University Hospital S U N Y Health Science Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 008 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $60,226 – $259,397 · median $63,237 | 17 plans |
| 010 | MS-DRG 42.00: PANCREAS TRANSPLANT | $88,154 – $218,866 · median $92,562 | 17 plans |
| 016 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $66,787 – $197,691 · median $70,126 | 17 plans |
| 017 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $66,787 – $197,691 · median $70,126 | 17 plans |
| 019 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $87,650 – $242,016 · median $92,033 | 17 plans |
| 650 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $51,029 – $140,693 · median $53,580 | 17 plans |
| 651 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $38,511 – $116,603 · median $40,437 | 17 plans |
| 652 | MS-DRG 42.00: KIDNEY TRANSPLANT | $34,087 – $197,619 · median $35,791 | 17 plans |
| 001 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $310,919 – $859,720 · median $324,910 | 16 plans |
| 002 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $121,761 – $286,879 · median $127,240 | 16 plans |
| 003 | MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $236,610 – $654,022 · median $247,257 | 16 plans |
| 004 | MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $156,069 – $436,237 · median $163,092 | 16 plans |
| 005 | MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $117,676 – $325,027 · median $122,972 | 16 plans |
| 006 | MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC | $53,697 – $173,603 · median $56,113 | 16 plans |
| 007 | MS-DRG 42.00: LUNG TRANSPLANT | $144,364 – $398,883 · median $150,860 | 16 plans |
| 011 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $59,727 – $164,803 · median $62,415 | 16 plans |
| 012 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $45,474 – $125,128 · median $47,520 | 16 plans |
| 013 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $29,439 – $80,875 · median $30,763 | 16 plans |
| 014 | MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT | $144,728 – $318,487 · median $151,240 | 16 plans |
| 018 | MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $416,200 – $1,150,871 · median $434,929 | 16 plans |
| 020 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $89,126 – $245,983 · median $93,137 | 16 plans |
| 021 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $61,177 – $162,971 · median $63,930 | 16 plans |
| 022 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $39,150 – $84,232 · median $40,912 | 16 plans |
| 023 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $63,138 – $174,263 · median $65,979 | 16 plans |
| 024 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $42,143 – $115,972 · median $44,039 | 16 plans |
| 025 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $49,540 – $136,420 · median $51,769 | 16 plans |
| 026 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $33,946 – $93,388 · median $35,473 | 16 plans |
| 027 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $27,429 – $75,382 · median $28,663 | 16 plans |
| 028 | MS-DRG 42.00: SPINAL PROCEDURES WITH MCC | $67,268 – $185,556 · median $70,295 | 16 plans |
| 029 | MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $37,234 – $102,544 · median $38,909 | 16 plans |
| 030 | MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC | $24,755 – $68,057 · median $25,869 | 16 plans |
| 031 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC | $46,432 – $127,875 · median $48,522 | 16 plans |
| 032 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC | $23,765 – $65,311 · median $24,834 | 16 plans |
| 033 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,807 – $48,830 · median $18,608 | 16 plans |
| 034 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC | $43,102 – $118,719 · median $45,042 | 16 plans |
| 035 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC | $25,300 – $69,278 · median $26,439 | 16 plans |
| 036 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,428 – $55,850 · median $21,347 | 16 plans |
| 037 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC | $36,839 – $101,323 · median $38,497 | 16 plans |
| 038 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC | $17,981 – $49,136 · median $18,790 | 16 plans |
| 039 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,763 – $34,792 · median $13,337 | 16 plans |
| 040 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $41,816 – $115,057 · median $43,698 | 16 plans |
| 041 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $25,117 – $68,973 · median $26,247 | 16 plans |
| 042 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $19,595 – $53,713 · median $20,477 | 16 plans |
| 052 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,407 – $61,343 · median $23,415 | 16 plans |
| 053 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,371 – $28,077 · median $10,838 | 16 plans |
| 054 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,744 – $45,779 · median $17,497 | 16 plans |
| 055 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,242 – $33,266 · median $12,793 | 16 plans |
| 056 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $27,829 – $76,298 · median $29,082 | 16 plans |
| 057 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,927 – $40,590 · median $15,599 | 16 plans |
| 058 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,569 – $56,460 · median $21,495 | 16 plans |
| 059 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,705 – $37,233 · median $14,321 | 16 plans |
| 060 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,051 – $27,162 · median $10,504 | 16 plans |
| 061 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $30,028 – $82,401 · median $31,379 | 16 plans |
| 062 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,852 – $54,324 · median $20,745 | 16 plans |
| 063 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,703 – $42,727 · median $16,410 | 16 plans |
| 064 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $22,150 – $60,733 · median $23,146 | 16 plans |
| 065 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,425 – $31,129 · median $11,939 | 16 plans |
| 066 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,800 – $21,058 · median $8,151 | 16 plans |
| 067 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $16,256 – $44,253 · median $16,988 | 16 plans |
| 068 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,931 – $26,857 · median $10,378 | 16 plans |
| 069 | MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,033 – $24,415 · median $9,440 | 16 plans |
| 070 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $19,388 – $53,103 · median $20,260 | 16 plans |
| 071 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,833 – $32,045 · median $12,365 | 16 plans |
| 072 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,483 – $22,889 · median $8,865 | 16 plans |
| 073 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,257 – $47,304 · median $18,033 | 16 plans |
| 074 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,706 – $31,740 · median $12,233 | 16 plans |
| 075 | MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC | $19,207 – $50,662 · median $20,071 | 16 plans |
| 076 | MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC | $10,322 – $28,077 · median $10,786 | 16 plans |
| 077 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,264 – $47,304 · median $18,041 | 16 plans |
| 078 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,215 – $30,519 · median $11,720 | 16 plans |
| 079 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,562 – $20,143 · median $7,902 | 16 plans |
| 080 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,134 – $60,122 · median $23,130 | 16 plans |
| 081 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,188 – $27,467 · median $10,647 | 16 plans |
| 082 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $25,801 – $70,804 · median $26,962 | 16 plans |
| 083 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,545 – $42,421 · median $16,244 | 16 plans |
| 084 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,754 – $29,298 · median $11,238 | 16 plans |
| 085 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $25,203 – $69,278 · median $26,337 | 16 plans |
| 086 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,675 – $39,980 · median $15,336 | 16 plans |
| 087 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,959 – $26,857 · median $10,407 | 16 plans |
| 088 | MS-DRG 42.00: CONCUSSION WITH MCC | $15,769 – $43,032 · median $16,478 | 16 plans |
| 089 | MS-DRG 42.00: CONCUSSION WITH CC | $12,034 – $32,655 · median $12,575 | 16 plans |
| 090 | MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC | $9,664 – $26,246 · median $10,099 | 16 plans |
| 091 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,315 – $55,545 · median $21,230 | 16 plans |
| 092 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,886 – $32,350 · median $12,421 | 16 plans |
| 093 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,914 – $24,110 · median $9,315 | 16 plans |
| 094 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $40,455 – $111,394 · median $42,275 | 16 plans |
| 095 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $26,650 – $73,246 · median $27,849 | 16 plans |
| 096 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,650 – $73,246 · median $27,849 | 16 plans |
| 097 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $39,748 – $109,258 · median $41,536 | 16 plans |
| 098 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $24,136 – $66,226 · median $25,222 | 16 plans |
| 099 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,577 – $42,421 · median $16,278 | 16 plans |
| 100 | MS-DRG 42.00: SEIZURES WITH MCC | $22,107 – $60,733 · median $23,101 | 16 plans |
| 101 | MS-DRG 42.00: SEIZURES WITHOUT MCC | $10,375 – $28,077 · median $10,841 | 16 plans |
| 102 | MS-DRG 42.00: HEADACHES WITH MCC | $12,998 – $35,402 · median $13,583 | 16 plans |
| 103 | MS-DRG 42.00: HEADACHES WITHOUT MCC | $9,586 – $25,941 · median $10,017 | 16 plans |
| 113 | MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC | $25,099 – $68,363 · median $26,229 | 16 plans |
