St Lukes Regional Medical Center (Acute Care) — Pricing
793 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 793 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 793 procedures
Procedures with negotiated rates only
These 793 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $199,547 – $371,702 · median $239,834 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $78,065 – $146,360 · median $94,317 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,823 – $283,178 · median $177,055 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $100,098 – $187,231 · median $118,667 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $75,441 – $141,494 · median $91,159 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,352 – $65,277 · median $41,399 | 16 plans |
| 007 | LUNG TRANSPLANT | $92,581 – $173,287 · median $107,477 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $38,545 – $73,054 · median $46,741 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $38,745 – $106,325 · median $61,818 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,225 – $72,460 · median $45,158 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,071 – $55,480 · median $34,337 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,773 – $36,378 · median $22,938 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $92,814 – $173,720 · median $102,865 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,759 – $80,870 · median $51,814 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,832 – $80,870 · median $46,963 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $267,161 – $497,122 · median $313,800 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,158 – $105,724 · median $64,064 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,106 – $107,483 · median $69,085 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,156 – $74,187 · median $47,476 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,010 – $47,947 · median $30,446 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,415 – $76,524 · median $48,988 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,932 – $51,512 · median $32,760 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,682 – $60,324 · median $38,479 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,667 – $41,747 · median $26,190 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,482 – $33,984 · median $21,384 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,068 – $81,443 · median $51,106 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,779 – $45,664 · median $28,965 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,765 – $30,798 · median $19,317 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,687 – $56,622 · median $35,658 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,129 – $29,618 · median $18,124 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,303 – $22,521 · median $13,945 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,548 – $52,655 · median $33,502 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,115 – $31,447 · median $19,729 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,986 – $25,643 · median $15,971 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,526 – $45,194 · median $28,659 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,415 – $22,729 · median $14,079 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,063 – $16,512 · median $10,045 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,722 – $51,123 · median $32,499 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,997 – $31,229 · median $19,596 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,451 – $24,651 · median $15,327 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,257 – $28,001 · median $16,371 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,527 – $13,663 · median $8,196 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,620 – $21,254 · median $12,565 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,729 – $15,892 · median $9,231 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,739 – $34,461 · median $20,361 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,453 – $19,090 · median $11,534 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,077 – $25,812 · median $15,476 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,668 – $17,634 · median $10,371 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,322 – $13,282 · median $7,948 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,151 – $37,080 · median $23,393 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,616 – $24,957 · median $15,526 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,952 – $20,015 · median $12,318 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,092 – $27,695 · median $17,178 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,204 – $14,918 · median $8,985 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,876 – $10,600 · median $6,208 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,307 – $20,674 · median $12,523 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,245 – $13,139 · median $7,855 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,668 – $12,069 · median $7,133 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,318 – $24,404 · median $15,060 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,466 – $15,404 · median $9,326 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,314 – $11,413 · median $6,736 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,949 – $21,865 · median $13,268 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,384 – $15,253 · median $9,117 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,202 – $24,189 · median $15,027 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,495 – $13,604 · median $8,157 | 16 plans |
| 077 | Inpatient MS-DRG | $10,954 – $21,875 · median $13,525 | 16 plans |
| 078 | Other Inpatient MS-DRG | $7,069 – $14,668 · median $8,802 | 16 plans |
| 079 | Inpatient MS-DRG | $4,723 – $10,316 · median $6,024 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,082 – $27,676 · median $17,290 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,410 – $13,445 · median $8,005 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,437 – $32,044 · median $19,817 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,850 – $19,826 · median $11,967 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,773 – $14,119 · median $8,285 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,053 – $31,332 · median $19,663 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,291 – $18,791 · median $11,439 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,262 – $13,172 · median $7,803 | 16 plans |
| 088 | CONCUSSION WITH MCC | $9,994 – $20,093 · median $12,369 | 16 plans |
| 089 | CONCUSSION WITH CC | $7,595 – $15,643 · median $9,481 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,073 – $12,821 · median $7,470 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,914 – $25,509 · median $15,397 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,500 – $15,467 · median $9,042 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,591 – $11,927 · median $6,937 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,848 – $49,501 · median $31,022 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,982 – $33,056 · median $20,782 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,982 – $33,056 · median $20,201 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,394 – $48,659 · median $30,908 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,368 – $30,061 · median $18,392 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,870 – $19,864 · median $12,213 | 16 plans |
| 100 | SEIZURES WITH MCC | $14,064 – $27,643 · median $16,924 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $6,529 – $13,667 · median $8,083 | 16 plans |
