St Lukes Regional Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 771
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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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,152 – $41,009 · median $20,674 | 21 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,687 – $97,175 · median $46,486 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,032 – $23,364 · median $10,925 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,103 – $58,712 · median $26,496 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,134 – $45,408 · median $21,233 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,887 – $53,262 · median $25,450 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,708 – $149,926 · median $72,494 | 19 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,487 – $38,029 · median $17,565 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,362 – $32,388 · median $15,773 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,080 – $116,860 · median $54,645 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,365 – $24,653 · median $11,387 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,516 – $87,448 · median $39,892 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,902 – $30,927 · median $14,108 | 19 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,959 – $30,828 · median $15,714 | 19 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,143 – $14,084 · median $6,425 | 19 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,410 – $28,701 · median $14,222 | 19 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,491 – $134,029 · median $63,085 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,336 – $55,277 · median $27,640 | 18 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,787 – $34,894 · median $15,747 | 18 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,759 – $26,178 · median $13,355 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,452 – $19,951 · median $10,868 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,510 – $20,207 · median $9,333 | 18 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,738 – $43,635 · median $19,905 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,863 – $151,734 · median $73,435 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,682 – $103,348 · median $51,040 | 18 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,763 – $79,594 · median $39,754 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,226 – $18,647 · median $10,166 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,716 – $16,650 · median $8,051 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,037 – $23,381 · median $10,552 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $30,093 – $134,843 · median $67,348 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,865 – $56,715 · median $29,497 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,018 – $152,429 · median $68,046 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,860 – $111,395 · median $50,816 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,435 – $28,833 · median $13,318 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,655 – $37,398 · median $18,915 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,206 – $18,582 · median $10,133 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $5,700 – $22,079 · median $10,325 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,614 – $34,119 · median $17,594 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,015 – $22,139 · median $10,380 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,686 – $72,376 · median $34,996 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,105 – $54,631 · median $27,309 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,009 – $112,064 · median $51,121 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $118,802 – $532,340 · median $242,841 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,212 – $43,657 · median $22,706 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,879 – $57,631 · median $31,508 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,900 – $21,958 · median $10,967 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,869 – $26,297 · median $11,996 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,969 – $31,270 · median $15,678 | 17 plans |
| 149 | DYSEQUILIBRIUM | $4,794 – $18,567 · median $9,742 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,550 – $114,488 · median $57,182 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,362 – $24,643 · median $12,424 | 17 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $60,388 – $270,594 · median $128,199 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,979 – $147,775 · median $73,807 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $43,329 – $194,152 · median $88,568 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,997 – $125,112 · median $61,641 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,662 – $38,813 · median $20,186 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,219 – $43,453 · median $21,971 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,734 – $37,701 · median $17,198 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,099 – $40,771 · median $18,599 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,571 – $27,067 · median $12,657 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,740 – $39,164 · median $21,411 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,098 – $18,363 · median $8,482 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,883 – $21,881 · median $10,455 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,869 – $17,338 · median $8,107 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,540 – $52,445 · median $23,924 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,895 – $21,933 · median $11,058 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,148 – $36,511 · median $18,730 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,635 – $87,669 · median $47,935 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,861 – $17,300 · median $8,727 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,035 – $19,504 · median $9,833 | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,997 – $134,764 · median $78,217 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,875 – $71,134 · median $34,216 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,844 – $44,109 · median $22,184 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,091 – $46,831 · median $21,631 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,893 – $44,330 · median $20,006 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,745 – $34,705 · median $17,299 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,867 – $89,023 · median $41,628 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,191 – $35,599 · median $17,780 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,174 – $32,144 · median $16,055 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,007 – $62,766 · median $32,943 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,626 – $20,731 · median $11,210 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,938 – $38,493 · median $17,560 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $11,399 – $51,076 · median $24,697 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,190 – $35,594 · median $16,441 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,893 – $80,925 · median $37,842 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,293 – $77,488 · median $35,348 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,925 – $26,821 · median $12,104 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,487 – $29,069 · median $13,593 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,449 – $19,936 · median $9,957 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,780 – $41,752 · median $19,524 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,411 – $55,816 · median $25,462 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,016 – $35,917 · median $16,795 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,464 – $24,481 · median $11,838 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,911 – $34,514 · median $18,662 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,809 – $23,740 · median $12,031 | 17 plans |
