Bristol Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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.
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Showing all 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,743 – $34,945 · median $26,452 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $41,718 – $96,316 · median $78,921 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,672 – $51,457 · median $38,882 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,261 – $36,621 · median $27,248 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,518 – $24,295 · median $18,483 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,603 – $94,230 · median $69,519 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,788 – $50,488 · median $38,723 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,327 – $34,817 · median $27,022 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,261 – $28,824 · median $21,167 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $17,119 – $270,136 · median $96,542 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $64,307 – $181,435 · median $115,731 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $49,925 – $141,412 · median $97,403 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $75,443 – $206,022 · median $136,076 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,623 – $132,679 · median $96,782 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,726 – $168,855 · median $109,246 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $37,145 – $103,748 · median $66,537 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,740 – $122,317 · median $83,916 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,171 – $73,888 · median $50,283 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $76,600 – $213,147 · median $137,997 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $52,042 – $153,155 · median $94,688 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $39,254 – $110,649 · median $75,783 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $55,616 – $148,211 · median $99,991 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,172 – $69,311 · median $47,144 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $46,241 – $109,625 · median $83,011 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $31,222 – $74,477 · median $57,121 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,008 – $56,874 · median $44,086 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,814 – $71,331 · median $53,260 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,370 – $43,232 · median $30,722 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $26,472 – $72,044 · median $48,474 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,706 – $59,685 · median $39,657 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,866 – $63,012 · median $47,921 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,074 – $45,243 · median $33,808 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,679 – $34,194 · median $26,271 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,332 – $53,632 · median $39,948 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $32,651 – $78,876 · median $58,398 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,148 – $42,989 · median $31,775 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,301 – $31,434 · median $23,353 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,358 – $39,748 · median $28,889 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,355 – $29,566 · median $22,998 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,162 – $37,599 · median $29,406 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,186 – $33,561 · median $25,909 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,936 – $64,254 · median $45,681 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,775 – $34,269 · median $26,887 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,559 – $29,284 · median $24,852 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,841 – $39,026 · median $28,702 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,192 – $25,793 · median $18,862 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,844 – $33,249 · median $6,515 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,844 – $107,779 · median $6,515 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,844 – $73,864 · median $5,953 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,844 – $44,892 · median $5,953 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,844 – $75,854 · median $5,953 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,625 – $27,376 · median $6,515 | 15 plans |
| 795 | NORMAL NEWBORN | $1,625 – $5,953 · median $2,205 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,699 – $47,733 · median $40,619 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,021 – $32,311 · median $25,017 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,106 – $117,668 · median $79,127 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $32,356 – $74,448 · median $55,717 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,008 – $52,443 · median $37,028 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,369 – $40,897 · median $27,542 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,629 – $63,067 · median $47,580 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,373 – $45,260 · median $34,414 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,731 – $73,107 · median $50,691 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,032 – $20,541 · median $10,270 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,353 – $33,960 · median $16,980 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,353 – $20,301 · median $10,151 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,353 – $18,565 · median $8,266 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,353 – $29,890 · median $14,945 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,353 – $19,920 · median $9,960 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,353 – $18,565 · median $8,547 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,032 – $23,785 · median $11,892 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,032 – $18,236 · median $9,118 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,032 – $18,236 · median $9,118 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,032 – $18,772 · median $9,386 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,032 – $13,835 · median $6,917 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,032 – $12,500 · median $6,141 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,440 – $61,847 · median $32,006 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,440 – $43,873 · median $21,398 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,440 – $35,431 · median $17,226 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $7,440 – $46,987 · median $24,194 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $46,101 – $96,211 · median $64,916 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,252 – $45,965 · median $31,464 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,963 – $23,927 · median $16,595 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,427 – $14,855 · median $10,257 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,953 – $30,750 · median $15,913 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $5,953 – $27,839 · median $14,406 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $5,953 – $16,809 · median $8,699 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,872 – $11,744 · median $6,077 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,454 – $25,816 · median $12,908 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,384 – $20,175 · median $10,088 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,454 – $13,653 · median $6,826 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $4,384 – $17,635 · median $8,817 | 12 plans |
