St Lukes Hospital Bethlehem — Pricing
816 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 816 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 816 procedures
Procedures with negotiated rates only
These 816 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 |
|---|---|---|---|
| 003 | MS-DRG 43.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $130,753 – $396,694 · median $206,282 | 16 plans |
| 004 | MS-DRG 43.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $86,988 – $240,499 · median $134,911 | 16 plans |
| 011 | MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $36,592 – $105,459 · median $53,635 | 16 plans |
| 012 | MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,752 – $69,589 · median $41,651 | 16 plans |
| 013 | MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,678 – $47,567 · median $28,737 | 16 plans |
| 020 | MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $67,281 – $179,069 · median $77,006 | 16 plans |
| 021 | MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,135 – $137,338 · median $52,083 | 16 plans |
| 022 | MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,810 – $89,696 · median $33,995 | 16 plans |
| 023 | MS-DRG 43.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $37,486 – $109,238 · median $56,308 | 16 plans |
| 024 | MS-DRG 43.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,643 – $74,713 · median $38,708 | 16 plans |
| 025 | MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,449 – $108,212 · median $44,852 | 16 plans |
| 026 | MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,857 – $64,911 · median $30,938 | 16 plans |
| 027 | MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,179 – $45,413 · median $25,264 | 16 plans |
| 028 | MS-DRG 43.00: SPINAL PROCEDURES WITH MCC | $35,778 – $112,121 · median $58,999 | 16 plans |
| 029 | MS-DRG 43.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,757 – $60,344 · median $33,865 | 16 plans |
| 030 | MS-DRG 43.00: SPINAL PROCEDURES WITHOUT CC/MCC | $12,671 – $36,234 · median $22,092 | 16 plans |
| 031 | MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITH MCC | $24,129 – $94,719 · median $44,211 | 16 plans |
| 032 | MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITH CC | $13,800 – $42,150 · median $21,471 | 16 plans |
| 033 | MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,542 – $28,698 · median $16,940 | 16 plans |
| 034 | MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITH MCC | $34,341 – $71,544 · median $38,309 | 16 plans |
| 035 | MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITH CC | $17,012 – $43,681 · median $23,982 | 16 plans |
| 036 | MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,255 – $33,846 · median $19,649 | 16 plans |
| 037 | MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITH MCC | $24,777 – $65,354 · median $32,709 | 16 plans |
| 038 | MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITH CC | $14,106 – $33,527 · median $16,550 | 16 plans |
| 039 | MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,395 – $21,606 · median $12,222 | 16 plans |
| 040 | MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,518 – $85,615 · median $38,217 | 16 plans |
| 041 | MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,892 – $46,469 · median $22,126 | 16 plans |
| 042 | MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,774 – $36,192 · median $17,567 | 16 plans |
| 052 | MS-DRG 43.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,336 – $36,695 · median $18,376 | 16 plans |
| 053 | MS-DRG 43.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,210 – $19,187 · median $10,322 | 16 plans |
| 054 | MS-DRG 43.00: NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,071 – $34,250 · median $15,624 | 16 plans |
| 055 | MS-DRG 43.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,053 – $23,383 · median $10,713 | 16 plans |
| 056 | MS-DRG 43.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,133 – $38,345 · median $23,330 | 16 plans |
| 057 | MS-DRG 43.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,265 – $21,385 · median $13,385 | 16 plans |
| 058 | MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,226 – $33,918 · median $17,391 | 16 plans |
| 059 | MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,951 – $20,482 · median $12,855 | 16 plans |
| 060 | MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,071 – $15,182 · median $9,747 | 16 plans |
| 061 | MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,293 – $62,015 · median $27,531 | 16 plans |
| 062 | MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,948 – $42,191 · median $17,853 | 16 plans |
| 063 | MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,615 – $32,702 · median $14,826 | 16 plans |
| 064 | MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,995 – $39,843 · median $20,309 | 16 plans |
| 065 | MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,164 – $25,396 · median $10,623 | 16 plans |
| 066 | MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,377 – $18,224 · median $7,469 | 16 plans |
| 067 | MS-DRG 43.00: PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,227 – $29,959 · median $15,060 | 16 plans |
| 068 | MS-DRG 43.00: PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,034 – $18,263 · median $9,211 | 16 plans |
| 069 | MS-DRG 43.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,331 – $15,456 · median $8,576 | 16 plans |
| 070 | MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITH MCC | $14,421 – $39,403 · median $16,958 | 16 plans |
| 071 | MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,923 – $24,534 · median $10,775 | 16 plans |
| 072 | MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,127 – $16,520 · median $8,164 | 16 plans |
| 073 | MS-DRG 43.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,301 – $28,251 · median $16,373 | 16 plans |
| 074 | MS-DRG 43.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,321 – $18,190 · median $10,822 | 16 plans |
| 075 | MS-DRG 43.00: VIRAL MENINGITIS WITH CC/MCC | $10,579 – $36,129 · median $19,404 | 16 plans |
| 076 | MS-DRG 43.00: VIRAL MENINGITIS WITHOUT CC/MCC | $5,628 – $18,561 · median $8,832 | 16 plans |
| 080 | MS-DRG 43.00: NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,324 – $40,224 · median $19,009 | 16 plans |
| 081 | MS-DRG 43.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,081 – $15,341 · median $9,513 | 16 plans |
| 082 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,179 – $43,625 · median $22,967 | 16 plans |
| 083 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,163 – $28,059 · median $14,355 | 16 plans |
| 084 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,340 – $18,902 · median $10,096 | 16 plans |
| 085 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,041 – $45,152 · median $22,834 | 16 plans |
| 086 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,099 – $26,070 · median $13,453 | 16 plans |
| 087 | MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,304 – $17,300 · median $9,698 | 16 plans |
| 088 | MS-DRG 43.00: CONCUSSION WITH MCC | $11,912 – $34,183 · median $13,929 | 16 plans |
| 089 | MS-DRG 43.00: CONCUSSION WITH CC | $6,720 – $19,838 · median $11,478 | 16 plans |
| 090 | MS-DRG 43.00: CONCUSSION WITHOUT CC/MCC | $5,452 – $14,579 · median $8,812 | 16 plans |
| 091 | MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,699 – $34,006 · median $17,843 | 16 plans |
| 092 | MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,321 – $19,907 · median $10,746 | 16 plans |
| 093 | MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,359 – $14,635 · median $8,552 | 16 plans |
| 094 | MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,917 – $72,355 · median $34,909 | 16 plans |
| 095 | MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,391 – $47,369 · median $25,809 | 16 plans |
| 096 | MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,863 – $42,572 · median $25,809 | 16 plans |
| 097 | MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,046 – $69,263 · median $35,803 | 16 plans |
| 098 | MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,309 – $39,960 · median $23,057 | 16 plans |
| 099 | MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,589 – $27,195 · median $14,031 | 16 plans |
| 100 | MS-DRG 43.00: SEIZURES WITH MCC | $11,375 – $32,542 · median $19,591 | 16 plans |
| 101 | MS-DRG 43.00: SEIZURES WITHOUT MCC | $5,044 – $16,449 · median $9,581 | 16 plans |
| 102 | MS-DRG 43.00: HEADACHES WITH MCC | $8,302 – $20,697 · median $11,694 | 16 plans |
| 103 | MS-DRG 43.00: HEADACHES WITHOUT MCC | $5,979 – $13,804 · median $8,939 | 16 plans |
| 113 | MS-DRG 43.00: ORBITAL PROCEDURES WITH CC/MCC | $20,459 – $42,624 · median $23,601 | 16 plans |
| 114 | MS-DRG 43.00: ORBITAL PROCEDURES WITHOUT CC/MCC | $11,681 – $24,335 · median $13,940 | 16 plans |
| 115 | MS-DRG 43.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,087 – $29,349 · median $15,701 | 16 plans |
| 116 | MS-DRG 43.00: INTRAOCULAR PROCEDURES WITH CC/MCC | $16,716 – $34,825 · median $18,345 | 16 plans |
| 117 | MS-DRG 43.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,181 – $21,211 · median $11,345 | 16 plans |
| 121 | MS-DRG 43.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,820 – $20,710 · median $12,104 | 16 plans |
| 122 | MS-DRG 43.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,646 – $13,277 · median $8,450 | 16 plans |
| 123 | MS-DRG 43.00: NEUROLOGICAL EYE DISORDERS | $6,618 – $14,849 · median $8,574 | 16 plans |
| 124 | MS-DRG 43.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,449 – $25,936 · median $13,651 | 16 plans |
| 125 | MS-DRG 43.00: OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,378 – $14,445 · median $8,276 | 16 plans |
| 135 | MS-DRG 43.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,611 – $44,959 · median $21,920 | 16 plans |
| 136 | MS-DRG 43.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,052 – $20,941 · median $10,672 | 16 plans |
| 137 | MS-DRG 43.00: MOUTH PROCEDURES WITH CC/MCC | $7,312 – $27,251 · median $15,121 | 16 plans |
| 138 | MS-DRG 43.00: MOUTH PROCEDURES WITHOUT CC/MCC | $5,516 – $15,907 · median $9,422 | 16 plans |
| 139 | MS-DRG 43.00: SALIVARY GLAND PROCEDURES | $11,588 – $24,142 · median $12,805 | 16 plans |
| 146 | MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,533 – $44,210 · median $21,339 | 16 plans |
| 147 | MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,246 – $26,886 · median $13,152 | 16 plans |
| 148 | MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,710 – $17,721 · median $8,560 | 16 plans |
| 149 | MS-DRG 43.00: DYSEQUILIBRIUM | $5,396 – $13,193 · median $8,119 | 16 plans |
| 150 | MS-DRG 43.00: EPISTAXIS WITH MCC | $12,458 – $26,463 · median $13,732 | 16 plans |
| 151 | MS-DRG 43.00: EPISTAXIS WITHOUT MCC | $5,424 – $13,031 · median $7,949 | 16 plans |
| 152 | MS-DRG 43.00: OTITIS MEDIA AND URI WITH MCC | $7,340 – $19,513 · median $12,287 | 16 plans |