| 795 | Neonate Level 3: Normal Newborn | $1,108 – $4,467 · median $2,321 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,077 – $25,660 · median $13,085 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,140 – $31,993 · median $16,585 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,333 – $12,911 · median $6,587 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,906 – $50,378 · median $26,277 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,142 – $47,028 · median $24,576 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $70,341 – $228,814 · median $110,030 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,078 – $48,716 · median $26,170 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $5,067 – $22,705 · median $10,136 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,959 – $44,623 · median $21,322 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,872 – $44,233 · median $22,301 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,080 – $22,762 · median $10,876 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,748 – $107,476 · median $52,422 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,833 – $48,543 · median $24,245 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,656 – $65,672 · median $32,575 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,058 – $157,089 · median $85,741 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,879 – $35,306 · median $16,308 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $44,197 – $198,041 · median $92,606 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $241,850 – $936,748 · median $446,136 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,570 – $87,692 · median $40,504 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,380 – $94,430 · median $42,154 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,427 – $111,087 · median $56,672 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,997 – $27,099 · median $12,672 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,027 – $49,410 · median $24,854 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,912 – $38,391 · median $17,952 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,880 – $22,775 · median $10,882 | 16 plans |
| 089 | CONCUSSION WITH CC | $5,943 – $26,630 · median $12,876 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,519 – $19,605 · median $10,652 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,553 – $29,362 · median $13,730 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,611 – $34,104 · median $17,033 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $7,662 – $34,332 · median $17,696 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,429 – $40,396 · median $21,450 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,175 – $23,190 · median $10,844 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,811 – $35,001 · median $17,856 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,850 – $26,531 · median $14,346 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,070 – $18,237 · median $8,528 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,452 – $15,467 · median $6,707 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,349 – $24,591 · median $13,331 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,850 – $160,639 · median $70,003 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,877 – $66,663 · median $28,909 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $35,798 – $160,408 · median $72,391 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,967 – $131,565 · median $71,140 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,458 – $114,076 · median $49,469 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,795 – $102,140 · median $47,762 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,683 – $33,758 · median $17,109 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,831 – $57,443 · median $27,436 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,200 – $66,621 · median $30,772 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $36,961 – $165,617 · median $85,945 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $21,676 – $97,128 · median $47,509 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,724 – $153,863 · median $83,197 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,517 – $67,848 · median $30,951 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,233 – $32,410 · median $14,785 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,042 – $13,629 · median $7,618 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,374 – $40,180 · median $21,726 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,866 – $26,593 · median $12,283 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,588 – $13,897 · median $6,941 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,938 – $53,491 · median $26,792 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $34,293 – $153,664 · median $70,977 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,071 – $27,387 · median $13,808 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,193 – $41,193 · median $19,027 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,078 – $40,676 · median $20,316 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,913 – $38,396 · median $18,790 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,298 – $136,716 · median $59,287 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,952 – $207,172 · median $93,495 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $14,542 – $65,160 · median $32,332 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,119 – $81,191 · median $44,388 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,123 – $58,804 · median $27,497 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,959 – $53,585 · median $25,604 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,794 – $39,405 · median $18,426 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,310 – $37,236 · median $17,412 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,931 – $48,980 · median $22,904 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,512 – $20,219 · median $10,933 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,372 – $33,033 · median $15,973 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,418 – $28,756 · median $14,362 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,076 – $66,141 · median $32,916 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,236 – $36,903 · median $17,844 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,997 – $92,948 · median $41,947 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,603 – $47,512 · median $23,953 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,433 – $24,916 · median $13,473 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,986 – $34,807 · median $19,238 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,332 – $19,409 · median $9,694 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,249 – $86,253 · median $43,080 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $19,697 – $76,291 · median $38,359 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,467 – $37,939 · median $18,949 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,020 – $85,287 · median $38,906 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,263 – $72,438 · median $39,877 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,915 – $37,293 · median $20,612 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,105 – $31,362 · median $16,809 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,126 – $18,490 · median $9,998 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,067 – $98,882 · median $43,511 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,316 – $45,165 · median $20,861 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,681 – $25,455 · median $13,097 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,154 – $27,574 · median $13,772 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,548 – $15,897 · median $7,343 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,514 – $15,745 · median $8,702 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,958 – $17,723 · median $8,287 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,813 – $41,186 · median $19,842 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,011 – $16,178 · median $8,405 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,116 – $22,924 · median $11,084 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,526 – $20,281 · median $9,252 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,823 – $30,572 · median $13,647 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,095 – $76,599 · median $35,006 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,615 – $17,874 · median $9,880 | 16 plans |