| 114 | MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC | $13,247 – $36,012 · median $13,843 | 16 plans |
| 115 | MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $17,096 – $46,694 · median $17,865 | 16 plans |
| 116 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC | $18,613 – $50,967 · median $19,451 | 16 plans |
| 117 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,105 – $30,824 · median $12,650 | 16 plans |
| 121 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,038 – $35,402 · median $13,625 | 16 plans |
| 122 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,690 – $20,753 · median $8,036 | 16 plans |
| 123 | MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS | $9,068 – $24,415 · median $9,476 | 16 plans |
| 124 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,590 – $39,675 · median $15,247 | 16 plans |
| 125 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,316 – $25,331 · median $9,735 | 16 plans |
| 135 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,803 – $73,551 · median $28,010 | 16 plans |
| 136 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,998 – $29,909 · median $11,493 | 16 plans |
| 137 | MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC | $15,635 – $42,727 · median $16,339 | 16 plans |
| 138 | MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC | $9,181 – $24,720 · median $9,594 | 16 plans |
| 139 | MS-DRG 42.00: SALIVARY GLAND PROCEDURES | $15,353 – $41,811 · median $16,044 | 16 plans |
| 140 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC | $46,858 – $129,095 · median $48,967 | 16 plans |
| 141 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,907 – $65,616 · median $24,983 | 16 plans |
| 142 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,552 – $47,915 · median $18,342 | 16 plans |
| 143 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,629 – $100,713 · median $38,278 | 16 plans |
| 144 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $19,585 – $53,713 · median $20,466 | 16 plans |
| 145 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,277 – $36,012 · median $13,874 | 16 plans |
| 146 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,513 – $69,889 · median $26,661 | 16 plans |
| 147 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,939 – $37,844 · median $14,566 | 16 plans |
| 148 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,040 – $23,194 · median $9,447 | 16 plans |
| 149 | MS-DRG 42.00: DYSEQUILIBRIUM | $8,453 – $22,889 · median $8,833 | 16 plans |
| 150 | MS-DRG 42.00: EPISTAXIS WITH MCC | $15,454 – $42,116 · median $16,150 | 16 plans |
| 151 | MS-DRG 42.00: EPISTAXIS WITHOUT MCC | $8,569 – $23,194 · median $8,955 | 16 plans |
| 152 | MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC | $12,725 – $34,486 · median $13,298 | 16 plans |
| 153 | MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC | $8,058 – $21,668 · median $8,421 | 16 plans |
| 154 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,147 – $49,746 · median $18,963 | 16 plans |
| 155 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,506 – $28,383 · median $10,979 | 16 plans |
| 156 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,625 – $20,448 · median $7,968 | 16 plans |
| 157 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC | $18,270 – $50,051 · median $19,092 | 16 plans |
| 158 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC | $10,583 – $28,688 · median $11,059 | 16 plans |
| 159 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,484 – $20,143 · median $7,820 | 16 plans |
| 163 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC | $51,050 – $140,693 · median $53,347 | 16 plans |
| 164 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC | $27,972 – $76,908 · median $29,230 | 16 plans |
| 165 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,769 – $56,765 · median $21,703 | 16 plans |
| 166 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $42,679 – $117,498 · median $44,599 | 16 plans |
| 167 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $20,363 – $55,850 · median $21,279 | 16 plans |
| 168 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,142 – $41,201 · median $15,823 | 16 plans |
| 173 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $34,056 – $93,693 · median $35,589 | 16 plans |
| 175 | MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,751 – $43,032 · median $16,460 | 16 plans |
| 176 | MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC | $9,192 – $24,720 · median $9,606 | 16 plans |
| 177 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $18,039 – $49,441 · median $18,850 | 16 plans |
| 178 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,151 – $30,214 · median $11,653 | 16 plans |
| 179 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,698 – $23,500 · median $9,089 | 16 plans |
| 180 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC | $19,487 – $53,408 · median $20,364 | 16 plans |
| 181 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC | $12,455 – $33,876 · median $13,015 | 16 plans |
| 182 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,446 – $25,636 · median $9,871 | 16 plans |
| 183 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC | $17,717 – $48,525 · median $18,514 | 16 plans |
| 184 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC | $11,989 – $32,655 · median $12,529 | 16 plans |
| 185 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,786 – $23,805 · median $9,182 | 16 plans |
| 186 | MS-DRG 42.00: PLEURAL EFFUSION WITH MCC | $17,636 – $48,220 · median $18,430 | 16 plans |
| 187 | MS-DRG 42.00: PLEURAL EFFUSION WITH CC | $11,282 – $30,519 · median $11,790 | 16 plans |
| 188 | MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC | $8,306 – $22,279 · median $8,680 | 16 plans |
| 189 | MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,857 – $37,844 · median $14,481 | 16 plans |
| 190 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,595 – $34,181 · median $13,162 | 16 plans |
| 191 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,684 – $26,246 · median $10,120 | 16 plans |
| 192 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,347 – $19,837 · median $7,677 | 16 plans |
| 193 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,743 – $40,285 · median $15,406 | 16 plans |
| 194 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,253 – $25,026 · median $9,669 | 16 plans |
| 195 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,077 – $18,922 · median $7,395 | 16 plans |
| 196 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC | $20,990 – $57,376 · median $21,935 | 16 plans |
| 197 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC | $11,128 – $30,214 · median $11,629 | 16 plans |
| 198 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,934 – $20,448 · median $8,291 | 16 plans |
| 199 | MS-DRG 42.00: PNEUMOTHORAX WITH MCC | $19,680 – $54,019 · median $20,566 | 16 plans |
| 200 | MS-DRG 42.00: PNEUMOTHORAX WITH CC | $12,424 – $33,876 · median $12,983 | 16 plans |
| 201 | MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC | $7,677 – $20,753 · median $8,022 | 16 plans |
| 202 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC | $10,871 – $29,603 · median $11,360 | 16 plans |
| 203 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,892 – $21,363 · median $8,247 | 16 plans |
| 204 | MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS | $9,154 – $24,720 · median $9,565 | 16 plans |
| 205 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $21,031 – $57,681 · median $21,978 | 16 plans |
| 206 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,199 – $27,772 · median $10,658 | 16 plans |
| 207 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $71,544 – $197,458 · median $74,764 | 16 plans |
| 208 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $29,812 – $81,791 · median $31,153 | 16 plans |
| 212 | MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $120,373 – $332,352 · median $125,790 | 16 plans |
| 215 | MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT | $117,074 – $323,196 · median $122,342 | 16 plans |
| 216 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $106,665 – $294,508 · median $111,464 | 16 plans |
| 217 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $71,442 – $197,153 · median $74,657 | 16 plans |
| 218 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $65,832 – $181,588 · median $68,794 | 16 plans |
| 219 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $85,556 – $236,217 · median $89,407 | 16 plans |
| 220 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $58,633 – $161,751 · median $61,272 | 16 plans |
| 221 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,867 – $140,082 · median $53,156 | 16 plans |
| 228 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $55,176 – $151,985 · median $57,659 | 16 plans |
| 229 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $34,472 – $94,914 · median $36,023 | 16 plans |
| 231 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC | $93,679 – $258,496 · median $97,895 | 16 plans |
| 232 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC | $67,590 – $186,471 · median $70,632 | 16 plans |
| 233 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $86,427 – $238,659 · median $90,316 | 16 plans |
| 234 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $58,892 – $162,361 · median $61,543 | 16 plans |
| 235 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $65,114 – $179,452 · median $68,044 | 16 plans |
| 236 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $45,566 – $125,433 · median $47,617 | 16 plans |
| 239 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $55,767 – $153,816 · median $58,277 | 16 plans |
| 240 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $32,331 – $88,810 · median $33,786 | 16 plans |
| 241 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,863 – $46,084 · median $17,622 | 16 plans |
| 242 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $37,623 – $103,459 · median $39,316 | 16 plans |
| 243 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $25,057 – $68,668 · median $26,185 | 16 plans |
