Shannon Medical Center — Pricing
792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792 procedures
Procedures with negotiated rates only
These 792 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 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $113,480 – $372,349 · median $220,108 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $74,818 – $246,445 · median $137,481 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $28,571 – $95,839 · median $57,704 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $21,729 – $73,557 · median $43,885 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $14,032 – $48,490 · median $28,339 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $199,689 – $653,093 · median $403,301 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $42,684 – $141,796 · median $86,205 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $29,267 – $98,105 · median $59,109 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,693 – $63,671 · median $37,754 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,209 – $101,171 · median $61,010 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,130 – $68,349 · median $40,655 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,681 – $79,913 · median $47,827 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,195 – $55,536 · median $32,709 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,067 – $45,348 · median $26,391 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $32,191 – $107,627 · median $65,014 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,774 – $60,676 · median $35,897 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,783 – $41,169 · median $23,798 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,189 – $75,055 · median $44,814 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,308 – $39,620 · median $22,838 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,448 – $30,307 · median $17,062 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $20,591 – $69,850 · median $41,586 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,045 – $42,021 · median $24,327 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,706 – $34,404 · median $19,603 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,584 – $60,059 · median $35,514 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,532 – $30,580 · median $17,231 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,027 – $22,422 · median $12,172 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,973 – $67,839 · median $40,339 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,957 – $41,734 · median $24,149 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,306 – $33,102 · median $18,796 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,656 – $37,498 · median $21,385 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,879 – $18,683 · median $10,089 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,938 – $28,645 · median $15,830 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,777 – $21,608 · median $11,668 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,259 – $45,974 · median $25,351 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,066 – $25,805 · median $14,270 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,774 – $34,625 · median $19,740 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,479 – $23,894 · median $13,056 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,725 – $18,183 · median $9,819 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,315 – $49,411 · median $28,910 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,430 – $33,504 · median $19,045 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,438 – $27,019 · median $15,023 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,533 – $37,096 · median $21,273 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,384 – $20,330 · median $10,978 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,645 – $14,664 · median $7,918 | 17 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,704 – $27,883 · median $15,559 | 17 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,668 – $17,995 · median $9,717 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,237 – $16,592 · median $8,959 | 17 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $9,207 – $32,778 · median $18,595 | 17 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,580 – $20,968 · median $11,323 | 17 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,972 – $15,731 · median $8,495 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,184 – $29,447 · median $16,529 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,520 – $20,770 · median $11,216 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,120 – $32,495 · median $18,419 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,855 – $18,606 · median $10,047 | 17 plans |
| 077 | Inpatient MS-DRG | $8,188 – $29,459 · median $16,536 | 17 plans |
| 078 | Inpatient MS-DRG | $5,284 – $20,002 · median $10,801 | 17 plans |
| 079 | Inpatient MS-DRG | $3,530 – $14,291 · median $7,717 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,525 – $37,072 · median $21,258 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,791 – $18,397 · median $9,676 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,285 – $42,803 · median $24,812 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,362 – $26,770 · median $14,869 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,063 – $19,282 · median $10,412 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,998 – $41,869 · median $24,233 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,945 – $25,412 · median $14,026 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,681 – $18,038 · median $9,741 | 17 plans |
| 088 | CONCUSSION WITH MCC | $7,470 – $27,121 · median $15,086 | 17 plans |
| 089 | CONCUSSION WITH CC | $5,677 – $21,282 · median $11,492 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,539 – $17,578 · median $9,492 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,652 – $34,228 · median $19,111 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,606 – $21,051 · median $11,367 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,179 – $16,405 · median $8,859 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,320 – $65,711 · median $39,019 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $12,693 – $44,131 · median $25,636 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,693 – $44,131 · median $25,636 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $18,980 – $64,606 · median $38,334 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,486 – $40,201 · median $23,198 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,378 – $26,820 · median $14,900 | 17 plans |
| 100 | SEIZURES WITH MCC | $10,512 – $37,029 · median $21,231 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $4,880 – $18,688 · median $10,092 | 17 plans |
| 102 | HEADACHES WITH MCC | $6,140 – $22,789 · median $12,400 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $4,502 – $17,456 · median $9,426 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,949 – $41,707 · median $24,132 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,259 – $23,179 · median $12,641 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,107 – $29,195 · median $16,373 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,835 – $31,568 · median $17,844 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,711 – $21,394 · median $11,553 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,159 – $22,853 · median $12,439 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,592 – $14,491 · median $7,651 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,253 – $16,645 · median $8,870 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,904 – $25,279 · median $13,944 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,372 – $17,033 · median $9,198 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,767 – $44,371 · median $24,810 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,180 – $19,663 · median $10,618 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,406 – $26,912 · median $14,957 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,307 – $16,823 · median $9,084 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,270 – $26,470 · median $14,294 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,394 – $75,721 · median $45,227 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,376 – $39,843 · median $22,976 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,326 – $29,909 · median $16,815 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,484 – $59,731 · median $34,350 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,302 – $33,087 · median $18,786 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,274 – $23,225 · median $12,670 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,147 – $42,353 · median $23,564 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,591 – $24,260 · median $13,312 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,240 – $16,602 · median $8,965 | 17 plans |
