Mosaic Medical Center - Albany — 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.
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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $98,011 – $495,216 · median $180,414 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $44,295 – $193,745 · median $89,683 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $77,108 – $376,785 · median $95,176 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $53,147 – $248,424 · median $62,389 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $37,434 – $187,235 · median $98,545 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $17,491 – $85,268 · median $44,878 | 10 plans |
| 007 | LUNG TRANSPLANT | $44,366 – $229,768 · median $94,702 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $19,019 – $95,673 · median $50,354 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $17,420 – $140,184 · median $22,248 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $18,664 – $94,879 · median $21,694 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $14,469 – $72,162 · median $16,043 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,705 – $46,606 · median $14,543 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $36,936 – $230,348 · median $86,117 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $19,908 – $106,130 · median $39,772 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,984 – $106,130 · median $24,260 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $118,773 – $663,008 · median $229,570 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $28,902 – $139,381 · median $40,970 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $35,870 – $141,733 · median $52,448 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $26,058 – $97,189 · median $41,304 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,637 – $62,083 · median $29,886 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $23,108 – $100,315 · median $33,016 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $16,069 – $66,853 · median $21,069 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $19,517 – $78,642 · median $23,164 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $12,549 – $53,789 · median $16,930 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,310 – $43,403 · median $12,572 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $22,761 – $106,897 · median $25,560 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $13,430 – $59,030 · median $14,540 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $9,847 – $39,142 · median $11,412 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $14,549 – $73,690 · median $17,455 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $8,400 – $37,563 · median $9,136 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $6,897 – $28,068 · median $7,221 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $15,076 – $68,382 · median $16,566 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $9,776 – $40,010 · median $12,062 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,679 – $32,245 · median $10,302 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $12,806 – $58,400 · median $14,327 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $6,790 – $28,346 · median $7,522 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,835 – $20,029 · median $5,007 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,353 – $66,333 · median $16,744 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $9,456 – $39,718 · median $12,130 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $6,208 – $30,918 · median $7,394 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,262 – $35,399 · median $11,198 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,688 – $16,217 · median $6,987 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,415 – $26,373 · median $8,496 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,415 – $19,199 · median $6,186 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,826 – $44,041 · median $18,131 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,243 – $23,478 · median $12,357 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,954 – $32,470 · median $10,680 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,826 – $21,530 · median $6,881 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,614 – $15,708 · median $5,190 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,985 – $47,545 · median $16,317 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,772 – $31,327 · median $12,447 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,568 – $24,716 · median $11,053 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,597 – $34,989 · median $12,051 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,282 – $17,896 · median $7,572 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,946 – $12,120 · median $4,043 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,177 – $25,596 · median $8,759 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,013 – $15,516 · median $5,982 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,891 – $14,085 · median $4,622 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $9,623 – $30,587 · median $10,310 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,008 – $18,547 · median $6,115 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,062 – $13,208 · median $4,515 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,710 – $27,191 · median $9,682 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,901 – $18,345 · median $6,107 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,446 – $30,299 · median $11,021 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,481 – $16,138 · median $5,333 | 10 plans |
| 077 | Inpatient MS-DRG | $7,362 – $27,203 · median $8,710 | 10 plans |
| 078 | Inpatient MS-DRG | $4,723 – $17,562 · median $5,866 | 10 plans |
| 079 | Inpatient MS-DRG | $4,266 – $11,740 · median $4,723 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,727 – $34,965 · median $12,865 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,369 – $15,926 · median $5,226 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,118 – $40,808 · median $14,727 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,481 – $24,462 · median $7,821 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,287 – $16,827 · median $5,297 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,209 – $39,855 · median $13,118 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,914 – $23,077 · median $7,608 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,034 – $15,560 · median $5,119 | 10 plans |
| 088 | CONCUSSION WITH MCC | $8,852 – $24,819 · median $8,975 | 10 plans |
| 089 | CONCUSSION WITH CC | $5,519 – $18,867 · median $6,612 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,145 – $15,091 · median $5,404 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,674 – $32,066 · median $9,103 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,741 – $18,631 · median $6,648 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,528 – $13,895 · median $4,479 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,868 – $64,163 · median $21,717 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $11,800 – $42,162 · median $13,758 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,800 – $42,162 · median $12,549 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $12,872 – $63,036 · median $20,975 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $7,816 – $38,155 · median $12,407 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,456 – $24,513 · median $7,608 | 10 plans |
| 100 | SEIZURES WITH MCC | $6,295 – $34,921 · median $6,363 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $3,316 – $16,223 · median $5,013 | 10 plans |