| 244 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $20,115 – $54,934 · median $21,020 | 16 plans |
| 245 | MS-DRG 42.00: AICD GENERATOR PROCEDURES | $54,112 – $149,238 · median $56,547 | 16 plans |
| 250 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $25,717 – $70,499 · median $26,874 | 16 plans |
| 251 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,444 – $47,610 · median $18,229 | 16 plans |
| 252 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC | $38,047 – $104,680 · median $39,759 | 16 plans |
| 253 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC | $28,369 – $77,823 · median $29,645 | 16 plans |
| 254 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,505 – $53,408 · median $20,382 | 16 plans |
| 255 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $29,069 – $79,960 · median $30,377 | 16 plans |
| 256 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,890 – $51,577 · median $19,740 | 16 plans |
| 257 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,046 – $24,110 · median $10,498 | 16 plans |
| 258 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $31,154 – $85,758 · median $32,556 | 16 plans |
| 259 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $19,596 – $53,713 · median $20,478 | 16 plans |
| 260 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $37,780 – $104,070 · median $39,480 | 16 plans |
| 261 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $21,139 – $57,986 · median $22,091 | 16 plans |
| 262 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,950 – $46,389 · median $17,713 | 16 plans |
| 263 | MS-DRG 42.00: VEIN LIGATION AND STRIPPING | $29,793 – $81,791 · median $31,133 | 16 plans |
| 264 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $38,761 – $106,817 · median $40,505 | 16 plans |
| 265 | MS-DRG 42.00: AICD LEAD PROCEDURES | $39,556 – $108,953 · median $41,336 | 16 plans |
| 266 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $66,289 – $182,809 · median $69,272 | 16 plans |
| 267 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $52,103 – $143,439 · median $54,448 | 16 plans |
| 268 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $73,755 – $203,562 · median $77,074 | 16 plans |
| 269 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $46,103 – $126,959 · median $48,177 | 16 plans |
| 270 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $56,827 – $156,562 · median $59,385 | 16 plans |
| 271 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $38,201 – $104,985 · median $39,920 | 16 plans |
| 272 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $27,808 – $76,298 · median $29,060 | 16 plans |
| 273 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $43,340 – $119,329 · median $45,291 | 16 plans |
| 274 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $34,634 – $95,219 · median $36,193 | 16 plans |
| 275 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $78,161 – $215,769 · median $81,678 | 16 plans |
| 276 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $68,535 – $188,913 · median $71,619 | 16 plans |
| 277 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $51,521 – $141,913 · median $53,839 | 16 plans |
| 278 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $55,397 – $152,595 · median $57,890 | 16 plans |
| 279 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $35,554 – $97,661 · median $37,154 | 16 plans |
| 280 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,313 – $50,051 · median $19,137 | 16 plans |
| 281 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,376 – $28,077 · median $10,843 | 16 plans |
| 282 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,206 – $22,279 · median $8,575 | 16 plans |
| 283 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,777 – $59,817 · median $22,757 | 16 plans |
| 284 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,381 – $22,584 · median $8,759 | 16 plans |
| 285 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,400 – $17,091 · median $6,688 | 16 plans |
| 286 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $24,622 – $67,447 · median $25,730 | 16 plans |
| 287 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,228 – $33,266 · median $12,778 | 16 plans |
| 288 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $30,338 – $83,317 · median $31,703 | 16 plans |
| 289 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,600 – $48,220 · median $18,392 | 16 plans |
| 290 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,007 – $29,909 · median $11,502 | 16 plans |
| 291 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC | $14,600 – $39,675 · median $15,257 | 16 plans |
| 292 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC | $9,707 – $26,246 · median $10,144 | 16 plans |
| 293 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,260 – $16,785 · median $6,542 | 16 plans |
| 294 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,753 – $37,538 · median $14,372 | 16 plans |
| 295 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,920 – $24,110 · median $9,321 | 16 plans |
| 296 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,280 – $50,051 · median $19,103 | 16 plans |
| 297 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC | $7,978 – $21,363 · median $8,337 | 16 plans |
| 298 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,080 – $13,428 · median $5,309 | 16 plans |
| 299 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC | $18,051 – $49,441 · median $18,863 | 16 plans |
| 300 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC | $12,017 – $32,655 · median $12,558 | 16 plans |
| 301 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,077 – $21,668 · median $8,440 | 16 plans |
| 302 | MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC | $13,040 – $35,402 · median $13,626 | 16 plans |
| 303 | MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC | $7,625 – $20,448 · median $7,968 | 16 plans |
| 304 | MS-DRG 42.00: HYPERTENSION WITH MCC | $13,166 – $35,707 · median $13,759 | 16 plans |
| 305 | MS-DRG 42.00: HYPERTENSION WITHOUT MCC | $8,488 – $22,889 · median $8,870 | 16 plans |
| 306 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,725 – $45,779 · median $17,478 | 16 plans |
| 307 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,426 – $28,383 · median $10,896 | 16 plans |
| 308 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,509 – $36,928 · median $14,117 | 16 plans |
| 309 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,363 – $22,584 · median $8,739 | 16 plans |
| 310 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,379 – $17,091 · median $6,666 | 16 plans |
| 311 | MS-DRG 42.00: ANGINA PECTORIS | $7,910 – $21,363 · median $8,266 | 16 plans |
| 312 | MS-DRG 42.00: SYNCOPE AND COLLAPSE | $9,819 – $26,552 · median $10,261 | 16 plans |
| 313 | MS-DRG 42.00: CHEST PAIN | $8,077 – $21,668 · median $8,440 | 16 plans |
| 314 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,962 – $65,616 · median $25,040 | 16 plans |
| 315 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,822 – $29,298 · median $11,309 | 16 plans |
| 316 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,738 – $20,753 · median $8,087 | 16 plans |
| 319 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $48,663 – $133,978 · median $50,853 | 16 plans |
| 320 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $25,741 – $70,499 · median $26,900 | 16 plans |
| 321 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $31,609 – $86,979 · median $33,032 | 16 plans |
| 322 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,164 – $55,239 · median $21,072 | 16 plans |
| 323 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $47,191 – $130,011 · median $49,315 | 16 plans |
| 324 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $35,451 – $97,661 · median $37,047 | 16 plans |
| 325 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,778 – $87,284 · median $33,208 | 16 plans |
| 326 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $56,232 – $155,037 · median $58,762 | 16 plans |
| 327 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,991 – $74,161 · median $28,206 | 16 plans |
| 328 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,785 – $48,525 · median $18,585 | 16 plans |
| 329 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $50,859 – $140,082 · median $53,148 | 16 plans |
| 330 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $26,281 – $72,025 · median $27,463 | 16 plans |
| 331 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,419 – $50,356 · median $19,248 | 16 plans |
| 332 | MS-DRG 42.00: RECTAL RESECTION WITH MCC | $38,469 – $105,901 · median $40,200 | 16 plans |
| 333 | MS-DRG 42.00: RECTAL RESECTION WITH CC | $23,651 – $65,005 · median $24,715 | 16 plans |
| 334 | MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC | $18,503 – $50,662 · median $19,336 | 16 plans |
| 335 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC | $40,176 – $110,479 · median $41,984 | 16 plans |
| 336 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC | $23,508 – $64,395 · median $24,565 | 16 plans |
| 337 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $17,141 – $46,999 · median $17,912 | 16 plans |
| 344 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,930 – $82,096 · median $31,276 | 16 plans |
| 345 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,629 – $45,473 · median $17,377 | 16 plans |
| 346 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,944 – $38,149 · median $14,572 | 16 plans |
| 347 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC | $26,315 – $72,330 · median $27,499 | 16 plans |
| 348 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC | $14,094 – $38,454 · median $14,728 | 16 plans |
| 349 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,925 – $26,857 · median $10,371 | 16 plans |
| 350 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,887 – $73,856 · median $28,097 | 16 plans |
| 351 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,803 – $45,779 · median $17,559 | 16 plans |
| 352 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,370 – $33,571 · median $12,927 | 16 plans |
