Medina Regional Hospital — Pricing
800 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 800 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 800 procedures
Procedures with negotiated rates only
These 800 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,200 – $18,666 · median $2,015 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,800 – $31,362 · median $3,100 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,800 – $18,439 · median $3,100 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,800 – $14,896 · median $3,100 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,800 – $27,511 · median $3,100 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,800 – $18,078 · median $3,100 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,800 – $15,409 · median $3,100 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,200 – $21,735 · median $2,015 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,200 – $16,485 · median $2,015 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,200 – $16,485 · median $2,015 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,200 – $16,990 · median $2,015 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,200 – $12,318 · median $2,015 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,200 – $10,849 · median $2,015 | 11 plans |
| 795 | NORMAL NEWBORN | $160 – $1,962 · median $765 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,000 – $28,379 · median $19,902 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,000 – $13,971 · median $10,145 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $400 – $13,520 · median $1,067 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $400 – $44,588 · median $1,067 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $400 – $30,451 · median $1,067 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $400 – $18,374 · median $1,067 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $400 – $31,280 · median $1,067 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $400 – $11,072 · median $1,067 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $160,727 – $274,778 · median $194,684 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,968 – $181,163 · median $121,500 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,467 – $69,182 · median $52,268 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,776 – $52,614 · median $40,578 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,874 – $33,976 · median $24,754 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,454 – $110,925 · median $103,352 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,455 – $84,116 · median $70,871 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,478 – $54,876 · median $45,267 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,785 – $73,146 · median $58,095 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,511 – $48,742 · median $41,702 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,540 – $57,340 · median $45,513 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,938 – $39,215 · median $32,087 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,507 – $31,640 · median $25,597 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,593 – $77,946 · median $57,188 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,174 – $43,037 · median $33,577 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,689 – $28,532 · median $23,149 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,427 – $53,728 · median $44,506 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,016 – $27,381 · median $24,494 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,966 – $20,456 · median $17,957 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,164 – $49,858 · median $38,302 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,060 – $29,165 · median $23,624 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,748 – $23,503 · median $18,365 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,905 – $42,578 · median $34,152 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,083 – $20,658 · median $17,787 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,537 – $14,594 · median $12,049 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,289 – $48,362 · median $41,796 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,940 – $28,960 · median $25,093 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,181 – $22,535 · median $19,913 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,093 – $25,803 · median $18,092 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,910 – $11,813 · median $9,726 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,243 – $19,221 · median $14,009 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,182 – $13,988 · median $11,142 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,780 – $32,106 · median $22,605 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,010 – $17,114 · median $12,863 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,843 – $23,666 · median $18,722 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,176 – $15,688 · median $11,697 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,693 – $11,442 · median $8,860 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,274 – $34,660 · median $30,300 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,356 – $22,833 · median $20,681 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,535 – $18,011 · median $17,322 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,918 – $25,504 · median $19,888 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,628 – $13,040 · median $10,975 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,162 – $8,825 · median $7,733 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,919 – $18,666 · median $15,975 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,612 – $11,304 · median $9,562 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,002 – $10,260 · median $8,145 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,040 – $22,294 · median $17,506 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,904 – $13,512 · median $10,489 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,626 – $9,618 · median $7,895 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,591 – $19,816 · median $15,014 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,818 – $13,366 · median $10,362 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,918 – $22,085 · median $15,764 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,877 – $11,756 · median $8,776 | 3 plans |
| 077 | Other Inpatient MS-DRG | $11,597 – $19,825 · median $16,513 | 3 plans |
| 078 | Other Inpatient MS-DRG | $7,484 – $12,794 · median $10,322 | 3 plans |
| 079 | Other Inpatient MS-DRG | $5,000 – $8,548 · median $7,943 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,909 – $25,488 · median $19,990 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,786 – $11,601 · median $9,093 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,401 – $29,748 · median $22,968 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,427 – $17,826 · median $13,779 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,170 – $12,258 · median $9,824 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,994 – $29,053 · median $23,195 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,837 – $16,817 · median $13,227 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,630 – $11,335 · median $8,994 | 3 plans |
| 088 | CONCUSSION WITH MCC | $10,580 – $18,087 · median $15,743 | 3 plans |
| 089 | CONCUSSION WITH CC | $8,041 – $13,746 · median $11,358 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,429 – $10,991 · median $8,442 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,671 – $23,372 · median $17,152 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,941 – $13,576 · median $10,037 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,920 – $10,120 · median $7,850 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,363 – $46,780 · median $39,133 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,978 – $30,734 · median $25,333 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,978 – $30,734 · median $22,461 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,886 – $45,964 · median $37,654 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,268 – $27,812 · median $19,689 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,449 – $17,864 · median $13,544 | 3 plans |