| 102 | HEADACHES WITH MCC | $8,214 – $16,792 · median $10,156 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $6,023 – $12,727 · median $7,487 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,986 – $31,208 · median $19,480 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,374 – $17,089 · median $10,419 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,846 – $21,674 · median $13,305 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,821 – $23,482 · median $14,568 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,641 – $15,729 · median $9,111 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,240 – $16,840 · median $10,258 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,805 – $10,469 · median $6,122 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,690 – $12,110 · median $7,126 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,237 – $18,689 · median $11,458 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,849 – $12,406 · median $7,380 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,080 – $33,239 · median $20,900 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,930 – $14,409 · median $8,680 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,908 – $19,934 · median $12,265 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,763 – $12,245 · median $7,276 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,726 – $19,597 · median $11,477 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,960 – $57,129 · median $35,971 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,220 – $29,788 · median $18,661 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,139 – $22,218 · median $13,748 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,391 – $44,944 · median $27,820 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,445 – $24,639 · median $15,319 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,393 – $17,124 · median $10,442 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,252 – $31,701 · median $18,544 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,818 – $17,913 · median $10,769 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,672 – $12,077 · median $7,166 | 16 plans |
| 149 | DYSEQUILIBRIUM | $5,295 – $11,378 · median $6,713 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $9,792 – $19,718 · median $12,081 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,370 – $11,516 · median $6,802 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,039 – $16,467 · median $10,016 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,042 – $10,907 · median $6,292 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,521 – $22,926 · median $13,595 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,614 – $13,823 · median $8,212 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,763 – $10,391 · median $6,072 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,600 – $23,073 · median $14,303 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,663 – $13,915 · median $8,285 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,673 – $10,223 · median $5,963 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,652 – $62,123 · median $39,646 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,831 – $34,630 · median $21,804 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,205 – $26,049 · median $16,235 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,276 – $52,150 · median $32,227 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,944 – $25,566 · median $15,921 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,591 – $19,346 · median $11,884 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,982 – $20,072 · median $12,266 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,770 – $12,258 · median $7,280 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,451 – $22,797 · median $14,124 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,028 – $14,592 · median $8,799 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,453 – $11,670 · median $6,902 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,382 – $24,522 · median $14,953 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,865 – $16,145 · median $9,807 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,933 – $12,561 · median $7,480 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,245 – $22,413 · median $13,442 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,567 – $15,591 · median $9,316 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,509 – $11,775 · median $6,847 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,193 – $22,317 · median $13,529 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,112 – $14,748 · median $8,900 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,201 – $11,203 · median $6,535 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,766 – $17,815 · median $10,721 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,955 – $16,312 · median $9,715 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,086 – $12,844 · median $7,664 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,585 – $10,060 · median $5,857 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,335 – $18,871 · median $11,457 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,809 – $12,331 · median $7,331 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,411 – $9,738 · median $5,648 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,347 – $26,313 · median $15,680 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,013 – $14,564 · median $8,729 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,962 – $10,759 · median $6,311 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,506 – $24,752 · median $15,322 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,846 – $16,109 · median $9,592 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,797 – $10,453 · median $6,112 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,848 – $14,258 · median $8,369 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,935 – $10,709 · median $6,125 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,745 – $12,212 · median $7,229 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,373 – $26,362 · median $15,896 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,417 – $13,458 · median $7,985 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,814 – $86,538 · median $55,492 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,012 – $36,822 · median $22,775 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,055 – $140,777 · median $89,095 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,369 – $128,376 · median $82,645 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,748 – $86,416 · median $54,759 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,145 – $79,732 · median $50,893 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,813 – $103,230 · median $66,326 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,522 – $71,157 · median $45,510 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,534 – $61,905 · median $39,505 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,302 – $67,039 · median $42,469 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,005 – $42,374 · median $26,829 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,030 – $112,907 · median $72,040 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,275 – $81,827 · median $51,126 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,372 – $104,267 · median $66,490 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,689 – $71,466 · median $44,966 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,684 – $78,877 · median $50,520 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,130 – $55,591 · median $35,158 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,682 – $67,743 · median $41,375 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,630 – $39,823 · median $24,184 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,696 – $21,396 · median $13,215 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,029 – $46,128 · median $29,266 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,959 – $31,158 · median $19,550 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,785 – $25,270 · median $15,729 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,619 – $65,771 · median $41,854 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,383 – $31,944 · median $20,060 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,070 – $22,089 · median $13,664 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,301 – $46,633 · median $29,110 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,086 – $35,103 · median $22,111 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,393 – $24,543 · median $15,257 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,536 – $35,938 · median $22,356 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,998 – $23,812 · median $14,457 