| 885 | PSYCHOSES | $9,040 – $35,013 · median $16,559 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,890 – $21,913 · median $11,372 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,169 – $47,134 · median $26,271 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,181 – $50,103 · median $23,429 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,634 – $43,168 · median $21,725 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,259 – $16,496 · median $8,579 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,834 – $41,963 · median $23,474 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,761 – $53,300 · median $25,772 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,462 – $37,917 · median $19,168 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,095 – $19,735 · median $9,857 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,560 – $24,914 · median $11,365 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,701 – $60,813 · median $30,268 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,247 – $41,436 · median $20,036 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $61,086 – $273,718 · median $127,994 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,894 – $135,151 · median $67,502 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,086 – $39,631 · median $18,532 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,297 – $82,488 · median $44,603 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,788 – $49,988 · median $27,030 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,513 – $62,199 · median $30,926 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,557 – $33,145 · median $17,527 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,521 – $25,259 · median $13,960 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,886 – $21,896 · median $10,239 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,600 – $19,874 · median $9,610 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,046 – $42,783 · median $20,006 | 15 plans |
| 077 | Inpatient MS-DRG | $12,255 – $38,409 · median $21,228 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,748 – $49,375 · median $25,679 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,917 – $34,536 · median $19,088 | 15 plans |
| 088 | CONCUSSION WITH MCC | $7,820 – $35,040 · median $16,185 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,186 – $90,630 · median $50,091 | 15 plans |
| 100 | SEIZURES WITH MCC | $11,005 – $49,313 · median $25,157 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,760 – $16,848 · median $8,415 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,577 – $20,510 · median $10,123 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,304 – $82,016 · median $40,649 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,277 – $28,187 · median $14,078 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,536 – $16,384 · median $9,055 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,343 – $95,638 · median $43,161 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,383 – $45,386 · median $22,944 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,179 – $39,427 · median $18,436 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,439 – $24,938 · median $12,456 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,815 – $46,799 · median $23,615 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,321 – $43,848 · median $19,015 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,668 – $16,818 · median $8,132 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,201 – $20,144 · median $9,741 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,143 – $72,336 · median $39,114 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,488 – $55,957 · median $24,980 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,539 – $44,827 · median $20,962 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $14,504 – $64,991 · median $30,391 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,882 – $84,607 · median $45,749 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,519 – $47,134 · median $22,791 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,414 – $86,815 · median $46,943 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,419 – $148,805 · median $76,161 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,320 – $175,537 · median $77,242 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $32,086 – $124,277 · median $62,071 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,108 – $18,406 · median $10,173 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,507 – $40,696 · median $20,761 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,905 – $17,497 · median $8,460 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,733 – $29,953 · median $14,483 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,588 – $21,642 · median $9,873 | 15 plans |
| 313 | CHEST PAIN | $4,575 – $17,720 · median $9,801 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,351 – $109,113 · median $56,753 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,595 – $95,232 · median $49,473 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,448 – $114,058 · median $50,189 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,245 – $86,159 · median $47,136 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,280 – $66,929 · median $33,007 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,472 – $52,917 · median $29,303 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,979 – $31,270 · median $14,622 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,428 – $42,254 · median $21,457 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,356 – $95,373 · median $48,335 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,690 – $43,419 · median $20,055 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,652 – $18,018 · median $8,426 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,880 – $30,520 · median $15,243 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,805 – $18,612 · median $9,298 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,325 – $19,382 · median $9,063 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,180 – $41,133 · median $19,654 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,598 – $38,528 · median $18,409 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,965 – $49,134 · median $23,477 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,174 – $59,030 · median $26,351 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,862 – $17,454 · median $9,542 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,113 – $19,804 · median $11,489 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $46,948 – $210,366 · median $101,271 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,134 – $34,896 · median $18,700 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,241 – $126,545 · median $59,174 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,452 – $46,834 · median $20,608 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,580 – $64,776 · median $33,651 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,306 – $51,538 · median $24,688 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,760 – $39,251 · median $20,649 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,895 – $48,819 · median $23,326 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,996 – $62,716 · median $27,997 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,255 – $43,592 · median $19,922 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,539 – $25,326 · median $11,553 