Adena Pike Medical Center — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $215,408 – $592,577 · median $287,570 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,877 – $233,411 · median $113,310 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $164,130 – $451,357 · median $219,113 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $108,552 – $298,517 · median $144,916 | 18 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,058 – $225,660 · median $109,548 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,908 – $104,248 · median $50,339 | 18 plans |
| 007 | LUNG TRANSPLANT | $100,474 – $276,304 · median $134,133 | 18 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,414 – $116,637 · median $56,421 | 18 plans |
| 010 | PANCREAS TRANSPLANT | $61,686 – $169,636 · median $82,351 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,070 – $115,691 · median $55,957 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,234 – $88,642 · median $42,678 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,168 – $58,213 · median $27,740 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $100,725 – $276,994 · median $134,468 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,941 – $129,088 · median $62,534 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,941 – $129,088 · median $62,534 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $288,059 – $793,364 · median $384,559 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $61,338 – $168,680 · median $81,886 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,357 – $171,480 · median $83,246 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,070 – $118,442 · median $57,307 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,870 – $76,642 · median $36,787 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,423 – $122,164 · median $59,134 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,935 – $82,321 · median $39,575 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,039 – $96,358 · median $46,466 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,279 – $66,766 · median $31,939 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,781 – $54,399 · median $25,868 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,273 – $130,001 · median $62,982 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,548 – $73,006 · median $35,002 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,936 – $49,325 · median $23,377 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,895 – $90,461 · median $43,571 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,253 – $47,445 · median $22,454 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,142 – $36,140 · median $16,904 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,597 – $84,142 · median $40,469 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,312 – $50,359 · median $23,884 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,950 – $41,113 · median $19,345 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,275 – $72,256 · median $34,634 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,262 – $36,470 · median $17,066 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,661 – $26,567 · median $12,205 | 18 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,710 – $81,701 · median $39,271 | 18 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,186 – $50,012 · median $23,714 | 18 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,376 – $39,533 · median $18,570 | 18 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,316 – $44,868 · median $21,189 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,011 – $22,029 · median $9,977 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,408 – $34,122 · median $15,913 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,302 – $25,579 · median $11,720 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,058 – $55,159 · median $26,241 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,154 – $30,674 · median $14,221 | 18 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,048 – $41,381 · median $19,477 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,311 – $28,355 · median $13,082 | 18 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,790 – $21,422 · median $9,679 | 18 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,575 – $59,331 · median $28,289 | 18 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,553 – $40,021 · median $18,809 | 18 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,690 – $32,148 · median $14,944 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,138 – $44,381 · median $20,950 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,738 – $24,028 · median $10,958 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,236 – $17,150 · median $7,581 | 18 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,071 – $33,197 · median $15,459 | 18 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,707 – $21,194 · median $9,567 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,087 – $19,490 · median $8,730 | 18 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $14,232 – $39,139 · median $18,376 | 18 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,019 – $24,803 · median $11,338 | 18 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,707 – $18,445 · median $8,218 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,762 – $35,095 · median $16,391 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,932 – $24,562 · median $11,220 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,108 – $38,796 · median $18,208 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,976 – $21,935 · median $9,931 | 18 plans |
| 077 | Inpatient MS-DRG | $12,767 – $35,110 · median $16,398 | 18 plans |
| 078 | Inpatient MS-DRG | $8,593 – $23,630 · median $10,763 | 18 plans |
| 079 | Inpatient MS-DRG | $6,072 – $16,698 · median $7,360 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,128 – $44,351 · median $20,935 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,884 – $21,682 · median $9,806 | 18 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,658 – $51,309 · median $24,351 | 18 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,581 – $31,846 · median $14,796 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,275 – $22,755 · median $10,333 | 18 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,245 – $50,175 · median $23,794 | 18 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,981 – $30,197 · median $13,987 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,726 – $21,246 · median $9,593 | 18 plans |
| 088 | CONCUSSION WITH MCC | $11,735 – $32,271 · median $15,005 | 18 plans |
| 089 | CONCUSSION WITH CC | $9,158 – $25,184 · median $11,525 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,523 – $20,687 · median $9,318 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,873 – $40,900 · median $19,241 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,056 – $24,903 · median $11,388 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,005 – $19,264 · median $8,619 | 18 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,770 – $79,118 · median $38,003 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,244 – $52,921 · median $25,142 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,244 – $52,921 · median $25,142 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,282 – $77,776 · median $37,344 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,509 – $48,151 · median $22,800 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,603 – $31,907 · median $14,826 | 18 plans |
| 100 | SEIZURES WITH MCC | $16,109 – $44,299 · median $20,909 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $8,013 – $22,035 · median $9,980 | 18 plans |