| 813 | COAGULATION DISORDERS | $5,953 – $28,668 · median $14,836 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $5,251 – $46,429 · median $23,214 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,251 – $23,990 · median $11,995 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,251 – $15,506 · median $7,753 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,251 – $21,525 · median $10,762 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,251 – $14,263 · median $7,131 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,084 – $10,168 · median $5,295 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $5,953 – $125,983 · median $65,196 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,953 – $36,119 · median $18,692 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,953 – $19,366 · median $10,022 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $7,440 – $75,198 · median $33,665 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,440 – $44,972 · median $19,799 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,440 – $32,115 · median $14,502 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,440 – $57,890 · median $25,141 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,440 – $33,219 · median $14,077 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,440 – $28,265 · median $11,843 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,440 – $52,462 · median $22,611 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,440 – $32,059 · median $14,222 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,440 – $24,708 · median $10,534 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,440 – $63,729 · median $27,330 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,440 – $37,610 · median $16,026 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,440 – $30,084 · median $12,650 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,668 – $47,815 · median $21,701 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,599 – $27,708 · median $13,229 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,953 – $14,875 · median $7,512 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $7,440 – $507,645 · median $253,823 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $7,440 – $199,092 · median $99,546 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $7,440 – $386,432 · median $193,216 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $7,440 – $255,055 · median $127,528 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $7,440 – $192,429 · median $96,214 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $7,440 – $88,066 · median $44,033 | 9 plans |
| 007 | LUNG TRANSPLANT | $7,440 – $235,961 · median $117,981 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $7,440 – $98,716 · median $49,358 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $7,440 – $144,273 · median $72,136 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,440 – $97,903 · median $48,952 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,440 – $74,653 · median $37,326 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $7,440 – $48,496 · median $24,248 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $5,953 – $236,555 · median $118,277 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $5,953 – $109,419 · median $54,709 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $5,953 – $109,419 · median $54,709 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $7,440 – $143,450 · median $71,725 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $7,440 – $145,858 · median $72,929 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $7,440 – $100,267 · median $50,134 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,440 – $64,337 · median $32,169 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,440 – $103,466 · median $51,733 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $7,440 – $69,219 · median $34,609 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $7,440 – $81,285 · median $40,642 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $7,440 – $55,848 · median $27,924 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,440 – $45,218 · median $22,609 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $7,440 – $110,203 · median $55,102 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $7,440 – $61,212 · median $30,606 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,440 – $40,856 · median $20,428 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $7,440 – $76,216 · median $38,108 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,440 – $39,241 · median $19,620 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,440 – $29,523 · median $14,761 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $7,440 – $70,784 · median $35,392 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,440 – $41,745 · median $20,873 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,440 – $33,798 · median $16,899 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,440 – $60,568 · median $30,284 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,440 – $29,807 · median $14,903 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,440 – $21,295 · median $10,647 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $7,440 – $68,686 · median $34,343 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,440 – $41,447 · median $20,723 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,440 – $32,439 · median $16,220 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,953 – $37,026 · median $18,513 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,953 – $17,394 · median $8,697 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,953 – $27,788 · median $13,894 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,953 – $20,445 · median $10,223 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,953 – $45,871 · median $22,936 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,953 – $24,825 · median $12,412 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,953 – $34,028 · median $17,014 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,953 – $22,831 · median $11,416 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,953 – $16,872 · median $8,436 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $5,953 – $49,457 · median $24,729 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $5,953 – $32,859 · median $16,429 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,953 – $26,091 · median $13,046 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $5,953 – $36,606 · median $18,303 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,953 – $19,112 · median $9,556 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,953 – $13,199 · median $6,600 | 9 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,953 – $26,993 · median $13,496 | 9 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,953 – $16,676 · median $8,338 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,953 – $15,211 · median $7,606 | 9 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,953 – $32,101 · median $16,051 | 9 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,953 – $19,778 · median $9,889 | 9 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,953 – $14,313 · median $7,157 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,953 – $28,625 · median $14,312 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,953 – $19,571 · median $9,785 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,953 – $31,806 · median $15,903 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,953 – $17,313 · median $8,656 | 9 plans |
| 077 | Inpatient MS-DRG | $5,953 – $28,637 · median $14,319 | 9 plans |
| 078 | Inpatient MS-DRG | $5,953 – $18,770 · median $9,385 | 9 plans |
| 079 | Inpatient MS-DRG | $5,953 – $12,811 · median $6,405 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,953 – $36,581 · median $18,291 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,953 – $17,095 · median $8,547 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,953 – $42,562 · median $21,281 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,953 – $25,832 · median $12,916 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,953 – $18,018 · median $9,009 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $5,953 – $41,587 · median $20,793 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,953 – $24,414 · median $12,207 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,953 – $16,721 · median $8,360 | 9 plans |