| 153 | MS-DRG 43.00: OTITIS MEDIA AND URI WITHOUT MCC | $3,647 – $12,901 · median $7,764 | 16 plans |
| 154 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,189 – $29,750 · median $15,978 | 16 plans |
| 155 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,553 – $18,969 · median $9,715 | 16 plans |
| 156 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,443 – $13,631 · median $7,534 | 16 plans |
| 157 | MS-DRG 43.00: DENTAL AND ORAL DISEASES WITH MCC | $12,875 – $31,845 · median $17,462 | 16 plans |
| 158 | MS-DRG 43.00: DENTAL AND ORAL DISEASES WITH CC | $5,711 – $18,604 · median $9,651 | 16 plans |
| 159 | MS-DRG 43.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,646 – $12,884 · median $7,702 | 16 plans |
| 163 | MS-DRG 43.00: MAJOR CHEST PROCEDURES WITH MCC | $28,754 – $107,929 · median $44,224 | 16 plans |
| 164 | MS-DRG 43.00: MAJOR CHEST PROCEDURES WITH CC | $18,419 – $56,046 · median $25,274 | 16 plans |
| 165 | MS-DRG 43.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,338 – $38,949 · median $19,372 | 16 plans |
| 166 | MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,148 – $79,713 · median $37,022 | 16 plans |
| 167 | MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,662 – $43,761 · median $18,300 | 16 plans |
| 168 | MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,783 – $29,009 · median $14,070 | 16 plans |
| 175 | MS-DRG 43.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,126 – $34,112 · median $14,140 | 16 plans |
| 176 | MS-DRG 43.00: PULMONARY EMBOLISM WITHOUT MCC | $5,655 – $23,135 · median $8,636 | 16 plans |
| 177 | MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,015 – $44,039 · median $15,970 | 16 plans |
| 178 | MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,896 – $32,356 · median $10,291 | 16 plans |
| 179 | MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,165 – $22,500 · median $8,152 | 16 plans |
| 180 | MS-DRG 43.00: RESPIRATORY NEOPLASMS WITH MCC | $12,301 – $36,604 · median $17,938 | 16 plans |
| 181 | MS-DRG 43.00: RESPIRATORY NEOPLASMS WITH CC | $8,506 – $26,597 · median $11,211 | 16 plans |
| 182 | MS-DRG 43.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,303 – $18,866 · median $8,141 | 16 plans |
| 183 | MS-DRG 43.00: MAJOR CHEST TRAUMA WITH MCC | $9,765 – $33,140 · median $15,653 | 16 plans |
| 184 | MS-DRG 43.00: MAJOR CHEST TRAUMA WITH CC | $7,081 – $20,425 · median $11,144 | 16 plans |
| 185 | MS-DRG 43.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,535 – $14,709 · median $8,457 | 16 plans |
| 186 | MS-DRG 43.00: PLEURAL EFFUSION WITH MCC | $9,719 – $35,097 · median $15,929 | 16 plans |
| 187 | MS-DRG 43.00: PLEURAL EFFUSION WITH CC | $7,099 – $23,630 · median $10,418 | 16 plans |
| 188 | MS-DRG 43.00: PLEURAL EFFUSION WITHOUT CC/MCC | $5,516 – $17,564 · median $7,786 | 16 plans |
| 189 | MS-DRG 43.00: PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,173 – $29,128 · median $12,802 | 16 plans |
| 190 | MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,757 – $28,139 · median $11,566 | 16 plans |
| 191 | MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,970 – $21,071 · median $9,004 | 16 plans |
| 192 | MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,767 – $15,665 · median $7,059 | 16 plans |
| 193 | MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,969 – $30,940 · median $13,567 | 16 plans |
| 194 | MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,655 – $21,716 · median $8,645 | 16 plans |
| 195 | MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,248 – $15,799 · median $6,928 | 16 plans |
| 196 | MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITH MCC | $13,041 – $34,600 · median $19,111 | 16 plans |
| 197 | MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITH CC | $7,599 – $23,738 · median $10,031 | 16 plans |
| 198 | MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,840 – $17,704 · median $7,777 | 16 plans |
| 199 | MS-DRG 43.00: PNEUMOTHORAX WITH MCC | $9,700 – $37,578 · median $17,919 | 16 plans |
| 200 | MS-DRG 43.00: PNEUMOTHORAX WITH CC | $6,618 – $21,826 · median $11,485 | 16 plans |
| 201 | MS-DRG 43.00: PNEUMOTHORAX WITHOUT CC/MCC | $4,026 – $15,987 · median $7,766 | 16 plans |
| 202 | MS-DRG 43.00: BRONCHITIS AND ASTHMA WITH CC/MCC | $6,035 – $17,615 · median $10,245 | 16 plans |
| 203 | MS-DRG 43.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,841 – $12,862 · median $7,330 | 16 plans |
| 204 | MS-DRG 43.00: RESPIRATORY SIGNS AND SYMPTOMS | $5,424 – $14,141 · median $8,660 | 16 plans |
| 205 | MS-DRG 43.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,422 – $30,222 · median $18,567 | 16 plans |
| 206 | MS-DRG 43.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,859 – $15,741 · median $9,954 | 16 plans |
| 207 | MS-DRG 43.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,537 – $110,255 · median $63,126 | 16 plans |
| 208 | MS-DRG 43.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,095 – $47,080 · median $27,449 | 16 plans |
| 215 | MS-DRG 43.00: OTHER HEART ASSIST SYSTEM IMPLANT | $46,857 – $264,578 · median $96,501 | 16 plans |
| 216 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,065 – $217,990 · median $95,532 | 16 plans |
| 217 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,404 – $150,952 · median $64,487 | 16 plans |
| 218 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,787 – $117,071 · median $64,487 | 16 plans |
| 219 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,506 – $173,473 · median $75,162 | 16 plans |
| 220 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,607 – $114,021 · median $52,460 | 16 plans |
| 221 | MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,916 – $94,737 · median $49,628 | 16 plans |
| 228 | MS-DRG 43.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $44,869 – $168,148 · median $48,730 | 16 plans |
| 229 | MS-DRG 43.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,954 – $108,437 · median $31,329 | 16 plans |
| 231 | MS-DRG 43.00: CORONARY BYPASS WITH PTCA WITH MCC | $62,026 – $165,071 · median $82,437 | 16 plans |
| 232 | MS-DRG 43.00: CORONARY BYPASS WITH PTCA WITHOUT MCC | $41,777 – $119,403 · median $59,524 | 16 plans |
| 233 | MS-DRG 43.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $42,828 – $151,479 · median $74,842 | 16 plans |
| 234 | MS-DRG 43.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,413 – $99,501 · median $53,718 | 16 plans |
| 235 | MS-DRG 43.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,730 – $122,472 · median $57,646 | 16 plans |
| 236 | MS-DRG 43.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,653 – $77,625 · median $41,388 | 16 plans |
| 239 | MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,930 – $97,274 · median $48,481 | 16 plans |
| 240 | MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,438 – $57,603 · median $28,435 | 16 plans |
| 241 | MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,438 – $33,952 · median $14,244 | 16 plans |
| 242 | MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,096 – $79,965 · median $31,748 | 16 plans |
| 243 | MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,040 – $55,904 · median $21,470 | 16 plans |
| 244 | MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,772 – $43,318 · median $18,339 | 16 plans |
| 245 | MS-DRG 43.00: AICD GENERATOR PROCEDURES | $42,171 – $87,857 · median $45,004 | 16 plans |
| 250 | MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,883 – $64,603 · median $21,969 | 16 plans |
| 251 | MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,689 – $34,635 · median $15,310 | 16 plans |
| 252 | MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITH MCC | $25,828 – $63,814 · median $34,608 | 16 plans |
| 253 | MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITH CC | $19,419 – $48,687 · median $25,967 | 16 plans |
| 254 | MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,439 – $33,313 · median $18,090 | 16 plans |
| 255 | MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,382 – $52,066 · median $26,953 | 16 plans |
| 256 | MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,228 – $34,380 · median $17,279 | 16 plans |
| 257 | MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,775 – $22,150 · median $11,416 | 16 plans |
| 258 | MS-DRG 43.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,891 – $61,169 · median $31,257 | 16 plans |
| 259 | MS-DRG 43.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,642 – $36,753 · median $20,417 | 16 plans |
| 260 | MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,347 – $73,642 · median $32,328 | 16 plans |
| 261 | MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,217 – $31,204 · median $19,143 | 16 plans |
| 262 | MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,634 – $26,903 · median $16,620 | 16 plans |
| 263 | MS-DRG 43.00: VEIN LIGATION AND STRIPPING | $23,525 – $50,465 · median $30,365 | 16 plans |
| 264 | MS-DRG 43.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,058 – $55,139 · median $33,178 | 16 plans |
| 265 | MS-DRG 43.00: AICD LEAD PROCEDURES | $30,418 – $63,370 · median $35,865 | 16 plans |
| 266 | MS-DRG 43.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,966 – $198,503 · median $60,161 | 16 plans |
| 267 | MS-DRG 43.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,095 – $149,047 · median $46,924 | 16 plans |
| 268 | MS-DRG 43.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,232 – $124,868 · median $67,415 | 16 plans |
| 269 | MS-DRG 43.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,627 – $77,618 · median $41,721 | 16 plans |
| 270 | MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,171 – $94,136 · median $51,914 | 16 plans |
| 271 | MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,294 – $62,479 · median $35,266 | 16 plans |
| 272 | MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,419 – $44,749 · median $25,555 | 16 plans |
| 273 | MS-DRG 43.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,117 – $70,049 · median $40,775 | 16 plans |
| 274 | MS-DRG 43.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,369 – $54,332 · median $32,705 | 16 plans |
| 280 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,144 – $41,904 · median $16,371 | 16 plans |
| 281 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,997 – $26,374 · median $9,741 | 16 plans |
| 282 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,312 – $18,779 · median $7,844 | 16 plans |
| 283 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,402 – $36,550 · median $20,017 | 16 plans |
| 284 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,831 – $19,676 · median $7,545 | 16 plans |
| 285 | MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,822 – $13,072 · median $6,641 | 16 plans |
| 286 | MS-DRG 43.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,004 – $42,692 · median $22,262 | 16 plans |