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,318 – $13,275 · median $7,944 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,874 – $38,421 · median $24,264 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,452 – $24,653 · median $15,328 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,130 – $46,315 · median $29,387 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,443 – $26,491 · median $16,521 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,752 – $21,500 · median $13,282 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,000 – $36,800 · median $23,212 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,760 – $47,483 · median $29,201 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $25,270 – $48,430 · median $29,816 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,439 – $80,278 · median $51,429 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,329 – $63,378 · median $40,461 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,234 – $89,171 · median $57,201 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,475 – $56,229 · median $35,822 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,363 – $69,006 · median $43,904 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,400 – $46,817 · median $29,713 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,726 – $34,436 · median $21,677 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,701 – $52,939 · median $33,686 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,109 – $42,567 · median $26,955 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,628 – $23,124 · median $14,136 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,530 – $13,668 · median $8,164 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,137 – $11,084 · median $6,466 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,852 – $27,250 · median $16,798 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,249 – $11,292 · median $6,615 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,977 – $8,932 · median $5,021 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,679 – $30,639 · median $18,733 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,720 – $15,875 · median $9,631 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,350 – $37,449 · median $23,408 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,169 – $22,274 · median $13,784 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,935 – $14,420 · median $8,687 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,243 – $18,701 · median $11,320 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,101 – $12,872 · median $7,671 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,887 – $8,766 · median $5,017 | 16 plans |
| 294 | Inpatient MS-DRG | $8,699 – $17,692 · median $10,440 | 16 plans |
| 295 | Other Inpatient MS-DRG | $5,595 – $11,934 · median $7,073 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,607 – $23,085 · median $14,274 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,990 – $10,812 · median $6,077 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,129 – $7,360 · median $4,105 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,459 – $22,812 · median $13,725 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,584 – $15,624 · median $9,260 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,054 – $10,930 · median $6,419 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,241 – $16,842 · median $10,259 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,763 – $10,391 · median $6,072 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $8,322 – $16,993 · median $9,975 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,318 – $11,420 · median $6,699 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,608 – $21,232 · median $12,974 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,563 – $13,729 · median $8,148 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,543 – $17,402 · median $10,440 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,237 – $11,270 · median $6,618 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,964 – $8,908 · median $5,058 | 16 plans |
| 311 | ANGINA PECTORIS | $4,947 – $10,731 · median $6,136 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,172 – $13,005 · median $7,662 | 16 plans |
| 313 | CHEST PAIN | $5,054 – $10,930 · median $6,422 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,256 – $29,854 · median $18,324 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,817 – $14,201 · median $8,545 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,836 – $10,526 · median $6,142 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,119 – $59,279 · median $37,300 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,398 – $31,973 · median $20,079 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,980 – $68,296 · median $43,653 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,201 – $33,462 · median $21,045 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,289 – $22,495 · median $13,928 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,529 – $61,895 · median $39,499 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,745 – $32,616 · median $20,496 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,696 – $23,250 · median $14,418 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,573 – $47,136 · median $29,920 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $15,056 – $29,483 · median $18,463 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,750 – $23,350 · median $14,483 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,668 – $49,169 · median $31,239 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,964 – $29,312 · median $18,352 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,875 – $21,727 · median $13,430 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,088 – $36,963 · median $22,968 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,546 – $21,118 · median $13,034 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,822 – $17,919 · median $10,955 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,767 – $32,656 · median $20,523 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,918 – $18,098 · median $11,074 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,240 – $13,131 · median $7,850 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,134 – $33,338 · median $20,623 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,658 – $21,325 · median $12,975 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,811 – $16,044 · median $9,714 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,778 – $40,097 · median $24,981 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,051 – $23,909 · median $14,845 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,445 – $19,074 · median $11,708 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,219 – $57,609 · median $36,420 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,953 – $31,148 · median $19,466 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,600 – $19,362 · median $11,894 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,830 – $23,500 · median $14,580 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,209 – $14,927 · median $9,014 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,945 – $10,727 · median $6,290 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,383 – $24,525 · median $14,944 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,292 – $15,081 · median $9,040 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,139 – $11,088 · median $6,511 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,957 – $29,300 · median $17,746 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,704 – $17,701 · median $10,676 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,255 – $13,158 · median $7,824 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,880 – $25,448 · median $15,616 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,984 – $14,511 · median $8,720 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,510 – $9,922 · median $5,740 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,632 – $26,842 · median $16,611 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,715 – $15,867 · median $9,445 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,308 – $11,402 · median $6,728 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,956 – $18,168 · median $11,119 