Maine Medical Center — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 | $230,024 – $804,986 · median $231,174 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,757 – $314,918 · median $91,211 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $175,314 – $612,466 · median $176,191 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $116,016 – $403,803 · median $116,596 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $87,750 – $304,335 · median $88,188 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,645 – $138,579 · median $40,848 | 6 plans |
| 007 | LUNG TRANSPLANT | $107,398 – $373,476 · median $107,935 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $45,452 – $155,494 · median $45,679 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $66,014 – $227,850 · median $66,344 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,085 – $154,202 · median $45,310 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,591 – $117,274 · median $34,764 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,785 – $75,731 · median $22,899 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $107,666 – $374,419 · median $108,204 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $50,283 – $172,492 · median $50,534 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,283 – $172,492 · median $50,534 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $307,537 – $1,077,745 · median $309,075 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $65,643 – $226,544 · median $65,971 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $66,730 – $230,368 · median $67,063 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $46,152 – $157,958 · median $46,383 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,935 – $100,891 · median $30,085 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,596 – $163,039 · median $47,834 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,138 – $108,644 · median $32,299 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,584 – $127,808 · median $37,772 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,103 – $87,408 · median $26,234 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,305 – $70,524 · median $21,412 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $50,637 – $112,706 · median $50,890 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,524 – $64,655 · median $28,667 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,337 – $45,807 · median $19,433 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,296 – $119,758 · median $35,473 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,607 – $61,031 · median $18,700 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,221 – $45,596 · median $14,292 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,845 – $111,130 · median $33,009 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,738 – $65,009 · median $19,837 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,151 – $52,386 · median $16,232 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,233 – $94,904 · median $28,375 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,349 – $46,047 · median $14,421 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,507 – $32,527 · median $10,560 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,898 – $107,798 · median $32,057 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,603 – $64,534 · median $19,701 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,538 – $50,228 · median $15,615 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,608 – $57,513 · median $17,696 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,747 – $26,332 · median $8,790 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,438 – $42,841 · median $13,505 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,124 – $31,178 · median $10,175 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,600 – $71,561 · median $21,708 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,101 – $38,134 · median $12,161 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,255 – $52,752 · median $16,336 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,201 – $34,968 · median $11,257 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,511 – $25,503 · median $8,554 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,219 – $77,257 · median $23,335 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,727 – $50,894 · median $15,805 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,672 – $40,146 · median $12,736 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,418 – $56,847 · median $17,506 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,522 – $29,061 · median $9,570 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,854 – $19,670 · median $6,888 | 6 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,079 – $41,578 · median $13,145 | 6 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,423 – $25,191 · median $8,465 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,762 – $22,865 · median $7,800 | 6 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,385 – $49,691 · median $15,462 | 6 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,823 – $30,118 · median $9,872 | 6 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,356 – $21,439 · median $7,393 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,816 – $44,170 · median $13,885 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,729 – $29,789 · median $9,778 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,252 – $49,222 · median $15,328 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,710 – $26,203 · median $8,754 | 6 plans |
| 077 | Other DRG | $13,822 – $44,190 · median $13,891 | 6 plans |
| 078 | Other DRG | $9,368 – $28,518 · median $9,415 | 6 plans |
| 079 | Other DRG | $6,678 – $19,053 · median $6,712 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,407 – $56,807 · median $17,494 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,612 – $25,857 · median $8,655 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,107 – $66,306 · median $20,207 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,556 – $39,734 · median $12,618 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,028 – $27,323 · median $9,074 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,666 – $64,757 · median $19,765 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,916 – $37,483 · median $11,975 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,443 – $25,263 · median $8,485 | 6 plans |
| 088 | CONCUSSION WITH MCC | $12,720 – $40,315 · median $12,784 | 6 plans |
| 089 | CONCUSSION WITH CC | $9,971 – $30,638 · median $10,020 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,226 – $24,500 · median $8,267 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,068 – $52,094 · median $16,148 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,862 – $30,255 · median $9,911 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,674 – $22,556 · median $7,712 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,896 – $104,271 · median $31,050 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,732 – $68,506 · median $20,836 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,732 – $68,506 · median $20,836 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,375 – $102,440 · median $30,527 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,881 – $61,994 · median $18,976 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,579 – $39,817 · median $12,642 | 6 plans |
| 100 | SEIZURES WITH MCC | $17,387 – $56,735 · median $17,474 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $8,749 – $26,340 · median $8,793 | 6 plans |
| 102 | HEADACHES WITH MCC | $10,680 – $33,136 · median $10,734 | 6 plans |