| 088 | CONCUSSION WITH MCC | $5,953 – $26,198 · median $13,099 | 9 plans |
| 089 | CONCUSSION WITH CC | $5,953 – $20,105 · median $10,053 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,953 – $16,240 · median $8,120 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,953 – $33,614 · median $16,807 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,953 – $19,864 · median $9,932 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,953 – $15,017 · median $7,508 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $5,953 – $66,466 · median $33,233 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,953 – $43,948 · median $21,974 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,953 – $43,948 · median $21,974 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,953 – $65,312 · median $32,656 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,953 – $39,847 · median $19,923 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,953 – $25,885 · median $12,942 | 9 plans |
| 100 | SEIZURES WITH MCC | $5,953 – $36,536 · median $18,268 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $5,953 – $17,399 · median $8,700 | 9 plans |
| 102 | HEADACHES WITH MCC | $5,953 – $21,678 · median $10,839 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $5,953 – $16,113 · median $8,056 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $7,440 – $41,418 · median $20,709 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,440 – $22,084 · median $11,042 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,440 – $28,362 · median $14,181 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,440 – $30,838 · median $15,419 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,440 – $20,222 · median $10,111 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,953 – $21,744 · median $10,872 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,953 – $13,020 · median $6,510 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,953 – $15,267 · median $7,633 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,953 – $24,276 · median $12,138 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,953 – $15,672 · median $7,836 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,440 – $44,198 · median $22,099 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,440 – $18,416 · median $9,208 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,440 – $25,980 · median $12,990 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,440 – $15,452 · median $7,726 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,440 – $25,519 · median $12,760 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $7,440 – $76,911 · median $38,455 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,440 – $39,473 · median $19,736 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,440 – $29,107 · median $14,554 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $7,440 – $60,226 · median $30,113 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,440 – $32,423 · median $16,212 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $22,133 · median $11,066 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $5,953 – $42,093 · median $21,046 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,953 – $23,213 · median $11,606 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,953 – $15,222 · median $7,611 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,953 – $14,265 · median $7,132 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $5,953 – $25,685 · median $12,842 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,953 – $14,454 · median $7,227 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,953 – $21,233 · median $10,617 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,953 – $13,621 · median $6,810 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,953 – $30,077 · median $15,038 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,953 – $17,613 · median $8,807 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,953 – $12,913 · median $6,457 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,953 – $30,278 · median $15,139 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,953 – $17,739 · median $8,870 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,953 – $12,683 · median $6,342 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $7,440 – $83,748 · median $41,874 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $7,440 – $46,103 · median $23,052 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,440 – $34,354 · median $17,177 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $7,440 – $70,093 · median $35,047 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,440 – $33,692 · median $16,846 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $25,176 · median $12,588 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $7,440 – $56,028 · median $28,014 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,953 – $26,169 · median $13,084 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,953 – $15,470 · median $7,735 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,953 – $29,901 · median $14,950 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,953 – $18,666 · median $9,333 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,953 – $14,664 · median $7,332 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,953 – $32,263 · median $16,131 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,953 – $20,793 · median $10,396 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,953 – $15,884 · median $7,942 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,953 – $29,375 · median $14,688 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,953 – $20,033 · median $10,017 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,953 – $14,808 · median $7,404 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,953 – $29,244 · median $14,622 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,953 – $18,880 · median $9,440 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,953 – $14,025 · median $7,013 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,953 – $23,079 · median $11,540 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,953 – $21,021 · median $10,511 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,953 – $16,273 · median $8,136 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,953 – $12,460 · median $6,230 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,953 – $24,524 · median $12,262 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,953 – $15,569 · median $7,785 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,953 – $12,019 · median $6,010 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,953 – $34,715 · median $17,358 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,953 – $18,628 · median $9,314 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,953 – $13,417 · median $6,709 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,953 – $32,578 · median $16,289 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,953 – $20,742 · median $10,371 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,953 – $12,998 · median $6,499 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,953 – $18,209 · median $9,104 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,953 – $13,349 · median $6,674 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,953 – $15,407 · median $7,704 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $5,953 – $34,782 · median $17,391 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,953 – $17,113 · median $8,556 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $5,953 – $117,179 · median $58,589 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $5,953 – $49,104 · median $24,552 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $7,440 – $196,828 · median $98,414 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $7,440 – $191,447 · median $95,723 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $7,440 – $174,467 · median $87,233 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $7,440 – $117,012 · median $58,506 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,440 – $107,860 · median $53,930 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,440 – $140,035 · median $70,018 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $7,440 – $96,118 · median $48,059 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,440 – $83,449 · median $41,725 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,440 – $90,479 · median $45,240 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $7,440 – $56,706 · median $28,353 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $7,440 – $153,285 · median $76,643 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $7,440 – $110,728 · median $55,364 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $7,440 – $141,455 · median $70,727 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $7,440 – $96,541 · median $48,270 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,440 – $106,689 · median $53,345 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,440 – $74,804 · median $37,402 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $7,440 – $91,444 · median $45,722 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,440 – $53,214 · median $26,607 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,440 – $27,982 · median $13,991 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $7,440 – $88,743 · median $44,371 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $7,440 – $42,425 · median $21,213 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,440 – $28,931 · median $14,465 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $7,440 – $62,538 · median $31,269 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,440 – $32,292 · median $16,146 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $7,440 – $47,893 · median $23,947 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,440 – $31,290 · median $15,645 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,440 – $16,863 · median $8,431 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $7,440 – $51,294 · median $25,647 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,440 – $32,441 · median $16,221 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $7,440 – $62,102 · median $31,051 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,440 – $34,958 · median $17,479 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,440 – $28,125 · median $14,062 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $7,440 – $49,074 · median $24,537 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $7,440 – $63,702 · median $31,851 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $7,440 – $64,999 · median $32,500 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $7,440 – $108,607 · median $54,304 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $7,440 – $85,466 · median $42,733 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $7,440 – $120,785 · median $60,392 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $7,440 – $75,678 · median $37,839 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $7,440 – $93,173 · median $46,586 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $7,440 – $62,790 · median $31,395 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $7,440 – $45,837 · median $22,918 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $7,440 – $71,173 · median $35,586 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $7,440 – $56,971 · median $28,485 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $7,440 – $127,971 · median $63,986 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $7,440 – $112,270 · median $56,135 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $7,440 – $84,516 · median $42,258 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $7,440 – $90,839 · median $45,420 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $7,440 – $58,472 · median $29,236 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,953 – $30,349 · median $15,174 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,953 – $17,401 · median $8,700 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,953 – $13,862 · median $6,931 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,953 – $35,998 · median $17,999 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,953 – $14,148 · median $7,074 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,458 – $10,916 · median $5,567 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,953 – $40,639 · median $20,319 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,953 – $20,422 · median $10,211 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,953 – $49,963 · median $24,981 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,953 – $29,184 · median $14,592 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,953 – $18,430 · median $9,215 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,953 – $24,292 · median $12,146 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,953 – $16,310 · median $8,155 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,344 – $10,688 · median $5,451 | 9 plans |
| 294 | Inpatient MS-DRG | $5,953 – $22,910 · median $11,455 | 9 plans |
| 295 | Inpatient MS-DRG | $5,953 – $15,026 · median $7,513 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,953 – $30,295 · median $15,147 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,953 – $13,489 · median $6,745 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,381 – $8,762 · median $4,469 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,953 – $29,920 · median $14,960 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,953 – $20,078 · median $10,039 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,953 – $13,651 · median $6,826 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,953 – $21,746 · median $10,873 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,953 – $12,913 · median $6,457 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $5,953 – $21,953 · median $10,977 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,953 – $14,322 · median $7,161 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,953 – $27,758 · median $13,879 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,953 – $17,484 · median $8,742 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,953 – $22,513 · median $11,256 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,953 – $14,117 · median $7,059 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,441 – $10,882 · median $5,550 | 9 plans |
| 311 | ANGINA PECTORIS | $5,953 – $13,379 · median $6,690 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,953 – $16,492 · median $8,246 | 9 plans |
| 313 | CHEST PAIN | $5,953 – $13,651 · median $6,826 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,953 – $39,563 · median $19,781 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,953 – $18,130 · median $9,065 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,953 – $13,099 · median $6,549 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $7,440 – $112,127 · median $56,063 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $7,440 – $79,854 · median $39,927 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $7,440 – $42,465 · median $21,233 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $7,440 – $52,037 · median $26,019 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,440 – $33,368 · median $16,684 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $7,440 – $77,454 · median $38,727 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,440 – $58,304 · median $29,152 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $7,440 – $52,313 · median $26,156 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $7,440 – $63,227 · median $31,614 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $7,440 – $39,055 · median $19,528 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,440 – $30,658 · median $15,329 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $7,440 – $43,401 · median $21,700 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,440 – $23,466 · median $11,733 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,440 – $16,665 · median $8,332 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $38,784 – $77,567 · median $39,559 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,953 – $30,863 · median $15,432 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,953 – $19,125 · median $9,562 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,953 – $13,374 · median $6,687 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,953 – $32,267 · median $16,133 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,953 – $19,335 · median $9,668 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,953 – $13,867 · median $6,934 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,953 – $38,805 · median $19,403 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,953 – $22,923 · median $11,461 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,953 – $16,703 · median $8,351 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,953 – $33,530 · median $16,765 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,953 – $18,554 · median $9,277 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,953 – $12,271 · median $6,136 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,953 – $35,439 · median $17,719 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,953 – $20,411 · median $10,206 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,953 – $14,297 · median $7,149 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,953 – $23,562 · median $11,781 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,953 – $16,462 · median $8,231 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,953 – $30,050 · median $15,025 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,953 – $18,673 · median $9,336 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,953 – $12,876 · median $6,438 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,953 – $27,263 · median $13,631 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,953 – $15,238 · median $7,619 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,330 – $10,661 · median $5,437 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,953 – $30,611 · median $15,306 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,953 – $17,752 · median $8,876 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,953 – $12,266 · median $6,133 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $7,440 – $98,493 · median $49,247 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $7,440 – $51,346 · median $25,673 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,440 – $39,244 · median $19,622 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $7,440 – $63,814 · median $31,907 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,440 – $38,537 · median $19,269 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,440 – $28,724 · median $14,362 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $7,440 – $50,051 · median $25,025 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,440 – $39,169 · median $19,584 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,440 – $30,728 · median $15,364 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,440 – $63,859 · median $31,929 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,440 – $36,407 · median $18,203 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,440 – $25,469 · median $12,734 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,440 – $64,321 · median $32,161 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,440 – $30,280 · median $15,140 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,440 – $27,254 · median $13,627 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,440 – $73,999 · median $37,000 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,440 – $41,898 · median $20,949 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $28,628 · median $14,314 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,953 – $36,065 · median $18,032 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,953 – $20,064 · median $10,032 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,953 – $13,347 · median $6,674 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,953 – $33,645 · median $16,822 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,953 – $21,106 · median $10,553 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,953 – $14,943 · median $7,472 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,953 – $16,292 · median $8,146 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,941 – $11,882 · median $5,953 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,953 – $34,829 · median $17,414 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,953 – $18,200 · median $9,100 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,953 – $13,459 · median $6,729 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,953 – $31,122 · median $15,561 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,953 – $20,328 · median $10,164 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,953 – $15,161 · median $7,580 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,440 – $97,995 · median $48,997 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,440 – $53,869 · median $26,934 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,440 – $32,052 · median $16,026 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,440 – $81,508 · median $40,754 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,440 – $39,631 · median $19,816 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,440 – $21,743 · median $10,871 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,440 – $62,693 · median $31,346 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,440 – $42,893 · median $21,447 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,440 – $32,767 · median $16,383 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $7,440 – $58,740 · median $29,370 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,440 – $38,976 · median $19,488 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,440 – $29,247 · median $14,624 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,440 – $36,178 · median $18,089 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,440 – $23,097 · median $11,549 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,440 – $64,161 · median $32,080 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,440 – $36,315 · median $18,158 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,440 – $24,972 · median $12,486 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,440 – $46,245 · median $23,123 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,440 – $21,701 · median $10,851 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $7,440 – $57,829 · median $28,915 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,440 – $32,927 · median $16,463 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,440 – $25,955 · median $12,977 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,440 – $48,435 · median $24,218 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,440 – $32,393 · median $16,196 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,440 – $32,393 · median $16,196 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,440 – $27,788 · median $13,894 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,440 – $35,689 · median $17,844 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,440 – $24,037 · median $12,018 | 9 plans |