| 102 | HEADACHES WITH MCC | $6,968 – $20,403 · median $7,297 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $3,200 – $14,966 · median $3,873 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,096 – $39,690 · median $13,480 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,977 – $20,801 · median $7,201 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,292 – $26,934 · median $7,246 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,394 – $29,353 · median $7,917 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,835 – $18,981 · median $7,917 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,622 – $20,468 · median $5,055 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,702 – $11,944 · median $3,265 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,915 – $14,139 · median $5,269 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,799 – $22,942 · median $5,642 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,582 – $14,535 · median $2,880 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,701 – $42,406 · median $13,165 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,195 – $17,216 · median $7,721 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,806 – $24,607 · median $6,079 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,484 – $14,321 · median $4,660 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,799 – $24,157 · median $6,304 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $15,251 – $74,368 · median $19,641 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,354 – $37,790 · median $9,806 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,221 – $27,662 · median $6,882 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,402 – $58,066 · median $15,237 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,228 – $30,902 · median $6,968 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,941 – $20,848 · median $5,199 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,643 – $40,349 · median $12,503 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,479 – $21,903 · median $8,001 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,235 – $14,096 · median $4,836 | 10 plans |
| 149 | DYSEQUILIBRIUM | $2,702 – $13,160 · median $3,809 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $4,764 – $24,318 · median $8,147 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,491 – $13,345 · median $2,773 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,364 – $19,969 · median $4,302 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,666 – $12,531 · median $2,731 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,581 – $28,610 · median $6,320 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,413 – $16,432 · median $4,592 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,382 – $11,840 · median $3,836 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,186 – $28,806 · median $7,383 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,413 – $16,555 · median $4,734 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,453 – $11,615 · median $4,052 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $15,891 – $81,049 · median $25,059 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $8,603 – $44,268 · median $13,794 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,328 – $32,788 · median $9,932 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,687 – $67,707 · median $19,114 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,150 – $32,141 · median $10,338 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,586 – $23,821 · median $7,561 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,652 – $24,791 · median $7,366 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,057 – $14,338 · median $4,703 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,288 – $28,437 · median $9,242 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,724 – $17,460 · median $8,092 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,804 – $13,551 · median $7,132 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,288 – $30,746 · median $8,911 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,622 – $19,538 · median $5,444 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,342 – $14,742 · median $4,843 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,062 – $27,924 · median $6,612 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,408 – $18,796 · median $4,460 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,625 – $13,691 · median $3,164 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $6,506 – $27,796 · median $7,881 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,159 – $17,670 · median $6,056 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,128 – $12,926 · median $3,376 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,444 – $21,773 · median $6,787 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,008 – $19,762 · median $6,683 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,968 – $15,122 · median $6,363 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,919 – $11,397 · median $5,998 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,048 – $23,184 · median $6,655 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,345 – $14,435 · median $4,835 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,012 – $10,966 · median $4,586 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $7,928 – $33,142 · median $8,576 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,195 – $17,423 · median $5,428 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,271 – $12,332 · median $4,565 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,430 – $31,053 · median $7,677 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,515 – $19,489 · median $5,048 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,951 – $11,923 · median $4,178 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,591 – $17,014 · median $4,073 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,489 – $12,265 · median $2,961 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,448 – $14,277 · median $3,487 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,151 – $33,207 · median $7,572 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,839 – $15,943 · median $4,213 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $30,751 – $113,712 · median $33,736 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,496 – $47,200 · median $11,492 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $44,971 – $186,275 · median $50,601 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $42,696 – $169,685 · median $68,671 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $28,013 – $113,549 · median $35,495 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,063 – $104,608 · median $32,241 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $33,950 – $136,044 · median $36,068 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $23,072 – $93,135 · median $29,079 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $20,441 – $80,757 · median $24,829 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $22,183 – $87,625 · median $32,498 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $14,007 – $54,628 · median $18,952 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $35,728 – $148,990 · median $39,111 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $26,165 – $107,410 · median $38,117 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $33,268 – $137,431 · median $34,341 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $22,859 – $93,548 · median $29,286 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,880 – $103,463 · median $27,501 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,775 – $72,310 · median $22,729 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $21,152 – $88,568 · median $27,643 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,371 – $51,216 · median $16,163 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,150 – $26,563 · median $9,787 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $15,215 – $59,650 · median $18,032 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,025 – $39,623 · median $14,353 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,034 – $31,746 · median $11,023 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $19,944 – $85,929 · median $27,644 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $10,345 – $40,675 · median $11,092 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,968 – $27,490 · median $8,442 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $14,753 – $60,325 · median $20,405 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $11,234 – $44,901 · median $15,103 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,643 – $30,774 · median $9,353 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,400 – $46,017 · median $12,087 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,217 – $29,794 · median $9,208 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,373 – $15,699 · median $7,140 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $11,909 – $49,340 · median $19,688 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,212 – $30,920 · median $11,117 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,576 – $59,900 · median $17,157 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,283 – $33,379 · median $10,562 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,252 – $26,702 · median $8,710 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,443 – $47,170 · median $14,174 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $14,362 – $61,463 · median $14,997 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $15,571 – $62,730 · median $18,598 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $32,813 – $105,337 · median $38,117 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $21,472 – $82,728 · median $32,049 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $30,182 – $117,235 · median $32,091 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $18,258 – $73,164 · median $18,308 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $22,254 – $90,257 · median $29,189 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $15,215 – $60,572 · median $20,930 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,736 – $44,008 · median $13,746 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $15,652 – $68,762 · median $17,135 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $14,256 – $54,886 · median $15,652 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,972 – $28,875 · median $8,184 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,444 – $16,224 · median $4,721 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,057 – $12,766 · median $3,896 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,804 – $34,395 · median $9,563 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,591 – $13,046 · median $4,514 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,382 – $9,889 · median $3,052 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,345 – $38,929 · median $11,354 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,155 – $19,176 · median $6,000 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $11,661 – $48,039 · median $12,585 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,146 – $27,738 · median $8,844 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,261 – $17,230 · median $6,295 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,861 – $22,958 · median $7,250 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,297 – $15,159 · median $5,624 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,737 – $9,665 · median $3,953 | 10 plans |
| 294 | Inpatient MS-DRG | $5,297 – $21,607 · median $7,885 | 10 plans |
| 295 | Inpatient MS-DRG | $3,875 – $13,904 · median $6,033 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,602 – $28,822 · median $7,785 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,519 – $12,403 · median $4,333 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,133 – $8,082 · median $3,002 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,140 – $28,457 · median $7,643 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,155 – $18,840 · median $6,138 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,351 – $12,561 · median $3,448 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,374 – $20,470 · median $5,439 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,200 – $11,840 · median $3,784 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $5,056 – $20,672 · median $5,581 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,804 – $13,217 · median $3,896 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,466 – $26,344 · median $11,467 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,586 – $16,305 · median $4,677 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,577 – $21,219 · median $5,830 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,448 – $13,016 · median $3,797 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,666 – $9,855 · median $2,982 | 10 plans |
| 311 | ANGINA PECTORIS | $2,684 – $12,295 · median $3,377 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,029 – $15,337 · median $4,195 | 10 plans |
| 313 | CHEST PAIN | $3,143 – $12,561 · median $3,519 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $8,923 – $37,878 · median $10,784 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,693 – $16,936 · median $5,709 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,342 – $12,021 · median $3,449 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $19,197 – $77,244 · median $26,542 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,812 – $40,713 · median $15,028 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $20,617 – $89,308 · median $20,975 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,310 – $42,705 · median $10,768 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,926 – $28,033 · median $6,612 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,655 – $80,745 · median $20,748 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,385 – $41,573 · median $12,652 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,937 – $29,044 · median $9,324 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $15,109 – $60,999 · median $25,582 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $8,603 – $37,382 · median $13,084 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $6,612 – $29,177 · median $8,622 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $14,753 – $63,718 · median $17,388 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,710 – $37,153 · median $11,755 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $6,186 – $27,006 · median $9,497 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,305 – $47,388 · median $17,225 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,363 – $26,190 · median $7,540 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,333 – $21,912 · median $6,391 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,523 – $41,627 · median $15,138 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,368 – $22,151 · median $6,908 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,017 – $15,505 · median $5,968 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,918 – $42,540 · median $10,844 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,008 – $26,468 · median $7,213 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,586 – $19,403 · median $4,944 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,087 – $51,581 · median $12,384 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,110 – $29,925 · median $9,313 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,617 – $23,457 · median $8,297 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,668 – $75,010 · median $19,646 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,065 – $39,609 · median $12,811 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,297 – $23,842 · median $6,994 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,572 – $29,378 · median $10,411 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,515 – $17,909 · median $6,010 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,232 – $12,290 · median $3,413 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,999 – $30,749 · median $8,779 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,228 – $18,114 · median $5,972 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,271 – $12,772 · median $4,877 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,599 – $37,138 · median $9,922 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,475 – $21,620 · median $6,584 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,088 – $15,542 · median $4,380 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,790 – $31,983 · median $8,676 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,941 – $17,351 · median $5,686 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,880 – $11,212 · median $3,611 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,886 – $33,848 · median $8,923 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,879 – $19,166 · median $4,906 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,448 – $13,192 · median $4,422 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,399 – $22,244 · median $8,062 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,017 – $15,307 · median $5,467 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,181 – $28,583 · median $7,813 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,444 – $17,467 · median $6,357 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,128 – $11,803 · median $5,266 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,202 – $25,860 · median $6,648 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,626 – $14,111 · median $4,713 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,225 – $9,639 · median $3,271 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,119 – $22,601 · median $6,360 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,484 – $13,737 · median $3,925 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,394 – $29,132 · median $8,962 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,670 – $16,567 · median $4,799 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,951 – $11,207 · median $4,325 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $19,446 – $95,455 · median $25,160 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,203 – $49,391 · median $15,269 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,608 – $37,566 · median $10,790 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $13,154 – $61,572 · median $17,406 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $6,932 – $36,876 · median $17,406 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,546 – $27,287 · median $10,247 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $10,736 – $48,125 · median $23,077 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,288 – $37,493 · median $13,995 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $5,333 – $29,246 · median $10,180 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $12,443 – $61,616 · median $13,667 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $6,968 – $34,794 · median $11,077 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,728 – $24,107 · median $10,610 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,177 – $41,798 · median $10,184 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,115 – $29,174 · median $8,706 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,124 – $23,183 · median $6,921 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $11,305 – $62,068 · median $21,611 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,044 – $28,808 · median $11,740 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,977 – $25,851 · median $6,345 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,829 – $71,524 · median $21,686 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,537 – $40,160 · median $14,032 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $5,652 – $27,194 · median $8,600 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,496 – $34,460 · median $9,521 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,475 – $18,826 · median $6,167 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,128 – $12,264 · median $3,923 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,212 – $32,096 · median $8,681 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,155 – $19,844 · median $8,681 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,875 – $13,823 · median $5,501 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,226 – $29,267 · median $8,354 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,825 – $15,142 · median $4,977 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,119 – $10,833 · median $4,728 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,532 – $33,252 · median $9,068 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,444 – $17,005 · median $5,356 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,342 – $12,373 · median $3,609 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,418 – $29,631 · median $7,643 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,084 – $19,085 · median $6,437 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,733 – $14,036 · median $4,396 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $38,110 – $148,907 · median $44,486 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $27,445 – $100,918 · median $32,867 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $20,477 – $75,929 · median $32,308 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,822 – $107,902 · median $37,359 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $12,869 – $50,365 · median $20,283 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $20,601 – $94,969 · median $25,596 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,580 – $51,855 · median $15,262 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,231 – $30,540 · median $8,461 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,316 – $89,582 · median $23,427 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $15,749 – $60,234 · median $20,870 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $12,051 – $46,137 · median $16,978 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $15,038 – $57,483 · median $15,964 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $8,177 – $33,166 · median $12,038 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,219 – $85,410 · median $25,080 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $13,367 – $50,952 · median $14,725 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,127 – $41,638 · median $11,476 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $15,170 – $78,860 · median $19,446 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,705 – $37,944 · median $12,961 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,333 – $20,467 · median $5,816 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,200 – $60,477 · median $15,215 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,145 – $41,132 · median $10,772 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,236 – $31,238 · median $8,425 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,398 – $51,722 · median $17,157 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,421 – $36,496 · median $12,559 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $5,866 – $27,908 · median $8,849 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,234 – $44,816 · median $14,291 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $14,862 – $56,614 · median $14,895 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $9,065 – $37,305 · median $12,214 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,968 – $27,799 · median $8,711 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,527 – $34,571 · median $11,833 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,581 – $21,790 · median $6,187 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $15,642 – $62,449 · median $22,253 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,265 – $42,229 · median $13,259 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,461 – $33,165 · median $9,147 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $16,175 – $61,911 · median $22,350 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,994 – $34,704 · median $10,923 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,435 – $23,622 · median $7,010 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $11,803 – $44,407 · median $15,893 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,830 – $20,426 · median $6,640 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,094 – $55,725 · median $14,647 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,857 – $31,394 · median $7,944 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,257 – $24,582 · median $6,769 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $9,172 – $46,546 · median $16,166 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,041 – $30,872 · median $8,710 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,803 – $30,872 · median $8,319 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,612 – $26,373 · median $6,801 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,634 – $34,093 · median $12,437 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,470 – $22,708 · median $8,696 | 10 plans |