| 353 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $32,560 – $89,421 · median $34,026 | 16 plans |
| 354 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,972 – $51,882 · median $19,826 | 16 plans |
| 355 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,914 – $40,590 · median $15,585 | 16 plans |
| 356 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $47,261 – $130,316 · median $49,387 | 16 plans |
| 357 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $25,049 – $68,668 · median $26,176 | 16 plans |
| 358 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,155 – $41,506 · median $15,837 | 16 plans |
| 368 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,629 – $50,967 · median $19,467 | 16 plans |
| 369 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,432 – $31,129 · median $11,947 | 16 plans |
| 370 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,907 – $21,363 · median $8,263 | 16 plans |
| 371 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,489 – $53,408 · median $20,366 | 16 plans |
| 372 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,562 – $31,435 · median $12,082 | 16 plans |
| 373 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,209 – $22,279 · median $8,579 | 16 plans |
| 374 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC | $23,498 – $64,395 · median $24,555 | 16 plans |
| 375 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC | $13,761 – $37,538 · median $14,380 | 16 plans |
| 376 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,948 – $26,857 · median $10,395 | 16 plans |
| 377 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC | $20,263 – $55,545 · median $21,175 | 16 plans |
| 378 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC | $11,083 – $30,214 · median $11,581 | 16 plans |
| 379 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,231 – $19,532 · median $7,556 | 16 plans |
| 380 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC | $21,434 – $58,596 · median $22,398 | 16 plans |
| 381 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC | $12,221 – $33,266 · median $12,771 | 16 plans |
| 382 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,473 – $22,889 · median $8,854 | 16 plans |
| 383 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,153 – $38,454 · median $14,789 | 16 plans |
| 384 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,800 – $26,552 · median $10,241 | 16 plans |
| 385 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC | $18,130 – $49,441 · median $18,946 | 16 plans |
| 386 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC | $11,156 – $30,214 · median $11,658 | 16 plans |
| 387 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,602 – $20,448 · median $7,944 | 16 plans |
| 388 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,422 – $44,863 · median $17,161 | 16 plans |
| 389 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC | $9,050 – $24,415 · median $9,457 | 16 plans |
| 390 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,244 – $16,785 · median $6,525 | 16 plans |
| 391 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,376 – $39,064 · median $15,023 | 16 plans |
| 392 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,815 – $23,805 · median $9,212 | 16 plans |
| 393 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,474 – $50,662 · median $19,306 | 16 plans |
| 394 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,591 – $28,688 · median $11,067 | 16 plans |
| 395 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,228 – $19,532 · median $7,553 | 16 plans |
| 397 | MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC | $27,539 – $75,687 · median $28,778 | 16 plans |
| 398 | MS-DRG 42.00: APPENDIX PROCEDURES WITH CC | $16,899 – $46,084 · median $17,660 | 16 plans |
| 399 | MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC | $12,604 – $34,181 · median $13,171 | 16 plans |
| 405 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $60,089 – $184,784 · median $62,793 | 16 plans |
| 406 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $31,186 – $117,338 · median $32,589 | 16 plans |
| 407 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,767 – $100,090 · median $24,836 | 16 plans |
| 408 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,829 – $106,817 · median $40,576 | 16 plans |
| 409 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $23,333 – $64,090 · median $24,383 | 16 plans |
| 410 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,317 – $47,304 · median $18,097 | 16 plans |
| 411 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,392 – $82,706 · median $31,759 | 16 plans |
| 412 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC | $23,720 – $65,005 · median $24,788 | 16 plans |
| 413 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $18,546 – $50,662 · median $19,381 | 16 plans |
| 414 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $38,857 – $106,817 · median $40,605 | 16 plans |
| 415 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $22,027 – $60,428 · median $23,018 | 16 plans |
| 416 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,322 – $41,811 · median $16,011 | 16 plans |
| 417 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $26,422 – $72,635 · median $27,611 | 16 plans |
| 418 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $18,501 – $50,662 · median $19,333 | 16 plans |
| 419 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,742 – $40,285 · median $15,405 | 16 plans |
| 420 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $39,140 – $107,732 · median $40,901 | 16 plans |
| 421 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,271 – $50,051 · median $19,094 | 16 plans |
| 422 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,416 – $44,863 · median $17,155 | 16 plans |
| 423 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $45,073 – $124,212 · median $47,102 | 16 plans |
| 424 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,394 – $69,583 · median $26,537 | 16 plans |
| 425 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,259 – $47,304 · median $18,035 | 16 plans |
| 432 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,818 – $59,817 · median $22,799 | 16 plans |
| 433 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,008 – $32,655 · median $12,549 | 16 plans |
| 434 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,891 – $21,363 · median $8,246 | 16 plans |
| 435 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,334 – $55,545 · median $21,249 | 16 plans |
| 436 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,647 – $34,486 · median $13,216 | 16 plans |
| 437 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,869 – $24,110 · median $9,268 | 16 plans |
| 438 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $18,559 – $50,662 · median $19,394 | 16 plans |
| 439 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,696 – $26,246 · median $10,133 | 16 plans |
| 440 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,993 – $18,922 · median $7,307 | 16 plans |
| 441 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $21,060 – $57,681 · median $22,008 | 16 plans |
| 442 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,865 – $29,603 · median $11,354 | 16 plans |
| 443 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,959 – $21,363 · median $8,317 | 16 plans |
| 444 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC | $18,788 – $51,272 · median $19,633 | 16 plans |
| 445 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC | $12,170 – $32,961 · median $12,718 | 16 plans |
| 446 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,002 – $24,415 · median $9,408 | 16 plans |
| 456 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $93,628 – $258,496 · median $97,841 | 16 plans |
| 457 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $63,516 – $175,179 · median $66,375 | 16 plans |
| 458 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $47,838 – $131,842 · median $49,990 | 16 plans |
| 461 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $67,899 – $182,809 · median $70,954 | 16 plans |
| 462 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $31,797 – $87,284 · median $33,228 | 16 plans |
| 463 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $59,784 – $164,803 · median $62,474 | 16 plans |
| 464 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,732 – $90,031 · median $34,205 | 16 plans |
| 465 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,358 – $53,103 · median $20,229 | 16 plans |
| 466 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $56,404 – $155,342 · median $58,942 | 16 plans |
| 467 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $37,990 – $104,680 · median $39,699 | 16 plans |
| 468 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $29,144 – $79,960 · median $30,456 | 16 plans |
| 469 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $36,263 – $99,797 · median $37,895 | 16 plans |
| 470 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $21,006 – $57,681 · median $21,951 | 16 plans |
| 471 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC | $53,786 – $148,322 · median $56,207 | 16 plans |
| 472 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC | $32,165 – $88,505 · median $33,613 | 16 plans |
| 473 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $26,321 – $72,330 · median $27,506 | 16 plans |
| 474 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,676 – $136,725 · median $51,912 | 16 plans |
| 475 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,004 – $65,921 · median $25,084 | 16 plans |
| 476 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,037 – $35,402 · median $13,624 | 16 plans |
| 477 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $38,142 – $104,985 · median $39,858 | 16 plans |
| 478 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $26,004 – $71,414 · median $27,174 | 16 plans |
| 479 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,796 – $54,324 · median $20,687 | 16 plans |
| 480 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,649 – $89,726 · median $34,118 | 16 plans |