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,634 – $18,130 · median $9,090 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,850 – $21,732 · median $9,563 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,326 – $28,376 · median $13,269 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,207 – $77,468 · median $40,245 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,370 – $41,988 · median $21,330 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,828 – $44,040 · median $19,098 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,978 – $35,748 · median $16,308 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,496 – $26,799 · median $12,225 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,786 – $23,761 · median $11,868 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,537 – $22,944 · median $12,289 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,327 – $39,998 · median $22,172 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,791 – $21,466 · median $12,388 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,786 – $86,414 · median $45,934 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,023 – $31,469 · median $15,717 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,516 – $32,986 · median $15,425 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $9,132 – $40,917 · median $22,370 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,752 – $38,438 · median $17,754 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $9,632 – $37,306 · median $17,231 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,835 – $26,148 · median $11,634 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,025 – $17,988 · median $9,942 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,252 – $28,013 · median $12,939 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,519 – $56,094 · median $28,022 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,672 – $18,098 · median $8,079 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,240 – $20,296 · median $10,354 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,136 – $15,075 · median $8,352 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,827 – $97,806 · median $47,293 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,295 – $23,726 · median $14,268 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,030 – $44,941 · median $23,517 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,124 – $23,721 · median $11,848 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,031 – $24,511 · median $11,943 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,417 – $40,303 · median $19,417 | 15 plans |
| 793 | Neonate Level 2: Full Term Neonate W Major Problems | $5,863 – $93,244 · median $47,848 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,100 – $40,778 · median $20,562 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,588 – $51,926 · median $25,108 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,257 – $62,969 · median $31,450 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $40,454 – $144,620 · median $72,913 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,056 – $38,948 · median $18,420 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,831 – $26,128 · median $11,791 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,814 – $20,785 · median $9,601 | 15 plans |
| 849 | RADIOTHERAPY | $17,130 – $66,347 · median $28,772 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,465 – $32,998 · median $17,143 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,905 – $21,978 · median $9,531 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,821 – $26,083 · median $13,404 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,164 – $25,609 · median $13,172 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,314 – $23,811 · median $12,875 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,684 – $23,895 · median $10,784 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,889 – $46,049 · median $22,396 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,098 – $54,211 · median $26,213 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,673 – $21,973 · median $10,275 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,704 – $52,445 · median $25,359 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,248 – $31,948 · median $16,107 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,150 – $74,174 · median $38,921 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,098 – $120,449 · median $61,448 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,459 – $149,926 · median $68,393 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,955 – $75,973 · median $39,606 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,526 – $83,377 · median $37,220 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,556 – $96,591 · median $44,063 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,775 – $56,504 · median $28,221 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,756 – $45,532 · median $22,741 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,309 – $28,272 · median $13,670 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,300 – $19,952 · median $11,308 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,337 – $67,150 · median $36,309 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,414 – $17,097 · median $10,397 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,151 – $43,190 · median $25,335 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,243 – $23,306 · median $11,959 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,016 – $22,474 · median $12,152 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,532 – $56,285 · median $26,320 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,976 – $53,883 · median $26,054 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,471 – $56,052 · median $26,210 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,701 – $41,446 · median $22,411 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,462 – $59,889 · median $27,370 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,712 – $56,983 · median $26,646 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,951 – $46,300 · median $23,125 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,961 – $40,152 · median $18,776 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,689 – $43,414 · median $21,683 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,202 – $27,894 · median $13,192 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,442 – $16,076 · median $8,457 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,359 – $24,012 · median $11,993 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,861 – $17,303 · median $9,563 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,343 – $189,459 · median $97,221 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,835 – $85,208 · median $42,558 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,389 – $42,070 · median $18,718 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,720 – $22,154 · median $10,712 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,110 – $22,897 · median $10,576 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,792 – $13,945 · median $8,016 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,774 – $21,391 · median $9,413 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,944 – $17,720 · median $10,293 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $7,534 – $29,181 · median $12,840 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,378 – $16,958 · median $7,653 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,602 – $44,939 · median $20,757 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $15,866 – $71,092 · median $38,441 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,637 – $41,198 · median $17,866 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,086 – $90,002 · median $43,106 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,544 – $52,467 · median $24,534 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,259 – $72,853 · median $34,454 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,550 – $33,115 · median $17,710 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,641 – $25,276 · median $12,624 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,323 – $24,489 · median $11,311 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,008 – $31,401 · median $13,818 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,890 – $61,546 · median $31,029 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,622 – $52,075 · median $25,180 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,670 – $52,947 · median $23,636 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,595 – $34,034 · median $15,193 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,084 – $90,939 · median $44,456 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $39,373 – $158,802 · median $76,507 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,991 – $135,882 · median $82,637 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,114 – $45,321 · median $20,453 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,251 – $28,011 · median $14,695 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,410 – $15,278 · median $7,388 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,479 – $46,956 · median $20,891 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,713 – $23,999 · median $10,968 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,481 – $101,430 · median $50,106 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,027 – $127,923 · median $63,892 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,636 – $134,155 · median $67,630 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,987 – $85,079 · median $40,786 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,823 – $73,052 · median $39,501 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,601 – $47,419 · median $25,521 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,397 – $59,638 · median $27,888 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,255 – $43,592 · median $22,092 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,744 – $48,143 · median $24,045 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,913 – $39,936 · median $20,151 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,894 – $22,827 · median $10,413 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,722 – $16,679 · median $9,119 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,970 – $50,234 · median $24,290 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,804 – $26,352 · median $12,172 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,920 – $50,041 · median $23,400 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,343 – $23,940 · median $10,921 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,636 – $33,448 · median $17,681 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,788 – $21,456 · median $9,683 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,904 – $46,109 · median $25,440 | 14 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,302 – $28,284 · median $13,960 | 14 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,243 – $20,308 · median $9,380 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,385 – $36,352 · median $18,655 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,085 – $25,328 · median $11,307 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,348 – $74,770 · median $38,662 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,202 – $152,964 · median $83,510 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,707 – $43,498 · median $24,304 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $9,803 – $30,371 · median $15,815 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,443 – $21,081 · median $11,528 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,725 – $52,537 · median $23,710 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,266 – $43,635 · median $22,112 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,080 – $13,404 · median $7,597 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,649 – $21,878 · median $13,130 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,708 – $47,979 · median $24,175 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,198 – $67,724 · median $33,825 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,468 – $55,865 · median $27,919 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,018 – $15,564 · median $7,278 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,540 – $114,441 · median $56,443 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,902 – $138,467 · median $63,166 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,054 – $42,815 · median $21,384 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,868 – $104,065 · median $52,636 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,796 – $57,338 · median $26,812 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,895 – $15,087 · median $8,559 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,011 – $19,409 · median $9,076 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,209 – $18,888 · median $10,420 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,423 – $36,498 · median $18,966 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,728 – $37,678 · median $16,820 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,270 – $28,831 · median $15,790 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,069 – $22,139 · median $10,815 | 14 plans |
| 790 | Neonate Level 2: Extreme Immaturity or Respiratory Distress | $26,007 – $132,914 · median $70,275 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,209 – $21,647 · median $10,582 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,567 – $118,104 · median $67,931 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,087 – $14,249 · median $7,221 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,688 – $56,889 · median $28,523 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,942 – $30,763 · median $15,510 | 14 plans |
| 813 | COAGULATION DISORDERS | $8,581 – $38,451 · median $17,760 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,316 – $55,451 · median $25,929 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,940 – $116,234 · median $54,352 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,793 – $18,565 · median $8,681 | 14 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $30,640 – $137,293 · median $65,389 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,665 – $29,688 · median $14,828 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,044 – $31,563 · median $16,073 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,435 – $124,227 · median $63,774 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,011 – $40,378 · median $22,317 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,543 – $24,837 · median $11,614 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,342 – $20,077 · median $12,157 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,877 – $48,737 · median $20,720 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,550 – $26,593 · median $15,089 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,413 – $99,057 · median $50,202 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,761 – $95,906 · median $43,830 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,027 – $36,850 · median $20,640 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,083 – $98,951 · median $47,281 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,378 – $40,197 · median $20,809 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,630 – $78,998 · median $36,489 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,790 – $169,608 · median $81,042 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,060 – $67,480 · median $33,433 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,620 – $37,261 · median $19,086 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,852 – $18,343 · median $10,360 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,608 – $350,975 · median $168,028 | 13 plans |