| 287 | MS-DRG 43.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,932 – $22,140 · median $11,202 | 16 plans |
| 288 | MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,498 – $66,598 · median $27,038 | 16 plans |
| 289 | MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,635 – $42,301 · median $17,366 | 16 plans |
| 290 | MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,286 – $31,238 · median $9,843 | 16 plans |
| 291 | MS-DRG 43.00: HEART FAILURE AND SHOCK WITH MCC | $7,840 – $31,531 · median $13,271 | 16 plans |
| 292 | MS-DRG 43.00: HEART FAILURE AND SHOCK WITH CC | $5,350 – $21,744 · median $9,062 | 16 plans |
| 293 | MS-DRG 43.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,785 – $15,592 · median $6,323 | 16 plans |
| 296 | MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,763 – $28,674 · median $15,962 | 16 plans |
| 297 | MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITH CC | $6,479 – $13,985 · median $6,981 | 16 plans |
| 298 | MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,248 – $9,603 · median $5,250 | 16 plans |
| 299 | MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,145 – $31,033 · median $16,648 | 16 plans |
| 300 | MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITH CC | $6,535 – $20,053 · median $11,177 | 16 plans |
| 301 | MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,832 – $14,266 · median $7,811 | 16 plans |
| 302 | MS-DRG 43.00: ATHEROSCLEROSIS WITH MCC | $10,626 – $22,230 · median $12,427 | 16 plans |
| 303 | MS-DRG 43.00: ATHEROSCLEROSIS WITHOUT MCC | $4,609 – $12,240 · median $7,361 | 16 plans |
| 304 | MS-DRG 43.00: HYPERTENSION WITH MCC | $7,479 – $23,463 · median $12,363 | 16 plans |
| 305 | MS-DRG 43.00: HYPERTENSION WITHOUT MCC | $5,331 – $12,780 · median $8,153 | 16 plans |
| 306 | MS-DRG 43.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,393 – $33,911 · median $16,097 | 16 plans |
| 307 | MS-DRG 43.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,256 – $17,200 · median $9,684 | 16 plans |
| 308 | MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,275 – $28,057 · median $12,498 | 16 plans |
| 309 | MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,582 – $18,002 · median $7,966 | 16 plans |
| 310 | MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,582 – $12,618 · median $6,324 | 16 plans |
| 311 | MS-DRG 43.00: ANGINA PECTORIS | $4,545 – $11,585 · median $7,638 | 16 plans |
| 312 | MS-DRG 43.00: SYNCOPE AND COLLAPSE | $5,979 – $15,326 · median $9,281 | 16 plans |
| 313 | MS-DRG 43.00: CHEST PAIN | $4,313 – $11,884 · median $7,814 | 16 plans |
| 314 | MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,449 – $37,904 · median $21,027 | 16 plans |
| 315 | MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,997 – $21,457 · median $10,168 | 16 plans |
| 316 | MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,118 – $14,097 · median $7,447 | 16 plans |
| 326 | MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,012 – $125,029 · median $49,117 | 16 plans |
| 327 | MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,262 – $61,251 · median $24,502 | 16 plans |
| 328 | MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,320 – $31,378 · median $16,353 | 16 plans |
| 329 | MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,224 – $111,575 · median $45,334 | 16 plans |
| 330 | MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,392 – $55,260 · median $24,047 | 16 plans |
| 331 | MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,320 – $35,036 · median $17,133 | 16 plans |
| 332 | MS-DRG 43.00: RECTAL RESECTION WITH MCC | $32,923 – $97,704 · median $35,889 | 16 plans |
| 333 | MS-DRG 43.00: RECTAL RESECTION WITH CC | $18,401 – $52,805 · median $23,515 | 16 plans |
| 334 | MS-DRG 43.00: RECTAL RESECTION WITHOUT CC/MCC | $11,477 – $35,030 · median $16,698 | 16 plans |
| 335 | MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITH MCC | $19,697 – $88,256 · median $35,407 | 16 plans |
| 336 | MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITH CC | $13,828 – $48,307 · median $21,255 | 16 plans |
| 337 | MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,635 – $31,350 · median $15,702 | 16 plans |
| 344 | MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,866 – $66,237 · median $25,843 | 16 plans |
| 345 | MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,542 – $35,300 · median $15,409 | 16 plans |
| 346 | MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,932 – $25,657 · median $12,326 | 16 plans |
| 347 | MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITH MCC | $21,758 – $47,611 · median $23,064 | 16 plans |
| 348 | MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITH CC | $8,867 – $27,821 · median $13,513 | 16 plans |
| 349 | MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,785 – $16,583 · median $9,271 | 16 plans |
| 350 | MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,081 – $48,823 · median $24,964 | 16 plans |
| 351 | MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,282 – $27,671 · median $15,600 | 16 plans |
| 352 | MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,960 – $19,276 · median $12,148 | 16 plans |
| 353 | MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,916 – $53,684 · median $28,933 | 16 plans |
| 354 | MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,357 – $30,277 · median $17,129 | 16 plans |
| 355 | MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,487 – $22,200 · median $13,863 | 16 plans |
| 356 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,444 – $83,291 · median $43,362 | 16 plans |
| 357 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,116 – $46,881 · median $23,353 | 16 plans |
| 358 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,709 – $29,098 · median $14,375 | 16 plans |
| 368 | MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,237 – $35,177 · median $16,253 | 16 plans |
| 369 | MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,451 – $23,139 · median $10,526 | 16 plans |
| 370 | MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,368 – $16,885 · median $7,628 | 16 plans |
| 371 | MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,459 – $41,325 · median $18,006 | 16 plans |
| 372 | MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,673 – $28,229 · median $10,727 | 16 plans |
| 373 | MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,933 – $18,753 · median $7,885 | 16 plans |
| 374 | MS-DRG 43.00: DIGESTIVE MALIGNANCY WITH MCC | $14,069 – $41,193 · median $21,545 | 16 plans |
| 375 | MS-DRG 43.00: DIGESTIVE MALIGNANCY WITH CC | $8,312 – $27,087 · median $12,552 | 16 plans |
| 376 | MS-DRG 43.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,933 – $19,047 · median $9,791 | 16 plans |
| 377 | MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,403 – $34,710 · median $18,538 | 16 plans |
| 378 | MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITH CC | $7,127 – $21,688 · median $10,337 | 16 plans |
| 379 | MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,026 – $16,337 · median $6,946 | 16 plans |
| 380 | MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITH MCC | $12,690 – $38,885 · median $19,837 | 16 plans |
| 381 | MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITH CC | $7,034 – $24,051 · median $11,332 | 16 plans |
| 382 | MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,563 – $17,747 · median $8,594 | 16 plans |
| 383 | MS-DRG 43.00: UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,431 – $25,897 · median $14,208 | 16 plans |
| 384 | MS-DRG 43.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,887 – $16,926 · median $9,118 | 16 plans |
| 385 | MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITH MCC | $9,839 – $40,098 · median $16,160 | 16 plans |
| 386 | MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITH CC | $6,868 – $22,926 · median $10,294 | 16 plans |
| 387 | MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,933 – $16,814 · median $7,439 | 16 plans |
| 388 | MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,469 – $33,274 · median $15,139 | 16 plans |
| 389 | MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITH CC | $4,757 – $20,008 · median $8,489 | 16 plans |
| 390 | MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,721 – $13,715 · median $6,110 | 16 plans |
| 391 | MS-DRG 43.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,090 – $23,444 · median $13,121 | 16 plans |
| 392 | MS-DRG 43.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,804 – $14,475 · median $8,390 | 16 plans |
| 393 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,403 – $33,276 · median $16,324 | 16 plans |
| 394 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,127 – $20,557 · median $9,901 | 16 plans |
| 395 | MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,007 – $14,609 · median $7,126 | 16 plans |
| 405 | MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $37,950 – $121,809 · median $53,793 | 16 plans |
| 406 | MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,881 – $60,160 · median $28,916 | 16 plans |
| 407 | MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,994 – $39,710 · median $22,328 | 16 plans |
| 408 | MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,796 – $91,964 · median $35,356 | 16 plans |
| 409 | MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,309 – $55,390 · median $21,919 | 16 plans |
| 410 | MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,615 – $35,561 · median $16,212 | 16 plans |
| 411 | MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $27,711 – $80,974 · median $32,817 | 16 plans |
| 412 | MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,006 – $51,054 · median $21,195 | 16 plans |
| 413 | MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,874 – $36,446 · median $16,917 | 16 plans |
| 414 | MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,168 – $77,093 · median $35,327 | 16 plans |
| 415 | MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,143 – $43,921 · median $20,848 | 16 plans |
| 416 | MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,718 – $28,698 · median $14,040 | 16 plans |
| 417 | MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,504 – $53,481 · median $23,943 | 16 plans |
| 418 | MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,810 – $35,647 · median $17,218 | 16 plans |
| 419 | MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,820 – $24,325 · median $14,064 | 16 plans |
| 420 | MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,270 – $88,729 · median $33,822 | 16 plans |
| 421 | MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,550 – $40,943 · median $17,662 | 16 plans |
| 422 | MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,180 – $27,459 · median $14,390 | 16 plans |
| 423 | MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,663 – $98,933 · median $41,041 | 16 plans |
| 424 | MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,611 – $54,394 · median $22,021 | 16 plans |