| 100 | SEIZURES WITH MCC | $14,889 – $25,454 · median $19,284 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $6,912 – $11,817 · median $9,249 | 3 plans |
| 102 | HEADACHES WITH MCC | $8,696 – $14,866 · median $11,454 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $6,377 – $10,901 · median $8,314 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,925 – $28,934 · median $24,501 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,866 – $15,157 · median $13,354 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,482 – $19,629 · median $14,493 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,514 – $21,394 · median $18,173 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,090 – $13,830 · median $10,667 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,723 – $14,913 · median $11,271 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,087 – $8,697 · median $7,510 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,024 – $10,299 · median $8,011 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,779 – $16,717 · median $14,165 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,193 – $10,587 · median $8,621 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,082 – $30,913 · median $24,453 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,337 – $12,901 · median $12,542 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,489 – $17,932 · median $14,652 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,101 – $10,431 · median $8,993 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,297 – $17,603 · median $12,347 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,204 – $29,412 · median $20,462 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,335 – $15,960 · median $13,305 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,005 – $10,267 · median $7,701 | 3 plans |
| 149 | DYSEQUILIBRIUM | $5,606 – $9,584 · median $7,566 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $10,366 – $17,721 · median $14,125 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,685 – $9,719 · median $7,488 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,510 – $14,549 · median $11,088 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,338 – $9,125 · median $7,574 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,197 – $20,851 · median $15,391 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,002 – $11,971 · median $9,398 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,043 – $8,622 · median $7,021 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,281 – $20,995 · median $17,801 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,054 – $12,059 · median $9,473 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,947 – $8,457 · median $7,218 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,567 – $59,095 · median $52,341 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,876 – $32,270 · median $27,333 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,979 – $23,899 · median $19,710 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,883 – $49,378 · median $37,219 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,703 – $23,427 · median $20,190 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,154 – $17,358 · median $14,275 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,568 – $18,067 · median $15,587 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,109 – $10,444 · median $9,565 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,124 – $20,727 · median $19,586 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,441 – $13,560 · median $12,721 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,773 – $9,869 · median $9,805 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,108 – $22,409 · median $18,045 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,327 – $14,235 · median $12,139 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,281 – $10,738 · median $8,460 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,904 – $20,351 · median $15,863 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,010 – $13,694 · median $10,687 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,832 – $9,970 · median $7,792 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,850 – $20,259 · median $16,593 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,529 – $12,872 · median $11,215 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,506 – $9,413 · median $8,163 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,281 – $15,867 · median $13,144 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,425 – $14,403 · median $12,669 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,443 – $11,015 · median $9,724 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,854 – $8,298 · median $7,704 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,884 – $16,897 · median $14,010 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,150 – $10,514 · median $9,578 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,671 – $7,986 · median $7,308 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,132 – $24,159 · median $17,429 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,424 – $12,693 · median $10,658 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,253 – $8,981 · median $8,070 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,239 – $22,633 · median $18,969 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,306 – $14,199 · median $11,436 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,077 – $8,679 · median $7,436 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,250 – $12,395 · median $10,003 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,222 – $8,928 · median $7,416 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,082 – $10,397 · median $8,167 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,158 – $24,204 · median $16,150 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,794 – $11,614 · median $9,188 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,508 – $82,929 · median $59,547 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,131 – $34,416 · median $25,934 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $79,457 – $137,108 · median $135,839 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $72,378 – $123,737 · median $104,494 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,431 – $82,797 · median $67,700 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,618 – $76,279 · median $62,832 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,028 – $99,204 · median $81,839 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,722 – $67,909 · median $55,384 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $34,442 – $58,882 · median $49,023 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,372 – $69,971 · median $63,891 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,296 – $49,459 · median $39,826 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $63,551 – $108,646 · median $89,364 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,812 – $78,321 · median $65,547 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,619 – $100,214 · median $81,265 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,899 – $68,212 · median $54,766 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,129 – $75,442 · median $61,817 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,839 – $52,722 · median $41,776 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,774 – $64,578 · median $50,107 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,840 – $37,338 · median $29,206 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,324 – $19,359 · median $16,981 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,440 – $43,492 · median $39,761 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,895 – $28,884 · median $27,178 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,535 – $23,140 · median $22,459 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,649 – $62,655 · median $53,329 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,345 – $29,653 · median $27,524 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,719 – $20,034 · median $17,852 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,727 – $43,982 · median $34,684 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,147 – $32,733 · median $27,603 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,120 – $22,430 · median $19,258 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,622 – $33,546 · median $27,029 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,702 – $21,715 · median $18,606 