| 103 | HEADACHES WITHOUT MCC | $8,168 – $24,297 · median $8,209 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,590 – $64,488 · median $19,688 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,864 – $33,782 · median $10,918 | 6 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,697 – $43,752 · median $13,766 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,815 – $47,685 · median $14,889 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,023 – $30,824 · median $10,073 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,710 – $33,242 · median $10,764 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,772 – $19,384 · median $6,806 | 6 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,787 – $22,954 · median $7,826 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,853 – $37,262 · median $11,912 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,969 – $23,597 · median $8,009 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,845 – $68,904 · median $20,949 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,208 – $27,955 · median $9,254 | 6 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,622 – $39,969 · median $12,685 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,870 – $23,248 · median $7,910 | 6 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,414 – $39,237 · median $12,476 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,610 – $120,861 · median $35,788 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,712 – $61,399 · median $18,806 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,034 – $44,936 · median $14,104 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,079 – $94,361 · median $28,220 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,530 – $50,202 · median $15,608 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,886 – $33,859 · median $10,940 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,895 – $65,560 · median $19,994 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,373 – $35,574 · median $11,430 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,766 – $22,882 · median $7,805 | 6 plans |
| 149 | DYSEQUILIBRIUM | $7,334 – $21,362 · median $7,371 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $12,489 – $39,500 · median $12,551 | 6 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,420 – $21,662 · median $7,457 | 6 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,480 – $32,430 · median $10,532 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,044 – $20,339 · median $7,079 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,471 – $46,476 · median $14,544 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,846 – $26,680 · median $8,890 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,724 – $19,216 · median $6,758 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,562 – $46,796 · median $14,635 | 6 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,903 – $26,880 · median $8,947 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,621 – $18,850 · median $6,654 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,696 – $131,720 · median $38,889 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,705 – $71,930 · median $21,813 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,402 – $53,269 · median $16,484 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $32,533 – $110,033 · median $32,696 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,103 – $52,217 · median $16,183 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,259 – $38,691 · median $12,320 | 6 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $26,185 – $87,694 · median $26,315 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,707 – $40,269 · median $12,771 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,879 – $23,277 · median $7,918 | 6 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,392 – $46,196 · median $14,464 | 6 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,321 – $28,352 · median $9,367 | 6 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,515 – $21,996 · median $7,552 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,458 – $49,948 · median $15,535 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,281 – $31,730 · median $10,332 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,065 – $23,934 · median $8,106 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,155 – $45,361 · median $14,225 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,938 – $30,524 · median $9,988 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,580 – $22,225 · median $7,618 | 6 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,095 – $45,153 · median $14,166 | 6 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,417 – $28,692 · median $9,465 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,226 – $20,982 · median $7,263 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,313 – $35,362 · median $11,370 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,384 – $32,093 · median $10,436 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,241 – $24,551 · median $8,282 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,520 – $18,495 · median $6,552 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,965 – $37,657 · median $12,025 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,923 – $23,434 · median $7,963 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,321 – $17,795 · median $6,352 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,565 – $53,843 · median $16,648 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,304 – $28,292 · median $9,350 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,952 – $20,016 · median $6,987 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,600 – $50,448 · median $15,678 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,258 – $31,650 · median $10,309 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,763 – $19,350 · median $6,796 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,115 – $27,626 · median $9,160 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,921 – $19,907 · median $6,956 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,850 – $23,177 · median $7,889 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,595 – $53,949 · median $16,678 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,620 – $25,886 · median $8,663 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,785 – $184,818 · median $54,054 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,059 – $76,697 · median $23,175 | 6 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $89,735 – $311,323 · median $90,184 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $87,306 – $302,775 · median $87,743 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $79,642 – $275,806 · median $80,041 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $53,710 – $184,552 · median $53,978 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,579 – $170,017 · median $49,827 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $64,102 – $221,120 · median $64,422 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,279 – $151,368 · median $44,501 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,561 – $131,246 · median $38,754 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,734 – $142,411 · median $41,943 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,491 – $88,771 · median $26,623 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $70,082 – $242,165 · median $70,432 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,874 – $174,573 · median $51,128 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $64,742 – $223,375 · median $65,066 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $44,470 – $152,039 · median $44,693 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,051 – $168,157 · median $49,296 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,659 – $117,514 · median $34,832 | 6 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $42,169 – $143,943 · median $42,380 | 6 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,914 – $83,224 · median $25,039 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,526 – $43,149 · median $13,594 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,811 – $96,936 · median $28,955 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,559 – $64,380 · median $19,657 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,920 – $51,574 · median $16,000 | 6 plans |