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,160 – $12,982 · median $7,754 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,510 – $22,906 · median $14,177 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,031 – $14,597 · median $8,767 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,748 – $10,363 · median $6,054 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,413 – $20,871 · median $12,829 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,679 – $12,089 · median $7,174 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,876 – $8,746 · median $5,004 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,100 – $18,434 · median $11,261 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,528 – $11,809 · median $6,992 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,731 – $23,316 · median $14,215 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,668 – $13,925 · median $8,352 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,508 – $9,918 · median $5,765 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,457 – $72,891 · median $46,635 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,895 – $38,459 · median $24,289 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,130 – $29,621 · median $18,553 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,804 – $47,564 · median $30,198 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,852 – $29,105 · median $18,217 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,988 – $21,938 · median $13,566 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,385 – $37,513 · median $23,675 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,100 – $29,566 · median $18,517 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,777 – $23,402 · median $14,282 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,821 – $47,597 · median $30,219 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,013 – $27,549 · median $17,208 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,707 – $19,561 · median $12,022 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,835 – $32,784 · median $20,558 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,748 – $23,348 · median $14,456 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,334 – $18,869 · median $11,486 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,003 – $47,935 · median $29,106 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,601 – $23,074 · median $14,304 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,409 – $20,864 · median $12,445 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,814 – $55,003 · median $34,302 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,175 – $31,559 · median $19,810 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,951 – $21,868 · median $12,948 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,878 – $27,299 · median $16,671 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,579 – $15,613 · median $9,297 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,934 – $10,708 · median $6,017 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,926 – $25,532 · median $15,501 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,989 – $16,374 · median $9,802 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,562 – $11,873 · median $7,034 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,786 – $23,417 · median $14,460 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,094 – $12,859 · median $7,674 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,357 – $9,638 · median $5,529 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,392 – $26,396 · median $16,438 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,845 – $14,252 · median $8,462 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,978 – $10,789 · median $6,078 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,932 – $23,689 · median $14,573 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,683 – $15,806 · median $9,587 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,648 – $12,032 · median $7,137 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,997 – $112,845 · median $72,283 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,658 – $76,974 · median $49,285 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,589 – $58,296 · median $37,163 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,473 – $82,195 · median $52,673 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,287 – $39,187 · median $24,761 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,261 – $72,527 · median $45,534 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,888 – $40,302 · median $25,484 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,299 – $24,369 · median $15,144 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,091 – $68,501 · median $43,786 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,264 – $46,564 · median $29,549 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,584 – $36,027 · median $22,710 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,156 – $44,508 · median $27,967 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,357 – $26,332 · median $16,418 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,410 – $65,383 · median $41,762 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,524 – $39,626 · median $25,046 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,771 – $32,664 · median $20,528 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,770 – $60,487 · median $36,673 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,283 – $29,904 · median $18,736 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,240 – $16,839 · median $10,257 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,362 – $46,746 · median $29,421 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,567 – $32,286 · median $20,278 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,580 – $24,890 · median $15,408 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,834 – $40,202 · median $25,420 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,699 – $28,821 · median $18,033 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,238 – $22,402 · median $13,867 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,052 – $35,040 · median $21,122 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,806 – $43,859 · median $27,793 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,025 – $29,425 · median $18,215 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,194 – $22,320 · median $13,814 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,923 – $27,382 · median $17,099 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,773 – $17,829 · median $10,899 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,157 – $48,220 · median $30,239 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,009 – $33,106 · median $20,643 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,356 – $26,331 · median $16,391 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,940 – $47,818 · median $30,363 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,977 – $27,482 · median $17,164 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,511 – $19,198 · median $11,788 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,887 – $34,734 · median $21,871 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,223 – $16,809 · median $10,237 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,447 – $43,194 · median $27,361 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,643 – $25,007 · median $15,393 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,898 – $19,915 · median $12,116 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,749 – $36,333 · median $22,320 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,433 – $24,617 · median $15,305 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,433 – $24,617 · median $15,305 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,620 – $21,254 · median $12,672 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,730 – $27,024 · median $16,434 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,143 – $18,515 · median $11,344 | 16 plans |