| 509 | Inpatient MS-DRG | $6,186 – $30,902 · median $10,294 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $12,300 – $50,265 · median $14,166 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $8,994 – $34,497 · median $12,522 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,233 – $28,284 · median $7,288 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,091 – $26,488 · median $7,323 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,693 – $17,944 · median $5,318 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $14,291 – $54,383 · median $16,243 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,207 – $35,385 · median $11,224 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,755 – $26,261 · median $8,978 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $9,909 – $63,026 · median $16,495 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,888 – $34,685 · median $9,477 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,470 – $25,215 · median $6,629 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $13,545 – $51,259 · median $18,132 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $9,172 – $37,080 · median $14,181 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,537 – $26,827 · median $8,688 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,743 – $14,329 · median $3,733 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,972 – $23,399 · median $6,042 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,626 – $14,275 · median $4,963 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,479 – $16,175 · median $4,930 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,271 – $11,824 · median $4,435 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,081 – $35,573 · median $9,172 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,008 – $22,769 · median $6,420 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,806 – $15,400 · median $3,946 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,425 – $32,808 · median $9,431 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,048 – $18,670 · median $8,243 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,932 – $13,304 · median $3,555 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,482 – $44,442 · median $11,518 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,546 – $20,372 · median $7,464 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,804 – $13,137 · median $4,924 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $8,994 – $35,436 · median $12,482 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,310 – $21,205 · median $5,581 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,337 – $15,175 · median $5,310 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,857 – $30,018 · median $8,365 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,867 – $16,963 · median $4,444 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,221 – $22,979 · median $7,298 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,804 – $14,691 · median $4,078 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,731 – $23,692 · median $6,470 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,059 – $14,373 · median $3,804 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,385 – $27,263 · median $7,181 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,875 – $15,205 · median $4,053 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,532 – $32,653 · median $9,235 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,226 – $20,038 · median $9,235 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,591 – $14,393 · median $4,018 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,521 – $25,747 · median $7,003 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,910 – $15,732 · median $4,124 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,170 – $27,606 · median $7,217 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,622 – $17,946 · median $5,546 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,227 – $13,171 · median $3,448 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $9,183 – $52,938 · median $11,803 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,826 – $29,453 · median $7,468 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,586 – $20,103 · median $5,655 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $25,063 – $108,280 · median $34,054 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,944 – $60,932 · median $13,722 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,248 – $35,121 · median $10,830 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,930 – $94,868 · median $31,119 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,701 – $46,831 · median $11,170 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,506 – $29,736 · median $7,374 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,849 – $57,319 · median $13,473 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,039 – $31,189 · median $7,237 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,398 – $25,320 · median $5,439 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,039 – $30,805 · median $9,617 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,150 – $28,898 · median $9,553 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,892 – $36,012 · median $8,713 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,790 – $34,917 · median $8,713 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $6,151 – $36,169 · median $12,798 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $4,207 – $21,514 · median $7,430 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,207 – $14,939 · median $4,835 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,374 – $37,203 · median $13,331 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,471 – $19,025 · median $6,186 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,812 – $30,902 · median $10,065 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,828 – $18,986 · median $7,359 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,828 – $15,048 · median $4,124 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,124 – $16,836 · median $6,292 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,374 – $10,558 · median $3,875 | 10 plans |
| 602 | CELLULITIS WITH MCC | $8,165 – $25,848 · median $11,660 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,225 – $15,504 · median $4,764 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,460 – $26,138 · median $9,243 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,857 – $16,258 · median $5,581 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,293 – $28,328 · median $9,705 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,252 – $15,212 · median $5,475 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $6,719 – $40,084 · median $15,793 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,373 – $25,211 · median $9,486 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $11,803 – $67,966 · median $12,780 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,354 – $33,977 · median $9,692 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,448 – $21,908 · median $4,648 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $7,750 – $47,951 · median $15,507 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,835 – $28,094 · median $9,093 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,875 – $25,718 · median $8,777 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $11,412 – $65,803 · median $22,218 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $6,115 – $33,646 · median $8,836 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,306 – $17,654 · median $6,730 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $8,710 – $50,423 · median $17,473 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,444 – $26,553 · median $10,112 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,697 – $22,291 · median $5,047 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $11,980 – $69,384 · median $12,883 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $6,755 – $39,558 · median $10,211 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,159 – $24,654 · median $8,653 | 10 plans |
| 637 | DIABETES WITH MCC | $6,008 – $25,621 · median $6,850 | 10 plans |