| 245 | AICD GENERATOR PROCEDURES | $40,950 – $139,654 · median $41,155 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,045 – $66,089 · median $20,145 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,954 – $44,656 · median $14,024 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $29,123 – $98,033 · median $29,268 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,997 – $72,959 · median $22,107 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,471 – $49,994 · median $15,548 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,513 – $74,774 · median $22,625 | 6 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,019 – $48,402 · median $15,094 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,507 – $25,488 · median $8,550 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,048 – $80,175 · median $24,168 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,538 – $50,231 · median $15,616 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,926 – $97,341 · median $29,071 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,675 – $54,229 · median $16,758 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,590 – $43,375 · median $13,658 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,046 – $76,648 · median $23,161 | 6 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $29,648 – $99,882 · median $29,796 | 6 plans |
| 265 | AICD LEAD PROCEDURES | $30,234 – $101,942 · median $30,385 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,916 – $171,203 · median $50,166 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,472 – $134,450 · median $39,669 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,413 – $190,545 · median $55,690 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $35,054 – $118,903 · median $35,229 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,950 – $146,689 · median $43,165 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,236 – $98,433 · median $29,383 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,585 – $71,507 · median $21,693 | 6 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,020 – $111,747 · median $33,185 | 6 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,610 – $89,191 · median $26,743 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $58,656 – $201,959 · median $58,950 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $51,570 – $177,022 · median $51,828 | 6 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $39,043 – $132,941 · median $39,238 | 6 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,897 – $142,983 · median $42,106 | 6 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,287 – $91,574 · median $27,424 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,594 – $46,907 · median $14,667 | 6 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,750 – $26,343 · median $8,794 | 6 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,152 – $20,722 · median $7,188 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,144 – $55,881 · median $17,230 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,282 – $21,176 · median $7,318 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,823 – $16,044 · median $5,852 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $19,238 – $63,251 · median $19,335 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,113 – $31,141 · median $10,164 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,447 – $78,060 · median $23,564 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,068 – $45,058 · median $14,139 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,214 – $27,978 · median $9,261 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,860 – $37,288 · median $11,920 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,258 – $24,611 · median $8,299 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,720 – $15,681 · median $5,749 | 6 plans |
| 294 | Other DRG | $11,237 – $35,093 · median $11,293 | 6 plans |
| 295 | Other DRG | $7,678 – $22,571 · median $7,716 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,570 – $46,822 · median $14,642 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,984 – $20,130 · median $7,019 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,851 – $12,623 · median $4,875 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,401 – $46,227 · median $14,473 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,958 – $30,595 · median $10,008 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,057 – $20,387 · median $7,093 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,711 – $33,244 · median $10,765 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,724 – $19,216 · median $6,758 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $10,805 – $33,573 · median $10,859 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,360 – $21,453 · median $7,397 | 6 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,424 – $42,792 · median $13,492 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,787 – $26,474 · median $8,831 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,057 – $34,462 · median $11,112 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,268 – $21,128 · median $7,304 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,808 – $15,989 · median $5,837 | 6 plans |
| 311 | ANGINA PECTORIS | $6,935 – $19,956 · median $6,970 | 6 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,340 – $24,900 · median $8,382 | 6 plans |
| 313 | CHEST PAIN | $7,057 – $20,387 · median $7,093 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,753 – $61,542 · median $18,847 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,079 – $27,500 · median $9,124 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,808 – $19,510 · median $6,842 | 6 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,505 – $176,793 · median $51,762 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,939 – $125,536 · median $37,123 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,063 – $66,152 · median $20,163 | 6 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $24,383 – $81,355 · median $24,505 | 6 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,957 – $51,703 · median $16,036 | 6 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,855 – $121,724 · median $36,034 | 6 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,212 – $91,309 · median $27,348 | 6 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,507 – $81,792 · median $24,630 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $42,511 – $145,146 · median $42,724 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,983 – $69,390 · median $21,088 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,205 – $45,539 · median $14,276 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,556 – $120,975 · median $38,748 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,460 – $62,293 · median $20,562 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,672 – $41,644 · median $14,745 | 6 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,434 – $99,128 · median $29,581 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $18,524 – $60,736 · median $18,616 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,734 – $47,399 · median $14,807 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,690 – $103,548 · median $30,844 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,418 – $60,365 · median $18,510 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,731 – $43,870 · median $13,799 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,146 – $77,003 · median $23,262 | 6 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,354 – $42,544 · median $13,421 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,377 – $35,588 · median $11,434 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,485 – $67,638 · median $20,587 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,488 – $35,976 · median $11,545 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,418 – $25,174 · median $8,460 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,907 – $69,121 · median $21,011 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,482 – $42,995 · median $13,550 | 6 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,218 – $31,510 · median $10,269 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,083 – $83,818 · median $25,209 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,079 – $48,614 · median $15,154 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,091 – $38,100 · median $12,151 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,906 – $121,904 · median $36,086 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,553 – $64,357 · median $19,650 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,269 – $38,726 · median $12,330 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,826 – $47,725 · median $14,900 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,528 – $29,081 · median $9,576 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,932 – $19,947 · median $6,967 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,460 – $49,954 · median $15,537 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,623 – $29,415 · median $9,671 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,155 – $20,730 · median $7,191 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,411 – $60,339 · median $18,503 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,242 – $35,113 · median $11,299 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,435 – $25,234 · median $8,477 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,030 – $51,960 · median $16,110 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,271 – $28,175 · median $9,317 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,435 – $18,195 · median $6,467 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,891 – $54,992 · median $16,976 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,109 – $31,124 · median $10,159 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,349 – $21,413 · median $7,386 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,531 – $36,128 · median $11,588 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,326 – $24,851 · median $8,368 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,459 – $46,433 · median $14,531 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,324 – $28,363 · median $9,371 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,707 – $19,156 · median $6,741 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,201 – $42,006 · median $13,267 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,774 – $22,908 · median $7,813 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,708 – $15,638 · median $5,736 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,695 – $36,708 · median $11,754 | 6 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,601 – $22,299 · median $7,639 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,713 – $47,325 · median $14,786 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,908 – $26,900 · median $8,953 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,432 – $18,187 · median $6,464 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $21,387 – $70,810 · median $21,493 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,553 – $43,244 · median $13,621 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,390 – $32,116 · median $10,442 | 6 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,036 – $111,802 · median $33,201 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,351 – $155,140 · median $45,578 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,071 – $80,258 · median $24,192 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,609 – $61,036 · median $18,702 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,699 – $100,059 · median $29,847 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,290 – $59,913 · median $18,381 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,861 – $44,327 · median $13,930 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,487 – $78,200 · median $23,604 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,575 – $60,916 · median $18,668 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,765 – $47,510 · median $14,839 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,719 – $100,131 · median $29,867 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,328 – $56,530 · median $17,415 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,391 – $39,157 · median $12,453 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,564 – $67,915 · median $20,667 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,732 – $47,393 · median $14,806 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,964 – $37,654 · median $12,024 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,928 – $100,865 · median $30,077 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,563 – $46,799 · median $14,636 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,197 – $41,992 · median $13,263 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $34,296 – $116,237 · median $34,467 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,807 – $65,251 · median $19,906 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,818 – $44,175 · median $13,887 | 6 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $86,337 – $299,363 · median $86,768 | 6 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $58,946 – $202,979 · median $59,241 | 6 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $45,964 – $157,295 · median $46,193 | 6 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,999 – $238,355 · median $69,344 | 6 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $45,691 – $156,334 · median $45,919 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,174 – $55,987 · median $17,260 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,952 – $30,572 · median $10,002 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,920 – $19,904 · median $6,955 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,082 – $52,143 · median $16,162 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,422 – $32,227 · median $10,474 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,641 – $22,439 · median $7,679 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,775 – $47,545 · median $14,849 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,250 – $24,583 · median $8,291 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,259 – $17,578 · median $6,290 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,616 – $54,023 · median $16,699 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,110 – $27,612 · median $9,156 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,971 – $20,082 · median $7,005 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,943 – $48,136 · median $15,018 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,071 – $30,993 · median $10,122 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,739 – $22,785 · median $7,778 | 6 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,714 – $191,605 · median $55,993 | 6 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $34,427 – $116,697 · median $34,599 | 6 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,089 – $147,178 · median $43,304 | 6 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,326 – $88,191 · median $26,457 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $70,044 – $242,030 · median $70,394 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,875 – $164,019 · median $48,114 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,331 – $123,399 · median $36,513 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,101 – $175,373 · median $51,357 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,521 – $81,841 · median $24,644 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,126 – $154,348 · median $45,352 | 6 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,210 – $84,264 · median $25,336 | 6 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,363 – $49,614 · median $15,440 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $42,638 – $145,592 · median $42,851 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,081 – $97,884 · median $29,226 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,568 – $74,968 · median $22,681 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,810 – $93,412 · median $27,949 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,576 – $47,797 · median $16,659 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,711 – $138,811 · median $40,914 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,793 – $82,795 · median $24,916 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,490 – $67,655 · median $20,592 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,685 – $128,162 · median $37,873 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,784 – $61,651 · median $18,878 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,710 – $33,239 · median $10,763 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,193 – $98,279 · median $29,339 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,256 – $66,832 · median $20,357 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,685 – $50,748 · median $15,764 | 6 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,148 – $84,047 · median $25,274 | 6 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,114 – $59,296 · median $18,205 | 6 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,147 – $45,336 · median $14,218 | 6 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,958 – $72,822 · median $22,068 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,408 – $92,000 · median $27,545 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,488 – $60,610 · median $18,580 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,097 – $45,159 · median $14,167 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,225 – $56,167 · median $17,311 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,321 – $35,391 · median $11,378 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,104 – $101,485 · median $30,254 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,763 – $68,615 · median $20,867 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,576 – $53,880 · median $16,658 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,855 – $100,611 · median $30,005 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,287 – $56,384 · median $17,373 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,167 – $38,368 · median $12,228 | 6 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,769 – $72,156 · median $21,878 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,691 – $33,173 · median $10,744 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,997 – $90,554 · median $27,132 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,758 – $51,003 · median $15,837 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,611 – $39,929 · median $12,674 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,757 – $75,634 · median $22,871 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,517 – $50,154 · median $15,594 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,517 – $50,154 · median $15,594 | 6 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,438 – $42,841 · median $13,505 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,004 – $55,389 · median $17,089 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,745 – $36,882 · median $11,804 | 6 plans |
| 509 | Other DRG | $15,530 – $50,202 · median $15,608 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,475 – $81,678 · median $24,597 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,191 – $56,047 · median $17,277 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,321 – $45,947 · median $14,393 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,491 – $43,027 · median $13,559 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,544 – $29,138 · median $9,592 | 6 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,378 – $88,374 · median $26,510 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,601 – $57,490 · median $17,689 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,386 – $42,658 · median $13,453 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,370 – $102,423 · median $30,522 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,278 – $56,352 · median $17,364 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,903 – $40,958 · median $12,968 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,935 – $83,295 · median $25,059 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,384 – $60,245 · median $18,476 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,648 – $43,578 · median $13,716 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,874 – $23,262 · median $7,914 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,064 – $38,006 · median $12,124 | 6 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,849 – $23,174 · median $7,889 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,727 – $26,263 · median $8,771 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,717 – $19,190 · median $6,751 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,688 – $57,796 · median $17,777 | 6 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,773 – $36,982 · median $11,832 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,369 – $25,003 · median $8,411 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,411 – $53,300 · median $16,493 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,880 – $30,318 · median $9,929 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,401 – $21,596 · median $7,438 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,785 – $72,213 · median $21,894 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,666 – $33,084 · median $10,719 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,324 – $21,325 · median $7,360 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,625 – $57,573 · median $17,713 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,051 – $34,439 · median $11,106 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,265 – $24,637 · median $8,306 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,122 – $48,765 · median $15,197 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,091 – $27,543 · median $9,136 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,870 – $37,322 · median $11,929 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,042 – $23,851 · median $8,082 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,200 – $38,483 · median $12,261 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,895 – $23,334 · median $7,934 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,849 – $44,287 · median $13,918 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,279 – $24,685 · median $8,320 | 6 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,339 – $53,049 · median $16,421 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,511 – $32,541 · median $10,564 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,904 – $23,365 · median $7,943 | 6 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,149 – $41,823 · median $13,215 | 6 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,523 – $25,543 · median $8,565 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,008 – $44,844 · median $14,078 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,545 – $29,141 · median $9,593 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,339 – $21,379 · median $7,376 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,710 – $86,025 · median $25,839 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,861 – $47,848 · median $14,935 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,541 – $32,647 · median $10,594 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,276 – $175,987 · median $51,532 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,403 – $99,019 · median $29,550 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,479 – $57,061 · median $17,567 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,080 – $154,185 · median $45,306 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,889 – $76,097 · median $23,003 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,992 – $48,308 · median $15,067 | 6 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,734 – $93,146 · median $27,873 | 6 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,663 – $50,668 · median $15,741 | 6 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,952 – $41,129 · median $13,017 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,486 – $50,045 · median $15,563 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,605 – $46,945 · median $14,678 | 6 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,891 – $58,510 · median $17,981 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,385 – $56,730 · median $17,472 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $17,963 – $58,764 · median $18,053 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $11,194 – $34,942 · median $11,250 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,156 – $24,254 · median $8,197 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,441 – $60,445 · median $18,533 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,044 – $30,895 · median $10,094 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,530 – $50,202 · median $15,608 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,026 – $30,832 · median $10,076 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,207 – $24,431 · median $8,248 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,033 – $27,337 · median $9,078 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,132 – $17,132 · median $6,163 | 6 plans |