| 509 | Inpatient MS-DRG | $7,440 – $32,423 · median $16,212 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $7,440 – $52,241 · median $26,120 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,440 – $36,103 · median $18,051 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,440 – $29,744 · median $14,872 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,440 – $27,905 · median $13,953 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,440 – $19,161 · median $9,580 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $7,440 – $56,456 · median $28,228 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,440 – $37,011 · median $18,506 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $27,673 · median $13,837 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,953 – $28,252 · median $14,126 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,953 – $15,461 · median $7,731 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,953 – $24,744 · median $12,372 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,953 – $15,405 · median $7,703 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,953 – $17,350 · median $8,675 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,953 – $12,897 · median $6,449 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,953 – $37,204 · median $18,602 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,953 – $24,100 · median $12,050 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,953 – $16,557 · median $8,278 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,953 – $34,374 · median $17,187 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,953 – $19,904 · median $9,952 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,953 – $14,412 · median $7,206 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $5,953 – $46,281 · median $23,141 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,953 – $21,645 · median $10,823 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,953 – $14,241 · median $7,121 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,953 – $37,064 · median $18,532 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,953 – $22,498 · median $11,249 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,953 – $16,327 · median $8,163 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,953 – $31,518 · median $15,759 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,953 – $18,157 · median $9,078 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,953 – $24,314 · median $12,157 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,953 – $15,832 · median $7,916 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,953 – $25,044 · median $12,522 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,953 – $15,506 · median $7,753 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,953 – $28,699 · median $14,349 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,953 – $16,357 · median $8,179 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,953 – $34,215 · median $17,108 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,953 – $21,304 · median $10,652 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,953 – $15,526 · median $7,763 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,953 – $27,148 · median $13,574 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,953 – $16,897 · median $8,449 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,953 – $29,049 · median $14,525 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,953 – $19,162 · median $9,581 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,953 – $14,275 · median $7,138 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $7,440 – $54,977 · median $27,489 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,440 – $30,941 · median $15,470 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,440 – $21,370 · median $10,685 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,440 – $111,619 · median $55,810 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,440 – $63,159 · median $31,579 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,440 – $36,741 · median $18,371 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,440 – $97,892 · median $48,946 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,440 – $48,727 · median $24,363 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,440 – $31,230 · median $15,615 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,440 – $37,654 · median $18,827 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,440 – $36,533 · median $18,266 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $5,953 – $37,814 · median $18,907 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $5,953 – $22,815 · median $11,407 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,953 – $16,086 · median $8,043 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $5,953 – $38,872 · median $19,436 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,953 – $20,267 · median $10,134 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,953 – $32,423 · median $16,212 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,953 – $20,228 · median $10,114 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,953 – $16,197 · median $8,099 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,953 – $18,027 · median $9,014 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,801 – $11,602 · median $5,917 | 9 plans |
| 602 | CELLULITIS WITH MCC | $5,953 – $27,250 · median $13,625 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,953 – $16,663 · median $8,332 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,953 – $27,547 · median $13,774 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,953 – $17,435 · median $8,718 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,953 – $29,789 · median $14,894 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,953 – $16,364 · median $8,182 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,440 – $41,821 · median $20,910 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,440 – $26,599 · median $13,299 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,440 – $70,358 · median $35,179 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,440 – $35,570 · median $17,785 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,440 – $23,218 · median $11,609 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,440 – $68,145 · median $34,072 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,440 – $35,232 · median $17,616 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,440 – $18,864 · median $9,432 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,440 – $52,403 · median $26,201 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,440 – $27,972 · median $13,986 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,440 – $23,610 · median $11,805 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $7,440 – $71,810 · median $35,905 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,440 – $41,283 · median $20,641 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $26,028 · median $13,014 | 9 plans |
| 637 | DIABETES WITH MCC | $5,953 – $27,018 · median $13,509 | 9 plans |
| 638 | DIABETES WITH CC | $5,953 – $17,318 · median $8,659 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,953 – $12,089 · median $6,045 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,953 – $24,710 · median $12,355 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,953 – $14,875 · median $7,437 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,953 – $23,146 · median $11,573 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,953 – $30,635 · median $15,317 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,953 – $19,409 · median $9,704 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,953 – $14,826 · median $7,413 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $7,440 – $83,714 · median $41,857 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $7,440 – $63,295 · median $31,648 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $7,440 – $56,078 · median $28,039 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $7,440 – $101,118 · median $50,559 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $7,440 – $51,593 · median $25,796 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,440 – $38,192 · median $19,096 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $7,440 – $59,436 · median $29,718 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,440 – $33,708 · median $16,854 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,440 – $27,876 · median $13,938 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,440 – $47,314 · median $23,657 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,440 – $24,925 · median $12,463 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,440 – $19,287 · median $9,643 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $7,440 – $56,946 · median $28,473 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,440 – $28,297 · median $14,149 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,440 – $20,244 · median $10,122 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $7,440 – $62,596 · median $31,298 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $7,440 – $30,455 · median $15,227 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,440 – $19,308 · median $9,654 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $7,440 – $53,288 · median $26,644 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,440 – $28,659 · median $14,330 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,440 – $18,011 · median $9,005 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,440 – $31,829 · median $15,915 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,440 – $20,506 · median $10,253 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $7,440 – $76,198 · median $38,099 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,440 – $42,350 · median $21,175 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,440 – $28,979 · median $14,490 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,953 – $34,744 · median $17,372 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,953 – $19,756 · median $9,878 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,953 – $13,845 · median $6,923 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,953 – $21,872 · median $10,936 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,953 – $15,256 · median $7,628 | 9 plans |