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,689 – $11,982 · median $11,436 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,041 – $35,971 · median $31,801 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,182 – $22,536 · median $22,312 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,551 – $43,682 · median $38,511 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,231 – $24,328 · median $21,193 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,383 – $19,460 · median $17,353 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,114 – $34,387 · median $25,453 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,212 – $44,812 · median $33,608 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $26,752 – $45,735 · median $33,162 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,928 – $76,809 · median $76,518 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,283 – $62,224 · median $60,320 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,004 – $85,487 · median $71,327 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,203 – $53,345 · median $44,166 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,496 – $65,813 · median $53,856 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,833 – $44,164 · median $37,174 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,765 – $32,081 · median $27,857 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,325 – $50,134 · median $38,863 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,406 – $40,015 · median $31,689 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,311 – $21,047 · median $17,632 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,914 – $11,819 · median $10,423 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,438 – $9,297 · median $7,969 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,666 – $25,072 · median $19,202 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,557 – $9,500 · median $8,157 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,210 – $7,197 · median $6,346 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,485 – $35,021 · median $28,665 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,825 – $20,215 · median $18,193 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,343 – $12,553 · median $10,761 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,787 – $16,731 · median $14,315 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,460 – $11,044 · median $9,787 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,118 – $7,082 · median $7,039 | 3 plans |
| 294 | Other Inpatient MS-DRG | $9,209 – $15,744 · median $12,351 | 3 plans |
| 295 | Other Inpatient MS-DRG | $5,866 – $10,127 · median $5,924 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,287 – $21,006 · median $16,338 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,283 – $9,032 · median $6,942 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,312 – $5,662 · median $5,134 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,133 – $20,742 · median $15,432 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,029 – $13,726 · median $10,892 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,350 – $9,146 · median $7,727 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,724 – $14,915 · median $11,379 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,043 – $8,622 · median $7,081 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $8,811 – $15,063 · median $11,503 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,630 – $9,625 · median $7,660 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,231 – $19,200 · median $14,990 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,947 – $11,877 · median $9,108 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,045 – $15,463 · median $12,806 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,545 – $9,479 · median $8,124 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,196 – $7,174 · median $5,983 | 3 plans |
| 311 | ANGINA PECTORIS | $5,239 – $8,956 · median $7,312 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,535 – $11,172 · median $8,528 | 3 plans |
| 313 | CHEST PAIN | $5,350 – $9,146 · median $7,526 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,151 – $27,611 · median $21,526 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,217 – $12,339 · median $10,171 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,120 – $8,752 · median $7,994 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,090 – $65,119 · median $55,923 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,211 – $31,133 · median $26,433 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,951 – $20,431 · median $16,408 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,438 – $58,875 · median $53,122 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,728 – $30,307 · median $26,848 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,383 – $21,169 · median $18,032 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,014 – $44,473 · median $36,157 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $15,938 – $27,248 · median $20,512 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,438 – $21,264 · median $13,898 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,179 – $46,466 · median $43,220 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,843 – $27,085 · median $24,453 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,513 – $19,682 · median $17,059 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,208 – $34,548 · median $31,784 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,169 – $19,095 · median $17,424 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,339 – $15,966 · median $13,157 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,750 – $30,345 · median $25,654 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,441 – $16,140 · median $14,896 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,607 – $11,295 · median $10,105 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,149 – $31,027 · median $26,031 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,285 – $19,293 · median $15,961 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,269 – $14,136 · median $11,209 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,996 – $37,604 · median $31,557 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,758 – $21,812 · median $18,418 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,998 – $17,093 · median $14,415 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,991 – $54,691 · median $42,301 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,889 – $28,874 · median $22,734 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,163 – $17,374 · median $14,346 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,524 – $21,411 · median $20,684 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,632 – $13,048 · median $11,798 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,234 – $8,948 · median $7,909 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,112 – $22,417 · median $18,501 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,720 – $13,198 · median $11,049 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,440 – $9,300 · median $8,061 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,836 – $27,074 · median $21,972 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,215 – $15,754 · median $12,839 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,622 – $11,321 · median $9,743 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,636 – $23,312 · median $19,033 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,394 – $12,641 · median $10,537 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,775 – $8,162 · median $6,950 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,432 – $24,673 · median $20,705 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,168 – $13,964 · median $11,651 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,620 – $9,608 · median $8,169 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,482 – $16,210 · median $14,375 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,522 – $11,150 · median $9,100 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,185 – $20,832 · median $18,066 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,443 – $12,725 · median $10,428 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,027 – $8,595 · median $7,413 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,025 – $18,848 · median $16,287 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,013 – $10,279 · median $8,972 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,103 – $7,015 · median $6,288 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,637 – $16,475 · median $12,997 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,852 – $10,005 · median $8,037 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,419 – $21,232 · median $17,371 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,060 – $12,069 · median $10,013 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,773 – $8,160 · median $7,198 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $40,713 – $69,603 · median $57,234 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,062 – $36,007 · median $30,139 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,017 – $27,383 · median $21,352 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,258 – $44,891 · median $43,055 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,722 – $26,879 · median $24,714 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,633 – $19,887 · median $17,584 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,523 – $42,540 · median $35,086 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,986 – $27,330 · median $25,343 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,468 – $21,315 · median $17,941 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,277 – $44,923 · median $38,061 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,835 – $25,362 · median $21,480 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,277 – $17,569 · median $14,823 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,824 – $30,471 · median $25,785 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,439 – $21,265 · median $17,707 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,882 – $16,894 · median $13,877 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,469 – $45,251 · median $37,427 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,281 – $20,996 · median $18,930 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,020 – $18,839 · median $16,041 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,503 – $52,148 · median $41,985 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,123 – $29,274 · median $23,313 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,593 – $19,819 · median $15,884 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,693 – $25,120 · median $19,429 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,023 – $13,716 · median $10,937 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,223 – $8,929 · median $6,928 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,684 – $23,394 · median $18,064 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,457 – $14,458 · median $12,086 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,888 – $10,067 · median $9,212 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,479 – $21,333 · median $17,430 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,452 – $11,029 · median $9,175 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,613 – $7,887 · median $6,611 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,177 – $24,237 · median $19,761 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,247 – $12,389 · median $9,990 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,270 – $9,009 · median $7,403 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,634 – $21,599 · median $17,140 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,133 – $13,904 · median $11,359 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,979 – $10,222 · median $8,459 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,515 – $108,584 · median $97,092 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,043 – $73,585 · median $69,635 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,383 – $55,362 · median $54,490 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,025 – $78,685 · median $47,694 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,477 – $36,717 · median $33,985 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,505 – $69,248 · median $54,603 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,115 – $37,807 · median $31,324 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,019 – $22,258 · median $19,550 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,207 – $65,319 · median $54,404 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,687 – $43,914 · median $36,925 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,674 – $33,635 · median $29,701 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,514 – $41,909 · median $33,773 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,141 – $24,176 · median $21,171 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,428 – $62,276 · median $53,314 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,728 – $37,145 · median $31,354 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,754 – $30,352 · median $25,248 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,633 – $57,499 · median $40,380 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,178 – $27,658 · median $22,863 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,723 – $14,912 · median $12,243 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,791 – $44,092 · median $33,393 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,538 – $29,983 · median $24,251 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,318 – $22,768 · median $19,131 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,058 – $37,710 · median $32,243 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,562 – $26,604 · median $21,943 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,898 – $20,341 · median $17,710 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,111 – $32,672 · median $25,360 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,177 – $41,333 · median $35,156 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,905 – $27,192 · median $23,604 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,851 – $20,260 · median $17,558 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,740 – $25,199 · median $22,477 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,290 – $15,881 · median $13,804 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,633 – $45,531 · median $36,075 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,008 – $30,786 · median $23,899 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,141 – $24,176 · median $18,662 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,402 – $45,137 · median $36,839 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,797 – $25,297 · median $20,864 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,073 – $17,220 · median $15,268 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,935 – $32,372 · median $24,238 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,706 – $14,884 · median $11,908 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,764 – $40,627 · median $32,644 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,387 – $22,886 · median $17,954 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,478 – $17,914 · median $13,737 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,849 – $33,933 · median $27,262 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,167 – $22,510 · median $18,402 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,167 – $22,510 · median $16,809 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,243 – $19,220 · median $15,006 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,536 – $24,850 · median $20,668 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,680 – $16,548 · median $15,400 | 3 plans |