| 425 | MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,282 – $29,754 · median $15,366 | 16 plans |
| 432 | MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,541 – $36,259 · median $19,895 | 16 plans |
| 433 | MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,377 – $20,287 · median $11,068 | 16 plans |
| 434 | MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,238 – $14,145 · median $7,741 | 16 plans |
| 435 | MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,838 – $37,155 · median $18,622 | 16 plans |
| 436 | MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,756 – $25,744 · median $11,793 | 16 plans |
| 437 | MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,349 – $20,583 · median $9,104 | 16 plans |
| 438 | MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,801 – $36,740 · median $16,623 | 16 plans |
| 439 | MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,053 – $22,116 · median $8,987 | 16 plans |
| 440 | MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,350 – $15,067 · median $6,859 | 16 plans |
| 441 | MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,023 – $35,933 · median $18,216 | 16 plans |
| 442 | MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,192 – $21,228 · median $10,188 | 16 plans |
| 443 | MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,942 – $15,078 · median $7,617 | 16 plans |
| 444 | MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITH MCC | $11,051 – $33,652 · median $17,017 | 16 plans |
| 445 | MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITH CC | $7,673 – $22,435 · median $11,437 | 16 plans |
| 446 | MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,516 – $15,616 · median $8,852 | 16 plans |
| 456 | MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,697 – $183,366 · median $82,181 | 16 plans |
| 457 | MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,415 – $121,925 · median $58,561 | 16 plans |
| 458 | MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,897 – $100,984 · median $41,231 | 16 plans |
| 461 | MS-DRG 43.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,228 – $116,559 · median $55,637 | 16 plans |
| 462 | MS-DRG 43.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,660 – $67,891 · median $26,591 | 16 plans |
| 463 | MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,959 – $101,384 · median $56,010 | 16 plans |
| 464 | MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,445 – $56,509 · median $30,992 | 16 plans |
| 465 | MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,884 – $32,320 · median $18,496 | 16 plans |
| 466 | MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,228 – $98,110 · median $51,227 | 16 plans |
| 467 | MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,646 – $66,147 · median $34,978 | 16 plans |
| 468 | MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,003 – $52,909 · median $27,442 | 16 plans |
| 469 | MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,452 – $71,051 · median $30,203 | 16 plans |
| 470 | MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,163 – $43,357 · median $19,514 | 16 plans |
| 471 | MS-DRG 43.00: CERVICAL SPINAL FUSION WITH MCC | $26,205 – $95,283 · median $47,581 | 16 plans |
| 472 | MS-DRG 43.00: CERVICAL SPINAL FUSION WITH CC | $17,780 – $56,329 · median $29,360 | 16 plans |
| 473 | MS-DRG 43.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,365 – $41,334 · median $24,474 | 16 plans |
| 474 | MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,040 – $74,485 · median $42,395 | 16 plans |
| 475 | MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,458 – $42,731 · median $22,871 | 16 plans |
| 476 | MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,913 – $23,753 · median $12,268 | 16 plans |
| 477 | MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,370 – $70,792 · median $34,282 | 16 plans |
| 478 | MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,004 – $45,838 · median $24,647 | 16 plans |
| 479 | MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,598 – $31,836 · median $18,837 | 16 plans |
| 480 | MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,325 – $62,622 · median $29,033 | 16 plans |
| 481 | MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,549 – $39,250 · median $21,117 | 16 plans |
| 482 | MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,986 – $32,283 · median $16,631 | 16 plans |
| 483 | MS-DRG 43.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,671 – $48,607 · median $27,674 | 16 plans |
| 485 | MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $28,754 – $71,176 · median $32,080 | 16 plans |
| 486 | MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,041 – $46,629 · median $21,084 | 16 plans |
| 487 | MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,811 – $33,555 · median $16,004 | 16 plans |
| 488 | MS-DRG 43.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,949 – $36,291 · median $17,966 | 16 plans |
| 489 | MS-DRG 43.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,163 – $25,053 · median $11,654 | 16 plans |
| 492 | MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,354 – $60,603 · median $36,382 | 16 plans |
| 493 | MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,503 – $41,860 · median $25,391 | 16 plans |
| 494 | MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,301 – $33,119 · median $20,266 | 16 plans |
| 495 | MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,320 – $68,546 · median $35,938 | 16 plans |
| 496 | MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,338 – $38,271 · median $18,305 | 16 plans |
| 497 | MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,802 – $24,293 · median $12,540 | 16 plans |
| 498 | MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,430 – $49,795 · median $30,044 | 16 plans |
| 499 | MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,514 – $33,256 · median $19,578 | 16 plans |
| 500 | MS-DRG 43.00: SOFT TISSUE PROCEDURES WITH MCC | $18,690 – $61,363 · median $31,477 | 16 plans |
| 501 | MS-DRG 43.00: SOFT TISSUE PROCEDURES WITH CC | $12,014 – $31,745 · median $17,764 | 16 plans |
| 502 | MS-DRG 43.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,987 – $22,215 · median $13,872 | 16 plans |
| 503 | MS-DRG 43.00: FOOT PROCEDURES WITH MCC | $21,125 – $49,771 · median $27,860 | 16 plans |
| 504 | MS-DRG 43.00: FOOT PROCEDURES WITH CC | $11,366 – $31,737 · median $18,937 | 16 plans |
| 505 | MS-DRG 43.00: FOOT PROCEDURES WITHOUT CC/MCC | $10,589 – $29,592 · median $18,197 | 16 plans |
| 506 | MS-DRG 43.00: MAJOR THUMB OR JOINT PROCEDURES | $13,117 – $28,057 · median $13,904 | 16 plans |
| 507 | MS-DRG 43.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,291 – $38,855 · median $18,663 | 16 plans |
| 508 | MS-DRG 43.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,995 – $27,073 · median $15,503 | 16 plans |
| 510 | MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,418 – $50,871 · median $30,080 | 16 plans |
| 511 | MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,763 – $34,322 · median $20,971 | 16 plans |
| 512 | MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,061 – $27,324 · median $16,867 | 16 plans |
| 513 | MS-DRG 43.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,636 – $27,927 · median $16,082 | 16 plans |
| 514 | MS-DRG 43.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,747 – $17,406 · median $10,740 | 16 plans |
| 515 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,115 – $66,231 · median $31,691 | 16 plans |
| 516 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,337 – $39,051 · median $20,959 | 16 plans |
| 517 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,728 – $28,707 · median $15,718 | 16 plans |
| 518 | MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $18,471 – $61,687 · median $37,018 | 16 plans |
| 519 | MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,736 – $33,015 · median $20,205 | 16 plans |
| 520 | MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,710 – $24,658 · median $15,304 | 16 plans |
| 533 | MS-DRG 43.00: FRACTURES OF FEMUR WITH MCC | $14,143 – $30,758 · median $16,018 | 16 plans |
| 534 | MS-DRG 43.00: FRACTURES OF FEMUR WITHOUT MCC | $6,562 – $15,849 · median $8,647 | 16 plans |
| 535 | MS-DRG 43.00: FRACTURES OF HIP AND PELVIS WITH MCC | $10,672 – $28,957 · median $13,253 | 16 plans |
| 536 | MS-DRG 43.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,563 – $15,037 · median $8,661 | 16 plans |
| 537 | MS-DRG 43.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,830 – $19,272 · median $10,081 | 16 plans |
| 538 | MS-DRG 43.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,479 – $13,498 · median $7,816 | 16 plans |
| 539 | MS-DRG 43.00: OSTEOMYELITIS WITH MCC | $10,866 – $43,811 · median $19,909 | 16 plans |
| 540 | MS-DRG 43.00: OSTEOMYELITIS WITH CC | $7,303 – $29,113 · median $13,392 | 16 plans |
| 541 | MS-DRG 43.00: OSTEOMYELITIS WITHOUT CC/MCC | $5,183 – $20,008 · median $8,466 | 16 plans |
| 542 | MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,032 – $41,128 · median $17,943 | 16 plans |
| 543 | MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,839 – $24,407 · median $10,795 | 16 plans |
| 544 | MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,108 – $16,624 · median $8,148 | 16 plans |
| 545 | MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITH MCC | $20,924 – $50,747 · median $24,865 | 16 plans |
| 546 | MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITH CC | $9,052 – $23,688 · median $12,008 | 16 plans |
| 547 | MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,553 – $15,735 · median $8,938 | 16 plans |
| 548 | MS-DRG 43.00: SEPTIC ARTHRITIS WITH MCC | $17,688 – $40,532 · median $19,534 | 16 plans |
| 549 | MS-DRG 43.00: SEPTIC ARTHRITIS WITH CC | $8,312 – $25,090 · median $12,529 | 16 plans |
| 550 | MS-DRG 43.00: SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,118 – $17,434 · median $9,305 | 16 plans |
| 551 | MS-DRG 43.00: MEDICAL BACK PROBLEMS WITH MCC | $11,385 – $33,091 · median $17,068 | 16 plans |
| 552 | MS-DRG 43.00: MEDICAL BACK PROBLEMS WITHOUT MCC | $5,850 – $16,536 · median $10,149 | 16 plans |
| 553 | MS-DRG 43.00: BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,227 – $25,473 · median $13,392 | 16 plans |
| 554 | MS-DRG 43.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,609 – $13,717 · median $8,879 | 16 plans |
| 555 | MS-DRG 43.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,634 – $26,321 · median $13,638 | 16 plans |
| 556 | MS-DRG 43.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,109 – $13,710 · median $8,884 | 16 plans |
| 557 | MS-DRG 43.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,941 – $30,871 · median $15,236 | 16 plans |
| 558 | MS-DRG 43.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,285 – $17,354 · median $9,221 | 16 plans |