| 509 | Other Inpatient MS-DRG | $12,445 – $24,639 · median $14,165 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,247 – $39,112 · median $24,713 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,893 – $27,327 · median $17,063 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,390 – $22,683 · median $14,008 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,666 – $21,340 · median $13,178 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,223 – $14,953 · median $9,033 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,907 – $42,191 · median $26,711 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,251 – $27,990 · median $17,494 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,574 – $21,170 · median $13,068 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,389 – $48,651 · median $30,903 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,969 – $27,467 · median $17,155 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,153 – $20,388 · median $12,561 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,648 – $39,856 · median $25,195 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,934 – $29,257 · median $18,316 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,803 – $21,593 · median $12,848 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,766 – $12,252 · median $7,177 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,421 – $19,031 · median $11,461 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,744 – $12,211 · median $7,077 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,510 – $13,632 · median $8,175 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,757 – $10,379 · median $6,064 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,327 – $28,131 · median $17,417 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,168 – $18,561 · median $11,374 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,198 – $13,052 · median $7,514 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,213 – $26,064 · median $16,029 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,516 – $15,496 · median $9,385 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,353 – $11,486 · median $6,783 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,901 – $34,760 · median $21,746 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,201 – $16,768 · median $10,211 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,286 – $11,361 · median $6,702 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,272 – $28,028 · median $17,125 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,537 – $17,391 · median $10,615 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,107 – $12,884 · median $7,690 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,088 – $23,978 · median $14,698 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,828 – $14,220 · median $8,520 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,252 – $18,717 · median $11,476 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,912 – $12,522 · median $7,370 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,539 – $19,250 · median $11,720 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,784 – $12,285 · median $7,243 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,978 – $21,919 · median $12,969 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,119 – $12,906 · median $7,704 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,150 – $25,948 · median $15,794 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,067 – $16,519 · median $9,822 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,792 – $12,299 · median $7,164 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,368 – $20,787 · median $12,783 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,332 – $13,300 · median $7,788 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,116 – $22,176 · median $13,611 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,224 – $14,955 · median $8,860 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,300 – $11,386 · median $6,676 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,325 – $41,111 · median $25,508 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,861 – $23,557 · median $14,459 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,093 – $16,567 · median $10,080 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,625 – $82,478 · median $51,375 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,546 – $47,086 · median $29,888 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,145 – $27,793 · median $17,366 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,221 – $72,453 · median $46,351 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,864 – $36,546 · median $22,782 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,975 – $23,768 · median $14,754 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,090 – $44,386 · median $27,559 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,560 – $24,854 · median $15,247 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,195 – $20,467 · median $12,450 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,406 – $24,567 · median $15,273 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,637 – $23,141 · median $13,694 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,504 – $28,459 · median $17,799 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,063 – $27,641 · median $16,550 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $14,567 – $28,576 · median $16,557 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $8,662 – $17,622 · median $10,407 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,012 – $12,708 · median $7,207 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,984 – $29,349 · median $18,376 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,659 – $15,762 · median $9,558 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,445 – $24,639 · median $14,941 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,643 – $15,733 · median $9,464 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,056 – $12,789 · median $7,231 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,777 – $14,126 · median $8,496 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,247 – $9,433 · median $5,450 | 16 plans |
| 602 | CELLULITIS WITH MCC | $10,408 – $20,861 · median $12,704 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,240 – $13,130 · median $7,834 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,525 – $21,078 · median $13,008 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,544 – $13,693 · median $8,133 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,408 – $22,716 · median $13,683 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,122 – $12,911 · median $7,614 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,145 – $31,503 · median $19,774 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,152 – $20,386 · median $12,559 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,380 – $52,344 · median $32,744 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,684 – $26,938 · median $16,811 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,820 – $17,917 · median $10,591 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,315 – $37,383 · median $23,590 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,313 – $22,541 · median $13,957 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,356 – $20,764 · median $12,804 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,509 – $50,727 · median $31,602 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,550 – $26,691 · median $16,476 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,106 – $14,737 · median $8,804 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,311 – $39,231 · median $24,773 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,692 – $21,388 · median $13,210 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,975 – $18,203 · median $11,142 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,952 – $53,404 · median $32,494 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,933 – $31,110 · median $19,444 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,927 – $19,969 · median $12,271 | 16 plans |
| 637 | DIABETES WITH MCC | $10,317 – $20,692 · median $12,442 | 16 plans |