| 693 | URINARY STONES WITH MCC | $5,953 – $27,272 · median $13,636 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,953 – $21,107 · median $10,554 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,953 – $13,262 · median $6,631 | 9 plans |
| 697 | URETHRAL STRICTURE | $5,953 – $18,840 · median $9,420 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,953 – $31,059 · median $15,530 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,953 – $19,166 · median $9,583 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,953 – $13,306 · median $6,653 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,440 – $35,732 · median $17,866 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,440 – $27,489 · median $13,745 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,440 – $41,247 · median $20,623 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,440 – $27,830 · median $13,915 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,440 – $35,192 · median $17,596 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,440 – $20,060 · median $10,030 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,440 – $26,833 · median $13,416 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,440 – $17,723 · median $8,861 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,440 – $41,448 · median $20,724 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,440 – $26,352 · median $13,176 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,440 – $34,201 · median $17,100 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,440 – $22,980 · median $11,490 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,953 – $31,923 · median $15,961 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,953 – $21,019 · median $10,510 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,953 – $13,925 · median $6,962 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,953 – $23,533 · median $11,766 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,953 – $14,209 · median $7,104 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,953 – $27,254 · median $13,627 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,953 – $15,517 · median $7,759 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,953 – $20,623 · median $10,312 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,867 – $11,735 · median $5,953 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,440 – $38,650 · median $19,325 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,440 – $22,657 · median $11,328 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $7,440 – $71,664 · median $35,832 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,440 – $36,772 · median $18,386 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,440 – $28,108 · median $14,054 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $7,440 – $72,443 · median $36,222 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,440 – $33,532 · median $16,766 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,440 – $25,530 · median $12,765 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,440 – $35,973 · median $17,987 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,440 – $19,254 · median $9,627 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,440 – $30,946 · median $15,473 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,440 – $18,002 · median $9,001 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,440 – $25,327 · median $12,663 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,440 – $47,391 · median $23,696 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $24,017 · median $12,008 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,953 – $33,370 · median $16,685 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,953 – $20,789 · median $10,394 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,953 – $17,998 · median $8,999 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,953 – $26,280 · median $13,140 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,953 – $19,155 · median $9,578 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,953 – $12,330 · median $6,165 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,953 – $18,549 · median $9,274 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,953 – $12,221 · median $6,110 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $7,440 – $86,368 · median $43,184 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $7,440 – $53,243 · median $26,621 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,440 – $30,354 · median $15,177 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,440 – $65,316 · median $32,658 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,440 – $32,842 · median $16,421 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,440 – $20,708 · median $10,354 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $5,953 – $42,024 · median $21,012 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,953 – $23,099 · median $11,550 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,953 – $17,941 · median $8,970 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,953 – $26,129 · median $13,065 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,953 – $17,421 · median $8,710 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,953 – $38,429 · median $19,215 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,953 – $19,098 · median $9,549 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,953 – $12,679 · median $6,340 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $7,440 – $105,575 · median $52,788 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $7,440 – $40,982 · median $20,491 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $21,393 · median $10,697 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $7,440 – $85,013 · median $42,506 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,440 – $40,389 · median $20,194 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,440 – $22,961 · median $11,480 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $7,440 – $86,740 · median $43,370 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $7,440 – $43,276 · median $21,638 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $29,656 · median $14,828 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $7,440 – $56,302 · median $28,151 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,440 – $27,130 · median $13,565 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $5,953 – $100,267 · median $50,134 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $5,953 – $39,246 · median $19,623 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $5,953 – $23,679 · median $11,839 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $5,953 – $90,909 · median $45,455 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $5,953 – $37,308 · median $18,654 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,953 – $25,472 · median $12,736 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $5,953 – $58,194 · median $29,097 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,953 – $29,028 · median $14,514 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,953 – $19,742 · median $9,871 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,953 – $34,881 · median $17,440 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,953 – $22,320 · median $11,160 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,953 – $15,871 · median $7,936 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $5,953 – $46,765 · median $23,383 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,953 – $23,679 · median $11,839 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,953 – $15,549 · median $7,775 | 9 plans |