| 149 | DYSEQUILIBRIUM | $3,958 – $15,685 · median $8,470 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $7,319 – $26,629 · median $14,781 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,014 – $15,866 · median $8,542 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,009 – $22,363 · median $12,136 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,768 – $15,067 · median $8,136 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,611 – $30,838 · median $17,392 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,943 – $18,894 · median $10,203 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,560 – $14,390 · median $7,622 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,671 – $31,031 · median $17,511 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,980 – $19,014 · median $10,268 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,493 – $14,169 · median $7,601 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,406 – $82,274 · median $49,291 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,328 – $46,197 · median $26,917 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,870 – $34,937 · median $19,934 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,387 – $69,188 · median $41,175 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,675 – $34,302 · median $19,540 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,169 – $26,141 · median $14,479 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,461 – $27,093 · median $15,069 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,313 – $16,840 · median $9,094 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,559 – $30,669 · median $17,287 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,253 – $19,902 · median $10,747 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,076 – $16,067 · median $8,676 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,255 – $32,933 · median $18,691 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,879 – $21,941 · median $11,874 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,435 – $17,237 · median $9,127 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,405 – $30,166 · median $16,975 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,656 – $21,213 · median $11,455 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,118 – $16,205 · median $8,751 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,366 – $30,040 · median $16,897 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,316 – $20,108 · median $10,858 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,888 – $15,455 · median $8,346 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,552 – $24,132 · median $13,233 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,946 – $22,160 · median $12,009 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,549 – $17,609 · median $9,509 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,427 – $13,955 · median $7,536 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,977 – $25,517 · median $14,091 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,342 – $16,935 · median $9,145 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,297 – $13,533 · median $7,308 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,976 – $35,284 · median $20,121 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,242 – $19,866 · median $10,728 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,709 – $14,873 · median $8,031 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,347 – $33,235 · median $18,878 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,864 – $21,892 · median $11,844 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,585 – $14,471 · median $7,814 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,119 – $19,464 · median $10,511 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,689 – $14,807 · median $7,996 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,294 – $16,780 · median $9,061 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,996 – $35,347 · median $19,498 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,796 – $18,414 · median $9,944 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $34,244 – $114,312 · median $66,369 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,211 – $49,073 · median $28,701 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $56,099 – $185,486 · median $113,301 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $51,103 – $169,213 · median $103,209 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $34,195 – $114,151 · median $69,061 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,502 – $105,381 · median $59,610 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $40,970 – $136,216 · median $82,745 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $28,046 – $94,128 · median $56,643 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,318 – $81,987 · median $49,113 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $26,387 – $88,724 · median $53,291 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,448 – $56,358 · median $33,219 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $44,869 – $148,914 · median $90,620 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $32,346 – $108,130 · median $65,326 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $41,388 – $137,577 · median $83,589 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $28,170 – $94,534 · median $56,894 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $31,157 – $104,259 · median $62,926 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,774 – $73,702 · median $43,975 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $26,670 – $89,649 · median $53,865 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $15,420 – $53,011 · median $31,143 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,995 – $28,831 · median $16,147 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,961 – $61,285 · median $36,274 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,929 – $41,641 · median $24,091 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,556 – $33,914 · median $19,299 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,876 – $87,060 · median $52,259 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,245 – $42,672 · median $24,731 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,274 – $29,740 · median $16,710 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,164 – $61,947 · median $36,685 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $13,518 – $46,818 · median $27,302 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,263 – $32,961 · median $18,708 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,854 – $47,913 · median $27,981 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,968 – $32,000 · median $18,112 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,723 – $18,175 · median $9,814 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,855 – $51,172 · median $30,002 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,307 – $33,104 · median $18,797 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,036 – $61,530 · median $36,426 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,048 – $35,516 · median $20,293 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,037 – $28,967 · median $16,231 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $14,202 – $49,044 · median $26,718 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,507 – $63,063 · median $37,377 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $18,888 – $64,306 · median $38,148 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $31,721 – $106,097 · median $64,066 