| 559 | MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,088 – $36,829 · median $18,895 | 16 plans |
| 560 | MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,618 – $20,634 · median $11,744 | 16 plans |
| 561 | MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,137 – $13,269 · median $8,626 | 16 plans |
| 562 | MS-DRG 43.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,005 – $30,149 · median $14,635 | 16 plans |
| 563 | MS-DRG 43.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,665 – $14,781 · median $9,512 | 16 plans |
| 564 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,282 – $30,473 · median $15,785 | 16 plans |
| 565 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,812 – $19,181 · median $10,276 | 16 plans |
| 566 | MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,989 – $14,456 · median $8,097 | 16 plans |
| 570 | MS-DRG 43.00: SKIN DEBRIDEMENT WITH MCC | $18,151 – $71,606 · median $29,311 | 16 plans |
| 571 | MS-DRG 43.00: SKIN DEBRIDEMENT WITH CC | $9,339 – $38,107 · median $17,197 | 16 plans |
| 572 | MS-DRG 43.00: SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,016 – $22,673 · median $11,940 | 16 plans |
| 573 | MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,289 – $108,136 · median $61,830 | 16 plans |
| 574 | MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,508 – $59,392 · median $34,444 | 16 plans |
| 575 | MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,205 – $36,271 · median $18,238 | 16 plans |
| 576 | MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,550 – $99,863 · median $48,564 | 16 plans |
| 577 | MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,407 – $43,752 · median $26,501 | 16 plans |
| 578 | MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,050 – $31,354 · median $16,393 | 16 plans |
| 579 | MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $16,957 – $60,350 · median $32,190 | 16 plans |
| 580 | MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,375 – $30,471 · median $17,570 | 16 plans |
| 581 | MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,376 – $23,820 · median $14,812 | 16 plans |
| 582 | MS-DRG 43.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,389 – $38,354 · median $19,480 | 16 plans |
| 583 | MS-DRG 43.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,153 – $36,599 · median $17,386 | 16 plans |
| 584 | MS-DRG 43.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,057 – $41,784 · median $21,564 | 16 plans |
| 585 | MS-DRG 43.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,354 – $38,508 · median $18,964 | 16 plans |
| 592 | MS-DRG 43.00: SKIN ULCERS WITH MCC | $10,367 – $37,824 · median $19,519 | 16 plans |
| 593 | MS-DRG 43.00: SKIN ULCERS WITH CC | $6,331 – $23,928 · median $12,327 | 16 plans |
| 594 | MS-DRG 43.00: SKIN ULCERS WITHOUT CC/MCC | $4,304 – $17,082 · median $9,013 | 16 plans |
| 595 | MS-DRG 43.00: MAJOR SKIN DISORDERS WITH MCC | $18,611 – $39,317 · median $21,371 | 16 plans |
| 596 | MS-DRG 43.00: MAJOR SKIN DISORDERS WITHOUT MCC | $5,813 – $17,868 · median $11,322 | 16 plans |
| 597 | MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITH MCC | $15,281 – $34,684 · median $16,980 | 16 plans |
| 598 | MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITH CC | $7,904 – $23,340 · median $11,795 | 16 plans |
| 599 | MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,812 – $15,786 · median $8,292 | 16 plans |
| 600 | MS-DRG 43.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,896 – $20,483 · median $10,926 | 16 plans |
| 601 | MS-DRG 43.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,286 – $14,223 · median $6,700 | 16 plans |
| 602 | MS-DRG 43.00: CELLULITIS WITH MCC | $9,978 – $30,305 · median $14,601 | 16 plans |
| 603 | MS-DRG 43.00: CELLULITIS WITHOUT MCC | $4,554 – $17,335 · median $9,274 | 16 plans |
| 604 | MS-DRG 43.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,551 – $28,230 · median $15,093 | 16 plans |
| 605 | MS-DRG 43.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,516 – $15,119 · median $9,711 | 16 plans |
| 606 | MS-DRG 43.00: MINOR SKIN DISORDERS WITH MCC | $13,190 – $27,478 · median $15,491 | 16 plans |
| 607 | MS-DRG 43.00: MINOR SKIN DISORDERS WITHOUT MCC | $4,859 – $14,961 · median $9,618 | 16 plans |
| 614 | MS-DRG 43.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,077 – $53,954 · median $22,059 | 16 plans |
| 615 | MS-DRG 43.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,680 – $29,633 · median $14,388 | 16 plans |
| 616 | MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,030 – $101,645 · median $34,599 | 16 plans |
| 617 | MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,728 – $45,422 · median $18,947 | 16 plans |
| 618 | MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,766 – $28,793 · median $14,197 | 16 plans |
| 619 | MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITH MCC | $19,163 – $71,371 · median $28,792 | 16 plans |
| 620 | MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITH CC | $11,820 – $40,256 · median $16,334 | 16 plans |
| 621 | MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,543 – $30,646 · median $15,444 | 16 plans |
| 622 | MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $18,595 – $68,518 · median $35,294 | 16 plans |
| 623 | MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,561 – $40,768 · median $18,208 | 16 plans |
| 624 | MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,043 – $23,638 · median $12,962 | 16 plans |
| 625 | MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,259 – $52,623 · median $30,076 | 16 plans |
| 626 | MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,208 – $25,434 · median $15,357 | 16 plans |
| 627 | MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,784 – $21,925 · median $13,701 | 16 plans |
| 628 | MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $19,995 – $70,552 · median $36,916 | 16 plans |
| 629 | MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,227 – $49,395 · median $21,933 | 16 plans |
| 630 | MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,941 – $32,555 · median $14,971 | 16 plans |
| 637 | MS-DRG 43.00: DIABETES WITH MCC | $8,210 – $29,361 · median $14,750 | 16 plans |
| 638 | MS-DRG 43.00: DIABETES WITH CC | $5,072 – $17,630 · median $9,519 | 16 plans |
| 639 | MS-DRG 43.00: DIABETES WITHOUT CC/MCC | $3,915 – $12,089 · median $6,857 | 16 plans |
| 640 | MS-DRG 43.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,941 – $24,053 · median $13,772 | 16 plans |
| 641 | MS-DRG 43.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,915 – $14,728 · median $8,377 | 16 plans |
| 642 | MS-DRG 43.00: INBORN AND OTHER DISORDERS OF METABOLISM | $7,136 – $23,473 · median $14,600 | 16 plans |
| 643 | MS-DRG 43.00: ENDOCRINE DISORDERS WITH MCC | $10,848 – $35,555 · median $16,777 | 16 plans |
| 644 | MS-DRG 43.00: ENDOCRINE DISORDERS WITH CC | $6,266 – $22,589 · median $10,766 | 16 plans |
| 645 | MS-DRG 43.00: ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,295 – $15,523 · median $8,281 | 16 plans |
| 653 | MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITH MCC | $47,978 – $125,581 · median $51,140 | 16 plans |
| 654 | MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITH CC | $18,839 – $63,523 · median $27,939 | 16 plans |
| 655 | MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,392 – $43,724 · median $21,331 | 16 plans |
| 656 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,178 – $70,794 · median $31,661 | 16 plans |
| 657 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,236 – $40,224 · median $18,557 | 16 plans |
| 658 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,412 – $29,726 · median $15,865 | 16 plans |
| 659 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,717 – $72,023 · median $25,438 | 16 plans |
| 660 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,164 – $40,856 · median $13,637 | 16 plans |
| 661 | MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,683 – $27,130 · median $10,866 | 16 plans |
| 662 | MS-DRG 43.00: MINOR BLADDER PROCEDURES WITH MCC | $26,555 – $58,541 · median $30,477 | 16 plans |
| 663 | MS-DRG 43.00: MINOR BLADDER PROCEDURES WITH CC | $14,013 – $31,160 · median $15,559 | 16 plans |
| 664 | MS-DRG 43.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,191 – $21,427 · median $10,978 | 16 plans |
| 665 | MS-DRG 43.00: PROSTATECTOMY WITH MCC | $27,694 – $57,695 · median $31,055 | 16 plans |
| 666 | MS-DRG 43.00: PROSTATECTOMY WITH CC | $15,790 – $33,551 · median $17,776 | 16 plans |
| 667 | MS-DRG 43.00: PROSTATECTOMY WITHOUT CC/MCC | $9,459 – $19,707 · median $11,552 | 16 plans |
| 668 | MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITH MCC | $21,931 – $48,350 · median $29,107 | 16 plans |
| 669 | MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITH CC | $9,191 – $25,981 · median $15,866 | 16 plans |
| 670 | MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,479 – $16,592 · median $10,304 | 16 plans |
| 671 | MS-DRG 43.00: URETHRAL PROCEDURES WITH CC/MCC | $16,179 – $33,707 · median $18,218 | 16 plans |
| 672 | MS-DRG 43.00: URETHRAL PROCEDURES WITHOUT CC/MCC | $9,543 – $19,881 · median $11,293 | 16 plans |
| 673 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,248 – $69,351 · median $41,512 | 16 plans |
| 674 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,846 – $46,618 · median $23,480 | 16 plans |
| 675 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,791 – $28,732 · median $16,732 | 16 plans |
| 682 | MS-DRG 43.00: RENAL FAILURE WITH MCC | $8,228 – $35,445 · median $15,179 | 16 plans |
| 683 | MS-DRG 43.00: RENAL FAILURE WITH CC | $4,711 – $24,411 · median $9,322 | 16 plans |
| 684 | MS-DRG 43.00: RENAL FAILURE WITHOUT CC/MCC | $3,508 – $15,775 · median $6,655 | 16 plans |
| 686 | MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,226 – $35,058 · median $18,303 | 16 plans |
| 687 | MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,442 – $23,211 · median $10,986 | 16 plans |
| 688 | MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,720 – $14,732 · median $8,494 | 16 plans |
| 689 | MS-DRG 43.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,441 – $26,565 · median $12,075 | 16 plans |
| 690 | MS-DRG 43.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,619 – $16,371 · median $8,680 | 16 plans |
| 693 | MS-DRG 43.00: URINARY STONES WITH MCC | $13,060 – $27,208 · median $13,858 | 16 plans |
| 694 | MS-DRG 43.00: URINARY STONES WITHOUT MCC | $4,378 – $14,177 · median $8,411 | 16 plans |
| 695 | MS-DRG 43.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,746 – $25,290 · median $11,916 | 16 plans |
| 696 | MS-DRG 43.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,582 – $13,653 · median $7,514 | 16 plans |
| 697 | MS-DRG 43.00: URETHRAL STRICTURE | $9,626 – $20,054 · median $11,277 | 16 plans |
| 698 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,218 – $31,784 · median $16,858 | 16 plans |