| 102 | HEADACHES WITH MCC | $9,823 – $27,013 · median $12,424 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $7,469 – $20,539 · median $9,245 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,174 – $49,978 · median $23,697 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,995 – $27,486 · median $12,656 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,651 – $34,790 · median $16,241 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,698 – $37,670 · median $17,655 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,207 – $25,320 · median $11,592 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,851 – $27,091 · median $12,462 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,160 – $16,940 · median $7,479 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,111 – $19,555 · median $8,762 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,922 – $30,036 · median $13,907 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,282 – $20,026 · median $8,993 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,350 – $53,212 · median $25,285 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,443 – $23,218 · median $10,561 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,643 – $32,018 · median $14,881 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,189 – $19,771 · median $8,868 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,448 – $31,482 · median $14,617 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,189 – $91,269 · median $43,968 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,351 – $47,715 · median $22,587 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,966 – $35,656 · median $16,667 | 18 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,130 – $71,859 · median $34,439 | 18 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,369 – $39,514 · median $18,560 | 18 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,016 – $27,543 · median $12,684 | 18 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,459 – $50,763 · median $24,083 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,472 – $28,799 · median $13,300 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,092 – $19,503 · median $8,737 | 18 plans |
| 149 | DYSEQUILIBRIUM | $6,687 – $18,389 · median $8,190 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $11,518 – $31,675 · median $14,712 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,767 – $18,609 · median $8,298 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,635 – $26,496 · median $12,170 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,414 – $17,640 · median $7,822 | 18 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,376 – $36,784 · median $17,220 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,103 – $22,284 · median $10,102 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,115 – $16,817 · median $7,418 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,461 – $37,019 · median $17,335 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,157 – $22,431 · median $10,174 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,018 – $16,549 · median $7,287 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,081 – $99,224 · median $47,873 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,156 – $55,429 · median $26,373 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,185 – $41,760 · median $19,663 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,305 – $83,338 · median $40,074 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,905 – $40,990 · median $19,285 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,303 – $31,082 · median $14,421 | 18 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,355 – $66,975 · median $32,041 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,723 – $32,238 · median $14,988 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,197 – $19,791 · median $8,878 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,302 – $36,579 · median $17,120 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,549 – $23,509 · median $10,703 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,856 – $18,854 · median $8,418 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,301 – $39,328 · median $18,469 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,448 – $25,983 · median $11,918 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,372 – $20,273 · median $9,115 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,079 – $35,968 · median $16,820 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,127 – $25,100 · median $11,484 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,917 – $19,021 · median $8,500 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,024 – $35,815 · median $16,745 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,639 – $23,758 · median $10,826 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,586 – $18,111 · median $8,053 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,416 – $28,644 · median $13,224 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,545 – $26,249 · median $12,048 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,536 – $20,725 · median $9,337 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,923 – $16,289 · median $7,159 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,027 – $30,325 · median $14,049 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,239 – $19,907 · median $8,935 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,737 – $15,777 · median $6,907 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,338 – $42,181 · median $19,870 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,533 – $23,465 · median $10,682 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,328 – $17,403 · median $7,706 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,434 – $39,694 · median $18,649 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,427 – $25,925 · median $11,889 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,151 – $16,915 · median $7,466 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,355 – $22,977 · median $10,442 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,299 – $17,324 · median $7,667 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,170 – $19,718 · median $8,842 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,367 – $42,258 · median $19,908 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,892 – $21,703 · median $9,817 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,224 – $138,116 · median $66,966 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,426 – $58,920 · median $28,087 | 18 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $83,919 – $230,778 · median $112,032 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $81,642 – $224,517 · median $108,993 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,459 – $204,763 · median $99,403 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,153 – $137,921 · median $66,870 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,282 – $127,275 · median $61,644 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,893 – $164,707 · median $79,958 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,314 – $113,615 · median $54,937 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,955 – $98,876 · median $47,702 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,929 – $107,055 · median $51,717 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,642 – $67,764 · median $32,429 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,499 – $180,121 · median $87,441 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,495 – $130,612 · median $63,282 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,494 – $166,358 · median $80,759 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,493 – $114,107 · median $55,179 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,786 – $125,913 · median $60,975 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,298 – $88,818 · median $42,765 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,337 – $108,177 · median $52,268 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,164 – $63,701 · median $30,434 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,490 – $34,348 · median $16,024 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,816 – $73,745 · median $35,365 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,145 – $49,899 · median $23,658 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,734 – $40,519 · median $19,054 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,194 – $105,035 · median $50,725 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,600 – $51,150 · median $24,273 