| 007 | LUNG TRANSPLANT | $72,445 – $324,616 · median $173,287 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $14,690 – $65,823 · median $32,876 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $72,628 – $325,436 · median $152,177 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,446 – $137,293 · median $66,578 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,701 – $151,009 · median $68,049 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,690 – $56,091 · median $27,122 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,108 – $22,887 · median $12,375 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,421 – $44,236 · median $19,681 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,300 – $23,749 · median $10,198 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,690 – $45,279 · median $23,341 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,871 – $89,038 · median $42,109 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $5,452 – $21,118 · median $9,875 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,917 – $26,791 · median $12,222 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,448 – $28,893 · median $16,840 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,232 – $29,429 · median $14,396 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,983 – $30,920 · median $17,089 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,501 – $36,611 · median $17,898 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,953 – $62,520 · median $27,112 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,370 – $19,119 · median $10,473 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,311 – $19,317 · median $10,047 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,914 – $30,736 · median $16,304 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,523 – $32,730 · median $17,088 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,492 – $17,397 · median $10,083 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,139 – $27,509 · median $12,280 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,809 – $22,499 · median $11,343 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,169 – $192,192 · median $103,576 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,921 – $77,157 · median $41,721 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,187 – $77,523 · median $38,719 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,269 – $54,976 · median $25,079 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,727 – $16,702 · median $7,067 | 13 plans |
| 311 | ANGINA PECTORIS | $4,478 – $17,345 · median $9,505 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,334 – $23,903 · median $12,925 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,078 – $57,497 · median $31,532 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,749 – $79,363 · median $41,276 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,937 – $60,312 · median $31,682 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,845 – $38,130 · median $21,727 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,653 – $30,932 · median $16,081 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,866 – $54,077 · median $29,050 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,442 – $55,937 · median $28,202 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,529 – $15,815 · median $7,395 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,790 – $24,350 · median $13,511 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,042 – $21,600 · median $9,977 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,509 – $13,592 · median $6,068 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,081 – $15,808 · median $7,392 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,808 – $27,914 · median $15,459 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,513 – $69,758 · median $33,567 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,697 – $53,051 · median $29,321 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,013 – $67,969 · median $32,724 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,145 – $36,498 · median $18,229 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $58,069 – $260,198 · median $123,301 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,669 – $41,325 · median $20,170 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,337 – $41,839 · median $23,124 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,028 – $142,561 · median $76,974 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,389 – $65,739 · median $30,364 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,872 – $48,714 · median $24,331 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,849 – $37,077 · median $20,774 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,519 – $52,363 · median $26,871 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,339 – $46,327 · median $22,136 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,846 – $18,771 · median $10,375 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,728 – $29,933 · median $15,271 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,529 – $21,414 · median $11,835 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,459 – $42,385 · median $22,044 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,699 – $38,977 · median $19,468 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,805 – $49,596 · median $26,818 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,600 – $134,014 · median $66,934 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,985 – $40,803 · median $23,141 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,004 – $49,308 · median $21,382 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,512 – $26,853 · median $14,127 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,387 – $71,216 · median $32,487 | 13 plans |
| 637 | DIABETES WITH MCC | $8,073 – $36,173 · median $15,687 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,317 – $19,342 · median $9,661 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,098 – $70,098 · median $33,895 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,298 – $23,739 · median $10,829 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,677 – $38,880 · median $19,637 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,835 – $17,184 · median $7,755 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,266 – $25,333 · median $11,846 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,798 – $17,243 · median $9,556 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,301 – $36,824 · median $16,438 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,102 – $35,254 · median $18,133 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,899 – $46,089 · median $24,375 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,829 – $30,599 · median $14,309 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,087 – $42,944 · median $20,765 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,225 – $25,106 · median $12,095 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,729 – $30,152 · median $14,407 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,681 – $40,168 · median $22,644 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,832 – $48,535 · median $22,141 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,552 – $33,838 · median $14,890 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,003 – $24,214 · median $12,271 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,245 – $33,005 · median $16,936 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,532 – $14,670 · median $10,750 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,775 – $34,946 · median $17,454 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,229 – $16,379 · median $8,356 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,472 – $118,619 · median $64,140 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,620 – $36,327 · median $17,358 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,044 – $31,563 · median $13,553 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,111 – $124,374 · median $56,737 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,788 – $34,039 · median $17,981 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,301 – $32,003 · median $17,305 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,194 – $37,342 · median $23,503 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,285 – $35,964 · median $19,447 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,818 – $30,281 · median $13,132 