| 638 | DIABETES WITH CC | $6,498 – $13,608 · median $7,947 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,439 – $9,789 · median $5,547 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,408 – $19,006 · median $11,341 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,536 – $11,823 · median $6,932 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,792 – $17,864 · median $10,922 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,740 – $23,333 · median $14,371 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,321 – $15,135 · median $9,061 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,516 – $11,788 · median $6,793 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,639 – $62,098 · median $39,630 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,600 – $47,186 · median $29,952 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $21,758 – $41,915 · median $26,527 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,491 – $74,809 · median $47,672 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,992 – $38,639 · median $24,406 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,716 – $28,852 · median $18,054 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,080 – $44,367 · median $28,123 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,950 – $25,578 · median $15,928 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,654 – $21,319 · median $13,164 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,307 – $35,514 · median $22,285 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,493 – $19,164 · median $11,766 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,273 – $15,045 · median $9,093 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,100 – $42,549 · median $26,495 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,820 – $21,626 · median $13,319 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,649 – $15,745 · median $9,547 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,324 – $46,675 · median $27,800 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $11,670 – $23,202 · median $14,386 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,281 – $15,061 · median $8,875 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,659 – $39,877 · median $24,707 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,963 – $21,890 · median $13,535 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,770 – $14,114 · median $8,488 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,211 – $24,206 · median $15,038 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,753 – $15,936 · median $9,401 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,680 – $56,609 · median $32,804 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,353 – $31,889 · median $20,025 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,089 – $22,124 · median $13,687 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $10,640 – $21,291 · median $13,041 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $6,297 – $13,236 · median $7,919 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,303 – $9,537 · median $5,492 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,358 – $26,334 · median $15,500 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,457 – $15,388 · median $9,232 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,130 – $11,072 · median $6,514 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,291 – $16,934 · median $10,184 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,686 – $12,102 · median $7,132 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,416 – $20,877 · median $12,660 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,536 – $11,823 · median $7,002 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,989 – $16,375 · median $9,956 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,901 – $10,646 · median $6,228 | 16 plans |
| 697 | URETHRAL STRICTURE | $7,097 – $14,720 · median $8,815 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,908 – $23,643 · median $14,269 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,225 – $14,957 · median $8,977 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,918 – $10,678 · median $6,258 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,747 – $27,056 · median $16,888 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,502 – $21,036 · median $12,958 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,919 – $31,084 · median $19,502 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,636 – $21,285 · median $12,828 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,535 – $26,662 · median $16,632 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,577 – $15,611 · median $9,460 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,244 – $20,557 · median $12,670 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,657 – $13,904 · median $8,352 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,998 – $31,231 · median $19,430 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,054 – $20,206 · median $11,920 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,145 – $25,938 · median $15,723 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,727 – $17,743 · median $10,844 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,248 – $24,274 · median $14,898 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,955 – $16,311 · median $9,914 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,161 – $11,130 · median $6,551 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,944 – $18,147 · median $11,015 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,273 – $11,337 · median $6,686 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,409 – $20,864 · median $12,684 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,788 – $12,293 · median $7,306 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,799 – $16,022 · median $9,594 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,299 – $9,530 · median $5,514 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,896 – $29,187 · median $18,271 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,599 – $17,507 · median $10,690 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,894 – $53,298 · median $33,919 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,157 – $27,815 · median $17,381 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,746 – $21,488 · median $12,712 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,201 – $53,867 · median $33,832 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,881 – $25,449 · median $15,730 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,731 – $19,605 · median $11,738 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,941 – $25,559 · median $15,761 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,492 – $17,307 · median $10,403 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,842 – $27,232 · median $16,698 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,260 – $15,022 · median $9,078 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,863 – $23,561 · median $14,062 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,767 – $14,107 · median $8,484 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,651 – $19,457 · median $11,956 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,338 – $35,571 · median $22,065 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,135 – $18,500 · median $11,335 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,817 – $25,331 · median $15,389 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,864 – $16,143 · median $9,645 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,765 – $14,105 · median $8,482 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,026 – $20,153 · median $12,175 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,221 – $14,950 · median $8,710 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,534 – $9,965 · median $5,690 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,982 – $14,507 · median $8,632 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,491 – $9,885 · median $5,537 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,766 – $15,961 · median $9,687 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,843 – $19,814 · median $12,188 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,622 – $15,695 · median $8,927 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,055 – $10,931 · median $6,330 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $6,622 – $13,839 · median $8,310 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,050 – $25,762 · median $16,048 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,672 – $15,787 · median $9,368 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,188 – $13,034 · median $7,787 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,447 – $22,789 · median $14,078 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,522 – $15,508 · median $9,386 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,409 – $13,444 · median $7,882 | 16 plans |