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,891 – $49,525 · median $17,210 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,109 – $74,549 · median $35,759 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,430 – $56,182 · median $26,743 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,313 – $39,361 · median $18,485 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,913 – $57,512 · median $27,396 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,889 – $38,195 · median $17,913 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,786 – $21,412 · median $9,674 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,352 – $61,468 · median $29,338 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,376 – $39,535 · median $18,571 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,924 – $74,042 · median $35,511 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,441 – $42,463 · median $20,008 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,550 – $34,513 · median $16,105 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,413 – $58,885 · median $28,070 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,601 – $75,903 · median $36,424 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $28,150 – $77,412 · median $37,165 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,598 – $128,144 · median $62,070 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,808 – $101,223 · median $48,854 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,749 – $142,311 · median $69,025 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,667 – $89,836 · median $43,264 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,068 – $110,188 · median $53,255 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,215 – $74,842 · median $35,903 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,043 – $55,119 · median $26,221 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,761 – $84,594 · median $40,691 | 18 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,753 – $68,072 · median $32,580 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,790 – $150,671 · median $73,129 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $48,148 – $132,406 · median $64,162 | 18 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,406 – $100,118 · median $48,312 | 18 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,081 – $107,473 · median $51,922 | 18 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,388 – $69,818 · median $33,437 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,491 – $37,100 · median $17,376 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,014 – $22,037 · median $9,981 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,516 – $21,861 · median $8,699 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,881 – $43,673 · median $20,602 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,637 – $18,253 · median $8,123 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,270 – $14,493 · median $6,277 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,844 – $49,072 · median $23,252 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,292 – $25,552 · median $12,404 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,789 – $59,919 · median $28,577 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,999 – $35,746 · median $16,711 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,449 – $23,235 · median $10,569 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,929 – $30,055 · median $13,917 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,552 – $20,769 · median $9,358 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,174 – $14,228 · median $6,147 | 18 plans |
| 294 | Inpatient MS-DRG | $10,344 – $28,447 · median $13,127 | 18 plans |
| 295 | Inpatient MS-DRG | $7,009 – $19,274 · median $8,625 | 18 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,468 – $37,038 · median $17,345 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,359 – $17,487 · median $7,747 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,359 – $11,988 · median $5,047 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,310 – $36,602 · median $17,131 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,146 – $25,152 · median $11,510 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,427 – $17,675 · median $7,839 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,852 – $27,093 · median $12,463 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,115 – $16,817 · median $7,418 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $9,939 – $27,333 · median $12,581 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,711 – $18,456 · median $8,223 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,395 – $34,086 · median $15,896 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,049 – $22,134 · median $10,028 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,176 – $27,984 · median $12,900 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,624 – $18,217 · median $8,106 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,256 – $14,454 · median $7,017 | 18 plans |
| 311 | ANGINA PECTORIS | $6,312 – $17,359 · median $7,684 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,629 – $20,980 · median $9,462 | 18 plans |
| 313 | CHEST PAIN | $6,427 – $17,675 · median $6,920 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,389 – $47,820 · median $22,638 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,322 – $22,885 · median $10,397 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,194 – $17,033 · median $7,524 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,087 – $132,238 · median $64,080 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,434 – $94,694 · median $45,649 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,617 – $51,196 · median $24,295 | 18 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,666 – $62,332 · median $29,762 | 18 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,768 – $40,613 · median $19,100 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,419 – $91,902 · median $44,278 | 18 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,318 – $69,623 · median $33,341 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,783 – $62,653 · median $29,920 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,657 – $109,058 · median $52,700 | 18 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,479 – $53,568 · median $25,460 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,126 – $36,098 · median $16,883 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,950 – $98,862 · median $47,695 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,989 – $52,220 · median $24,798 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,564 – $37,301 · median $17,474 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,400 – $75,350 · median $36,153 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $17,174 – $47,230 · median $22,348 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,622 – $37,461 · median $17,552 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,578 – $78,589 · median $37,743 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,075 – $46,957 · median $22,215 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,682 – $34,875 · median $16,283 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,507 – $59,144 · median $28,197 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,329 – $33,904 · median $15,806 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,476 – $28,809 · median $13,305 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,013 – $52,285 · median $24,830 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,580 – $29,094 · median $13,445 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,702 – $21,181 · median $9,561 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,408 – $53,371 · median $25,363 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,449 – $34,235 · median $15,969 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,390 – $25,822 · median $11,839 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,322 – $64,137 · median $30,648 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,946 – $38,350 · median $17,989 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,145 – $30,649 · median $14,208 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,467 – $92,033 · median $44,343 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,139 – $49,882 · median $23,650 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,312 – $31,108 · median $14,434 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,709 – $37,699 · median $17,669 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,743 – $24,043 · median $10,965 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,310 – $17,353 · median $7,681 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,303 – $39,332 · median $18,471 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,832 – $24,288 · median $11,086 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,519 – $17,926 · median $7,963 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,069 – $46,939 · median $22,205 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,350 – $28,462 · median $13,135 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,718 – $21,225 · median $9,582 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,837 – $40,801 · median $19,192 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,502 – $23,379 · median $10,640 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,844 – $16,070 · median $7,051 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,644 – $43,022 · median $20,283 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,287 – $25,540 · median $11,700 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,701 – $18,427 · median $8,208 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,620 – $29,205 · median $13,499 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,616 – $20,945 · median $9,445 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,365 – $36,753 · median $17,205 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,552 – $23,517 · median $10,707 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,099 – $16,773 · median $7,397 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,186 – $33,511 · median $15,613 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,099 – $19,521 · median $8,746 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,162 – $14,196 · median $6,132 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,774 – $29,630 · median $13,708 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,937 – $19,076 · median $8,527 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,602 – $37,406 · median $17,526 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,162 – $22,446 · median $10,181 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,841 – $16,063 · median $7,048 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,858 – $54,608 · median $25,970 | 18 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,515 – $34,417 · median $16,058 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,551 – $26,266 · median $12,057 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,776 – $84,634 · median $40,710 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,319 – $116,378 · median $56,294 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,374 – $61,529 · median $29,368 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,254 – $47,450 · median $22,456 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,648 – $76,033 · median $36,488 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,955 – $46,627 · median $22,052 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,804 – $35,210 · median $16,448 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,826 – $60,022 · median $28,628 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,222 – $47,362 · median $22,413 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,652 – $37,542 · median $17,592 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,667 – $76,085 · median $36,514 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,054 – $44,148 · median $20,835 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,427 – $31,424 · median $14,589 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,087 – $52,488 · median $24,929 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,620 – $37,456 · median $17,550 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,026 – $30,323 · median $14,029 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,863 – $76,623 · median $36,778 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,462 – $37,021 · median $17,337 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,182 – $33,500 · median $15,608 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,957 – $87,883 · median $42,305 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,377 – $50,537 · median $23,972 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,763 – $35,099 · median $16,393 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,734 – $222,018 · median $107,779 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,061 – $151,419 · median $73,496 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,893 – $117,956 · median $57,069 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,484 – $177,331 · median $86,086 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,637 – $117,253 · median $56,723 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,909 – $43,751 · median $20,640 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,140 – $25,136 · median $11,502 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,299 – $17,321 · median $7,666 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,886 – $40,935 · median $19,258 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,581 – $26,347 · median $12,097 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,974 – $19,178 · median $8,577 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,661 – $37,567 · median $17,605 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,545 – $20,748 · median $9,348 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,679 – $15,618 · median $6,829 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,386 – $42,313 · median $19,934 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,352 – $22,967 · median $10,437 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,346 – $17,451 · median $7,729 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,818 – $38,001 · median $17,817 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,252 – $25,443 · median $11,653 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,066 – $19,431 · median $8,702 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,032 – $143,088 · median $69,406 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,080 – $88,220 · median $42,471 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,199 – $110,546 · median $53,431 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,487 – $67,339 · median $32,220 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,463 – $180,023 · median $87,393 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,684 – $122,882 · median $59,487 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,865 – $93,128 · median $44,880 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,708 – $131,198 · median $63,569 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,796 – $62,688 · median $29,937 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,108 – $115,798 · median $56,009 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,441 – $64,463 · median $30,808 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,212 – $39,083 · median $18,349 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,776 – $109,384 · median $52,861 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,069 – $74,440 · median $35,706 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,965 – $57,654 · median $27,466 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,878 – $71,164 · median $34,098 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,349 – $42,210 · median $20,491 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,970 – $104,417 · median $50,422 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,050 – $63,387 · median $30,280 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,017 – $52,297 · median $23,145 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,134 – $96,618 · median $46,593 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,418 – $47,900 · median $22,677 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,850 – $27,088 · median $12,461 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,174 – $74,729 · median $35,848 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,798 – $51,695 · median $24,540 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,514 – $39,914 · median $18,757 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,383 – $64,304 · median $30,730 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,791 – $46,175 · median $21,830 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,072 – $35,949 · median $16,810 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,393 – $56,082 · median $26,694 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,502 – $70,130 · median $33,590 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,141 – $47,138 · median $22,303 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,025 – $35,819 · median $16,747 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,957 – $43,883 · median $20,705 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,424 – $28,665 · median $13,234 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,028 – $77,077 · median $37,001 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,273 – $53,001 · median $25,181 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,348 – $42,208 · median $19,883 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,795 – $76,437 · median $36,686 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,015 – $44,042 · median $20,783 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,217 – $30,846 · median $14,305 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,216 – $55,594 · median $26,454 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,833 – $27,040 · median $12,437 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,117 – $69,071 · median $33,070 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,582 – $40,100 · median $18,848 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,632 – $31,989 · median $14,866 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,142 – $58,142 · median $27,705 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,356 – $39,478 · median $18,543 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,356 – $39,478 · median $18,543 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,408 – $34,122 · median $15,913 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,750 – $43,313 · median $20,425 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,821 – $29,757 · median $13,771 | 18 plans |
| 509 | Inpatient MS-DRG | $14,369 – $39,514 · median $18,560 | 18 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,752 – $62,569 · median $29,878 | 18 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,925 – $43,795 · median $20,662 | 18 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,235 – $36,397 · median $17,030 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,457 – $34,258 · median $15,980 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,758 – $24,085 · median $10,986 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,536 – $67,473 · median $32,286 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,310 – $44,852 · median $21,181 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,359 – $33,988 · median $15,848 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,278 – $77,764 · median $37,338 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,007 – $44,019 · median $20,772 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,906 – $32,742 · median $15,236 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,183 – $63,754 · median $30,460 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,044 – $46,870 · median $22,171 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,604 – $34,662 · median $16,178 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,193 – $19,781 · median $8,873 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,120 – $30,580 · median $14,175 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,170 – $19,716 · median $8,841 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,992 – $21,979 · median $9,952 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,108 – $16,798 · median $7,409 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,391 – $45,076 · median $21,291 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,848 – $29,831 · median $13,807 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,657 – $21,056 · median $9,499 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,194 – $41,783 · median $19,674 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,072 – $24,949 · median $11,410 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,749 – $18,561 · median $8,274 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,231 – $55,636 · median $26,475 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,809 – $26,975 · median $12,405 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,677 – $18,362 · median $8,176 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,332 – $44,912 · median $21,211 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,170 – $27,968 · median $12,892 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,559 – $20,788 · median $9,367 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,986 – $38,461 · median $18,044 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,333 – $22,917 · median $10,413 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,938 – $30,080 · median $13,929 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,350 – $20,212 · median $9,085 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,247 – $30,930 · median $14,346 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,212 – $19,833 · median $8,899 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,793 – $35,181 · median $16,433 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,572 – $20,823 · median $9,385 | 18 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,127 – $41,599 · median $19,584 | 18 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,665 – $26,578 · median $12,210 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,221 – $19,856 · median $8,910 | 18 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,137 – $33,377 · median $15,547 | 18 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,801 – $21,451 · median $9,693 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,942 – $35,589 · median $16,634 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,759 – $24,087 · median $10,987 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,691 – $18,402 · median $8,196 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,910 – $65,753 · median $31,441 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,742 – $37,789 · median $17,714 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,693 – $26,655 · median $12,248 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,872 – $131,648 · median $63,790 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,371 – $75,271 · median $36,114 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,196 – $44,538 · median $21,027 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,065 – $115,679 · median $55,951 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,266 – $58,481 · median $27,871 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,864 – $38,126 · median $17,879 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,807 – $70,969 · median $34,002 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,493 – $39,855 · median $18,728 | 18 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,952 – $32,868 · median $15,298 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,327 – $39,399 · median $18,504 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,501 – $37,128 · median $17,389 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,581 – $45,599 · median $21,548 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,107 – $44,295 · median $20,907 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $16,649 – $45,785 · median $21,639 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $10,304 – $28,336 · median $13,073 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,457 – $20,507 · median $9,230 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,097 – $47,016 · median $22,243 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,226 – $25,372 · median $11,618 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,369 – $39,514 · median $18,560 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,209 – $25,326 · median $11,595 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,504 – $20,637 · median $9,293 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,279 – $22,766 · median $10,339 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,560 – $15,291 · median $6,669 | 18 plans |