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $24,911 – $83,920 · median $50,312 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $35,305 – $117,767 · median $71,303 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,031 – $74,540 · median $44,495 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,179 – $91,306 · median $54,892 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,238 – $62,188 · median $36,834 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $13,249 – $45,942 · median $26,759 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $20,705 – $70,222 · median $41,817 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $16,526 – $56,612 · median $33,376 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,691 – $31,099 · median $17,553 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,881 – $18,690 · median $10,093 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,839 – $15,298 · median $8,261 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,354 – $36,513 · median $20,911 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,924 – $15,573 · median $8,409 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,973 – $12,476 · median $6,095 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $11,719 – $40,960 · median $23,669 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,770 – $21,585 · median $11,656 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,463 – $49,896 · median $29,211 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,349 – $29,983 · median $16,861 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,184 – $19,677 · median $10,625 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,909 – $25,294 · median $13,954 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,560 – $17,645 · median $9,528 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,905 – $12,257 · median $6,619 | 17 plans |
| 294 | Inpatient MS-DRG | $6,502 – $23,970 · median $13,132 | 17 plans |
| 295 | Inpatient MS-DRG | $4,182 – $16,414 · median $8,864 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,675 – $31,047 · median $17,521 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,730 – $14,941 · median $8,068 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,339 – $10,412 · median $5,622 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,565 – $30,688 · median $17,299 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,669 – $21,256 · median $11,478 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,777 – $15,097 · median $8,152 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,160 – $22,854 · median $12,440 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,560 – $14,390 · median $7,770 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $6,221 – $23,053 · median $12,563 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,975 – $15,740 · median $8,500 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,929 – $28,616 · median $16,013 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,905 – $18,770 · median $10,065 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,385 – $23,589 · median $12,896 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,915 – $15,543 · median $8,393 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,963 – $12,443 · median $6,570 | 17 plans |
| 311 | ANGINA PECTORIS | $3,698 – $14,836 · median $8,012 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,614 – $17,819 · median $9,622 | 17 plans |
| 313 | CHEST PAIN | $3,777 – $15,097 · median $8,152 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,403 – $39,929 · median $23,030 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,095 – $19,389 · median $10,470 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,615 – $14,567 · median $7,866 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $23,260 – $78,542 · median $46,977 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,257 – $42,710 · median $24,754 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $26,893 – $90,375 · median $54,315 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,857 – $44,664 · median $25,966 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,438 – $30,273 · median $17,041 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,314 – $81,975 · median $49,106 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,516 – $43,553 · median $25,277 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,742 – $31,264 · median $17,656 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $18,367 – $62,607 · median $37,094 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $11,253 – $39,443 · median $22,728 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,782 – $31,395 · median $17,737 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $19,186 – $65,275 · median $38,749 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,185 – $39,218 · median $22,589 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,128 – $29,266 · median $16,416 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,267 – $49,258 · median $28,815 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,883 – $28,465 · median $15,920 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,594 – $24,268 · median $13,317 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,532 – $43,607 · median $25,311 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,666 – $24,503 · median $13,463 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,664 – $17,985 · median $9,712 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,807 – $44,502 · median $25,866 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,966 – $28,738 · median $16,089 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,838 – $21,808 · median $11,791 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,530 – $53,370 · median $31,366 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,007 – $32,128 · median $18,192 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,059 – $25,784 · median $14,257 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,587 – $76,350 · median $45,617 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,924 – $41,627 · median $24,083 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,175 – $26,162 · median $14,491 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,843 – $31,592 · median $17,859 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,388 – $20,342 · median $10,985 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,696 – $14,831 · median $8,009 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,256 – $32,937 · median $18,693 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,450 – $20,544 · median $11,094 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,841 – $15,304 · median $8,264 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,180 – $39,203 · median $22,579 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,506 – $23,982 · median $13,140 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,675 – $18,021 · median $9,731 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,627 – $34,147 · median $19,444 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,220 – $19,795 · median $10,690 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,371 – $13,774 · median $7,384 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,189 – $35,977 · median $20,578 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,767 – $21,575 · median $11,651 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,968 – $15,716 · median $8,486 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,694 – $24,594 · median $13,519 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,605 – $17,790 · median $9,607 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,603 – $30,812 · median $17,376 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,255 – $19,909 · median $10,751 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,549 – $14,353 · median $7,751 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,783 – $28,141 · median $15,719 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,244 – $16,618 · median $8,973 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,897 – $12,231 · median $6,605 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,801 – $24,944 · median $13,736 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,132 – $16,250 · median $8,775 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,769 – $31,350 · median $17,709 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,984 – $19,026 · median $10,274 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,370 – $13,769 · median $7,435 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $28,745 – $96,405 · median $58,055 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,870 – $51,222 · median $30,033 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,309 – $39,624 · median $22,840 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,539 – $63,170 · median $37,443 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,101 – $38,946 · median $22,420 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,213 – $29,541 · median $16,587 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,489 – $49,980 · median $29,263 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,287 – $39,551 · median $22,795 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,803 – $31,462 · median $17,779 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,553 – $63,213 · median $37,470 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,474 – $36,904 · median $21,154 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,255 – $26,422 · median $14,653 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,584 – $43,774 · median $25,414 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,781 – $31,392 · median $17,735 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,977 – $25,515 · median $14,090 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,689 – $63,656 · median $37,744 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,671 – $31,033 · median $17,512 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,780 – $28,133 · median $15,714 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $21,537 – $72,931 · median $43,497 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,090 – $42,167 · median $24,418 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,185 – $29,450 · median $16,531 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,373 – $36,577 · median $20,951 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,665 – $21,242 · median $11,471 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,688 – $14,805 · median $7,607 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,661 – $34,258 · median $19,512 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,971 – $22,241 · median $12,060 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,158 – $16,335 · median $8,821 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,809 – $31,483 · median $17,792 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,555 – $17,628 · median $9,519 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,257 – $13,402 · median $7,076 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,010 – $35,392 · median $20,216 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,116 – $19,456 · median $10,506 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,721 – $14,912 · median $7,874 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,919 – $31,840 · median $18,013 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,742 – $21,496 · median $11,608 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,222 – $16,543 · median $8,933 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $44,844 – $148,833 · median $90,570 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,390 – $101,762 · median $61,377 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,864 – $77,252 · median $46,177 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $32,494 – $108,613 · median $65,626 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,164 – $52,177 · median $30,625 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,598 – $95,927 · median $57,758 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,613 – $53,639 · median $31,532 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,193 – $32,731 · median $18,566 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $26,976 – $90,644 · median $54,482 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,136 – $61,857 · median $36,629 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,890 – $48,030 · median $28,054 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,308 – $59,159 · median $34,955 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $9,984 – $35,308 · median $20,164 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,719 – $86,552 · median $51,944 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,341 – $52,753 · median $30,983 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,535 – $43,617 · median $25,317 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,746 – $80,127 · median $47,204 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,423 – $39,994 · median $23,070 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,159 – $22,851 · median $12,438 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,210 – $62,095 · median $36,777 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,383 – $43,121 · median $25,009 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,403 – $33,416 · median $18,990 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,573 – $53,508 · median $31,451 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,987 – $38,574 · median $22,189 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,400 – $30,150 · median $16,965 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,493 – $46,735 · median $27,250 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,046 – $58,307 · median $34,427 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,230 – $39,367 · median $22,681 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,367 – $30,043 · median $16,899 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,407 – $36,685 · median $21,018 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,557 – $24,149 · median $13,243 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $18,804 – $64,030 · median $37,977 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,713 – $44,197 · median $25,676 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,983 – $35,306 · median $20,162 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,642 – $63,502 · median $37,649 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,447 – $36,816 · median $21,099 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,109 – $25,946 · median $14,358 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,369 – $46,333 · median $27,001 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,146 – $22,811 · median $12,414 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,778 – $57,434 · median $33,886 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,450 – $33,570 · median $19,086 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,398 – $26,888 · median $14,942 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,014 – $48,432 · median $28,303 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,293 – $33,057 · median $18,768 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,293 – $33,057 · median $18,768 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,938 – $28,645 · median $16,031 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,263 – $36,216 · median $20,727 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,834 – $25,050 · median $13,802 | 17 plans |