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,812 – $17,082 · median $9,947 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,654 – $25,333 · median $11,433 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,831 – $165,897 · median $77,575 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,355 – $78,839 · median $36,030 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,160 – $27,733 · median $12,651 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,979 – $13,104 · median $8,308 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,487 – $118,082 · median $65,263 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,634 – $101,932 · median $51,391 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,837 – $196,906 · median $91,391 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,695 – $200,230 · median $93,630 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,874 – $104,090 · median $56,284 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,333 – $40,023 · median $19,556 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $20,910 – $93,695 · median $50,663 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,310 – $37,236 · median $15,757 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,065 – $36,138 · median $15,671 | 12 plans |
| 079 | Inpatient MS-DRG | $4,276 – $16,560 · median $8,954 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,724 – $34,608 · median $17,285 | 12 plans |
| 102 | HEADACHES WITH MCC | $8,056 – $28,801 · median $15,573 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,950 – $24,298 · median $12,534 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,385 – $85,007 · median $51,270 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,223 – $18,211 · median $9,001 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,132 – $39,246 · median $18,352 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,762 – $21,339 · median $9,734 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,753 – $84,254 · median $42,478 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,568 – $109,259 · median $59,825 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $24,785 – $88,606 · median $40,926 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,046 – $62,152 · median $30,053 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,650 – $18,011 · median $8,422 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,540 – $48,570 · median $22,712 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,448 – $10,971 · median $5,469 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,155 – $126,157 · median $58,271 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,219 – $35,627 · median $21,402 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,818 – $36,978 · median $16,271 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,690 – $33,659 · median $17,506 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,337 – $25,567 · median $13,534 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,119 – $47,798 · median $23,873 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,450 – $32,728 · median $16,500 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,768 – $21,367 · median $10,766 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,012 – $26,938 · median $11,682 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,107 – $76,653 · median $34,593 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,344 – $120,650 · median $66,683 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,964 – $58,088 · median $26,547 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,932 – $79,964 · median $48,631 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,774 – $88,208 · median $47,446 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,901 – $49,969 · median $23,366 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,779 – $37,877 · median $20,256 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,136 – $18,535 · median $8,246 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,434 – $32,440 · median $14,798 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,310 – $22,201 · median $12,295 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,482 – $21,235 · median $9,479 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,374 – $36,310 · median $20,764 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,436 – $98,007 · median $46,878 | 12 plans |
| 638 | DIABETES WITH CC | $6,373 – $22,782 · median $10,393 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,322 – $51,598 · median $25,771 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,645 – $37,358 · median $18,659 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,018 – $27,184 · median $12,711 | 12 plans |
| 697 | URETHRAL STRICTURE | $5,553 – $24,884 · median $12,032 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,757 – $48,203 · median $24,075 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,591 – $47,457 · median $23,927 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,485 – $52,231 · median $27,218 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,739 – $41,595 · median $21,633 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,965 – $26,727 · median $12,498 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $7,621 – $20,900 · median $11,597 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,363 – $36,128 · median $17,918 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,768 – $33,746 · median $25,489 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,727 – $19,461 · median $11,253 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,702 – $89,043 · median $41,637 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,134 – $58,618 · median $28,344 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,279 – $39,814 · median $21,416 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,380 – $28,590 · median $13,661 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,697 – $53,054 · median $28,060 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,539 – $20,341 · median $10,159 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,076 – $49,631 · median $23,998 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,791 – $45,671 · median $24,969 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $21,783 – $97,607 · median $49,210 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,631 – $25,234 · median $12,603 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $164,829 – $589,251 · median $268,803 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $17,181 – $54,556 · median $28,399 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,714 – $26,801 · median $13,753 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,868 – $166,885 · median $86,697 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,708 – $65,905 · median $30,818 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,417 – $87,004 · median $41,572 | 12 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $195,717 – $699,672 · median $327,175 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,838 – $45,850 · median $24,792 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,783 – $30,393 · median $15,180 | 11 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,212 – $18,634 · median $8,501 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,373 – $59,544 · median $26,872 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,373 – $59,544 · median $32,626 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $5,109 – $22,894 · median $10,939 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,281 – $18,828 · median $8,405 | 11 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,727 – $16,702 · median $8,342 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,682 – $33,630 · median $18,089 | 11 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,321 – $76,221 · median $34,770 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,120 – $27,579 · median $14,912 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,643 – $20,803 · median $9,490 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,117 – $46,891 · median $21,927 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,944 – $263,164 · median $124,698 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,892 – $239,724 · median $129,624 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,958 – $123,780 · median $57,173 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,372 – $63,414 · median $31,971 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,213 – $43,660 · median $20,416 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,832 – $115,549 · median $66,376 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,427 – $24,317 · median $12,145 | 11 plans |