| 699 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,572 – $21,001 · median $10,669 | 16 plans |
| 700 | MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,794 – $14,745 · median $7,522 | 16 plans |
| 707 | MS-DRG 43.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,514 – $34,982 · median $20,205 | 16 plans |
| 708 | MS-DRG 43.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,486 – $26,013 · median $15,694 | 16 plans |
| 709 | MS-DRG 43.00: PENIS PROCEDURES WITH CC/MCC | $19,794 – $41,237 · median $23,369 | 16 plans |
| 710 | MS-DRG 43.00: PENIS PROCEDURES WITHOUT CC/MCC | $13,245 – $27,594 · median $14,407 | 16 plans |
| 711 | MS-DRG 43.00: TESTES PROCEDURES WITH CC/MCC | $19,039 – $43,705 · median $21,014 | 16 plans |
| 712 | MS-DRG 43.00: TESTES PROCEDURES WITHOUT CC/MCC | $10,589 – $22,060 · median $11,489 | 16 plans |
| 713 | MS-DRG 43.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,042 – $24,815 · median $15,396 | 16 plans |
| 714 | MS-DRG 43.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,719 – $17,453 · median $11,079 | 16 plans |
| 715 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,242 – $40,088 · median $22,499 | 16 plans |
| 716 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,782 – $26,630 · median $15,082 | 16 plans |
| 717 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,616 – $39,060 · median $19,143 | 16 plans |
| 718 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,127 – $22,169 · median $13,845 | 16 plans |
| 722 | MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,438 – $34,247 · median $18,361 | 16 plans |
| 723 | MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,367 – $21,597 · median $11,905 | 16 plans |
| 724 | MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,784 – $14,501 · median $7,191 | 16 plans |
| 725 | MS-DRG 43.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,482 – $24,219 · median $12,171 | 16 plans |
| 726 | MS-DRG 43.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,896 – $14,460 · median $7,833 | 16 plans |
| 727 | MS-DRG 43.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,986 – $29,137 · median $15,198 | 16 plans |
| 728 | MS-DRG 43.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,998 – $14,996 · median $8,696 | 16 plans |
| 729 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,682 – $23,744 · median $11,092 | 16 plans |
| 730 | MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,720 – $12,888 · median $7,349 | 16 plans |
| 734 | MS-DRG 43.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,662 – $50,689 · median $21,461 | 16 plans |
| 735 | MS-DRG 43.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,005 – $24,344 · median $13,868 | 16 plans |
| 736 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,436 – $90,232 · median $35,708 | 16 plans |
| 737 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,023 – $42,258 · median $20,789 | 16 plans |
| 738 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,209 – $24,990 · median $15,058 | 16 plans |
| 739 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,212 – $69,191 · median $35,522 | 16 plans |
| 740 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,708 – $31,618 · median $18,360 | 16 plans |
| 741 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,608 – $23,539 · median $14,648 | 16 plans |
| 742 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,551 – $30,285 · median $18,604 | 16 plans |
| 743 | MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,080 – $20,479 · median $12,853 | 16 plans |
| 744 | MS-DRG 43.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,432 – $33,822 · median $20,093 | 16 plans |
| 745 | MS-DRG 43.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,294 – $18,775 · median $11,855 | 16 plans |
| 746 | MS-DRG 43.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,580 – $28,672 · median $17,658 | 16 plans |
| 747 | MS-DRG 43.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,831 – $18,075 · median $9,166 | 16 plans |
| 748 | MS-DRG 43.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,477 – $25,993 · median $14,272 | 16 plans |
| 749 | MS-DRG 43.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,263 – $53,630 · median $25,696 | 16 plans |
| 750 | MS-DRG 43.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,625 – $26,302 · median $15,129 | 16 plans |
| 754 | MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,884 – $37,891 · median $18,670 | 16 plans |
| 755 | MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,136 – $23,280 · median $11,373 | 16 plans |
| 756 | MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,285 – $15,854 · median $9,759 | 16 plans |
| 757 | MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,449 – $34,127 · median $14,704 | 16 plans |
| 758 | MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,766 – $22,977 · median $10,320 | 16 plans |
| 759 | MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,535 – $16,551 · median $7,268 | 16 plans |
| 760 | MS-DRG 43.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,535 – $17,134 · median $10,596 | 16 plans |
| 761 | MS-DRG 43.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,128 – $10,849 · median $6,367 | 16 plans |
| 768 | MS-DRG 43.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,924 – $17,688 · median $10,793 | 16 plans |
| 769 | MS-DRG 43.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,876 – $27,892 · median $17,200 | 16 plans |
| 770 | MS-DRG 43.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,165 – $16,550 · median $10,550 | 16 plans |
| 776 | MS-DRG 43.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,184 – $13,422 · median $6,978 | 16 plans |
| 779 | MS-DRG 43.00: ABORTION WITHOUT D&C | $3,397 – $11,770 · median $8,733 | 16 plans |
| 789 | MS-DRG 43.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $870 – $47,201 · median $17,339 | 16 plans |
| 790 | MS-DRG 43.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $870 – $98,102 · median $55,343 | 16 plans |
| 791 | MS-DRG 43.00: PREMATURITY WITH MAJOR PROBLEMS | $870 – $66,997 · median $38,049 | 16 plans |
| 792 | MS-DRG 43.00: PREMATURITY WITHOUT MAJOR PROBLEMS | $870 – $47,201 · median $23,277 | 16 plans |
| 793 | MS-DRG 43.00: FULL TERM NEONATE WITH MAJOR PROBLEMS | $870 – $68,823 · median $39,064 | 16 plans |
| 794 | MS-DRG 43.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $870 – $47,201 · median $14,345 | 16 plans |
| 795 | MS-DRG 43.00: NORMAL NEWBORN | $870 – $4,072 · median $2,674 | 16 plans |
| 799 | MS-DRG 43.00: SPLENIC PROCEDURES WITH MCC | $26,459 – $102,824 · median $44,680 | 16 plans |
| 800 | MS-DRG 43.00: SPLENIC PROCEDURES WITH CC | $19,452 – $55,336 · median $28,037 | 16 plans |
| 801 | MS-DRG 43.00: SPLENIC PROCEDURES WITHOUT CC/MCC | $14,883 – $35,416 · median $19,321 | 16 plans |
| 802 | MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,267 – $73,873 · median $39,407 | 16 plans |
| 803 | MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,356 – $38,120 · median $18,837 | 16 plans |
| 804 | MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,756 – $22,731 · median $13,969 | 16 plans |
| 808 | MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,985 – $42,945 · median $22,215 | 16 plans |
| 809 | MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,043 – $25,362 · median $13,097 | 16 plans |
| 810 | MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,655 – $19,393 · median $10,975 | 16 plans |
| 811 | MS-DRG 43.00: RED BLOOD CELL DISORDERS WITH MCC | $9,533 – $27,541 · median $14,437 | 16 plans |
| 812 | MS-DRG 43.00: RED BLOOD CELL DISORDERS WITHOUT MCC | $6,609 – $16,477 · median $9,732 | 16 plans |
| 813 | MS-DRG 43.00: COAGULATION DISORDERS | $12,671 – $29,223 · median $15,608 | 16 plans |
| 814 | MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,634 – $35,103 · median $21,429 | 16 plans |
| 815 | MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,923 – $21,507 · median $10,659 | 16 plans |
| 816 | MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,202 – $15,104 · median $6,962 | 16 plans |
| 820 | MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,690 – $121,610 · median $57,610 | 16 plans |
| 821 | MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,261 – $48,620 · median $22,512 | 16 plans |
| 822 | MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,987 – $26,655 · median $12,498 | 16 plans |
| 823 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,390 – $88,424 · median $45,221 | 16 plans |
| 824 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,549 – $47,071 · median $22,773 | 16 plans |
| 825 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,283 – $26,072 · median $13,905 | 16 plans |
| 826 | MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $42,311 – $99,384 · median $46,121 | 16 plans |
| 827 | MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,400 – $49,047 · median $23,215 | 16 plans |
| 828 | MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,930 – $28,123 · median $17,336 | 16 plans |
| 829 | MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $14,883 – $62,473 · median $30,922 | 16 plans |
| 830 | MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,634 – $26,321 · median $15,412 | 16 plans |
| 834 | MS-DRG 43.00: ACUTE LEUKEMIA WITH MCC | $50,926 – $124,240 · median $57,317 | 16 plans |
| 835 | MS-DRG 43.00: ACUTE LEUKEMIA WITH CC | $19,843 – $55,746 · median $22,118 | 16 plans |
| 836 | MS-DRG 43.00: ACUTE LEUKEMIA WITHOUT CC/MCC | $11,932 – $30,968 · median $13,876 | 16 plans |
| 837 | MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,624 – $137,722 · median $47,345 | 16 plans |
| 838 | MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $9,700 – $63,568 · median $20,453 | 16 plans |
| 839 | MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,840 – $30,566 · median $14,820 | 16 plans |
| 840 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,422 – $57,130 · median $32,155 | 16 plans |
| 841 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,559 – $33,538 · median $16,635 | 16 plans |
| 842 | MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,922 – $22,153 · median $10,624 | 16 plans |
| 843 | MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,401 – $39,368 · median $20,152 | 16 plans |
| 844 | MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,293 – $25,992 · median $12,628 | 16 plans |
| 845 | MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,895 – $17,773 · median $9,087 | 16 plans |
| 846 | MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,087 – $45,938 · median $25,937 | 16 plans |
| 847 | MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,877 – $21,593 · median $13,507 | 16 plans |
| 848 | MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,406 – $17,212 · median $9,037 | 16 plans |
| 849 | MS-DRG 43.00: RADIOTHERAPY | $22,421 – $46,711 · median $26,048 | 16 plans |