| 509 | Inpatient MS-DRG | $9,302 – $33,087 · median $18,786 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $15,134 – $52,079 · median $30,565 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,385 – $36,613 · median $20,973 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,513 – $30,519 · median $17,194 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,972 – $28,757 · median $16,101 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,399 – $20,377 · median $11,003 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,374 – $56,119 · median $33,070 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,652 – $37,484 · median $21,513 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,904 – $28,534 · median $15,963 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $18,977 – $64,596 · median $38,327 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,441 – $36,798 · median $21,088 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,589 – $27,508 · median $15,327 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,433 – $53,055 · median $31,170 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,162 – $39,146 · median $22,544 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,074 – $29,090 · median $16,307 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,310 – $16,831 · median $9,089 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,042 – $25,727 · median $14,222 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,294 – $16,778 · median $8,943 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,866 – $18,642 · median $10,067 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,556 – $14,374 · median $7,762 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,709 – $37,668 · median $21,628 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,852 – $25,110 · median $13,839 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,633 – $17,881 · median $9,656 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,876 – $34,956 · median $19,945 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,617 – $21,089 · median $11,388 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,001 – $15,826 · median $8,546 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,380 – $46,368 · median $27,023 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,130 – $22,758 · median $12,380 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,951 – $15,662 · median $8,458 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,667 – $37,534 · median $21,544 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,381 – $23,575 · median $12,887 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,565 – $17,661 · median $9,537 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,035 – $32,219 · median $18,248 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,103 – $19,414 · median $10,484 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,915 – $25,315 · median $13,966 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,419 – $17,187 · median $9,161 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,130 – $26,015 · median $14,401 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,323 – $16,874 · median $9,112 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,206 – $29,517 · median $16,155 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,574 – $17,690 · median $9,553 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,829 – $34,804 · median $19,851 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,029 – $22,430 · median $12,177 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,329 – $16,893 · median $9,122 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,749 – $28,031 · median $15,651 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,733 – $18,207 · median $9,832 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,309 – $29,854 · median $16,781 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,399 – $20,378 · median $11,004 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,961 – $15,695 · median $8,475 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,939 – $54,701 · median $32,191 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,865 – $31,666 · median $17,905 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,049 – $22,494 · median $12,217 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,608 – $108,984 · median $64,177 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,347 – $62,542 · median $37,054 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,573 – $37,225 · median $20,416 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $28,568 – $95,829 · median $57,697 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,100 – $48,711 · median $28,476 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,951 – $31,943 · median $18,077 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,259 – $58,998 · median $33,933 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,388 – $33,368 · median $18,547 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,621 – $27,612 · median $14,910 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,273 – $32,992 · median $18,727 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,698 – $31,121 · median $17,567 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,841 – $38,099 · median $21,144 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,511 – $37,025 · median $20,127 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $10,888 – $38,253 · median $20,657 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $6,474 – $23,879 · median $13,076 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,494 – $17,430 · median $9,412 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,199 – $39,267 · median $22,619 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,724 – $21,437 · median $11,561 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,302 – $33,087 · median $18,786 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,713 – $21,399 · median $11,556 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,527 – $17,537 · median $9,142 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,065 – $19,290 · median $10,417 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,174 – $13,133 · median $7,092 | 17 plans |
| 602 | CELLULITIS WITH MCC | $7,779 – $28,129 · median $15,712 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,664 – $17,983 · median $9,711 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,867 – $28,414 · median $15,888 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,891 – $18,723 · median $10,110 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,527 – $30,562 · median $17,221 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,576 – $17,697 · median $9,556 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,067 – $42,093 · median $24,372 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,588 – $27,505 · median $15,325 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,465 – $69,441 · median $41,332 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,228 – $36,103 · median $20,657 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,593 – $24,265 · median $13,315 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,437 – $49,809 · median $29,157 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,456 – $30,333 · median $17,078 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,740 – $28,002 · median $15,632 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,814 – $67,320 · median $40,017 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,128 – $35,778 · median $20,455 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,311 – $20,092 · median $10,850 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $15,181 – $52,234 · median $30,661 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,992 – $28,821 · median $16,140 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,708 – $24,641 · median $13,548 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,892 – $70,833 · median $42,195 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,909 – $41,577 · median $24,052 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,420 – $26,958 · median $14,986 | 17 plans |
| 637 | DIABETES WITH MCC | $7,711 – $27,907 · median $15,574 | 17 plans |