| 481 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $23,095 – $63,174 · median $24,134 | 16 plans |
| 482 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,707 – $48,525 · median $18,503 | 16 plans |
| 483 | MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $28,316 – $77,823 · median $29,590 | 16 plans |
| 485 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $35,718 – $98,271 · median $37,326 | 16 plans |
| 486 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $23,602 – $64,700 · median $24,665 | 16 plans |
| 487 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,638 – $48,220 · median $18,432 | 16 plans |
| 488 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,887 – $60,122 · median $22,872 | 16 plans |
| 489 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,868 – $37,844 · median $14,492 | 16 plans |
| 492 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $39,379 – $108,342 · median $41,151 | 16 plans |
| 493 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $26,692 – $73,246 · median $27,893 | 16 plans |
| 494 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $21,005 – $57,681 · median $21,950 | 16 plans |
| 495 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $39,042 – $107,427 · median $40,799 | 16 plans |
| 496 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,971 – $60,122 · median $22,960 | 16 plans |
| 497 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $15,017 – $40,895 · median $15,693 | 16 plans |
| 498 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $28,059 – $76,908 · median $29,321 | 16 plans |
| 499 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,012 – $33,571 · median $13,598 | 16 plans |
| 500 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC | $35,160 – $96,745 · median $36,742 | 16 plans |
| 501 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC | $19,894 – $54,324 · median $20,789 | 16 plans |
| 502 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,620 – $42,727 · median $16,323 | 16 plans |
| 503 | MS-DRG 42.00: FOOT PROCEDURES WITH MCC | $29,401 – $80,875 · median $30,724 | 16 plans |
| 504 | MS-DRG 42.00: FOOT PROCEDURES WITH CC | $19,566 – $53,713 · median $20,447 | 16 plans |
| 505 | MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC | $19,566 – $53,713 · median $20,447 | 16 plans |
| 506 | MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES | $16,744 – $45,779 · median $17,497 | 16 plans |
| 507 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,587 – $59,207 · median $22,559 | 16 plans |
| 508 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,444 – $37,844 · median $15,094 | 16 plans |
| 509 | MS-DRG 42.00: ARTHROSCOPY | $19,585 – $53,713 · median $20,466 | 16 plans |
| 510 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,734 – $87,284 · median $33,162 | 16 plans |
| 511 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,841 – $59,817 · median $22,824 | 16 plans |
| 512 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,943 – $49,136 · median $18,750 | 16 plans |
| 513 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,815 – $46,084 · median $17,572 | 16 plans |
| 514 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,455 – $31,129 · median $11,970 | 16 plans |
| 515 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $34,319 – $94,304 · median $35,863 | 16 plans |
| 516 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $22,398 – $61,343 · median $23,406 | 16 plans |
| 517 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,673 – $45,473 · median $17,423 | 16 plans |
| 518 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $39,741 – $109,258 · median $41,530 | 16 plans |
| 519 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,959 – $60,122 · median $22,947 | 16 plans |
| 520 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $16,017 – $43,642 · median $16,738 | 16 plans |
| 521 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $32,358 – $88,810 · median $33,815 | 16 plans |
| 522 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $23,461 – $64,395 · median $24,517 | 16 plans |
| 533 | MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC | $17,028 – $46,389 · median $17,795 | 16 plans |
| 534 | MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC | $9,187 – $24,720 · median $9,600 | 16 plans |
| 535 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC | $14,877 – $40,590 · median $15,547 | 16 plans |
| 536 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,152 – $24,720 · median $9,564 | 16 plans |
| 537 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,345 – $28,077 · median $10,810 | 16 plans |
| 538 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,615 – $20,448 · median $7,957 | 16 plans |
| 539 | MS-DRG 42.00: OSTEOMYELITIS WITH MCC | $22,516 – $61,648 · median $23,529 | 16 plans |
| 540 | MS-DRG 42.00: OSTEOMYELITIS WITH CC | $14,482 – $39,370 · median $15,134 | 16 plans |
| 541 | MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC | $9,858 – $26,552 · median $10,302 | 16 plans |
| 542 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,781 – $57,071 · median $21,716 | 16 plans |
| 543 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,910 – $32,350 · median $12,446 | 16 plans |
| 544 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,544 – $23,194 · median $8,928 | 16 plans |
| 545 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC | $28,081 – $77,213 · median $29,344 | 16 plans |
| 546 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC | $12,978 – $35,402 · median $13,562 | 16 plans |
| 547 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,439 – $22,889 · median $8,819 | 16 plans |
| 548 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC | $22,430 – $61,343 · median $23,439 | 16 plans |
| 549 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC | $13,501 – $36,928 · median $14,108 | 16 plans |
| 550 | MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,717 – $26,246 · median $10,154 | 16 plans |
| 551 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC | $19,030 – $52,187 · median $19,887 | 16 plans |
| 552 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC | $10,839 – $29,298 · median $11,327 | 16 plans |
| 553 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,614 – $39,980 · median $15,271 | 16 plans |
| 554 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,414 – $25,331 · median $9,837 | 16 plans |
| 555 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,061 – $41,201 · median $15,739 | 16 plans |
| 556 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,214 – $25,026 · median $9,629 | 16 plans |
| 557 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,302 – $47,304 · median $18,080 | 16 plans |
| 558 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,736 – $26,246 · median $10,174 | 16 plans |
| 559 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,684 – $56,765 · median $21,615 | 16 plans |
| 560 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,768 – $34,792 · median $13,343 | 16 plans |
| 561 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,226 – $25,026 · median $9,642 | 16 plans |
| 562 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,351 – $44,558 · median $17,087 | 16 plans |
| 563 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,067 – $27,162 · median $10,520 | 16 plans |
| 564 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,517 – $47,915 · median $18,305 | 16 plans |
| 565 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,456 – $31,129 · median $11,971 | 16 plans |
| 566 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,460 – $22,889 · median $8,840 | 16 plans |
| 570 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC | $33,412 – $91,862 · median $34,915 | 16 plans |
| 571 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC | $18,676 – $50,967 · median $19,517 | 16 plans |
| 572 | MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,809 – $34,792 · median $13,385 | 16 plans |
| 573 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $68,136 – $187,997 · median $71,202 | 16 plans |
| 574 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $38,427 – $105,596 · median $40,157 | 16 plans |
| 575 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $22,232 – $61,038 · median $23,233 | 16 plans |
| 576 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,721 – $164,803 · median $62,408 | 16 plans |
| 577 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,580 – $81,181 · median $30,911 | 16 plans |
| 578 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,854 – $51,577 · median $19,702 | 16 plans |
| 579 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $36,161 – $99,492 · median $37,788 | 16 plans |
| 580 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,765 – $54,019 · median $20,654 | 16 plans |
| 581 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $16,083 – $43,947 · median $16,807 | 16 plans |
| 582 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,524 – $53,408 · median $20,403 | 16 plans |
| 583 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,328 – $50,051 · median $19,152 | 16 plans |
| 584 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,792 – $62,564 · median $23,817 | 16 plans |
| 585 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $22,104 – $60,733 · median $23,099 | 16 plans |
| 592 | MS-DRG 42.00: SKIN ULCERS WITH MCC | $22,890 – $62,869 · median $23,920 | 16 plans |
| 593 | MS-DRG 42.00: SKIN ULCERS WITH CC | $13,695 – $37,233 · median $14,311 | 16 plans |
| 594 | MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC | $9,569 – $25,941 · median $10,000 | 16 plans |
| 595 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC | $23,538 – $64,700 · median $24,598 | 16 plans |
| 596 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC | $12,133 – $32,961 · median $12,679 | 16 plans |
| 597 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC | $19,585 – $53,713 · median $20,466 | 16 plans |
| 598 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC | $12,109 – $32,350 · median $12,654 | 16 plans |