| 295 | Other Inpatient MS-DRG | $5,065 – $19,618 · median $9,174 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,460 – $28,895 · median $16,842 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,884 – $37,194 · median $19,054 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $13,629 – $52,790 · median $28,545 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,192 – $41,481 · median $20,058 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,420 – $40,358 · median $24,544 | 11 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,120 – $31,906 · median $18,434 | 11 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,004 – $37,586 · median $19,241 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,454 – $86,969 · median $47,564 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,662 – $41,295 · median $22,823 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,861 – $26,573 · median $12,426 | 11 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,341 – $63,295 · median $28,523 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,922 – $30,761 · median $16,633 | 11 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,488 – $44,112 · median $24,663 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,329 – $26,986 · median $15,213 | 11 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,549 – $70,846 · median $37,784 | 11 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,317 – $32,057 · median $14,990 | 11 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,329 – $70,992 · median $39,112 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,624 – $72,398 · median $33,440 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,281 – $41,588 · median $20,771 | 11 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,647 – $80,960 · median $44,386 | 11 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,130 – $41,153 · median $21,520 | 11 plans |
| 602 | CELLULITIS WITH MCC | $9,422 – $32,848 · median $17,065 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,633 – $56,608 · median $24,308 | 11 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,679 – $37,490 · median $16,919 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,627 – $25,669 · median $11,731 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,311 – $33,284 · median $15,564 | 11 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,584 – $25,500 · median $13,485 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,453 – $46,839 · median $23,634 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,859 – $26,568 · median $12,423 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,880 – $18,364 · median $12,497 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,687 – $29,775 · median $18,108 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,601 – $64,298 · median $29,699 | 11 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,262 – $35,155 · median $18,758 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,340 – $28,408 · median $14,775 | 11 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,451 – $79,212 · median $43,780 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,377 – $63,434 · median $29,662 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,515 – $40,729 · median $18,579 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,109 – $45,296 · median $20,701 | 11 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,559 – $94,945 · median $44,397 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,680 – $102,083 · median $58,822 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,247 – $35,815 · median $17,318 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,005 – $34,492 · median $19,028 | 11 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $81,234 – $264,520 · median $133,362 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $31,625 – $141,709 · median $63,049 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,680 – $61,298 · median $29,640 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,696 – $53,046 · median $29,001 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,476 – $29,325 · median $15,234 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,778 – $48,036 · median $24,955 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,439 – $19,889 · median $9,933 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,564 – $17,678 · median $9,665 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,852 – $118,949 · median $71,456 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,992 – $56,391 · median $31,789 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,089 – $85,555 · median $43,412 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,256 – $70,712 · median $36,834 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,660 – $45,162 · median $24,034 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,612 – $19,911 · median $10,766 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,383 – $48,662 · median $24,402 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,258 – $96,542 · median $52,937 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,881 – $73,240 · median $44,542 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,351 – $26,005 · median $14,311 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,142 – $76,812 · median $33,310 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,236 – $20,281 · median $10,669 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,628 – $37,054 · median $20,519 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,120 – $64,191 · median $32,363 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,380 – $45,373 · median $26,577 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,537 – $25,318 · median $15,795 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,104 – $23,642 · median $11,808 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,612 – $172,793 · median $84,182 | 10 plans |
| 078 | Inpatient MS-DRG | $6,399 – $22,311 · median $13,191 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,034 – $17,232 · median $12,232 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,084 – $39,057 · median $20,241 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,259 – $20,368 · median $11,013 | 9 plans |
| 294 | Inpatient MS-DRG | $7,875 – $30,502 · median $15,235 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,941 – $23,011 · median $12,718 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,648 – $33,638 · median $19,466 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,054 – $85,421 · median $53,289 | 9 plans |
| 509 | Inpatient MS-DRG | $11,266 – $39,276 · median $19,941 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,326 – $25,530 · median $12,751 | 9 plans |
| 693 | URINARY STONES WITH MCC | $9,430 – $36,523 · median $20,980 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $15,300 – $81,604 · median $44,867 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,415 – $44,213 · median $22,291 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,002 – $12,544 · median $7,249 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $40,884 – $131,559 · median $68,345 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,665 – $127,499 · median $56,916 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,470 – $87,031 · median $47,060 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,682 – $27,462 · median $16,392 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,237 – $25,239 · median $11,802 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,148 – $31,503 · median $20,147 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,639 – $32,100 · median $25,368 | 6 plans |
No procedures match that keyword.