| 853 | MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $29,708 – $117,323 · median $48,645 | 16 plans |
| 854 | MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,875 – $62,998 · median $20,184 | 16 plans |
| 855 | MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,181 – $39,174 · median $15,336 | 16 plans |
| 856 | MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $24,042 – $102,625 · median $44,871 | 16 plans |
| 857 | MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,922 – $44,318 · median $21,572 | 16 plans |
| 858 | MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,469 – $29,359 · median $14,327 | 16 plans |
| 862 | MS-DRG 43.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,237 – $41,338 · median $18,496 | 16 plans |
| 863 | MS-DRG 43.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,887 – $20,742 · median $10,503 | 16 plans |
| 864 | MS-DRG 43.00: FEVER AND INFLAMMATORY CONDITIONS | $5,840 – $17,831 · median $9,437 | 16 plans |
| 865 | MS-DRG 43.00: VIRAL ILLNESS WITH MCC | $8,812 – $32,499 · median $15,347 | 16 plans |
| 866 | MS-DRG 43.00: VIRAL ILLNESS WITHOUT MCC | $4,961 – $14,486 · median $9,262 | 16 plans |
| 867 | MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,291 – $50,622 · median $21,105 | 16 plans |
| 868 | MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,016 – $23,293 · median $10,825 | 16 plans |
| 869 | MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,655 – $16,520 · median $7,907 | 16 plans |
| 870 | MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $45,543 – $123,651 · median $67,744 | 16 plans |
| 871 | MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,977 – $39,351 · median $19,646 | 16 plans |
| 872 | MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,627 – $24,206 · median $10,749 | 16 plans |
| 896 | MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,515 – $29,860 · median $17,735 | 16 plans |
| 897 | MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,600 – $14,571 · median $9,389 | 16 plans |
| 901 | MS-DRG 43.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,088 – $86,140 · median $41,463 | 16 plans |
| 902 | MS-DRG 43.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,042 – $36,725 · median $19,375 | 16 plans |
| 903 | MS-DRG 43.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,377 – $21,615 · median $12,165 | 16 plans |
| 904 | MS-DRG 43.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,592 – $63,220 · median $36,396 | 16 plans |
| 905 | MS-DRG 43.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,342 – $30,988 · median $15,202 | 16 plans |
| 906 | MS-DRG 43.00: HAND PROCEDURES FOR INJURIES | $11,968 – $29,090 · median $19,857 | 16 plans |
| 907 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,059 – $79,480 · median $38,005 | 16 plans |
| 908 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,032 – $41,234 · median $20,156 | 16 plans |
| 909 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,867 – $24,493 · median $13,550 | 16 plans |
| 913 | MS-DRG 43.00: TRAUMATIC INJURY WITH MCC | $14,319 – $29,831 · median $16,666 | 16 plans |
| 914 | MS-DRG 43.00: TRAUMATIC INJURY WITHOUT MCC | $5,544 – $14,616 · median $9,415 | 16 plans |
| 915 | MS-DRG 43.00: ALLERGIC REACTIONS WITH MCC | $9,682 – $27,756 · median $17,121 | 16 plans |
| 916 | MS-DRG 43.00: ALLERGIC REACTIONS WITHOUT MCC | $4,230 – $10,998 · median $7,294 | 16 plans |
| 917 | MS-DRG 43.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,182 – $30,568 · median $16,025 | 16 plans |
| 918 | MS-DRG 43.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,563 – $14,147 · median $9,141 | 16 plans |
| 919 | MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITH MCC | $10,265 – $32,875 · median $18,565 | 16 plans |
| 920 | MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITH CC | $6,312 – $19,941 · median $10,546 | 16 plans |
| 921 | MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,526 – $13,193 · median $7,508 | 16 plans |
| 922 | MS-DRG 43.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,763 – $29,309 · median $17,777 | 16 plans |
| 923 | MS-DRG 43.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,137 – $16,798 · median $10,598 | 16 plans |
| 927 | MS-DRG 43.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $190,021 – $395,876 · median $207,494 | 16 plans |
| 928 | MS-DRG 43.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $20,626 – $118,391 · median $68,280 | 16 plans |
| 929 | MS-DRG 43.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $10,589 – $53,162 · median $31,112 | 16 plans |
| 933 | MS-DRG 43.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,465 – $62,998 · median $38,536 | 16 plans |
| 934 | MS-DRG 43.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,688 – $38,932 · median $22,241 | 16 plans |
| 935 | MS-DRG 43.00: NON-EXTENSIVE BURNS | $8,090 – $34,002 · median $20,195 | 16 plans |
| 939 | MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,193 – $59,891 · median $35,965 | 16 plans |
| 940 | MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,864 – $38,572 · median $23,463 | 16 plans |
| 941 | MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,626 – $33,469 · median $20,471 | 16 plans |
| 947 | MS-DRG 43.00: SIGNS AND SYMPTOMS WITH MCC | $8,256 – $22,837 · median $13,131 | 16 plans |
| 948 | MS-DRG 43.00: SIGNS AND SYMPTOMS WITHOUT MCC | $5,609 – $14,037 · median $8,593 | 16 plans |
| 949 | MS-DRG 43.00: AFTERCARE WITH CC/MCC | $9,663 – $20,131 · median $12,360 | 16 plans |
| 950 | MS-DRG 43.00: AFTERCARE WITHOUT CC/MCC | $6,044 – $12,592 · median $6,920 | 16 plans |
| 951 | MS-DRG 43.00: OTHER FACTORS INFLUENCING HEALTH STATUS | $3,110 – $16,447 · median $6,226 | 16 plans |
| 955 | MS-DRG 43.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,392 – $111,102 · median $65,995 | 16 plans |
| 956 | MS-DRG 43.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $35,157 – $86,817 · median $39,821 | 16 plans |
| 957 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $50,246 – $129,365 · median $74,597 | 16 plans |
| 958 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,034 – $77,318 · median $41,631 | 16 plans |
| 959 | MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,745 – $51,641 · median $29,340 | 16 plans |
| 963 | MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,081 – $62,378 · median $27,305 | 16 plans |
| 964 | MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,181 – $34,799 · median $15,679 | 16 plans |
| 965 | MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,997 – $21,498 · median $9,948 | 16 plans |
| 969 | MS-DRG 43.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,691 – $120,555 · median $60,092 | 16 plans |
| 970 | MS-DRG 43.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,812 – $54,859 · median $26,372 | 16 plans |
| 974 | MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,500 – $55,405 · median $28,778 | 16 plans |
| 975 | MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITH CC | $12,477 – $29,396 · median $13,379 | 16 plans |
| 976 | MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,432 – $19,330 · median $9,582 | 16 plans |
| 977 | MS-DRG 43.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,646 – $26,572 · median $13,405 | 16 plans |
| 981 | MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,333 – $108,491 · median $46,256 | 16 plans |
| 982 | MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,262 – $66,477 · median $24,640 | 16 plans |
| 983 | MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,348 – $43,078 · median $17,434 | 16 plans |
| 987 | MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,623 – $74,301 · median $34,028 | 16 plans |
| 988 | MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,153 – $40,582 · median $16,753 | 16 plans |
| 989 | MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,589 – $23,774 · median $12,452 | 16 plans |
| 876 | MS-DRG 43.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,574 – $65,779 · median $37,531 | 15 plans |
| 880 | MS-DRG 43.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,442 – $15,849 · median $9,947 | 15 plans |
| 881 | MS-DRG 43.00: DEPRESSIVE NEUROSES | $3,388 – $15,530 · median $9,576 | 15 plans |
| 882 | MS-DRG 43.00: NEUROSES EXCEPT DEPRESSIVE | $3,314 – $17,724 · median $10,763 | 15 plans |
| 883 | MS-DRG 43.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,311 – $32,455 · median $19,126 | 15 plans |
| 884 | MS-DRG 43.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $5,794 – $26,556 · median $15,798 | 15 plans |
| 885 | MS-DRG 43.00: PSYCHOSES | $4,970 – $23,055 · median $13,822 | 15 plans |
| 886 | MS-DRG 43.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,394 – $34,255 · median $20,142 | 15 plans |
| 887 | MS-DRG 43.00: OTHER MENTAL DISORDER DIAGNOSES | $9,552 – $19,900 · median $10,998 | 15 plans |
| 894 | MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,156 – $10,182 · median $6,575 | 15 plans |
| 895 | MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,723 – $28,809 · median $14,272 | 15 plans |
| 945 | MS-DRG 43.00: REHABILITATION WITH CC/MCC | $13,930 – $29,021 · median $15,535 | 15 plans |
| 946 | MS-DRG 43.00: REHABILITATION WITHOUT CC/MCC | $9,959 – $20,748 · median $11,719 | 15 plans |
| 140 | MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,033 – $72,986 · median $40,936 | 14 plans |
| 141 | MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,096 – $36,001 · median $21,334 | 14 plans |
| 142 | MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,559 – $30,332 · median $15,835 | 14 plans |
| 143 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,064 – $61,841 · median $36,058 | 14 plans |
| 144 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,264 – $28,603 · median $17,119 | 14 plans |
| 145 | MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,238 – $19,845 · median $12,128 | 14 plans |
| 173 | MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,288 – $66,858 · median $28,814 | 14 plans |
| 212 | MS-DRG 43.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $94,607 – $230,150 · median $103,092 | 14 plans |
| 275 | MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,232 – $175,578 · median $67,882 | 14 plans |
| 276 | MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,734 – $140,623 · median $57,313 | 14 plans |
| 277 | MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,067 – $102,772 · median $44,258 | 14 plans |
| 278 | MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $40,253 – $91,875 · median $53,171 | 14 plans |
| 279 | MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,044 – $59,527 · median $34,739 | 14 plans |
| 317 | MS-DRG 43.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $54,179 – $154,934 · median $63,707 | 14 plans |
| 319 | MS-DRG 43.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $38,020 – $89,852 · median $42,794 | 14 plans |
| 320 | MS-DRG 43.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,381 – $44,151 · median $23,443 | 14 plans |