| 602 | CELLULITIS WITH MCC | $13,195 – $41,986 · median $13,261 | 6 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,417 – $25,171 · median $8,459 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,329 – $42,458 · median $13,396 | 6 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,765 – $26,397 · median $8,809 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,341 – $46,019 · median $14,413 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,282 – $24,697 · median $8,324 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,772 – $65,129 · median $19,871 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,901 – $40,952 · median $12,966 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,652 – $110,453 · median $32,815 | 6 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,951 – $55,201 · median $17,035 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,376 – $35,582 · median $11,432 | 6 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,406 – $77,917 · median $23,523 | 6 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,233 – $42,192 · median $14,305 | 6 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,135 – $36,958 · median $13,201 | 6 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,653 – $106,938 · median $31,812 | 6 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,798 – $54,663 · median $16,882 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,410 – $28,666 · median $9,457 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,548 – $81,935 · median $24,671 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,521 – $43,132 · median $13,589 | 6 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,553 – $36,205 · median $11,610 | 6 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,308 – $112,759 · median $33,474 | 6 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,529 – $64,274 · median $19,627 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,644 – $40,046 · median $12,707 | 6 plans |
| 637 | DIABETES WITH MCC | $13,091 – $41,618 · median $13,156 | 6 plans |
| 638 | DIABETES WITH CC | $8,713 – $26,211 · median $8,756 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,353 – $17,907 · median $6,384 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,049 – $37,951 · median $12,109 | 6 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,610 – $22,331 · median $7,648 | 6 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,343 – $35,468 · median $11,400 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,723 – $47,362 · median $14,797 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,656 – $29,532 · median $9,705 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,588 – $22,253 · median $7,626 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,681 – $131,666 · median $38,874 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,465 – $99,236 · median $29,612 | 6 plans |
| 652 | KIDNEY TRANSPLANT | $26,207 – $87,774 · median $26,338 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $46,536 – $159,309 · median $46,769 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,183 – $80,649 · median $24,304 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,134 – $59,364 · median $18,225 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,723 – $93,106 · median $27,861 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,110 – $52,243 · median $16,191 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,478 – $42,981 · median $13,545 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,251 – $73,853 · median $22,363 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,146 – $38,294 · median $12,207 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,601 – $29,338 · median $9,649 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $26,599 – $89,151 · median $26,732 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,668 – $43,650 · median $13,736 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,033 – $30,858 · median $10,083 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,149 – $98,124 · median $29,295 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $14,642 – $47,076 · median $14,715 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,611 – $29,372 · median $9,659 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,948 – $83,341 · median $25,072 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,831 – $44,224 · median $13,901 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,025 – $27,312 · median $9,070 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,262 – $49,259 · median $15,339 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,152 – $31,275 · median $10,202 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $35,288 – $119,729 · median $35,465 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,011 – $65,969 · median $20,111 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,976 – $44,733 · median $14,046 | 6 plans |
| 682 | RENAL FAILURE WITH MCC | $13,461 – $42,921 · median $13,528 | 6 plans |
| 683 | RENAL FAILURE WITH CC | $8,483 – $25,403 · median $8,525 | 6 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,197 – $17,358 · median $6,228 | 6 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,578 – $53,889 · median $16,661 | 6 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,813 – $30,084 · median $9,862 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,145 – $20,696 · median $7,181 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,768 – $33,444 · median $10,822 | 6 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,782 – $22,936 · median $7,821 | 6 plans |
| 693 | URINARY STONES WITH MCC | $13,205 – $42,021 · median $13,271 | 6 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,610 – $22,331 · median $7,648 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,423 – $32,230 · median $10,475 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,882 – $19,770 · median $6,916 | 6 plans |
| 697 | URETHRAL STRICTURE | $9,400 – $28,629 · median $9,447 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,915 – $48,036 · median $14,989 | 6 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,547 – $29,146 · median $9,594 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,902 – $19,839 · median $6,936 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,024 – $55,458 · median $17,109 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,303 – $42,366 · median $13,370 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,513 – $64,217 · median $19,611 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,457 – $42,907 · median $13,524 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,780 – $54,601 · median $16,864 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,950 – $30,567 · median $10,000 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,007 – $41,323 · median $13,072 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,895 – $26,854 · median $8,940 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,604 – $64,537 · median $19,702 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,790 – $40,560 · median $12,854 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,333 – $53,026 · median $16,414 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,268 – $35,205 · median $11,325 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,305 – $49,408 · median $15,381 | 6 