| 599 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,638 – $25,941 · median $10,071 | 16 plans |
| 600 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,760 – $29,298 · median $11,244 | 16 plans |
| 601 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,821 – $18,311 · median $7,128 | 16 plans |
| 602 | MS-DRG 42.00: CELLULITIS WITH MCC | $16,414 – $44,863 · median $17,152 | 16 plans |
| 603 | MS-DRG 42.00: CELLULITIS WITHOUT MCC | $9,923 – $26,857 · median $10,370 | 16 plans |
| 604 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,596 – $45,473 · median $17,343 | 16 plans |
| 605 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,397 – $28,077 · median $10,865 | 16 plans |
| 606 | MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC | $17,970 – $49,136 · median $18,779 | 16 plans |
| 607 | MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC | $9,740 – $26,246 · median $10,179 | 16 plans |
| 614 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,346 – $69,583 · median $26,487 | 16 plans |
| 615 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $16,015 – $43,642 · median $16,735 | 16 plans |
| 616 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,841 – $118,109 · median $44,769 | 16 plans |
| 617 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,514 – $58,902 · median $22,482 | 16 plans |
| 618 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,288 – $38,149 · median $13,886 | 16 plans |
| 619 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC | $23,100 – $66,372 · median $31,040 | 16 plans |
| 620 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC | $17,824 – $42,691 · median $18,447 | 16 plans |
| 621 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,332 – $42,691 · median $17,067 | 16 plans |
| 622 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,484 – $114,141 · median $43,351 | 16 plans |
| 623 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,307 – $58,291 · median $22,266 | 16 plans |
| 624 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,273 – $30,519 · median $11,780 | 16 plans |
| 625 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,833 – $87,590 · median $33,266 | 16 plans |
| 626 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,856 – $46,084 · median $17,615 | 16 plans |
| 627 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,182 – $38,759 · median $14,821 | 16 plans |
| 628 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,731 – $120,550 · median $45,699 | 16 plans |
| 629 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,017 – $68,668 · median $26,142 | 16 plans |
| 630 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,665 – $42,727 · median $16,370 | 16 plans |
| 637 | MS-DRG 42.00: DIABETES WITH MCC | $16,272 – $44,558 · median $17,004 | 16 plans |
| 638 | MS-DRG 42.00: DIABETES WITH CC | $10,325 – $28,077 · median $10,790 | 16 plans |
| 639 | MS-DRG 42.00: DIABETES WITHOUT CC/MCC | $7,120 – $19,227 · median $7,440 | 16 plans |
| 640 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,856 – $40,590 · median $15,525 | 16 plans |
| 641 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,827 – $23,805 · median $9,224 | 16 plans |
| 642 | MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM | $13,898 – $37,844 · median $14,523 | 16 plans |
| 643 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC | $18,489 – $50,662 · median $19,321 | 16 plans |
| 644 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC | $11,607 – $31,435 · median $12,129 | 16 plans |
| 645 | MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,797 – $23,805 · median $9,193 | 16 plans |
| 653 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC | $61,699 – $169,991 · median $64,475 | 16 plans |
| 654 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC | $31,337 – $86,064 · median $32,747 | 16 plans |
| 655 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $23,121 – $63,480 · median $24,162 | 16 plans |
| 656 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $36,145 – $99,492 · median $37,772 | 16 plans |
| 657 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $20,373 – $55,850 · median $21,289 | 16 plans |
| 658 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,798 – $45,779 · median $17,554 | 16 plans |
| 659 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $28,714 – $78,739 · median $30,006 | 16 plans |
| 660 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,989 – $40,895 · median $15,663 | 16 plans |
| 661 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,532 – $31,435 · median $12,051 | 16 plans |
| 662 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC | $34,619 – $95,219 · median $36,176 | 16 plans |
| 663 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC | $17,056 – $46,694 · median $17,823 | 16 plans |
| 664 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,119 – $32,961 · median $12,664 | 16 plans |
| 665 | MS-DRG 42.00: PROSTATECTOMY WITH MCC | $38,082 – $104,680 · median $39,796 | 16 plans |
| 666 | MS-DRG 42.00: PROSTATECTOMY WITH CC | $18,378 – $50,356 · median $19,205 | 16 plans |
| 667 | MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC | $11,545 – $31,435 · median $12,064 | 16 plans |
| 668 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC | $32,376 – $89,115 · median $33,833 | 16 plans |
| 669 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC | $17,278 – $47,304 · median $18,055 | 16 plans |
| 670 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,750 – $29,298 · median $11,233 | 16 plans |
| 671 | MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC | $19,221 – $52,493 · median $20,086 | 16 plans |
| 672 | MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC | $12,280 – $33,266 · median $12,832 | 16 plans |
| 673 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $46,421 – $127,875 · median $48,510 | 16 plans |
| 674 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $25,671 – $70,499 · median $26,826 | 16 plans |
| 675 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,474 – $47,915 · median $18,260 | 16 plans |
| 682 | MS-DRG 42.00: RENAL FAILURE WITH MCC | $16,775 – $45,779 · median $17,529 | 16 plans |
| 683 | MS-DRG 42.00: RENAL FAILURE WITH CC | $10,013 – $27,162 · median $10,463 | 16 plans |
| 684 | MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC | $6,908 – $18,617 · median $7,219 | 16 plans |
| 686 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,008 – $57,681 · median $21,953 | 16 plans |
| 687 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,820 – $32,045 · median $12,352 | 16 plans |
| 688 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,196 – $21,974 · median $8,565 | 16 plans |
| 689 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,117 – $35,707 · median $13,707 | 16 plans |
| 690 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,061 – $24,415 · median $9,469 | 16 plans |
| 693 | MS-DRG 42.00: URINARY STONES WITH MCC | $16,427 – $44,863 · median $17,166 | 16 plans |
| 694 | MS-DRG 42.00: URINARY STONES WITHOUT MCC | $8,827 – $23,805 · median $9,224 | 16 plans |
| 695 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,648 – $34,486 · median $13,217 | 16 plans |
| 696 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,839 – $21,058 · median $8,191 | 16 plans |
| 697 | MS-DRG 42.00: URETHRAL STRICTURE | $11,258 – $29,603 · median $11,765 | 16 plans |
| 698 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,749 – $51,272 · median $19,593 | 16 plans |
| 699 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,458 – $31,129 · median $11,973 | 16 plans |
| 700 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,865 – $21,058 · median $8,219 | 16 plans |
| 707 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,614 – $59,207 · median $22,586 | 16 plans |
| 708 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,561 – $45,168 · median $17,306 | 16 plans |
| 709 | MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC | $24,994 – $68,668 · median $26,119 | 16 plans |
| 710 | MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC | $16,769 – $45,779 · median $17,524 | 16 plans |
| 711 | MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC | $21,283 – $58,291 · median $22,240 | 16 plans |
| 712 | MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC | $12,006 – $27,162 · median $12,546 | 16 plans |
| 713 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $16,158 – $44,253 · median $16,885 | 16 plans |
| 714 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,573 – $28,688 · median $11,049 | 16 plans |
| 715 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $25,118 – $68,973 · median $26,248 | 16 plans |
| 716 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,863 – $43,337 · median $16,577 | 16 plans |
| 717 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,675 – $56,765 · median $21,605 | 16 plans |
| 718 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,796 – $37,538 · median $14,417 | 16 plans |
| 722 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $19,278 – $52,798 · median $20,146 | 16 plans |
| 723 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,594 – $34,181 · median $13,161 | 16 plans |
| 724 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,245 – $20,143 · median $8,616 | 16 plans |
| 725 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,135 – $38,454 · median $14,771 | 16 plans |
| 726 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,419 – $22,584 · median $8,798 | 16 plans |
| 727 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,416 – $44,863 · median $17,155 | 16 plans |
| 728 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,221 – $25,026 · median $9,636 | 16 plans |
| 729 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,351 – $33,571 · median $12,907 | 16 plans |
| 730 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,902 – $18,617 · median $7,213 | 16 plans |
| 734 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $23,403 – $64,090 · median $24,456 | 16 plans |
| 735 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,598 – $36,928 · median $14,210 | 16 plans |
| 736 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,642 – $120,245 · median $45,605 | 16 plans |