| 638 | DIABETES WITH CC | $4,857 – $18,611 · median $10,050 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,318 – $13,600 · median $7,181 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,032 – $25,694 · median $14,202 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,138 – $16,269 · median $8,727 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,572 – $24,196 · median $13,272 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,775 – $31,373 · median $17,723 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,472 – $20,615 · median $11,132 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,123 – $16,223 · median $8,760 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $29,518 – $98,920 · median $59,615 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,943 – $51,458 · median $30,180 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,999 – $38,615 · median $22,215 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,251 – $58,974 · median $34,841 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,680 – $34,318 · median $19,550 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,964 – $28,729 · median $16,084 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,684 – $47,357 · median $27,637 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,095 – $25,901 · median $14,330 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,436 – $20,497 · median $11,069 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,518 – $56,588 · median $33,361 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,088 – $29,133 · median $16,334 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,718 – $21,415 · median $11,564 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,181 – $62,002 · median $35,195 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $8,722 – $31,200 · median $17,616 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,442 – $20,518 · median $11,080 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $15,442 – $53,082 · median $31,187 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,194 – $29,479 · median $16,549 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,060 – $19,275 · median $10,408 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,127 – $32,518 · median $18,433 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,795 – $21,666 · median $11,704 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,184 – $75,038 · median $40,521 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,223 – $42,600 · median $24,686 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,288 – $29,786 · median $16,739 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $7,953 – $28,693 · median $16,061 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $4,707 – $18,123 · median $9,786 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,216 – $13,269 · median $7,041 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,985 – $35,311 · median $20,166 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,574 – $20,947 · median $11,312 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,835 – $15,283 · median $8,069 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,197 – $22,975 · median $12,515 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,250 – $16,635 · median $8,983 | 17 plans |
| 693 | URINARY STONES WITH MCC | $7,786 – $28,150 · median $15,201 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,138 – $16,269 · median $8,590 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,972 – $22,242 · median $12,061 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,663 – $14,724 · median $7,951 | 17 plans |
| 697 | URETHRAL STRICTURE | $5,305 – $20,070 · median $10,838 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,900 – $31,780 · median $17,976 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,400 – $20,382 · median $11,006 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,676 – $14,766 · median $7,973 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,275 – $36,258 · median $20,753 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,850 – $28,359 · median $15,854 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,898 – $41,543 · median $24,030 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,950 – $28,684 · median $16,056 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,117 – $35,740 · median $20,432 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,664 – $21,239 · median $11,469 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,657 – $27,729 · median $15,464 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,976 – $18,999 · median $10,259 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,958 – $41,736 · median $23,399 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,515 – $27,269 · median $14,795 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,825 – $34,790 · median $19,843 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,523 – $24,037 · median $13,174 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,155 – $32,607 · median $18,489 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,946 – $22,158 · median $12,008 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,858 – $15,359 · median $7,973 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,685 – $24,567 · median $13,502 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,942 – $15,631 · median $8,441 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,780 – $28,133 · median $15,714 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,327 – $16,885 · median $9,118 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,829 – $21,778 · median $11,760 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,214 – $13,260 · median $6,946 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,134 – $39,055 · median $22,487 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,428 – $23,727 · median $12,981 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,850 – $70,693 · median $42,109 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,582 – $37,254 · median $21,371 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,032 – $28,952 · median $16,222 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,079 – $71,440 · median $42,572 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,628 – $34,149 · median $19,445 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,273 – $26,481 · median $14,689 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,672 – $34,294 · median $19,535 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,347 – $23,465 · median $12,819 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,346 – $36,489 · median $20,792 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,426 – $20,466 · median $11,052 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,867 – $31,671 · median $17,908 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,058 – $19,266 · median $10,404 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,213 – $26,286 · median $14,568 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,707 – $47,432 · median $27,682 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,828 – $25,031 · median $13,790 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,580 – $33,994 · median $19,349 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,878 – $21,937 · median $11,871 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,057 – $19,263 · median $10,402 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,494 – $27,200 · median $15,135 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,397 – $20,371 · median $11,001 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,389 – $13,831 · median $7,469 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,219 – $19,790 · median $10,687 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,357 – $13,726 · median $7,244 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,805 – $21,699 · median $11,724 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,357 – $26,755 · median $14,859 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,697 – $21,349 · median $11,272 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,778 – $15,098 · median $8,153 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $4,950 – $18,914 · median $10,214 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,754 – $34,559 · median $19,699 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,734 – $21,470 · median $11,594 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,625 – $17,857 · median $9,643 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,556 – $30,659 · median $17,280 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,622 – $21,104 · median $11,396 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,790 – $18,395 · median $9,933 | 17 plans |
| 795 | NORMAL NEWBORN | $1,058 – $6,240 · median $2,496 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,760 – $24,808 · median $13,112 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,127 – $19,490 · median $10,525 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,127 – $19,490 · median $10,291 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $25,177 – $84,784 · median $50,848 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $15,429 – $53,039 · median $31,160 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,693 – $31,104 · median $17,556 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $18,982 – $64,609 · median $38,336 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,425 – $33,489 · median $19,035 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,854 – $21,860 · median $11,823 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,284 – $20,004 · median $10,802 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,831 – $15,273 · median $8,247 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,375 – $13,784 · median $7,430 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,127 – $42,288 · median $24,492 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,558 – $24,151 · median $13,245 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,040 – $19,208 · median $10,372 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,450 – $27,055 · median $15,045 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,887 – $18,709 · median $10,103 | 17 plans |