| 849 | RADIOTHERAPY | $5,953 – $48,876 · median $24,438 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $7,440 – $166,564 · median $83,282 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $7,440 – $90,803 · median $45,402 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,440 – $36,767 · median $18,383 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $30,064 · median $15,032 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $7,440 – $81,992 · median $40,996 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,440 – $40,020 · median $20,010 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,440 – $23,997 · median $11,999 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,953 – $33,899 · median $16,949 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,953 – $18,806 · median $9,403 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,953 – $16,973 · median $8,486 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,953 – $27,371 · median $13,685 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,953 – $16,735 · median $8,368 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $5,953 – $39,397 · median $19,699 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,953 – $19,709 · median $9,855 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,953 – $13,763 · median $6,881 | 9 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $7,440 – $71,520 · median $35,760 | 9 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,953 – $18,063 · median $9,031 | 9 plans |
| 881 | DEPRESSIVE NEUROSES | $5,953 – $17,262 · median $8,631 | 9 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,953 – $18,124 · median $9,062 | 9 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $5,953 – $34,172 · median $17,086 | 9 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $5,953 – $30,867 · median $15,433 | 9 plans |
| 885 | PSYCHOSES | $5,953 – $26,178 · median $13,089 | 9 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,953 – $33,139 · median $16,570 | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,953 – $22,216 · median $11,108 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,953 – $12,044 · median $6,022 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,953 – $26,867 · median $13,433 | 9 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $5,953 – $32,857 · median $16,428 | 9 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,953 – $16,688 · median $8,344 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,440 – $80,533 · median $40,266 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,440 – $34,958 · median $17,479 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,440 – $22,750 · median $11,375 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,440 – $70,288 · median $35,144 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,440 – $30,471 · median $15,235 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,440 – $40,085 · median $20,042 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $7,440 – $72,493 · median $36,247 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,440 – $37,109 · median $18,554 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,440 – $23,635 · median $11,818 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,953 – $29,933 · median $14,966 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,953 – $17,304 · median $8,652 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $5,953 – $32,085 · median $16,042 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,953 – $12,764 · median $6,382 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,953 – $30,318 · median $15,159 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,953 – $16,732 · median $8,366 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,953 – $33,627 · median $16,813 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,953 – $19,094 · median $9,547 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,953 – $13,189 · median $6,594 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,953 – $31,212 · median $15,606 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,953 – $19,166 · median $9,583 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $7,440 – $427,658 · median $213,829 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $7,440 – $120,988 · median $60,494 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $7,440 – $58,040 · median $29,020 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $5,953 – $78,669 · median $39,334 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,953 – $39,424 · median $19,712 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $5,953 – $40,335 · median $20,167 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $7,440 – $57,925 · median $28,962 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,440 – $38,805 · median $19,403 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,440 – $35,979 · median $17,989 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $5,953 – $28,281 · median $14,141 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,953 – $20,904 · median $10,452 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,953 – $23,957 · median $11,979 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,953 – $15,110 · median $7,555 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,953 – $20,229 · median $10,115 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,680 – $11,361 · median $5,794 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,508 – $11,017 · median $5,619 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,440 – $123,676 · median $61,838 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $7,440 – $69,591 · median $34,796 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,440 – $135,118 · median $67,559 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,440 – $74,762 · median $37,381 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,440 – $48,386 · median $24,193 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $5,953 – $49,696 · median $24,848 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,953 – $27,806 · median $13,903 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,953 – $17,235 · median $8,618 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $7,440 – $114,608 · median $57,304 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,440 – $48,556 · median $24,278 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $5,953 – $54,545 · median $27,273 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,953 – $26,390 · median $13,195 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,953 – $18,862 · median $9,431 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,953 – $26,759 · median $13,379 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,440 – $86,352 · median $43,176 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,440 – $44,867 · median $22,434 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,440 – $30,831 · median $15,415 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,440 – $63,839 · median $31,919 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,440 – $31,691 · median $15,845 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,440 – $21,606 · median $10,803 | 9 plans |
| 460 | MS-DRG Carveouts | $7,440 – $68,004 · median $37,722 | 2 plans |
| 453 | MS-DRG Carveouts | $159,683 – $159,683 · median $159,683 | 1 plans |
| 454 | MS-DRG Carveouts | $105,144 – $105,144 · median $105,144 | 1 plans |
| 455 | MS-DRG Carveouts | $87,738 – $87,738 · median $87,738 | 1 plans |
| 459 | MS-DRG Carveouts | $106,834 – $106,834 · median $106,834 | 1 plans |
No procedures match that keyword.