| 602 | CELLULITIS WITH MCC | $12,180 – $33,496 · median $15,606 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,702 – $21,179 · median $9,560 | 18 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,306 – $33,841 · median $15,776 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,028 – $22,077 · median $10,000 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,254 – $36,449 · median $17,056 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,575 – $20,832 · median $9,389 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,344 – $50,447 · median $23,928 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,905 – $32,738 · median $15,234 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,417 – $83,646 · median $40,225 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,700 – $43,175 · median $20,358 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,475 – $28,805 · median $13,303 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,751 – $59,814 · median $28,526 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,153 – $36,171 · median $16,919 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,124 – $33,341 · median $15,530 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,480 – $81,071 · median $38,961 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,557 – $42,782 · median $20,164 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,632 – $23,739 · median $10,816 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,821 – $62,757 · median $29,971 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,486 – $34,335 · median $16,018 | 18 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,640 – $29,261 · median $13,527 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,031 – $85,335 · median $41,055 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,117 – $49,821 · median $23,620 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,663 – $32,075 · median $14,908 | 18 plans |
| 637 | DIABETES WITH MCC | $12,082 – $33,226 · median $15,473 | 18 plans |
| 638 | DIABETES WITH CC | $7,979 – $21,941 · median $9,934 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,767 – $15,858 · median $6,947 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,106 – $30,540 · median $14,155 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,945 – $19,099 · median $8,538 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,444 – $28,721 · median $13,262 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,612 – $37,433 · median $17,539 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,863 – $24,374 · median $11,128 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,924 – $19,042 · median $8,510 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,067 – $99,184 · median $47,853 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,429 – $75,430 · median $36,192 | 18 plans |
| 652 | KIDNEY TRANSPLANT | $24,376 – $67,034 · median $32,070 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,430 – $119,432 · median $57,793 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,478 – $61,815 · median $29,508 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,809 – $46,225 · median $21,855 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,796 – $70,940 · median $33,988 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,912 – $41,009 · median $19,294 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,445 – $34,224 · median $15,964 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,668 – $56,838 · median $27,065 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,197 – $30,791 · median $14,278 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,811 – $24,231 · median $11,058 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,743 – $68,043 · median $32,566 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,623 – $34,714 · median $16,204 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,216 – $25,345 · median $11,605 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,133 – $74,616 · median $35,792 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $13,536 – $37,224 · median $17,436 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,820 – $24,256 · median $11,070 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,195 – $63,787 · median $30,476 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,776 – $35,135 · median $16,411 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,272 – $22,747 · median $10,329 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,118 – $38,823 · median $18,221 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,327 – $25,650 · median $11,755 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,887 – $90,440 · median $43,561 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,568 – $51,062 · median $24,230 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,912 – $35,508 · median $16,594 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $12,429 – $34,180 · median $15,942 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $7,763 – $21,349 · median $9,643 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,620 – $15,456 · median $6,750 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,351 – $42,214 · median $19,886 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,010 – $24,778 · median $11,326 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,510 – $17,901 · median $7,950 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,905 – $27,239 · median $12,535 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,106 – $19,542 · median $8,756 | 18 plans |
| 693 | URINARY STONES WITH MCC | $12,189 – $33,521 · median $15,618 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,945 – $19,099 · median $8,538 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,582 – $26,350 · median $12,098 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,263 – $17,223 · median $7,617 | 18 plans |
| 697 | URETHRAL STRICTURE | $8,623 – $23,712 · median $10,803 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,792 – $37,927 · median $17,781 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,760 – $24,091 · median $10,989 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,281 – $17,273 · median $7,642 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,769 – $43,363 · median $20,450 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,282 – $33,774 · median $15,743 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,102 – $49,779 · median $23,600 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,425 – $34,170 · median $15,937 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,540 – $42,736 · median $20,142 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,139 – $25,131 · median $11,500 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,004 – $33,010 · median $15,368 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,150 – $22,412 · median $10,165 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,187 – $50,014 · median $23,715 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,801 – $32,451 · median $15,093 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,121 – $41,582 · median $19,576 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,374 – $28,529 · median $13,168 | 18 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,157 – $38,932 · median $18,275 