| 813 | COAGULATION DISORDERS | $8,197 – $29,488 · median $16,554 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,069 – $38,843 · median $21,914 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,380 – $20,316 · median $10,971 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,492 – $14,166 · median $7,649 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,423 – $46,509 · median $26,678 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,820 – $25,005 · median $13,774 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,323 – $16,874 · median $9,112 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $30,829 – $103,192 · median $62,264 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,821 – $41,289 · median $23,873 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,056 – $22,517 · median $12,231 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $24,778 – $83,486 · median $50,043 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,646 – $40,720 · median $23,520 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,517 – $24,018 · median $13,162 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,286 – $85,141 · median $51,069 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,496 – $43,488 · median $25,237 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,487 – $30,435 · median $17,141 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,329 – $55,970 · median $32,978 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,744 – $28,014 · median $15,640 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,095 – $22,642 · median $12,309 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,957 – $15,683 · median $8,469 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,752 – $11,758 · median $6,212 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $29,267 – $98,105 · median $59,109 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $11,310 – $39,625 · median $22,841 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,728 – $24,706 · median $13,556 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,513 – $89,136 · median $53,547 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,739 – $37,768 · median $21,690 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,256 – $26,426 · median $14,655 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,886 – $57,784 · median $34,103 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,303 – $29,833 · median $16,768 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,570 – $20,934 · median $11,304 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,025 – $35,442 · median $20,247 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,329 – $23,405 · median $12,781 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,431 – $17,225 · median $9,301 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,522 – $46,831 · median $27,310 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,728 – $24,706 · median $13,589 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,336 – $16,916 · median $9,135 | 17 plans |
| 849 | RADIOTHERAPY | $14,143 – $48,854 · median $28,565 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $26,482 – $89,035 · median $53,484 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,580 – $37,249 · median $21,368 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,608 – $30,826 · median $17,327 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,889 – $80,591 · median $48,247 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,537 – $40,367 · median $23,301 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,822 – $25,012 · median $13,778 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,736 – $34,501 · median $19,663 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,294 – $20,037 · median $10,820 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,755 – $18,280 · median $9,871 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,815 – $28,245 · median $15,783 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,685 – $18,052 · median $9,703 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,354 – $39,770 · median $22,931 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,560 – $20,903 · median $11,287 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,810 – $15,204 · median $8,210 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $36,835 – $122,749 · median $74,393 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,389 – $36,628 · median $20,983 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,459 – $20,573 · median $11,110 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,460 – $79,192 · median $47,380 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,048 – $35,516 · median $20,293 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,455 – $23,817 · median $13,037 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,445 – $69,374 · median $41,291 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,727 – $31,216 · median $17,626 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,556 – $40,429 · median $21,832 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,094 – $71,488 · median $42,602 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,681 – $37,577 · median $21,571 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,716 – $24,665 · median $13,563 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,569 – $30,700 · median $17,306 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,852 – $18,597 · median $10,042 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,202 – $32,763 · median $18,585 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,516 – $14,247 · median $7,618 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,682 – $31,069 · median $17,124 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,684 – $18,049 · median $9,530 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,656 – $34,240 · median $19,502 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,379 – $20,313 · median $10,969 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,641 – $14,653 · median $7,913 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,945 – $31,926 · median $18,066 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,400 – $20,382 · median $10,907 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,806 – $57,526 · median $33,943 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,180 – $39,203 · median $22,579 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,348 – $36,494 · median $20,899 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,810 – $24,974 · median $13,755 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,207 – $16,495 · median $8,907 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,713 – $21,401 · median $11,556 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,103 – $12,902 · median $6,967 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,002 – $12,572 · median $6,638 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,156 – $120,538 · median $72,878 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,240 – $68,706 · median $40,877 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $39,523 – $131,503 · median $79,822 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,761 – $73,662 · median $43,950 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,999 – $48,385 · median $28,274 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,385 – $49,640 · median $29,052 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,943 – $28,662 · median $16,042 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,832 – $18,532 · median $10,007 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,487 – $111,848 · median $67,076 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,049 – $48,547 · median $28,374 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,812 – $54,288 · median $31,127 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,526 – $27,305 · median $14,825 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,311 – $20,090 · median $10,849 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,635 – $27,658 · median $15,308 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,172 – $84,769 · median $50,838 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,964 – $45,012 · median $26,182 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,833 – $31,561 · median $17,840 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,547 – $63,194 · median $37,458 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,086 – $32,385 · median $18,351 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,118 – $22,720 · median $12,357 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $149,151 – $488,513 · median $260,866 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $58,349 – $192,812 · median $102,962 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,389 – $186,427 · median $99,552 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,677 – $86,412 · median $46,144 | 14 plans |
| 007 | LUNG TRANSPLANT | $69,199 – $228,146 · median $121,830 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $28,811 – $96,618 · median $51,594 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $42,217 – $140,277 · median $74,908 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $69,374 – $228,715 · median $122,134 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,960 – $106,875 · median $57,071 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $31,960 – $106,875 · median $57,071 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $41,975 – $139,489 · median $74,487 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,248 – $55,708 · median $29,748 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $57,683 – $190,643 · median $101,803 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,420 – $124,654 · median $66,565 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $32,799 – $109,608 · median $58,531 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,632 – $83,010 · median $44,327 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $26,492 – $89,069 · median $47,563 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $16,967 – $58,050 · median $30,999 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $32,757 – $109,470 · median $58,457 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $15,074 – $51,884 · median $27,706 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,580 – $33,992 · median $18,152 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $22,554 – $76,242 · median $40,713 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,918 – $57,890 · median $30,913 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $15,155 – $52,148 · median $27,847 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,120 – $45,521 · median $24,308 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,012 – $28,888 · median $15,426 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,951 – $22,173 · median $11,841 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $20,715 – $70,255 · median $37,516 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,467 – $183,427 · median $97,950 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $37,609 – $125,270 · median $66,894 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $29,144 – $97,705 · median $52,174 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $44,163 – $146,616 · median $78,293 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $28,966 – $97,125 · median $51,865 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,501 – $118,407 · median $63,229 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,622 – $73,209 · median $39,093 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,270 – $91,601 · median $48,915 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,340 – $56,008 · median $29,908 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $24,396 – $82,241 · median $43,917 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,387 – $62,673 · median $33,467 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $16,263 – $55,757 · median $29,774 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,545 – $33,878 · median $18,091 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $31,478 – $105,304 · median $56,232 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,497 – $72,802 · median $38,876 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,971 – $45,036 · median $24,049 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $22,083 – $74,709 · median $39,895 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,816 – $28,250 · median $15,085 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,777 – $161,640 · median $86,316 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $20,807 – $70,555 · median $37,676 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,076 – $19,325 · median $10,227 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $4,840 – $18,557 · median $9,798 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,094 – $19,383 · median $10,261 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,816 – $34,763 · median $18,563 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,844 – $31,595 · median $16,872 | 14 plans |
| 885 | PSYCHOSES | $7,464 – $27,102 · median $14,472 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,512 – $33,773 · median $18,035 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,298 – $23,305 · median $12,445 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,305 – $13,557 · median $7,158 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,667 – $27,762 · median $14,825 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,429 – $33,502 · median $17,890 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,671 – $18,007 · median $9,508 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $125,612 – $411,857 · median $219,932 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $35,365 – $117,962 · median $62,992 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,840 – $57,636 · median $30,778 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,911 – $77,406 · median $41,335 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,362 – $39,796 · median $21,251 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $11,630 – $40,669 · median $21,717 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,083 – $29,117 · median $15,549 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,912 – $22,047 · median $11,773 | 14 plans |
| 222 | Inpatient MS-DRG | $97,601 – $103,394 · median $103,394 | 3 plans |
| 223 | Inpatient MS-DRG | $71,998 – $76,272 · median $76,272 | 3 plans |
| 224 | Inpatient MS-DRG | $85,328 – $90,393 · median $90,393 | 3 plans |
| 225 | Inpatient MS-DRG | $65,215 – $69,086 · median $69,086 | 3 plans |
| 226 | Inpatient MS-DRG | $76,631 – $81,180 · median $81,180 | 3 plans |
| 227 | Inpatient MS-DRG | $60,870 – $64,483 · median $64,483 | 3 plans |
| 246 | Inpatient MS-DRG | $36,227 – $38,377 · median $38,377 | 3 plans |
| 247 | Inpatient MS-DRG | $23,043 – $24,411 · median $24,411 | 3 plans |
| 248 | Inpatient MS-DRG | $36,786 – $38,969 · median $38,969 | 3 plans |
| 249 | Inpatient MS-DRG | $21,781 – $23,074 · median $23,074 | 3 plans |
| 338 | Inpatient MS-DRG | $32,438 – $34,364 · median $34,364 | 3 plans |
| 339 | Inpatient MS-DRG | $19,645 – $20,811 · median $20,811 | 3 plans |
| 340 | Inpatient MS-DRG | $14,237 – $15,082 · median $15,082 | 3 plans |
| 341 | Inpatient MS-DRG | $26,845 – $28,438 · median $28,438 | 3 plans |
| 342 | Inpatient MS-DRG | $16,610 – $17,596 · median $17,596 | 3 plans |
| 343 | Inpatient MS-DRG | $12,858 – $13,621 · median $13,621 | 3 plans |
| 453 | Inpatient MS-DRG | $106,554 – $112,879 · median $112,879 | 3 plans |
| 454 | Inpatient MS-DRG | $70,677 – $74,872 · median $74,872 | 3 plans |
| 455 | Inpatient MS-DRG | $55,528 – $58,824 · median $58,824 | 3 plans |
| 459 | Inpatient MS-DRG | $78,022 – $82,653 · median $82,653 | 3 plans |
| 460 | Inpatient MS-DRG | $45,580 – $48,286 · median $48,286 | 3 plans |
No procedures match that keyword.