| 638 | DIABETES WITH CC | $3,875 – $16,144 · median $4,192 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,808 – $11,035 · median $3,431 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,008 – $23,365 · median $6,354 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,643 – $13,756 · median $3,982 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,248 – $21,838 · median $5,795 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,302 – $29,154 · median $6,829 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,088 – $18,186 · median $4,309 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,325 – $13,709 · median $3,911 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $19,339 – $81,015 · median $42,640 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $14,860 – $61,066 · median $22,710 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $12,940 – $83,759 · median $28,429 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $20,675 – $98,020 · median $23,285 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $11,767 – $49,632 · median $13,033 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,065 – $36,538 · median $13,033 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,509 – $57,295 · median $15,096 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $6,790 – $32,157 · median $9,336 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,363 – $26,460 · median $7,933 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,694 – $45,451 · median $11,127 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,356 – $23,576 · median $6,470 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,911 – $18,067 · median $5,349 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $12,905 – $54,862 · median $18,018 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,753 – $26,871 · median $6,292 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,550 – $19,002 · median $5,753 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $13,296 – $60,382 · median $18,676 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $7,394 – $28,979 · median $7,779 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,515 – $18,088 · median $4,845 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,807 – $51,288 · median $12,123 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,612 – $27,224 · median $8,428 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,124 – $16,820 · median $4,965 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,359 – $30,322 · median $10,927 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,017 – $19,259 · median $5,580 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $15,673 – $73,672 · median $15,891 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,238 – $40,601 · median $13,563 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,826 – $27,537 · median $10,775 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $6,683 – $26,423 · median $7,173 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $4,302 – $15,646 · median $4,360 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,844 – $10,697 · median $2,948 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,543 – $33,170 · median $8,532 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,870 – $18,526 · median $5,031 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,626 – $12,751 · median $4,215 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,439 – $20,593 · median $5,567 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,877 – $14,129 · median $4,017 | 10 plans |
| 693 | URINARY STONES WITH MCC | $5,296 – $25,869 · median $6,577 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,526 – $13,756 · median $3,626 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,546 – $19,846 · median $6,988 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,675 – $12,181 · median $3,200 | 10 plans |
| 697 | URETHRAL STRICTURE | $3,633 – $17,631 · median $5,155 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,110 – $29,569 · median $7,499 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,439 – $17,949 · median $5,705 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,815 – $12,223 · median $3,306 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,928 – $34,135 · median $9,609 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $5,866 – $26,082 · median $7,725 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,745 – $39,523 · median $14,218 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,226 – $26,414 · median $6,775 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,568 – $33,607 · median $13,101 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,799 – $18,823 · median $5,364 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,866 – $25,440 · median $5,915 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,875 – $16,539 · median $4,470 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $8,888 – $39,720 · median $12,416 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,724 – $24,970 · median $7,336 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,323 – $32,639 · median $8,417 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,143 – $21,676 · median $4,728 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,790 – $30,413 · median $10,510 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,017 – $19,760 · median $6,698 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,915 – $12,828 · median $3,994 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,479 – $22,216 · median $7,883 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,631 – $13,106 · median $3,208 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,291 – $25,851 · median $5,866 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,880 – $14,384 · median $4,880 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,626 – $19,373 · median $6,180 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,240 – $10,689 · median $3,479 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,781 – $36,986 · median $10,516 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,084 – $21,360 · median $10,179 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $15,678 – $69,242 · median $26,188 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,963 – $35,151 · median $10,925 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,510 – $26,686 · median $8,778 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $14,576 – $70,003 · median $23,503 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,217 – $31,985 · median $9,638 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,226 – $24,167 · median $7,861 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,036 – $32,133 · median $7,181 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,693 – $21,092 · median $5,441 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,763 – $34,370 · median $7,608 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,195 – $18,035 · median $5,763 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $6,129 – $29,459 · median $6,755 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,591 – $16,812 · median $5,409 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $5,652 – $23,968 · median $6,515 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,167 – $45,527 · median $13,422 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,475 – $22,689 · median $9,015 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,719 – $31,827 · median $8,048 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,911 – $19,535 · median $5,387 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,591 – $16,808 · median $5,387 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,404 – $24,900 · median $9,361 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,591 – $17,939 · median $4,975 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,346 – $11,270 · median $3,907 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,591 – $17,346 · median $4,113 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,204 – $11,163 · median $2,371 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,306 – $19,292 · median $4,105 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,475 – $24,447 · median $5,537 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,164 – $18,935 · median $3,805 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,588 – $12,563 · median $2,951 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $3,019 – $16,453 · median $4,159 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,190 – $32,403 · median $7,098 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,444 – $19,058 · median $5,677 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,982 – $15,375 · median $5,034 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,479 – $28,427 · median $6,999 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,266 – $18,686 · median $5,998 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,053 – $15,924 · median $5,344 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,280 – $31,709 · median $1,499 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,267 – $73,336 · median $3,697 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,422 – $25,971 · median $2,041 | 10 plans |