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,544 – $26,247 · median $12,047 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,543 – $17,993 · median $7,996 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,608 – $29,171 · median $13,483 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,663 – $18,324 · median $8,158 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,182 – $33,500 · median $15,608 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,217 – $19,846 · median $8,905 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,377 – $25,787 · median $11,821 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,617 – $15,446 · median $6,745 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,003 – $46,759 · median $22,117 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,237 – $28,152 · median $12,983 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,969 – $85,165 · median $40,971 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,208 – $44,573 · median $21,044 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,543 – $34,494 · median $16,096 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,299 – $86,072 · median $41,416 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,838 – $40,803 · median $19,193 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,453 – $31,495 · median $14,624 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,902 – $40,979 · median $19,280 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,121 – $27,834 · median $12,826 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,871 – $43,644 · median $20,588 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,798 – $24,194 · median $11,039 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,744 – $37,795 · median $17,717 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,268 – $22,737 · median $10,324 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,367 – $31,258 · median $14,508 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,701 – $56,928 · median $27,109 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,812 – $29,734 · median $13,759 | 18 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,769 – $40,615 · median $19,101 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,447 – $25,979 · median $11,916 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,266 – $22,732 · median $10,322 | 18 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,770 – $32,368 · median $15,052 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,756 – $24,078 · median $10,983 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,869 – $16,139 · median $7,085 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,499 – $23,373 · median $10,637 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,822 – $16,011 · median $7,022 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,342 – $25,690 · median $9,529 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,574 – $31,828 · median $14,787 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,187 – $25,265 · median $11,566 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,428 – $17,677 · median $7,840 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $8,113 – $22,310 · median $10,115 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,621 – $41,302 · median $15,244 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,241 – $25,412 · median $10,523 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,646 – $21,027 · median $9,485 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,621 – $36,567 · median $13,563 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,079 – $24,968 · median $10,441 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,883 – $21,680 · median $9,805 | 18 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,207 – $40,475 · median $15,012 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,207 – $127,181 · median $47,173 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,207 – $87,726 · median $32,538 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,207 – $54,020 · median $20,037 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,207 – $90,041 · median $33,397 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,207 – $33,642 · median $12,478 | 18 plans |
| 795 | NORMAL NEWBORN | $1,670 – $6,924 · median $2,518 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,508 – $29,464 · median $10,929 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,367 – $23,009 · median $9,021 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,367 – $23,009 · median $9,021 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,190 – $102,271 · median $49,369 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,176 – $63,735 · median $30,451 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,493 – $37,107 · median $17,379 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,284 – $77,781 · median $37,346 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,546 – $40,002 · median $18,800 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,413 – $25,885 · median $11,870 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,594 – $23,633 · median $9,137 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,505 – $17,889 · median $7,944 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,848 – $16,082 · median $7,057 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,430 – $50,684 · median $24,044 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,424 – $28,667 · median $13,235 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,242 – $22,666 · median $10,289 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,706 – $32,192 · median $14,966 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,022 – $22,061 · median $9,992 | 18 plans |
| 813 | COAGULATION DISORDERS | $12,780 – $35,145 · median $16,416 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,910 – $46,501 · median $21,991 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,731 – $24,011 · median $10,950 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,016 – $16,545 · median $7,285 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,294 – $55,808 · median $26,559 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,801 – $29,703 · median $13,744 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,212 – $19,833 · median $8,899 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,315 – $124,617 · median $60,339 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,990 – $49,472 · median $23,449 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,703 – $26,682 · median $12,261 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,616 – $100,695 · median $48,595 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,738 – $48,781 · median $23,110 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,366 – $28,506 · median $13,156 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,347 – $102,705 · median $49,582 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,960 – $52,140 · median $24,759 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,198 – $36,295 · median $16,980 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,470 – $67,293 · median $32,198 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,129 – $33,356 · median $15,537 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,758 – $26,835 · median $12,336 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,686 – $18,387 · median $8,189 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,954 – $13,623 · median $5,850 | 18 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,070 – $118,442 · median $57,307 | 18 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,255 – $47,452 · median $22,457 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,669 – $29,341 · median $13,566 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,111 – $107,555 · median $51,963 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,435 – $45,197 · median $21,350 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,428 – $31,428 · median $14,591 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,271 – $69,496 · median $33,279 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,932 – $35,564 · median $16,621 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,004 – $24,761 · median $11,318 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,409 – $42,373 · median $19,964 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,095 – $27,760 · median $12,790 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,367 – $20,258 · median $9,107 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,436 – $56,199 · median $26,751 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,669 – $29,341 · median $13,566 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,230 – $19,884 · median $8,924 | 18 plans |