| 737 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $22,251 – $61,038 · median $23,253 | 16 plans |
| 738 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,940 – $46,389 · median $17,702 | 16 plans |
| 739 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $44,119 – $121,466 · median $46,105 | 16 plans |
| 740 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,265 – $55,545 · median $21,177 | 16 plans |
| 741 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,359 – $41,811 · median $16,050 | 16 plans |
| 742 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $20,357 – $55,850 · median $21,273 | 16 plans |
| 743 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,430 – $36,623 · median $14,034 | 16 plans |
| 744 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,761 – $59,512 · median $22,741 | 16 plans |
| 745 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,512 – $31,129 · median $12,030 | 16 plans |
| 746 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,679 – $50,967 · median $19,520 | 16 plans |
| 747 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,744 – $29,298 · median $11,228 | 16 plans |
| 748 | MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,235 – $41,506 · median $15,920 | 16 plans |
| 749 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $28,761 – $79,044 · median $30,056 | 16 plans |
| 750 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,432 – $39,370 · median $15,081 | 16 plans |
| 754 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $20,165 – $55,239 · median $21,073 | 16 plans |
| 755 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,453 – $33,876 · median $13,013 | 16 plans |
| 756 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,742 – $29,298 · median $11,225 | 16 plans |
| 757 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,819 – $43,337 · median $16,531 | 16 plans |
| 758 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,451 – $31,129 · median $11,967 | 16 plans |
| 759 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,267 – $19,532 · median $7,594 | 16 plans |
| 760 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,079 – $30,214 · median $11,578 | 16 plans |
| 761 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,200 – $19,227 · median $7,524 | 16 plans |
| 768 | MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,402 – $24,123 · median $12,608 | 16 plans |
| 769 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,535 – $42,116 · median $16,234 | 16 plans |
| 770 | MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,077 – $32,961 · median $12,620 | 16 plans |
| 776 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,078 – $21,668 · median $8,442 | 16 plans |
| 779 | MS-DRG 42.00: ABORTION WITHOUT D&C | $10,519 – $28,383 · median $10,992 | 16 plans |
| 783 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,004 – $28,738 · median $20,714 | 16 plans |
| 784 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC | $12,154 – $20,901 · median $12,701 | 16 plans |
| 785 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,843 – $20,901 · median $10,286 | 16 plans |
| 786 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,004 – $25,245 · median $18,483 | 16 plans |
| 787 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $11,920 – $20,901 · median $12,456 | 16 plans |
| 788 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $10,187 – $20,901 · median $10,646 | 16 plans |
| 789 | MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,929 – $54,934 · median $20,795 | 16 plans |
| 790 | MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,929 – $181,283 · median $67,098 | 16 plans |
| 791 | MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS | $2,929 – $123,907 · median $45,890 | 16 plans |
| 792 | MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS | $2,929 – $74,772 · median $27,502 | 16 plans |
| 793 | MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,929 – $127,264 · median $46,673 | 16 plans |
| 794 | MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,929 – $45,168 · median $16,656 | 16 plans |
| 795 | MS-DRG 42.00: NORMAL NEWBORN | $2,412 – $5,640 · median $2,520 | 16 plans |
| 796 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,202 – $25,317 · median $14,432 | 16 plans |
| 797 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,202 – $23,167 · median $11,269 | 16 plans |
| 798 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,402 – $23,167 · median $11,160 | 16 plans |
| 799 | MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC | $52,656 – $144,965 · median $55,025 | 16 plans |
| 800 | MS-DRG 42.00: SPLENIC PROCEDURES WITH CC | $32,349 – $88,810 · median $33,804 | 16 plans |
| 801 | MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC | $18,317 – $50,051 · median $19,141 | 16 plans |
| 802 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $39,750 – $109,258 · median $41,539 | 16 plans |
| 803 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,842 – $54,324 · median $20,735 | 16 plans |
| 804 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,403 – $33,876 · median $12,961 | 16 plans |
| 805 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,202 – $15,703 · median $11,609 | 16 plans |
| 806 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,189 – $14,393 · median $8,558 | 16 plans |
| 807 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,238 – $14,393 · median $7,563 | 16 plans |
| 808 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,471 – $69,889 · median $26,617 | 16 plans |
| 809 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,869 – $37,844 · median $14,493 | 16 plans |
| 810 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,707 – $28,993 · median $11,188 | 16 plans |
| 811 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC | $15,727 – $43,032 · median $16,434 | 16 plans |
| 812 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC | $10,388 – $28,077 · median $10,855 | 16 plans |
| 813 | MS-DRG 42.00: COAGULATION DISORDERS | $17,283 – $47,304 · median $18,061 | 16 plans |
| 814 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $23,267 – $63,785 · median $24,314 | 16 plans |
| 815 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,416 – $31,129 · median $11,930 | 16 plans |
| 816 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,481 – $20,143 · median $7,818 | 16 plans |
| 817 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $28,171 – $66,837 · median $29,439 | 16 plans |
| 818 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,415 – $30,214 · median $15,064 | 16 plans |
| 819 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,214 – $20,753 · median $9,629 | 16 plans |
| 820 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $64,431 – $177,621 · median $67,330 | 16 plans |
| 821 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $24,832 – $68,057 · median $25,950 | 16 plans |
| 822 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,823 – $34,792 · median $13,400 | 16 plans |
| 823 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $51,825 – $142,829 · median $54,157 | 16 plans |
| 824 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $24,468 – $67,142 · median $25,569 | 16 plans |
| 825 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,784 – $37,538 · median $14,404 | 16 plans |
| 826 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $52,884 – $145,881 · median $55,264 | 16 plans |
| 827 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $26,239 – $72,025 · median $27,419 | 16 plans |
| 828 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,889 – $48,830 · median $18,694 | 16 plans |
| 829 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $34,224 – $93,999 · median $35,764 | 16 plans |
| 830 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,340 – $44,558 · median $17,075 | 16 plans |
| 831 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,904 – $35,097 · median $13,485 | 16 plans |
| 832 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,452 – $22,889 · median $8,832 | 16 plans |
| 833 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,941 – $15,870 · median $6,209 | 16 plans |
| 834 | MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC | $61,177 – $168,770 · median $63,930 | 16 plans |
| 835 | MS-DRG 42.00: ACUTE LEUKEMIA WITH CC | $23,768 – $65,311 · median $24,837 | 16 plans |
| 836 | MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC | $14,224 – $37,844 · median $14,864 | 16 plans |
| 837 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $55,440 – $152,900 · median $57,935 | 16 plans |
| 838 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,580 – $61,954 · median $23,596 | 16 plans |
| 839 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,324 – $41,811 · median $16,014 | 16 plans |
| 840 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $35,384 – $97,356 · median $36,976 | 16 plans |
| 841 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,504 – $47,915 · median $18,291 | 16 plans |
| 842 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,811 – $32,045 · median $12,342 | 16 plans |
| 843 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $21,092 – $57,681 · median $22,041 | 16 plans |
| 844 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,391 – $36,623 · median $13,994 | 16 plans |
| 845 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,438 – $25,636 · median $9,863 | 16 plans |
| 846 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $28,378 – $77,823 · median $29,655 | 16 plans |
| 847 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,224 – $38,759 · median $14,864 | 16 plans |
| 848 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,241 – $25,026 · median $9,657 | 16 plans |
| 849 | MS-DRG 42.00: RADIOTHERAPY | $29,671 – $81,486 · median $31,007 | 16 plans |
| 853 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $55,375 – $152,595 · median $57,867 | 16 plans |
| 854 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $22,248 – $61,038 · median $23,249 | 16 plans |
| 855 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,139 – $49,746 · median $18,955 | 16 plans |