| 509 | Other Inpatient MS-DRG | $13,174 – $22,522 · median $17,772 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,435 – $36,645 · median $29,073 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,711 – $25,149 · median $19,655 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,058 – $20,614 · median $16,195 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,291 – $19,304 · median $17,445 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,647 – $13,073 · median $10,638 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,192 – $39,648 · median $32,792 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,087 – $25,793 · median $20,061 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,195 – $19,138 · median $14,693 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,879 – $45,951 · median $32,986 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,788 – $25,281 · median $19,812 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,748 – $18,375 · median $13,982 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,436 – $19,551 · median $16,285 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,104 – $10,436 · median $8,251 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,974 – $17,052 · median $13,351 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,082 – $10,397 · median $8,054 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,892 – $11,782 · median $9,688 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,036 – $8,610 · median $7,735 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,170 – $25,935 · median $21,484 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,708 – $16,597 · median $13,799 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,561 – $11,217 · median $9,392 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,987 – $23,912 · median $19,421 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,956 – $13,602 · median $11,411 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,668 – $9,690 · median $8,495 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,950 – $32,397 · median $26,378 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,683 – $14,844 · median $12,921 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,597 – $9,568 · median $9,125 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,109 – $25,830 · median $21,995 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,038 – $15,451 · median $13,238 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,466 – $11,054 · median $9,829 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,797 – $21,878 · median $16,935 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,229 – $12,358 · median $9,587 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,797 – $16,749 · median $13,168 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,260 – $10,701 · median $8,053 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,099 – $17,265 · median $13,611 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,124 – $10,469 · median $8,168 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,623 – $19,870 · median $15,241 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,479 – $11,076 · median $9,188 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,921 – $23,799 · median $19,138 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,541 – $14,602 · median $10,871 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,132 – $10,483 · median $8,045 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,978 – $18,768 · median $14,982 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,703 – $11,459 · median $8,917 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,769 – $20,120 · median $16,728 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,647 – $13,073 · median $10,383 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,610 – $9,591 · median $8,111 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,578 – $38,599 · median $32,289 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,561 – $21,474 · median $18,119 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,568 – $14,648 · median $12,540 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,184 – $78,955 · median $55,876 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,985 – $44,424 · median $32,408 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,974 – $25,599 · median $18,712 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,462 – $69,173 · median $51,931 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,970 – $34,140 · median $26,698 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,677 – $21,673 · median $16,276 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,443 – $41,788 · median $29,769 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,297 – $22,732 · median $16,915 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,793 – $18,452 · median $13,155 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,133 – $22,453 · median $16,699 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,319 – $21,060 · median $14,663 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,355 – $26,250 · median $19,912 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,888 – $25,452 · median $16,659 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $15,422 – $26,365 · median $18,175 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $9,170 – $15,676 · median $12,017 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,365 – $10,881 · median $8,621 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,863 – $27,119 · median $21,141 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,108 – $13,861 · median $10,762 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,174 – $22,522 · median $18,301 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,092 – $13,834 · median $12,367 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,412 – $10,962 · median $7,623 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,179 – $12,273 · median $10,172 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,496 – $7,687 · median $6,588 | 3 plans |
| 602 | CELLULITIS WITH MCC | $11,021 – $18,841 · median $15,364 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,607 – $11,295 · median $9,020 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,143 – $19,050 · median $15,075 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,928 – $11,844 · median $9,156 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,076 – $20,645 · median $14,692 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,482 – $11,082 · median $8,523 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,091 – $29,219 · median $25,149 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,747 – $18,373 · median $15,760 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,987 – $49,556 · median $43,999 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,492 – $24,775 · median $22,063 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,338 – $15,963 · median $12,335 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,448 – $34,958 · median $31,076 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,977 – $20,475 · median $19,254 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,963 – $18,742 · median $16,793 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,080 – $48,006 · median $40,411 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,355 – $24,541 · median $20,463 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,523 – $13,789 · median $12,862 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,502 – $36,759 · median $29,614 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,319 – $19,351 · median $17,137 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,501 – $16,243 · median $11,544 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,597 – $50,599 · median $39,102 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,876 – $28,851 · median $24,884 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,509 – $17,966 · median $16,327 | 3 plans |
| 637 | DIABETES WITH MCC | $10,922 – $18,673 · median $14,697 | 3 plans |
| 638 | DIABETES WITH CC | $6,879 – $11,760 · median $9,280 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,700 – $8,034 · median $6,723 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,961 – $17,029 · median $12,664 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,861 – $10,020 · median $8,000 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,308 – $15,913 · median $13,444 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,430 – $21,250 · median $17,387 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,751 – $13,252 · median $10,773 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,843 – $9,988 · median $7,904 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,807 – $71,472 · median $58,403 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,164 – $36,182 · median $30,572 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,579 – $26,634 · median $22,101 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,433 – $41,770 · median $35,406 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,710 – $23,439 · median $20,720 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,279 – $19,283 · median $16,667 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,382 – $33,135 · median $29,016 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,049 – $17,180 · median $15,402 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,700 – $13,163 · median $11,415 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,396 – $39,997 · median $33,821 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,455 – $19,583 · median $17,453 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,099 – $13,845 · median $12,616 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,751 – $44,023 · median $33,822 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $12,354 – $21,120 · median $18,930 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,708 – $13,177 · median $11,495 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,871 – $37,390 · median $29,947 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,606 – $19,842 · median $16,838 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,167 – $12,253 · median $10,252 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,927 – $22,100 · median $17,912 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,207 – $14,031 · median $11,245 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,425 – $53,724 · median $38,062 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,312 – $29,597 · median $24,601 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,739 – $20,069 · median $17,293 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $11,265 – $19,259 · median $16,300 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $6,667 – $11,397 · median $9,778 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,556 – $7,789 · median $6,595 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,142 – $24,177 · median $18,275 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,895 – $13,496 · median $11,211 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,432 – $9,286 · median $8,415 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,778 – $15,007 · median $11,827 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,020 – $10,291 · median $8,449 | 3 plans |
| 693 | URINARY STONES WITH MCC | $11,027 – $18,852 · median $14,083 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,861 – $10,019 · median $7,470 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,458 – $14,459 · median $12,222 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,188 – $8,869 · median $7,327 | 3 plans |
| 697 | URETHRAL STRICTURE | $7,514 – $12,845 · median $10,214 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,607 – $21,553 · median $17,185 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,649 – $13,076 · median $10,937 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,206 – $8,900 · median $8,083 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,554 – $24,881 · median $19,061 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,118 – $19,007 · median $14,965 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,853 – $28,811 · median $21,618 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,260 – $19,250 · median $17,763 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,330 – $24,498 · median $22,168 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,022 – $13,714 · median $11,457 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,844 – $18,539 · median $15,571 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,047 – $12,048 · median $9,688 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,937 – $28,955 · median $23,513 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,644 – $18,197 · median $15,566 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,916 – $23,790 · median $20,794 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,239 – $15,794 · median $13,115 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,966 – $22,167 · median $17,659 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,422 – $14,398 · median $11,720 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,465 – $9,342 · median $7,333 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,473 – $16,195 · median $12,920 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,582 – $9,543 · median $8,134 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,020 – $18,839 · median $15,300 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,128 – $10,477 · median $8,421 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,256 – $14,114 · median $11,512 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,552 – $7,782 · median $6,048 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,770 – $26,961 · median $24,535 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,104 – $15,563 · median $14,524 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $29,530 – $50,484 · median $42,886 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,987 – $25,622 · median $21,614 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,376 – $19,448 · median $14,814 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,855 – $51,041 · median $38,280 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,637 – $23,313 · median $18,544 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,301 – $17,611 · median $14,128 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,700 – $23,421 · median $18,237 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,990 – $15,368 · median $11,870 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,654 – $25,053 · median $17,985 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,686 – $13,140 · median $11,378 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,559 – $21,470 · median $17,851 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,163 – $12,246 · median $10,195 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,217 – $17,466 · median $13,768 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,413 – $33,188 · median $27,685 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,671 – $16,534 · median $13,022 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,569 – $23,198 · median $19,593 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,326 – $14,234 · median $11,384 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,162 – $12,244 · median $8,300 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,614 – $18,146 · median $15,331 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,645 – $13,069 · median $10,857 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,799 – $8,205 · median $7,562 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,391 – $12,636 · median $9,275 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,754 – $8,128 · median $5,846 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,421 – $17,816 · median $15,512 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,069 – $13,795 · median $11,362 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,351 – $9,147 · median $7,012 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $7,010 – $11,985 · median $8,026 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,659 – $60,962 · median $50,025 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,852 – $37,358 · median $27,949 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,313 – $21,050 · median $16,559 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,885 – $45,962 · median $35,614 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,349 – $22,822 · median $18,323 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,291 – $14,175 · median $13,093 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,178 – $29,368 · median $22,867 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,289 – $15,880 · median $12,816 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,138 – $12,203 · median $9,810 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,551 – $18,038 · median $14,428 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,922 – $11,833 · median $9,397 | 3 plans |