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,383 – $32,090 · median $10,435 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,181 – $20,822 · median $7,217 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,518 – $36,082 · median $11,575 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,309 – $21,273 · median $7,346 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,197 – $41,992 · median $13,263 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,900 – $23,351 · median $7,939 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,204 – $31,461 · median $10,255 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,193 – $17,344 · median $6,224 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,341 – $60,093 · median $18,433 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,122 – $34,690 · median $11,178 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,242 – $112,528 · median $33,408 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,493 – $57,110 · median $17,581 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,583 – $43,350 · median $13,651 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,593 – $113,765 · median $33,761 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,031 – $51,963 · median $16,111 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,419 – $39,254 · median $12,481 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,099 – $52,203 · median $16,179 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,999 – $34,256 · median $11,054 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,133 – $55,841 · median $17,218 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,586 – $29,286 · median $9,634 | 6 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,864 – $47,856 · median $14,938 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,021 – $27,297 · median $9,066 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,327 – $38,931 · median $12,389 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,286 – $73,976 · median $22,398 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,736 – $36,851 · median $11,795 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,957 – $51,706 · median $16,037 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,279 – $31,724 · median $10,331 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,020 – $27,292 · median $9,065 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,758 – $40,446 · median $12,822 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,542 – $29,129 · median $9,589 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,461 – $18,290 · median $6,494 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,268 – $28,166 · median $9,314 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,412 – $18,115 · median $6,444 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,548 – $39,709 · median $12,611 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,002 – $30,750 · median $10,052 | 6 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,058 – $20,390 · median $7,094 | 6 plans |
| 779 | ABORTION WITHOUT D&C | $8,855 – $26,714 · median $8,900 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $39,878 – $135,881 · median $40,078 | 6 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,927 – $83,270 · median $25,052 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,596 – $46,916 · median $14,669 | 6 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,377 – $102,445 · median $30,529 | 6 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,720 – $50,868 · median $15,798 | 6 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,243 – $31,596 · median $10,294 | 6 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,864 – $65,452 · median $19,963 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,322 – $35,393 · median $11,379 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,994 – $27,200 · median $9,039 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,690 – $40,206 · median $12,753 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,759 – $26,374 · median $8,803 | 6 plans |
| 813 | COAGULATION DISORDERS | $13,835 – $44,238 · median $13,905 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,241 – $59,742 · median $18,332 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,516 – $29,038 · median $9,563 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,619 – $18,844 · median $6,652 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,852 – $72,447 · median $21,961 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,724 – $36,808 · median $11,783 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,895 – $23,334 · median $7,934 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,548 – $166,388 · median $48,791 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,394 – $63,797 · median $19,491 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,552 – $32,684 · median $10,605 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $39,267 – $133,729 · median $39,463 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,126 – $62,854 · median $19,221 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,259 – $35,173 · median $11,316 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $40,047 – $136,473 · median $40,247 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,429 – $67,441 · median $20,531 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,281 – $45,807 · median $14,353 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,308 – $88,128 · median $26,439 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,141 – $41,795 · median $13,207 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,611 – $32,893 · median $10,664 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,334 – $21,359 · median $7,370 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,485 – $14,855 · median $5,513 | 6 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $46,152 – $157,958 · median $46,383 | 6 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,610 – $61,039 · median $18,703 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,583 – $36,314 · median $11,641 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $41,928 – $143,094 · median $42,138 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,735 – $57,961 · median $17,824 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,393 – $39,163 · median $12,455 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,162 – $91,134 · median $27,298 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,998 – $44,810 · median $14,068 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,807 – $30,061 · median $9,856 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,640 – $54,106 · median $16,723 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,970 – $34,156 · median $11,025 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,060 – $23,914 · median $8,100 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,004 – $72,982 · median $22,114 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,583 – $36,314 · median $11,641 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,914 – $23,402 · median $7,954 | 6 plans |