| 789 | Neonate Level 3: Neonates Died or Transferred to Another | $3,417 – $28,574 · median $16,991 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $26,007 – $79,673 · median $51,037 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $15,300 – $54,905 · median $34,962 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,739 – $33,746 · median $21,230 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,863 – $56,358 · median $35,905 | 16 plans |
| 794 | Neonate Level 2: Neonate W Other Significant Problems | $2,245 – $20,953 · median $12,927 | 16 plans |
| 795 | NORMAL NEWBORN | $1,876 – $4,181 · median $2,145 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,044 – $18,331 · median $11,225 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,859 – $14,278 · median $8,385 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,859 – $14,278 · median $8,385 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,683 – $64,036 · median $40,888 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,642 – $39,844 · median $23,930 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,630 – $23,128 · median $14,339 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,395 – $48,662 · median $30,910 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,610 – $24,946 · median $15,518 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,832 – $16,084 · median $9,767 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,070 – $14,670 · median $8,849 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,126 – $11,064 · median $6,372 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,515 – $9,930 · median $5,731 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,225 – $31,651 · median $19,122 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,774 – $17,830 · median $10,766 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,743 – $14,063 · median $8,373 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,967 – $20,043 · median $12,227 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,538 – $13,683 · median $8,072 | 16 plans |
| 813 | COAGULATION DISORDERS | $10,966 – $21,897 · median $13,540 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,809 – $29,026 · median $17,132 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,198 – $14,907 · median $9,003 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,671 – $10,220 · median $5,961 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,959 – $34,868 · median $21,958 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,124 – $18,480 · median $11,322 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,784 – $12,285 · median $7,301 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,246 – $78,064 · median $47,505 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,815 – $30,890 · median $19,000 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,102 – $16,584 · median $10,092 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,150 – $63,047 · median $38,492 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,581 – $30,457 · median $19,095 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,719 – $17,729 · median $10,834 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,830 – $64,308 · median $41,065 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,718 – $32,566 · median $20,464 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,355 – $22,618 · median $14,008 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,846 – $42,078 · median $26,637 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,360 – $20,773 · median $12,810 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,154 – $16,680 · median $10,154 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,295 – $11,377 · median $6,476 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,682 – $8,386 · median $4,685 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,156 – $74,187 · median $47,366 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,131 – $29,622 · median $18,324 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,002 – $18,253 · median $11,175 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,471 – $67,353 · median $43,041 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,368 – $28,207 · median $17,635 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,708 – $19,563 · median $12,014 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,591 – $43,461 · median $27,080 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,108 – $22,160 · median $13,710 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,452 – $15,378 · median $9,309 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,412 – $26,434 · median $16,484 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,467 – $17,261 · median $10,249 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,928 – $12,551 · median $7,474 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,091 – $35,114 · median $21,384 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,002 – $18,253 · median $10,901 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,801 – $12,316 · median $7,322 | 16 plans |
| 849 | RADIOTHERAPY | $18,922 – $36,655 · median $21,506 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,430 – $67,275 · median $42,410 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,155 – $27,812 · median $17,378 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,516 – $22,917 · median $13,708 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,961 – $60,840 · median $38,251 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,436 – $30,187 · median $18,545 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,127 – $18,486 · median $11,326 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,026 – $25,717 · median $15,933 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,083 – $14,695 · median $8,865 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,362 – $13,356 · median $7,743 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,455 – $20,950 · median $12,925 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,268 – $13,182 · median $7,884 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,190 – $29,733 · median $18,433 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,439 – $15,354 · median $9,293 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,098 – $11,011 · median $6,475 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,280 – $92,968 · median $58,736 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,900 – $27,338 · median $17,004 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,304 – $15,103 · median $9,093 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,838 – $53,192 · median $30,810 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,791 – $14,152 · median $8,247 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $6,476 – $13,567 · median $7,839 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,815 – $14,197 · median $8,107 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,133 – $25,917 · median $14,989 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,832 – $23,503 · median $14,076 | 16 plans |