| 849 | RADIOTHERAPY | $21,329 – $58,655 · median $27,957 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,116 – $195,569 · median $94,940 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,066 – $107,431 · median $51,902 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,206 – $44,567 · median $21,041 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,371 – $36,770 · median $17,213 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,338 – $97,181 · median $46,870 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,582 – $48,352 · median $22,899 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,804 – $29,711 · median $13,748 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,993 – $41,230 · median $19,403 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,608 – $23,672 · median $10,783 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,832 – $21,539 · median $9,736 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,231 – $33,636 · median $15,675 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,732 – $21,263 · median $9,601 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,319 – $47,627 · median $22,543 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,990 – $24,723 · median $11,299 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,475 – $17,805 · median $7,903 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,949 – $148,358 · median $71,994 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,932 – $43,814 · median $20,671 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,845 – $24,323 · median $11,103 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,908 – $84,998 · median $40,889 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,294 – $22,808 · median $10,359 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $7,955 – $21,876 · median $9,902 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,320 – $22,879 · median $10,394 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,109 – $41,549 · median $19,559 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,710 – $37,703 · median $17,672 | 18 plans |
| 885 | PSYCHOSES | $11,727 – $32,248 · median $14,994 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,672 – $40,347 · median $18,969 | 18 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,051 – $27,639 · median $12,731 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,748 – $15,806 · median $6,922 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,018 – $33,050 · median $15,387 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,552 – $40,019 · median $18,808 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,712 – $21,209 · median $9,574 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,721 – $95,483 · median $46,036 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,441 – $42,463 · median $20,008 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,277 – $28,261 · median $13,036 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,387 – $83,564 · median $40,185 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,543 – $37,243 · median $17,445 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,610 – $48,427 · median $22,936 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,320 – $86,131 · median $41,445 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,351 – $44,965 · median $21,236 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,651 – $29,291 · median $13,542 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,315 – $36,617 · median $17,138 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,973 – $21,924 · median $9,925 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,226 – $39,120 · median $18,367 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,052 – $16,643 · median $7,333 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,478 – $37,065 · median $17,358 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,730 – $21,259 · median $9,599 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,878 – $40,914 · median $19,248 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,730 – $24,007 · median $10,948 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,232 – $17,137 · median $7,575 | 18 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,856 – $38,105 · median $17,869 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,760 – $24,091 · median $10,989 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $181,570 – $499,318 · median $242,396 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,835 – $142,548 · median $69,141 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,206 – $69,315 · median $33,190 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,933 – $93,314 · median $44,972 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,330 – $47,659 · median $22,559 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $17,716 – $48,718 · median $23,079 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,157 – $69,182 · median $33,125 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,069 – $46,939 · median $22,205 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,873 – $43,650 · median $20,591 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,616 – $34,695 · median $16,195 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,496 – $26,113 · median $11,982 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,787 – $29,665 · median $13,726 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,045 – $19,373 · median $8,673 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,210 – $25,328 · median $11,596 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,458 – $15,010 · median $6,531 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,313 – $14,611 · median $6,335 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,973 – $145,675 · median $70,676 | 18 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,092 – $82,754 · median $39,788 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,813 – $158,986 · median $77,180 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,280 – $88,770 · median $42,741 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,122 – $58,085 · median $27,677 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,676 – $59,609 · median $28,425 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,416 – $34,143 · median $15,924 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,944 – $21,845 · median $9,886 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,136 – $135,125 · median $65,497 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,193 – $58,282 · median $27,774 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,727 – $65,250 · median $31,195 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,816 – $32,495 · median $15,115 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,632 – $23,737 · median $10,815 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,973 – $32,924 · median $15,326 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,183 – $102,253 · median $49,360 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,633 – $53,991 · median $25,667 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,695 – $37,661 · median $17,651 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,659 – $76,062 · median $36,502 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,059 – $38,662 · median $18,142 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,793 – $26,929 · median $12,382 | 18 plans |
| 247 | Perc CV with drug-eluting stent w/o MCC | $41,088 – $53,710 · median $44,714 | 4 plans |
No procedures match that keyword.