,776 – $9,652 · median $9,219 | 4 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $15,018 – $37,308 · median $29,508 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $200 – $52,044 · median $21,216 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,476 – $48,048 · median $20,377 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,180 – $33,365 · median $8,604 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,651 – $10,288 · median $9,841 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,367 – $45,975 · median $13,299 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,282 – $10,555 · median $9,780 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,613 – $74,648 · median $42,510 | 4 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $1,327 – $21,637 · median $21,485 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,605 – $35,112 · median $15,328 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,744 – $38,256 · median $24,005 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,078 – $10,291 · median $10,126 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,751 – $19,320 · median $7,784 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,852 – $34,973 · median $15,954 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,527 – $57,008 · median $27,855 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,964 – $15,155 · median $13,515 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,428 – $10,254 · median $9,656 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,977 – $25,615 · median $12,935 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $8,198 – $28,789 · median $23,846 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,758 – $13,377 · median $5,803 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,557 – $7,681 · median $7,677 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,456 – $36,730 · median $19,273 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,383 – $6,504 · median $3,486 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,231 – $18,713 · median $15,414 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,150 – $78,420 · median $28,342 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $652 – $31,915 · median $19,193 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,647 – $44,204 · median $25,911 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,099 – $64,723 · median $35,212 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,883 – $35,316 · median $12,493 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,299 – $19,134 · median $13,233 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,457 – $73,560 · median $30,164 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $1,228 – $21,678 · median $20,904 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,914 – $9,998 · median $9,931 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,988 – $32,054 · median $21,511 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $447 – $15,488 · median $8,694 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,700 – $41,619 · median $26,334 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,580 – $32,561 · median $13,028 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,713 – $24,990 · median $24,990 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,957 – $8,384 · median $7,524 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,493 – $20,951 · median $20,782 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $10,405 – $69,581 · median $29,053 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,101 – $16,445 · median $10,154 | 3 plans |
| 313 | CHEST PAIN | $6,842 – $18,073 · median $15,488 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $33,314 – $33,510 · median $33,314 | 3 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,863 – $28,264 · median $26,204 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,887 – $65,814 · median $38,487 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,457 – $18,569 · median $16,107 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,828 – $27,585 · median $6,917 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,606 – $19,260 · median $19,260 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,187 – $36,401 · median $7,261 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $600 – $32,899 · median $7,744 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,778 – $10,365 · median $10,223 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,172 – $71,301 · median $27,585 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,467 – $49,140 · median $33,376 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,343 – $15,741 · median $15,340 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,292 – $10,533 · median $10,172 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,121 – $20,960 · median $14,280 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,298 – $9,321 · median $9,320 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,037 – $6,700 · median $6,032 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,489 – $50,189 · median $8,561 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,407 – $14,110 · median $13,483 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,007 – $30,750 · median $18,331 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,948 – $17,339 · median $8,101 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,282 – $18,390 · median $17,139 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $3,608 – $7,744 · median $5,807 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,730 – $20,336 · median $8,790 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,854 – $16,172 · median $14,525 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $14,245 – $27,625 · median $14,245 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,251 – $18,824 · median $18,418 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $146,117 – $212,302 · median $179,209 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,249 – $42,725 · median $29,987 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,537 – $14,212 · median $13,875 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,306 – $25,585 · median $22,946 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $21,497 – $38,720 · median $30,109 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,472 – $7,673 · median $7,573 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,672 – $107,661 · median $62,166 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $30,976 – $49,692 · median $40,334 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,882 – $13,139 · median $11,511 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $880 – $27,056 · median $13,968 | 2 plans |