| 795 | NORMAL NEWBORN | $889 – $5,024 · median $1,777 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,622 – $22,462 · median $5,789 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,408 – $17,040 · median $5,274 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,195 – $17,040 · median $5,010 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $19,979 – $83,608 · median $20,604 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $10,100 – $51,244 · median $11,376 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,217 – $28,880 · median $8,606 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,829 – $63,040 · median $22,809 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,501 – $31,312 · median $10,292 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,870 – $19,456 · median $7,267 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,306 – $17,564 · median $4,319 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,022 – $12,740 · median $3,905 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,844 – $11,223 · median $3,665 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $8,923 – $40,283 · median $9,789 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,906 – $21,792 · median $5,708 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,088 – $16,752 · median $4,703 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,866 – $24,752 · median $7,715 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,555 – $16,244 · median $4,745 | 10 plans |
| 813 | COAGULATION DISORDERS | $5,875 – $27,233 · median $6,328 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,639 – $36,770 · median $11,628 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,053 – $17,882 · median $4,999 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,880 – $11,611 · median $4,241 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,812 – $44,586 · median $11,163 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,926 – $22,662 · median $5,688 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,591 – $14,373 · median $4,383 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $24,387 – $102,375 · median $34,977 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,994 – $39,265 · median $11,464 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,013 – $20,125 · median $6,152 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $18,166 – $82,285 · median $25,617 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,994 – $38,685 · median $12,522 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,226 – $21,657 · median $7,649 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $18,664 – $83,972 · median $30,976 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $9,350 – $41,506 · median $12,861 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,612 – $28,198 · median $8,672 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $12,374 – $54,232 · median $12,727 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,363 – $25,730 · median $8,636 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,266 – $20,254 · median $4,360 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,022 – $13,158 · median $3,199 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,452 – $9,157 · median $2,666 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $17,455 – $97,189 · median $38,299 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $6,968 – $37,568 · median $16,866 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,408 – $22,358 · median $7,193 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $15,109 – $88,046 · median $18,905 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $6,257 – $35,675 · median $7,500 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,053 – $24,111 · median $5,746 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,741 – $56,082 · median $13,858 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,906 – $27,585 · median $8,971 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,342 – $18,512 · median $5,797 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,795 – $33,303 · median $8,118 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,626 – $21,031 · median $5,443 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,702 – $14,730 · median $5,211 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $6,844 – $44,915 · median $7,643 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,768 – $22,358 · median $6,765 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,595 – $14,415 · median $5,625 | 10 plans |
| 849 | RADIOTHERAPY | $8,390 – $46,977 · median $15,298 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $20,228 – $87,942 · median $22,598 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,820 – $35,146 · median $10,843 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,823 – $28,597 · median $7,217 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $15,691 – $79,333 · median $18,806 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,065 – $38,324 · median $9,218 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,439 – $22,669 · median $7,543 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,226 – $32,343 · median $7,501 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,088 – $17,597 · median $5,390 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,453 – $15,806 · median $3,875 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,561 – $25,966 · median $6,648 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,262 – $15,574 · median $3,733 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $8,496 – $37,716 · median $9,598 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,408 – $18,480 · median $5,608 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,808 – $12,670 · median $3,391 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $29,329 – $122,314 · median $38,586 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,821 – $34,513 · median $8,876 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,728 – $18,144 · median $4,897 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $7,415 – $69,101 · median $15,038 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,339 – $16,871 · median $3,875 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $2,453 – $16,089 · median $3,555 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,560 – $16,931 · median $3,097 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,951 – $32,611 · median $3,680 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,161 – $29,381 · median $7,074 | 10 plans |
| 885 | PSYCHOSES | $3,271 – $24,800 · median $4,378 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,631 – $31,602 · median $3,629 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,164 – $20,929 · median $7,998 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,595 – $10,991 · median $2,811 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,306 – $25,473 · median $6,210 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $6,257 – $31,326 · median $7,508 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,296 – $15,528 · median $4,337 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,455 – $77,907 · median $26,212 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,608 – $33,379 · median $10,325 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,013 – $21,451 · median $6,576 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,118 – $67,897 · median $16,895 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,399 – $28,995 · median $10,065 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,572 – $38,387 · median $11,095 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $15,002 – $70,052 · median $17,815 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,070 – $35,480 · median $9,572 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,475 – $22,316 · median $5,708 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,408 – $28,469 · median $10,064 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,666 – $16,130 · median $3,377 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $5,226 – $30,571 · median $6,947 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,955 – $11,694 · median $3,303 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,550 – $28,845 · median $6,206 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,489 – $15,571 · median $3,178 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,328 – $32,078 · median $7,789 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,057 – $17,879 · median $6,043 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,062 – $12,109 · median $2,924 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,155 – $29,719 · median $7,810 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,986 – $17,949 · median $4,278 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $106,295 – $417,065 · median $129,338 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $19,974 – $117,434 · median $27,907 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,965 – $55,930 · median $12,976 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $10,985 – $76,086 · median $13,884 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,277 – $37,742 · median $7,572 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $3,466 – $38,632 · median $7,394 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $12,976 – $55,818 · median $20,825 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $6,544 – $37,138 · median $8,745 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $5,541 – $34,376 · median $7,501 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,710 – $26,855 · median $13,769 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,008 – $19,647 · median $6,556 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,581 – $22,631 · median $6,997 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,002 – $13,987 · median $4,977 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,994 – $18,988 · median $10,736 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,910 – $10,323 · median $3,982 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,705 – $9,987 · median $3,662 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $22,290 – $120,060 · median $34,191 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $14,184 – $67,217 · median $29,890 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,485 – $131,239 · median $36,394 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,789 – $72,269 · median $20,049 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,279 – $46,499 · median $13,625 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $9,883 – $47,779 · median $11,946 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,439 – $26,391 · median $8,268 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,448 – $16,063 · median $5,872 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $27,729 – $111,200 · median $35,592 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $11,198 – $46,664 · median $18,107 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,558 – $52,516 · median $12,390 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,941 – $25,007 · median $5,393 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,057 – $17,652 · median $5,393 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,119 – $25,368 · median $6,210 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,583 – $83,593 · median $25,499 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,797 – $43,060 · median $10,807 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,110 – $29,346 · median $7,433 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,583 – $61,596 · median $14,682 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,359 – $30,186 · median $10,600 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,591 – $20,333 · median $4,693 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $10,345 – $53,965 · median $28,403 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $47,388 – $191,533 · median $100,807 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $30,964 – $124,257 · median $65,398 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $27,338 – $108,916 · median $57,324 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $21,046 – $81,799 · median $43,052 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $19,624 – $87,977 · median $46,304 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $14,078 – $56,352 · median $29,659 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $27,231 – $108,776 · median $57,250 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $10,629 – $50,066 · median $26,350 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,030 – $31,825 · median $16,750 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $18,237 – $74,899 · median $39,421 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,082 – $56,189 · median $29,573 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $11,625 – $50,335 · median $26,492 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $9,279 – $43,579 · median $22,936 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $6,257 – $26,621 · median $14,011 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,768 – $19,776 · median $10,408 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $17,739 – $68,795 · median $36,208 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,353 – $184,176 · median $96,935 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $32,066 – $124,884 · median $65,729 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $24,885 – $96,781 · median $50,937 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $37,683 – $146,646 · median $77,182 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $24,707 – $96,190 · median $50,626 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $30,289 – $117,887 · median $62,046 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,450 – $71,807 · median $37,793 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,285 – $90,558 · median $47,662 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $13,936 – $54,271 · median $28,564 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $23,642 – $104,529 · median $55,015 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,843 – $71,392 · median $37,575 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,704 – $43,085 · median $22,676 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $37,150 – $161,964 · median $85,244 | 7 plans |
| 222 | Inpatient MS-DRG | $45,749 – $45,749 · median $45,749 | 3 plans |
| 223 | Inpatient MS-DRG | $28,548 – $28,548 · median $28,548 | 3 plans |
| 224 | Inpatient MS-DRG | $49,561 – $49,561 · median $49,561 | 3 plans |
| 225 | Inpatient MS-DRG | $31,023 – $31,023 · median $31,023 | 3 plans |
| 226 | Inpatient MS-DRG | $36,755 – $36,755 · median $36,755 | 3 plans |
| 227 | Inpatient MS-DRG | $25,409 – $25,409 · median $25,409 | 3 plans |
| 246 | Inpatient MS-DRG | $15,751 – $15,751 · median $15,751 | 3 plans |
| 247 | Inpatient MS-DRG | $10,420 – $10,420 · median $10,420 | 3 plans |
| 248 | Inpatient MS-DRG | $18,206 – $18,206 · median $18,206 | 3 plans |
| 249 | Inpatient MS-DRG | $9,732 – $9,732 · median $9,732 | 3 plans |
| 338 | Inpatient MS-DRG | $10,278 – $10,278 · median $10,278 | 3 plans |
| 339 | Inpatient MS-DRG | $9,497 – $9,497 · median $9,497 | 3 plans |
| 340 | Inpatient MS-DRG | $6,645 – $6,645 · median $6,645 | 3 plans |
| 341 | Inpatient MS-DRG | $9,945 – $9,945 · median $9,945 | 3 plans |
| 342 | Inpatient MS-DRG | $7,090 – $7,090 · median $7,090 | 3 plans |
| 343 | Inpatient MS-DRG | $5,256 – $5,256 · median $5,256 | 3 plans |
| 453 | Inpatient MS-DRG | $39,779 – $39,779 · median $39,779 | 3 plans |
| 454 | Inpatient MS-DRG | $26,720 – $26,720 · median $26,720 | 3 plans |
| 455 | Inpatient MS-DRG | $21,843 – $21,843 · median $21,843 | 3 plans |
| 459 | Inpatient MS-DRG | $29,086 – $29,086 · median $29,086 | 3 plans |
| 460 | Inpatient MS-DRG | $19,301 – $19,301 · median $19,301 | 3 plans |
| 993 | Inpatient MS-DRG | $55,849 – $55,849 · median $55,849 | 3 plans |
| 994 | Inpatient MS-DRG | $32,173 – $32,173 · median $32,173 | 3 plans |
| 995 | Inpatient MS-DRG | $17,064 – $17,064 · median $17,064 | 3 plans |
| 996 | Inpatient MS-DRG | $12,016 – $12,016 · median $12,016 | 3 plans |
| 997 | Inpatient MS-DRG | $8,674 – $8,674 · median $8,674 | 3 plans |
No procedures match that keyword.