| 856 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $49,973 – $137,641 · median $52,222 | 16 plans |
| 857 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $24,242 – $66,531 · median $25,333 | 16 plans |
| 858 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,420 – $39,370 · median $15,068 | 16 plans |
| 862 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $20,490 – $56,155 · median $21,412 | 16 plans |
| 863 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,237 – $30,519 · median $11,743 | 16 plans |
| 864 | MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS | $10,113 – $27,467 · median $10,568 | 16 plans |
| 865 | MS-DRG 42.00: VIRAL ILLNESS WITH MCC | $16,488 – $44,253 · median $17,230 | 16 plans |
| 866 | MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC | $9,968 – $26,857 · median $10,416 | 16 plans |
| 867 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,861 – $65,311 · median $24,934 | 16 plans |
| 868 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,791 – $32,045 · median $12,322 | 16 plans |
| 869 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,145 – $21,974 · median $8,512 | 16 plans |
| 870 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $76,942 – $212,412 · median $80,404 | 16 plans |
| 871 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,851 – $59,817 · median $22,834 | 16 plans |
| 872 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,580 – $31,435 · median $12,101 | 16 plans |
| 876 | MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $43,553 – $119,940 · median $45,513 | 16 plans |
| 880 | MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,782 – $29,298 · median $11,267 | 16 plans |
| 881 | MS-DRG 42.00: DEPRESSIVE NEUROSES | $10,291 – $27,772 · median $10,754 | 16 plans |
| 882 | MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE | $10,819 – $29,298 · median $11,306 | 16 plans |
| 883 | MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,657 – $56,460 · median $21,587 | 16 plans |
| 884 | MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,631 – $50,967 · median $19,469 | 16 plans |
| 885 | MS-DRG 42.00: PSYCHOSES | $15,756 – $43,032 · median $16,465 | 16 plans |
| 886 | MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,024 – $54,934 · median $20,925 | 16 plans |
| 887 | MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES | $13,328 – $36,318 · median $13,927 | 16 plans |
| 894 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,092 – $18,922 · median $7,411 | 16 plans |
| 895 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,179 – $42,727 · median $16,907 | 16 plans |
| 896 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,851 – $54,324 · median $20,744 | 16 plans |
| 897 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,939 – $26,857 · median $10,386 | 16 plans |
| 901 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $49,079 – $135,199 · median $51,287 | 16 plans |
| 902 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $21,139 – $57,986 · median $22,091 | 16 plans |
| 903 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,655 – $37,233 · median $14,270 | 16 plans |
| 904 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC | $42,798 – $117,803 · median $44,724 | 16 plans |
| 905 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,388 – $50,356 · median $19,216 | 16 plans |
| 906 | MS-DRG 42.00: HAND PROCEDURES FOR INJURIES | $24,282 – $66,531 · median $25,375 | 16 plans |
| 907 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $44,150 – $121,466 · median $46,137 | 16 plans |
| 908 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $22,457 – $61,648 · median $23,468 | 16 plans |
| 909 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,198 – $38,759 · median $14,837 | 16 plans |
| 913 | MS-DRG 42.00: TRAUMATIC INJURY WITH MCC | $18,058 – $49,441 · median $18,871 | 16 plans |
| 914 | MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC | $10,316 – $28,077 · median $10,780 | 16 plans |
| 915 | MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC | $19,378 – $53,103 · median $20,250 | 16 plans |
| 916 | MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC | $7,533 – $20,143 · median $7,872 | 16 plans |
| 917 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,295 – $50,051 · median $19,118 | 16 plans |
| 918 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,965 – $26,857 · median $10,414 | 16 plans |
| 919 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC | $20,323 – $55,545 · median $21,238 | 16 plans |
| 920 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC | $11,414 – $31,129 · median $11,927 | 16 plans |
| 921 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,793 – $21,058 · median $8,144 | 16 plans |
| 922 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,843 – $51,577 · median $19,691 | 16 plans |
| 923 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,458 – $31,129 · median $11,973 | 16 plans |
| 927 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $261,883 – $613,737 · median $273,667 | 16 plans |
| 928 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $73,880 – $203,867 · median $77,204 | 16 plans |
| 929 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $35,289 – $97,050 · median $36,877 | 16 plans |
| 933 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $47,936 – $132,147 · median $50,093 | 16 plans |
| 934 | MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,877 – $65,616 · median $24,952 | 16 plans |
| 935 | MS-DRG 42.00: NON-EXTENSIVE BURNS | $24,435 – $67,142 · median $25,535 | 16 plans |
| 939 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $35,219 – $96,745 · median $36,804 | 16 plans |
| 940 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,498 – $64,395 · median $24,555 | 16 plans |
| 941 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,765 – $59,512 · median $22,744 | 16 plans |
| 945 | MS-DRG 42.00: REHABILITATION WITH CC/MCC | $17,046 – $46,694 · median $17,813 | 16 plans |
| 946 | MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC | $12,523 – $34,181 · median $13,087 | 16 plans |
| 947 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC | $14,395 – $39,370 · median $15,043 | 16 plans |
| 948 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC | $8,972 – $24,110 · median $9,375 | 16 plans |
| 949 | MS-DRG 42.00: AFTERCARE WITH CC/MCC | $12,110 – $32,961 · median $12,655 | 16 plans |
| 950 | MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC | $6,673 – $18,006 · median $6,973 | 16 plans |
| 951 | MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS | $6,462 – $17,396 · median $6,753 | 16 plans |
| 955 | MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $75,528 – $208,445 · median $78,926 | 16 plans |
| 956 | MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $42,371 – $116,583 · median $44,278 | 16 plans |
| 957 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $82,542 – $227,672 · median $86,256 | 16 plans |
| 958 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $45,541 – $125,433 · median $47,590 | 16 plans |
| 959 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $29,371 – $80,570 · median $30,693 | 16 plans |
| 963 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $30,174 – $83,012 · median $31,532 | 16 plans |
| 964 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,755 – $45,779 · median $17,509 | 16 plans |
| 965 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,274 – $27,772 · median $10,737 | 16 plans |
| 969 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $69,968 – $192,880 · median $73,117 | 16 plans |
| 970 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $29,475 – $80,875 · median $30,801 | 16 plans |
| 974 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC | $33,147 – $91,252 · median $34,639 | 16 plans |
| 975 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC | $15,887 – $43,337 · median $16,601 | 16 plans |
| 976 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,271 – $30,519 · median $11,779 | 16 plans |
| 977 | MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION | $16,113 – $43,947 · median $16,838 | 16 plans |
| 981 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $52,646 – $144,965 · median $55,015 | 16 plans |
| 982 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $27,214 – $74,772 · median $28,438 | 16 plans |
| 983 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,609 – $50,967 · median $19,446 | 16 plans |
| 987 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,844 – $106,817 · median $40,592 | 16 plans |
| 988 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,136 – $52,493 · median $19,997 | 16 plans |
| 989 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,954 – $35,402 · median $13,536 | 16 plans |
| 317 | MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $114,738 – $188,913 · median $150,491 | 5 plans |
| 402 | MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $72,476 – $119,329 · median $95,060 | 5 plans |
| 426 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $194,257 – $319,839 · median $254,790 | 5 plans |
| 427 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $131,606 – $216,685 · median $172,615 | 5 plans |
| 428 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $101,948 – $167,855 · median $133,716 | 5 plans |
| 429 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $154,590 – $254,528 · median $202,762 | 5 plans |
| 430 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $101,392 – $166,939 · median $132,987 | 5 plans |
| 447 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $124,191 – $204,477 · median $162,890 | 5 plans |
| 448 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $75,627 – $124,518 · median $99,193 | 5 plans |
| 450 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $95,460 – $157,173 · median $125,207 | 5 plans |
| 451 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $57,276 – $94,304 · median $75,124 | 5 plans |
| 850 | MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES | $170,717 – $281,080 · median $223,914 | 5 plans |
No procedures match that keyword.