| 321 | MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,607 – $61,533 · median $26,410 | 14 plans |
| 322 | MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,895 – $37,490 · median $17,402 | 14 plans |
| 323 | MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,192 – $88,617 · median $41,520 | 14 plans |
| 324 | MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,485 – $61,035 · median $30,456 | 14 plans |
| 325 | MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,639 – $63,474 · median $31,015 | 14 plans |
| 397 | MS-DRG 43.00: APPENDIX PROCEDURES WITH MCC | $12,866 – $52,195 · median $23,345 | 14 plans |
| 398 | MS-DRG 43.00: APPENDIX PROCEDURES WITH CC | $11,440 – $33,356 · median $15,056 | 14 plans |
| 399 | MS-DRG 43.00: APPENDIX PROCEDURES WITHOUT CC/MCC | $8,219 – $22,225 · median $11,587 | 14 plans |
| 402 | MS-DRG 43.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,087 – $95,304 · median $38,634 | 14 plans |
| 426 | MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $45,167 – $254,236 · median $103,461 | 14 plans |
| 427 | MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $35,261 – $172,182 · median $68,712 | 14 plans |
| 428 | MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $31,013 – $133,531 · median $53,696 | 14 plans |
| 429 | MS-DRG 43.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $73,044 – $202,290 · median $85,556 | 14 plans |
| 430 | MS-DRG 43.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $32,905 – $132,680 · median $55,060 | 14 plans |
| 447 | MS-DRG 43.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,960 – $162,613 · median $63,661 | 14 plans |
| 448 | MS-DRG 43.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,297 – $99,040 · median $40,706 | 14 plans |
| 450 | MS-DRG 43.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,092 – $99,915 · median $50,946 | 14 plans |
| 451 | MS-DRG 43.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,891 – $64,868 · median $31,203 | 14 plans |
| 521 | MS-DRG 43.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,402 – $68,398 · median $27,815 | 14 plans |
| 522 | MS-DRG 43.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,328 – $48,877 · median $20,738 | 14 plans |
| 783 | MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,635 – $40,523 · median $23,331 | 14 plans |
| 784 | MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITH CC | $4,055 – $17,498 · median $10,634 | 14 plans |
| 785 | MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,386 – $15,809 · median $9,686 | 14 plans |
| 786 | MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,552 – $27,226 · median $15,938 | 14 plans |
| 787 | MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,027 – $18,434 · median $11,159 | 14 plans |
| 788 | MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,380 – $15,826 · median $9,695 | 14 plans |
| 796 | MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,369 – $19,262 · median $11,682 | 14 plans |
| 797 | MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,751 – $16,512 · median $10,130 | 14 plans |
| 798 | MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,893 – $15,798 · median $9,727 | 14 plans |
| 805 | MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,827 – $17,813 · median $10,811 | 14 plans |
| 806 | MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,483 – $12,445 · median $7,797 | 14 plans |
| 807 | MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,969 – $12,171 · median $7,092 | 14 plans |
| 817 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,005 – $36,756 · median $22,279 | 14 plans |
| 818 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,386 – $19,723 · median $11,723 | 14 plans |
| 819 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,952 – $14,193 · median $8,908 | 14 plans |
| 831 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,748 – $19,848 · median $12,013 | 14 plans |
| 832 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,749 – $11,911 · median $7,607 | 14 plans |
| 833 | MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,666 – $8,631 · median $5,683 | 14 plans |
| 850 | MS-DRG 43.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES | $79,867 – $192,509 · median $82,263 | 14 plans |
| 001 | MS-DRG 43.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $256,685 – $462,558 · median $266,952 | 13 plans |
| 002 | MS-DRG 43.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $104,268 – $197,471 · median $108,439 | 13 plans |
| 005 | MS-DRG 43.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $94,943 – $170,183 · median $98,740 | 13 plans |
| 006 | MS-DRG 43.00: LIVER TRANSPLANT WITHOUT MCC | $43,138 – $76,538 · median $44,863 | 13 plans |
| 007 | MS-DRG 43.00: LUNG TRANSPLANT | $119,046 – $213,754 · median $123,808 | 13 plans |
| 008 | MS-DRG 43.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $51,973 – $92,509 · median $54,052 | 13 plans |
| 010 | MS-DRG 43.00: PANCREAS TRANSPLANT | $46,475 – $71,624 · median $66,319 | 13 plans |
| 014 | MS-DRG 43.00: ALLOGENEIC BONE MARROW TRANSPLANT | $110,533 – $198,365 · median $114,954 | 13 plans |
| 016 | MS-DRG 43.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,941 – $97,875 · median $57,139 | 13 plans |
| 017 | MS-DRG 43.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,400 – $79,860 · median $52,416 | 13 plans |
| 652 | MS-DRG 43.00: KIDNEY TRANSPLANT | $30,286 – $53,306 · median $31,497 | 13 plans |
| 209 | MS-DRG 43.00: COMPLEX AORTIC ARCH PROCEDURES | $104,150 – $245,662 · median $107,274 | 12 plans |
| 213 | MS-DRG 43.00: ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $52,907 – $104,721 · median $54,494 | 12 plans |
| 318 | MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,914 – $60,676 · median $23,602 | 12 plans |
| 359 | MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $32,195 – $74,327 · median $33,161 | 12 plans |
| 360 | MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,842 – $50,031 · median $23,527 | 12 plans |
| 018 | MS-DRG 43.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $395,101 – $712,768 · median $403,003 | 11 plans |
| 019 | MS-DRG 43.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $65,943 – $109,387 · median $67,262 | 11 plans |
| 650 | MS-DRG 43.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,726 – $77,601 · median $44,600 | 11 plans |
| 651 | MS-DRG 43.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,635 – $61,167 · median $35,327 | 11 plans |
| 077 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,208 – $29,599 · median $20,992 | 4 plans |
| 078 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,228 – $19,225 · median $13,526 | 4 plans |
| 079 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,664 – $13,884 · median $10,623 | 4 plans |
| 294 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,839 – $22,580 · median $13,888 | 4 plans |
| 295 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,673 – $15,986 · median $10,845 | 4 plans |
| 509 | MS-DRG 42.00: ARTHROSCOPY | $14,310 – $29,811 · median $24,352 | 4 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $30,293 – $30,293 · median $30,293 | 2 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $19,265 – $19,265 · median $19,265 | 2 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $33,891 – $33,891 · median $33,891 | 2 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $20,784 – $20,784 · median $20,784 | 2 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $26,335 – $26,335 · median $26,335 | 2 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $15,688 – $15,688 · median $15,688 | 2 plans |
| 222 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC | $110,215 – $110,215 · median $110,215 | 2 plans |
| 223 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC | $83,846 – $83,846 · median $83,846 | 2 plans |
| 224 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC | $95,450 – $95,450 · median $95,450 | 2 plans |
| 225 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC | $73,770 – $73,770 · median $73,770 | 2 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC | $88,432 – $88,432 · median $88,432 | 2 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC | $70,462 – $70,462 · median $70,462 | 2 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $42,139 – $42,139 · median $42,139 | 2 plans |
| 247 | PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC | $28,011 – $28,011 · median $28,011 | 2 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $40,039 – $40,039 · median $40,039 | 2 plans |
| 249 | PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC | $25,960 – $25,960 · median $25,960 | 2 plans |
| 338 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC | $36,378 – $36,378 · median $36,378 | 2 plans |
| 339 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC | $22,713 – $22,713 · median $22,713 | 2 plans |
| 340 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $16,192 – $16,192 · median $16,192 | 2 plans |
| 341 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC | $32,817 – $32,817 · median $32,817 | 2 plans |
| 342 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC | $19,914 – $19,914 · median $19,914 | 2 plans |
| 343 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $14,332 – $14,332 · median $14,332 | 2 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $126,424 – $126,424 · median $126,424 | 2 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $84,554 – $84,554 · median $84,554 | 2 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $66,246 – $66,246 · median $66,246 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL W MCC | $78,634 – $78,634 · median $78,634 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL W/O MCC | $52,523 – $52,523 · median $52,523 | 2 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $14,323 – $14,323 · median $14,323 | 2 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $21,334 – $21,334 · median $21,334 | 2 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $16,064 – $16,064 · median $16,064 | 2 plans |
| 765 | CESAREAN SECTION W CC/MCC | $17,384 – $22,312 · median $19,848 | 2 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $17,384 – $22,312 · median $19,848 | 2 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $12,151 – $15,596 · median $13,874 | 2 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $12,151 – $15,596 · median $13,874 | 2 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $12,151 – $15,596 · median $13,874 | 2 plans |
| 777 | ECTOPIC PREGNANCY | $12,040 – $12,040 · median $12,040 | 2 plans |
| 778 | THREATENED ABORTION | $8,562 – $8,562 · median $8,562 | 2 plans |
| 780 | FALSE LABOR | $7,005 – $7,005 · median $7,005 | 2 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $11,826 – $11,826 · median $11,826 | 2 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $8,600 – $8,600 · median $8,600 | 2 plans |
No procedures match that keyword.