| 849 | RADIOTHERAPY | $22,956 – $76,334 · median $23,071 | 6 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $76,075 – $263,255 · median $76,456 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,880 – $142,926 · median $42,090 | 6 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,491 – $57,101 · median $17,578 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,466 – $46,456 · median $14,538 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $37,903 – $128,931 · median $38,093 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,959 – $62,268 · median $19,054 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,727 – $36,820 · median $11,786 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,196 – $52,546 · median $16,277 | 6 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,384 – $28,575 · median $9,431 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,557 – $25,663 · median $8,599 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,250 – $42,178 · median $13,316 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,449 – $25,286 · median $8,492 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,678 – $61,279 · median $18,771 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,792 – $30,009 · median $9,841 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,108 – $20,565 · median $7,143 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $57,759 – $198,801 · median $58,048 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,198 – $56,072 · median $17,284 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,637 – $29,464 · median $9,685 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $33,177 – $112,299 · median $33,343 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $37,245 – $126,614 · median $37,431 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,675 – $54,229 · median $16,758 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,164 – $34,839 · median $11,220 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $32,621 – $110,341 · median $32,784 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,649 – $47,102 · median $14,722 | 6 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,988 – $62,371 · median $19,083 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $33,616 – $113,845 · median $33,784 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,645 – $57,644 · median $17,733 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,564 – $36,245 · median $11,622 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,406 – $46,247 · median $14,478 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,706 – $26,189 · median $8,750 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,378 – $49,665 · median $15,455 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,657 – $18,978 · median $6,690 | 6 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,580 – $46,859 · median $14,653 | 6 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,448 – $25,280 · median $8,490 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,074 – $52,114 · median $16,154 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,514 – $29,032 · median $9,562 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,849 – $19,653 · median $6,883 | 6 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,984 – $48,279 · median $15,059 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,547 – $29,146 · median $9,594 | 6 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $193,921 – $677,943 · median $194,891 | 6 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,504 – $190,868 · median $55,782 | 6 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,092 – $90,889 · median $27,228 | 6 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,403 – $123,653 · median $36,585 | 6 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,690 – $61,322 · median $18,784 | 6 plans |
| 935 | NON-EXTENSIVE BURNS | $19,101 – $62,768 · median $19,197 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,040 – $90,706 · median $27,176 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,411 – $60,339 · median $18,503 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,135 – $55,849 · median $17,221 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,661 – $43,624 · median $13,729 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,331 – $31,907 · median $10,383 | 6 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,709 – $36,757 · median $11,768 | 6 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,716 – $22,705 · median $7,755 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,027 – $30,835 · median $10,077 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,024 – $16,749 · median $6,054 | 6 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,869 – $16,204 · median $5,898 | 6 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $56,718 – $195,137 · median $57,001 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,306 – $109,235 · median $32,468 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $61,882 – $213,310 · median $62,191 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,640 – $117,449 · median $34,813 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,735 – $75,557 · median $22,849 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,327 – $77,637 · median $23,443 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,446 – $42,869 · median $13,514 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,675 – $26,080 · median $8,719 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $52,625 – $180,734 · median $52,888 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,812 – $75,825 · median $22,926 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,515 – $85,339 · median $25,643 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,807 – $40,620 · median $12,871 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,409 – $28,663 · median $9,456 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,974 – $41,206 · median $13,039 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $39,871 – $135,856 · median $40,071 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,147 – $69,967 · median $21,253 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,812 – $47,673 · median $14,886 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,710 – $100,099 · median $29,858 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,200 – $49,039 · median $15,276 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,648 – $33,022 · median $10,701 | 6 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $10,167 – $10,472 · median $10,167 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,224 – $16,711 · median $16,224 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,059 – $10,361 · median $10,059 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,358 – $8,608 · median $8,358 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,387 – $14,818 · median $14,387 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,887 – $10,183 · median $9,887 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,611 – $8,869 · median $8,611 | 5 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,903 – $16,380 · median $15,903 | 5 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $49,543 – $51,029 · median $49,543 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $34,235 – $35,262 · median $34,235 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $21,158 – $21,793 · median $21,158 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $35,133 – $36,187 · median $35,133 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,252 – $13,650 · median $13,252 | 5 plans |
| 795 | NORMAL NEWBORN | $2,886 – $2,973 · median $2,886 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,631 – $11,980 · median $11,631 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,127 – $9,401 · median $9,127 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $9,127 – $9,401 · median $9,127 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,369 – $9,650 · median $9,369 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,140 – $7,355 · median $7,140 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,439 – $6,633 · median $6,439 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,049 – $9,320 · median $9,049 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $8,687 – $8,948 · median $8,687 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,076 – $9,349 · median $9,076 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,320 – $16,809 · median $16,320 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,828 – $15,273 · median $14,828 | 5 plans |
| 885 | PSYCHOSES | $12,711 – $13,093 · median $12,711 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,854 – $16,329 · median $15,854 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,923 – $11,251 · median $10,923 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,332 – $6,522 · median $6,332 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,022 – $13,413 · median $13,022 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,726 – $16,198 · median $15,726 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,428 – $8,681 · median $8,428 | 5 plans |
| 460 | DRG 460 | $83,291 – $83,291 · median $83,291 | 1 plans |
No procedures match that keyword.