| 813 | COAGULATION DISORDERS | $11,609 – $19,847 · median $17,146 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,677 – $26,802 · median $17,694 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,621 – $13,028 · median $10,403 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,946 – $8,455 · median $7,678 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,013 – $32,505 · median $26,937 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,660 – $16,515 · median $14,454 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,124 – $10,469 · median $8,927 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,664 – $74,648 · median $57,921 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,742 – $28,621 · median $25,475 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,577 – $14,663 · median $12,872 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,094 – $59,997 · median $48,142 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,495 – $28,199 · median $23,348 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,230 – $15,780 · median $14,460 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,814 – $61,228 · median $52,646 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,698 – $30,256 · median $23,958 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,021 – $20,551 · median $17,401 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,127 – $39,538 · median $33,087 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,968 – $18,751 · median $15,096 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,632 – $14,757 · median $10,939 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,605 – $9,582 · median $7,648 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,899 – $6,665 · median $5,110 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $41,452 – $70,866 · median $58,603 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,019 – $27,385 · median $22,727 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,530 – $16,293 · median $12,902 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,551 – $64,197 · median $57,180 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,211 – $26,004 · median $25,032 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,277 – $17,570 · median $13,363 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,921 – $40,894 · median $35,036 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,759 – $20,104 · median $17,394 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,889 – $13,486 · median $11,929 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,198 – $24,273 · median $19,641 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,963 – $15,324 · median $12,542 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,275 – $10,728 · median $9,216 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,152 – $32,742 · median $29,982 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,530 – $16,292 · median $14,114 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,142 – $10,500 · median $9,923 | 3 plans |
| 849 | RADIOTHERAPY | $20,032 – $34,246 · median $20,963 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,511 – $64,129 · median $53,808 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,987 – $25,621 · median $23,438 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,191 – $20,842 · median $16,598 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,835 – $57,844 · median $47,756 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,342 – $27,938 · median $21,883 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,663 – $16,520 · median $14,684 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,790 – $23,575 · median $19,447 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,499 – $12,821 · median $10,478 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,734 – $11,513 · median $9,196 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,069 – $18,924 · median $14,707 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,635 – $11,344 · median $8,729 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,082 – $27,493 · median $22,694 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,875 – $13,463 · median $11,458 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,396 – $9,225 · median $8,170 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,174 – $89,196 · median $66,982 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,717 – $25,161 · median $19,752 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,733 – $13,219 · median $11,203 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,227 – $56,804 · median $47,507 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,231 – $24,328 · median $20,433 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,143 – $15,630 · median $12,384 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,957 – $49,504 · median $34,325 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,361 – $21,132 · median $18,824 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,368 – $27,983 · median $19,612 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,876 – $51,076 · median $44,859 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,128 – $25,862 · median $21,203 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,512 – $16,261 · median $14,102 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,137 – $20,749 · median $15,661 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,872 – $11,749 · median $8,914 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,034 – $22,282 · median $17,842 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,980 – $8,514 · median $6,760 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,297 – $21,023 · median $15,680 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,633 – $11,340 · median $8,285 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,676 – $23,380 · median $19,411 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,619 – $13,025 · median $10,673 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,157 – $8,816 · median $7,518 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,669 – $21,659 · median $16,581 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,649 – $13,076 · median $9,255 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,804 – $40,694 · median $34,885 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,835 – $27,071 · median $23,137 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,657 – $25,057 · median $19,699 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,646 – $16,490 · median $12,828 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,959 – $10,187 · median $8,301 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,092 – $13,834 · median $12,196 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,396 – $7,926 · median $7,515 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,252 – $8,495 · median $7,269 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,209 – $87,547 · median $64,871 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,667 – $49,008 · median $40,260 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,978 – $95,700 · median $80,848 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,821 – $52,692 · median $44,473 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,828 – $33,898 · median $26,075 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,375 – $34,832 · median $29,739 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,252 – $19,236 · median $15,693 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,844 – $11,700 · median $10,367 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $47,429 – $81,085 · median $59,570 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,899 – $34,019 · median $29,661 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,395 – $38,286 · median $28,973 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,660 – $18,224 · median $13,725 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,522 – $12,859 · median $9,987 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,814 – $18,487 · median $12,448 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,657 – $60,960 · median $46,502 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,364 – $31,395 · median $26,099 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,511 – $21,388 · median $16,695 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,273 – $44,915 · median $35,459 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,870 – $22,003 · median $18,015 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,666 – $14,815 · median $11,073 | 3 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $211,248 – $361,150 · median $286,199 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $82,648 – $141,295 · median $111,971 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $79,865 – $136,536 · median $108,200 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,367 – $62,173 · median $49,270 | 2 plans |
| 007 | LUNG TRANSPLANT | $98,009 – $167,557 · median $132,783 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,806 – $69,762 · median $55,284 | 2 plans |