| 885 | PSYCHOSES | $9,986 – $20,078 · median $11,795 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,727 – $25,162 · median $14,452 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,426 – $17,185 · median $10,481 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,421 – $9,756 · median $5,461 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,257 – $20,582 · median $12,686 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,615 – $24,956 · median $15,368 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,250 – $13,148 · median $7,697 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,386 – $59,775 · median $37,875 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,443 – $26,491 · median $16,521 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,636 – $17,575 · median $10,691 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,352 – $52,292 · median $31,736 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,676 – $23,214 · median $13,945 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,461 – $30,235 · median $17,412 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,221 – $53,903 · median $33,672 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,289 – $28,061 · median $17,540 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,985 – $18,222 · median $11,154 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,464 – $22,821 · median $13,616 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,492 – $13,597 · median $8,005 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,311 – $24,392 · median $15,159 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,705 – $10,282 · median $5,987 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,616 – $23,102 · median $13,738 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,267 – $13,179 · median $7,550 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,919 – $25,518 · median $15,709 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,197 – $14,905 · median $9,002 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,872 – $10,592 · median $6,203 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,968 – $23,755 · median $14,084 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,225 – $14,957 · median $8,655 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $168,054 – $313,286 · median $182,597 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,314 – $89,320 · median $54,871 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,530 – $43,348 · median $26,262 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,339 – $58,413 · median $33,857 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,201 – $29,752 · median $17,330 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $15,560 – $30,417 · median $18,215 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,485 – $43,264 · median $26,977 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,957 – $29,300 · median $18,344 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,844 – $27,236 · median $16,648 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,814 – $21,614 · median $13,223 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,909 – $16,227 · median $9,860 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,112 – $18,457 · median $10,948 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,628 – $11,996 · median $7,017 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,644 – $15,734 · median $9,540 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,152 – $9,257 · median $5,336 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,017 – $9,006 · median $5,171 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,372 – $91,283 · median $57,988 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,078 – $51,784 · median $32,766 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,877 – $99,639 · median $63,577 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,114 – $55,560 · median $35,387 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,730 – $36,298 · median $22,475 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,245 – $37,254 · median $23,507 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,627 – $21,267 · median $12,931 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,465 – $13,547 · median $8,088 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,802 – $84,660 · median $54,273 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,796 – $36,421 · median $22,966 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,155 – $40,796 · median $25,210 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,069 – $20,233 · median $12,215 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,105 – $14,735 · median $8,495 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,215 – $20,503 · median $11,939 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,677 – $64,024 · median $39,964 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,344 – $33,727 · median $21,218 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,818 – $23,476 · median $14,537 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,813 – $47,583 · median $29,271 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,156 – $24,105 · median $14,842 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,186 – $16,739 · median $9,918 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,738 – $41,878 · median $24,207 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,173 – $144,707 · median $84,217 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,063 – $94,420 · median $54,870 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,882 – $82,953 · median $48,178 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,954 – $62,684 · median $36,349 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,444 – $67,302 · median $39,044 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,700 – $43,663 · median $25,249 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,825 – $82,848 · median $48,117 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,167 – $38,964 · median $22,507 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,817 – $25,329 · median $14,550 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,174 – $57,526 · median $33,339 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,634 – $43,541 · median $25,178 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,275 – $39,165 · median $22,624 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,553 – $34,115 · median $19,677 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,720 – $21,440 · median $12,280 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,961 – $16,323 · median $9,293 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $27,714 – $52,964 · median $30,677 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,209 – $139,208 · median $81,008 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,316 – $94,889 · median $55,144 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $38,992 – $73,882 · median $42,884 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,086 – $111,155 · median $64,637 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,754 – $73,441 · median $42,627 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,497 – $89,659 · median $52,091 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,928 – $55,215 · median $31,990 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,484 – $69,231 · median $40,170 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,862 – $42,107 · median $24,341 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,258 – $122,605 · median $71,318 | 15 plans |
| 222 | Other Inpatient MS-DRG | $71,539 – $71,539 · median $71,539 | 1 plans |
| 223 | Other Inpatient MS-DRG | $48,760 – $48,760 · median $48,760 | 1 plans |
| 224 | Other Inpatient MS-DRG | $66,237 – $66,237 · median $66,237 | 1 plans |
| 225 | Other Inpatient MS-DRG | $47,256 – $47,256 · median $47,256 | 1 plans |
| 226 | Other Inpatient MS-DRG | $59,806 – $59,806 · median $59,806 | 1 plans |
| 227 | Other Inpatient MS-DRG | $46,910 – $46,910 · median $46,910 | 1 plans |
| 246 | Other Inpatient MS-DRG | $27,987 – $27,987 · median $27,987 | 1 plans |
| 247 | Other Inpatient MS-DRG | $17,841 – $17,841 · median $17,841 | 1 plans |
| 248 | Other Inpatient MS-DRG | $28,122 – $28,122 · median $28,122 | 1 plans |
| 249 | Other Inpatient MS-DRG | $16,974 – $16,974 · median $16,974 | 1 plans |
| 338 | Other Inpatient MS-DRG | $24,821 – $24,821 · median $24,821 | 1 plans |
| 339 | Other Inpatient MS-DRG | $15,215 – $15,215 · median $15,215 | 1 plans |
| 340 | Other Inpatient MS-DRG | $11,211 – $11,211 · median $11,211 | 1 plans |
| 341 | Other Inpatient MS-DRG | $21,107 – $21,107 · median $21,107 | 1 plans |
| 342 | Other Inpatient MS-DRG | $13,578 – $13,578 · median $13,578 | 1 plans |
| 343 | Other Inpatient MS-DRG | $10,210 – $10,210 · median $10,210 | 1 plans |
| 453 | Other Inpatient MS-DRG | $85,537 – $85,537 · median $85,537 | 1 plans |
| 454 | Other Inpatient MS-DRG | $56,910 – $56,910 · median $56,910 | 1 plans |
| 455 | Other Inpatient MS-DRG | $44,736 – $44,736 · median $44,736 | 1 plans |
| 459 | Other Inpatient MS-DRG | $61,975 – $61,975 · median $61,975 | 1 plans |
| 460 | Other Inpatient MS-DRG | $35,187 – $35,187 · median $35,187 | 1 plans |
| 766 | Inpatient MS-DRG: 766 | $12,247 – $12,247 · median $12,247 | 1 plans |
No procedures match that keyword.