| 149 | DYSEQUILIBRIUM | $7,071 – $7,161 · median $7,116 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,579 – $23,232 · median $14,905 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,840 – $13,883 · median $13,861 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,446 – $19,175 · median $12,811 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,454 – $47,298 · median $28,876 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,151 – $41,410 · median $25,281 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,922 – $17,502 · median $12,212 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $967 – $36,055 · median $18,511 | 2 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,335 – $17,483 · median $17,409 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,401 – $30,377 · median $29,389 | 2 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,781 – $29,605 · median $21,693 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $200 – $22,768 · median $11,484 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,369 – $5,371 · median $5,370 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,560 – $8,935 · median $7,247 | 2 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,271 – $11,284 · median $10,778 | 2 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $26,272 – $30,606 · median $28,439 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $63,679 – $73,509 · median $68,594 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,225 – $14,357 · median $14,291 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,395 – $23,252 · median $18,323 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,777 – $42,266 · median $29,021 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,680 – $57,974 · median $36,327 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $31,974 – $37,435 · median $34,704 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,744 – $16,697 · median $12,220 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,340 – $62,221 · median $48,781 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,510 – $75,283 · median $55,897 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,673 – $101,164 · median $65,418 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,165 – $33,285 · median $26,225 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,863 – $70,949 · median $46,906 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,048 – $22,388 · median $17,218 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,949 – $9,052 · median $7,501 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $7,431 – $18,226 · median $12,829 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,720 – $17,214 · median $12,467 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,335 – $31,701 · median $21,518 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $5,469 – $26,833 · median $16,151 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,920 – $23,993 · median $22,957 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,484 – $20,348 · median $16,416 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $5,575 – $9,226 · median $7,400 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,553 – $41,549 · median $28,551 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,315 – $84,267 · median $53,791 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,940 – $17,333 · median $16,636 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,612 – $13,642 · median $13,627 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,957 – $11,674 · median $11,315 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,022 – $10,106 · median $10,064 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,886 – $25,562 · median $15,724 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $35,633 – $43,726 · median $39,679 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,306 – $17,826 · median $17,066 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,549 – $37,087 · median $35,818 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,669 – $7,979 · median $7,824 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,571 – $12,572 · median $12,572 | 2 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,387 – $5,537 · median $5,462 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,568 – $33,460 · median $24,514 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $182,555 – $182,555 · median $182,555 | 1 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,082 – $15,082 · median $15,082 | 1 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $36,780 – $36,780 · median $36,780 | 1 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,406 – $9,406 · median $9,406 | 1 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,638 – $10,638 · median $10,638 | 1 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $26,779 – $26,779 · median $26,779 | 1 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,081 – $13,081 · median $13,081 | 1 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,312 – $7,312 · median $7,312 | 1 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $185,587 – $185,587 · median $185,587 | 1 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,287 – $20,287 · median $20,287 | 1 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,662 – $19,662 · median $19,662 | 1 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $35,428 – $35,428 · median $35,428 | 1 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $31,474 – $31,474 · median $31,474 | 1 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,605 – $7,605 · median $7,605 | 1 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $12,504 – $12,504 · median $12,504 | 1 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,212 – $7,212 · median $7,212 | 1 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,868 – $8,868 · median $8,868 | 1 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $91,563 – $91,563 · median $91,563 | 1 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,460 – $8,460 · median $8,460 | 1 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,557 – $14,557 · median $14,557 | 1 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,638 – $9,638 · median $9,638 | 1 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,847 – $6,847 · median $6,847 | 1 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,323 – $14,323 · median $14,323 | 1 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,338 – $25,338 · median $25,338 | 1 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,288 – $24,288 · median $24,288 | 1 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $46,088 – $46,088 · median $46,088 | 1 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,578 – $23,578 · median $23,578 | 1 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,900 – $6,900 · median $6,900 | 1 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,099 – $16,099 · median $16,099 | 1 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,557 – $6,557 · median $6,557 | 1 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,089 – $26,089 · median $26,089 | 1 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $40,835 – $40,835 · median $40,835 | 1 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $28,794 – $28,794 · median $28,794 | 1 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,003 – $15,003 · median $15,003 | 1 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,037 – $6,037 · median $6,037 | 1 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $16,584 – $16,584 · median $16,584 | 1 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,856 – $6,856 · median $6,856 | 1 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $24,100 – $24,100 · median $24,100 | 1 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,679 – $12,679 · median $12,679 | 1 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,614 – $21,614 · median $21,614 | 1 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,285 – $10,285 · median $10,285 | 1 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $27,585 – $27,585 · median $27,585 | 1 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $24,846 – $24,846 · median $24,846 | 1 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,224 – $7,224 · median $7,224 | 1 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,348 – $17,348 · median $17,348 | 1 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,577 – $11,577 · median $11,577 | 1 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $58,751 – $58,751 · median $58,751 | 1 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,476 – $14,476 · median $14,476 | 1 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $35,160 – $35,160 · median $35,160 | 1 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $40,028 – $40,028 · median $40,028 | 1 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $35,856 – $35,856 · median $35,856 | 1 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,702 – $21,702 · median $21,702 | 1 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $13,911 – $13,911 · median $13,911 | 1 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $25,094 – $25,094 · median $25,094 | 1 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,066 – $47,066 · median $47,066 | 1 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,709 – $25,709 · median $25,709 | 1 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,274 – $18,274 · median $18,274 | 1 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,250 – $29,250 · median $29,250 | 1 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,177 – $18,177 · median $18,177 | 1 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,089 – $19,089 · median $19,089 | 1 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,834 – $21,834 · median $21,834 | 1 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,139 – $17,139 · median $17,139 | 1 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,007 – $11,007 · median $11,007 | 1 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $24,730 – $24,730 · median $24,730 | 1 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $22,076 – $22,076 · median $22,076 | 1 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,089 – $23,089 · median $23,089 | 1 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,195 – $16,195 · median $16,195 | 1 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $23,725 – $23,725 · median $23,725 | 1 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,425 – $16,425 · median $16,425 | 1 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,282 – $8,282 · median $8,282 | 1 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,210 – $28,210 · median $28,210 | 1 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,511 – $18,511 · median $18,511 | 1 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $33,459 – $33,459 · median $33,459 | 1 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,475 – $12,475 · median $12,475 | 1 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,700 – $7,700 · median $7,700 | 1 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $92,928 – $92,928 · median $92,928 | 1 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,831 – $5,831 · median $5,831 | 1 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,243 – $12,243 · median $12,243 | 1 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,955 – $13,955 · median $13,955 | 1 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,596 – $15,596 · median $15,596 | 1 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $16,472 – $16,472 · median $16,472 | 1 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $26,657 – $26,657 · median $26,657 | 1 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $200 – $200 · median $200 | 1 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,840 – $17,840 · median $17,840 | 1 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,195 – $9,195 · median $9,195 | 1 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,201 – $22,201 · median $22,201 | 1 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,170 – $10,170 · median $10,170 | 1 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,828 – $22,828 · median $22,828 | 1 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,931 – $32,931 · median $32,931 | 1 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,901 – $12,901 · median $12,901 | 1 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,339 – $19,339 · median $19,339 | 1 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,922 – $29,922 · median $29,922 | 1 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,994 – $16,994 · median $16,994 | 1 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,034 – $28,034 · median $28,034 | 1 plans |
| 666 | PROSTATECTOMY WITH CC | $15,747 – $15,747 · median $15,747 | 1 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,396 – $14,396 · median $14,396 | 1 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,898 – $22,898 · median $22,898 | 1 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,333 – $18,333 · median $18,333 | 1 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,685 – $9,685 · median $9,685 | 1 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,742 – $7,742 · median $7,742 | 1 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,517 – $11,517 · median $11,517 | 1 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,245 – $13,245 · median $13,245 | 1 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $38,804 – $38,804 · median $38,804 | 1 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,384 – $14,384 · median $14,384 | 1 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,883 – $15,883 · median $15,883 | 1 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,896 – $8,896 · median $8,896 | 1 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $25,094 – $25,094 · median $25,094 | 1 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,972 – $18,972 · median $18,972 | 1 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $53,710 – $53,710 · median $53,710 | 1 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $400 – $400 · median $400 | 1 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $61,785 – $61,785 · median $61,785 | 1 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,578 – $11,578 · median $11,578 | 1 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,555 – $9,555 · median $9,555 | 1 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $31,265 – $31,265 · median $31,265 | 1 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $36,817 – $36,817 · median $36,817 | 1 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $110,032 – $110,032 · median $110,032 | 1 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $44,765 – $44,765 · median $44,765 | 1 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,210 – $12,210 · median $12,210 | 1 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,230 – $21,230 · median $21,230 | 1 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,052 – $16,052 · median $16,052 | 1 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,921 – $29,921 · median $29,921 | 1 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $34,675 – $34,675 · median $34,675 | 1 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,075 – $19,075 · median $19,075 | 1 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $76,916 – $76,916 · median $76,916 | 1 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,534 – $10,534 · median $10,534 | 1 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,151 – $8,151 · median $8,151 | 1 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $31,678 – $31,678 · median $31,678 | 1 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,439 – $15,439 · median $15,439 | 1 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,191 – $20,191 · median $20,191 | 1 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $162,566 – $162,566 · median $162,566 | 1 plans |
| 881 | DEPRESSIVE NEUROSES | $21,980 – $21,980 · median $21,980 | 1 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $43,738 – $43,738 · median $43,738 | 1 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,824 – $6,824 · median $6,824 | 1 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,327 – $16,327 · median $16,327 | 1 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,322 – $6,322 · median $6,322 | 1 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,231 – $14,231 · median $14,231 | 1 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $32,998 – $32,998 · median $32,998 | 1 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,327 – $11,327 · median $11,327 | 1 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,867 – $22,867 · median $22,867 | 1 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,305 – $23,305 · median $23,305 | 1 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,976 – $30,976 · median $30,976 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $36,780 – $36,780 · median $36,780 | 1 plans |
No procedures match that keyword.