| 010 | PANCREAS TRANSPLANT | $59,795 – $102,225 · median $81,010 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $98,257 – $167,980 · median $133,118 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,266 – $77,387 · median $61,327 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $45,266 – $77,387 · median $61,327 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $282,827 – $483,520 · median $383,173 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $59,450 – $101,636 · median $80,543 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,718 – $54,224 · median $42,971 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,112 – $27,546 · median $21,829 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,792 – $20,160 · median $15,976 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,763 – $42,334 · median $33,549 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,175 – $22,523 · median $17,849 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,885 – $15,190 · median $12,038 | 2 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,013 – $39,343 · median $31,178 | 2 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $81,698 – $139,671 · median $110,685 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,999 – $90,607 · median $71,803 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,455 – $79,419 · median $62,937 | 2 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,892 – $59,651 · median $47,271 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $37,522 – $64,147 · median $50,834 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,032 – $41,084 · median $32,558 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $46,395 – $79,317 · median $62,856 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,944 – $56,321 · median $44,632 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,360 – $29,678 · median $23,519 | 2 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,350 – $36,500 · median $28,925 | 2 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,568 – $23,196 · median $18,382 | 2 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,944 – $54,611 · median $43,278 | 2 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,963 – $40,966 · median $32,464 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,465 – $36,697 · median $29,081 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,582 – $31,768 · median $25,175 | 2 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,350 – $19,404 · median $15,377 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,431 – $14,413 · median $11,422 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,469 – $50,380 · median $39,925 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $78,612 – $134,395 · median $106,504 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,240 – $91,020 · median $72,130 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,289 – $70,588 · median $55,938 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $62,550 – $106,935 · median $84,743 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,026 – $70,138 · median $55,582 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,282 – $85,961 · median $68,121 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,624 – $52,355 · median $41,489 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,623 – $66,029 · median $52,326 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,144 – $39,566 · median $31,355 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,860 – $37,371 · median $29,615 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,812 – $27,031 · median $21,421 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,553 – $59,071 · median $46,812 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,042 – $44,521 · median $35,281 | 2 plans |
| 652 | KIDNEY TRANSPLANT | $23,034 – $39,379 · median $31,206 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $69,085 – $118,107 · median $93,596 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,471 – $50,383 · median $39,927 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,190 – $12,291 · median $9,740 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $6,856 – $11,721 · median $9,288 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,214 – $12,333 · median $9,774 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,923 – $23,803 · median $18,863 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,526 – $21,414 · median $16,970 | 2 plans |
| 885 | PSYCHOSES | $10,571 – $18,073 · median $14,322 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,473 – $23,033 · median $18,253 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,920 – $15,249 · median $12,084 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,681 – $8,002 · median $6,341 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,859 – $18,565 · median $14,712 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,356 – $22,833 · median $18,095 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,617 – $11,312 · median $8,964 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $177,921 – $304,174 · median $241,047 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,089 – $85,632 · median $67,860 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,852 – $40,777 · median $32,314 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,450 – $55,477 · median $43,964 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,093 – $27,512 · median $21,802 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $16,472 – $28,161 · median $22,317 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,448 – $19,572 · median $15,510 | 2 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,373 – $14,314 · median $11,344 | 2 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $25,866 – $25,866 · median $25,866 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $15,866 – $15,866 · median $15,866 | 1 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $27,966 – $27,966 · median $27,966 | 1 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $16,264 – $16,264 · median $16,264 | 1 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $22,329 – $22,329 · median $22,329 | 1 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $12,754 – $12,754 · median $12,754 | 1 plans |
| 222 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC | $86,580 – $86,580 · median $86,580 | 1 plans |
| 223 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC | $67,630 – $67,630 · median $67,630 | 1 plans |
| 224 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC | $78,999 – $78,999 · median $78,999 | 1 plans |
| 225 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC | $60,854 – $60,854 · median $60,854 | 1 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC | $72,546 – $72,546 · median $72,546 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC | $56,570 – $56,570 · median $56,570 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $34,461 – $34,461 · median $34,461 | 1 plans |
| 247 | PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC | $22,100 – $22,100 · median $22,100 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $33,756 – $33,756 · median $33,756 | 1 plans |
| 249 | PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC | $21,175 – $21,175 · median $21,175 | 1 plans |
| 338 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC | $30,481 – $30,481 · median $30,481 | 1 plans |
| 339 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC | $18,520 – $18,520 · median $18,520 | 1 plans |
| 340 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $12,638 – $12,638 · median $12,638 | 1 plans |
| 341 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC | $24,307 – $24,307 · median $24,307 | 1 plans |
| 342 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC | $15,096 – $15,096 · median $15,096 | 1 plans |
| 343 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $11,548 – $11,548 · median $11,548 | 1 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $101,047 – $101,047 · median $101,047 | 1 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $67,424 – $67,424 · median $67,424 | 1 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $53,200 – $53,200 · median $53,200 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL W MCC | $67,934 – $67,934 · median $67,934 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL W/O MCC | $42,959 – $42,959 · median $42,959 | 1 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $17,281 – $17,281 · median $17,281 | 1 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $12,030 – $12,030 · median $12,030 | 1 plans |
No procedures match that keyword.