Adena 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.
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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $210,270 – $589,539 · median $286,422 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,872 – $238,387 · median $116,250 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $159,603 – $446,515 · median $217,111 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $104,649 – $291,392 · median $141,937 | 18 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,261 – $216,902 · median $105,838 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,979 – $98,943 · median $47,998 | 18 plans |
| 007 | LUNG TRANSPLANT | $97,933 – $272,433 · median $132,750 | 18 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,190 – $118,773 · median $57,863 | 18 plans |
| 010 | PANCREAS TRANSPLANT | $54,899 – $150,972 · median $73,880 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,069 – $115,689 · median $56,329 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,842 – $90,315 · median $43,706 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,899 – $62,971 · median $30,105 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,985 – $252,821 · median $123,245 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,613 – $125,436 · median $61,177 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,906 – $115,242 · median $56,106 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $323,241 – $908,437 · median $440,964 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,593 – $150,130 · median $73,461 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,064 – $165,536 · median $80,946 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,874 – $112,404 · median $54,694 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,102 – $69,029 · median $33,118 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,127 – $121,349 · median $59,144 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,575 – $84,082 · median $40,606 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,306 – $97,092 · median $47,078 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,593 – $67,632 · median $32,423 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,224 – $55,616 · median $26,446 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,199 – $127,047 · median $61,978 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,847 – $73,829 · median $35,506 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,782 – $48,900 · median $23,105 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,813 – $95,735 · median $46,403 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,303 – $47,584 · median $22,450 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,815 – $37,991 · median $17,678 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,268 – $83,238 · median $40,186 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,237 – $52,902 · median $25,096 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,901 – $43,727 · median $20,532 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,956 – $71,380 · median $34,287 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,514 – $37,165 · median $17,267 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,182 – $28,002 · median $12,709 | 18 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,198 – $83,043 · median $40,089 | 18 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,808 – $48,972 · median $23,140 | 18 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,298 – $39,319 · median $18,339 | 18 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,921 – $41,032 · median $19,191 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,720 – $23,979 · median $10,708 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,801 – $35,203 · median $16,292 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,021 – $24,807 · median $11,120 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,735 – $51,521 · median $24,409 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,077 – $30,463 · median $13,934 | 18 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,162 – $38,946 · median $18,153 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,670 – $29,342 · median $13,376 | 18 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,277 – $22,761 · median $10,102 | 18 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,969 – $60,416 · median $28,833 | 18 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,518 – $39,923 · median $18,639 | 18 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,884 – $32,681 · median $15,037 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,409 – $45,125 · median $21,227 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,951 – $24,616 · median $11,025 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,523 – $17,937 · median $7,703 | 18 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,368 – $34,011 · median $15,698 | 18 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,864 – $21,626 · median $9,538 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,375 – $20,281 · median $8,869 | 18 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,829 – $38,030 · median $17,697 | 18 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,068 – $24,938 · median $11,185 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,058 – $19,408 · median $8,435 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,378 – $36,790 · median $17,081 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,104 – $25,036 · median $11,234 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,712 – $43,208 · median $20,274 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,572 – $20,822 · median $9,138 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,911 – $41,005 · median $19,178 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,096 – $22,265 · median $9,856 | 18 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,455 – $50,752 · median $24,026 | 18 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,824 – $32,517 · median $14,955 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,545 – $23,499 · median $10,469 | 18 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,353 – $50,472 · median $23,887 | 18 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,130 – $30,609 · median $14,006 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,239 – $22,657 · median $10,050 | 18 plans |
| 088 | CONCUSSION WITH MCC | $11,496 – $31,615 · median $14,507 | 18 plans |
| 089 | CONCUSSION WITH CC | $9,609 – $26,426 · median $11,925 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,557 – $20,781 · median $9,118 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,510 – $39,903 · median $18,629 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,046 – $24,876 · median $11,154 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,356 – $20,230 · median $8,843 | 18 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,650 – $76,038 · median $36,605 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,643 – $56,770 · median $27,020 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,643 – $56,770 · median $27,020 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,339 – $77,932 · median $37,547 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,525 – $50,943 · median $24,121 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,575 – $31,832 · median $14,615 | 18 plans |
| 100 | SEIZURES WITH MCC | $15,856 – $43,604 · median $20,470 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $8,149 – $22,409 · median $9,927 | 18 plans |
| 102 | HEADACHES WITH MCC | $9,776 – $26,883 · median $12,153 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $7,655 – $21,050 · median $9,251 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,944 – $52,095 · median $24,694 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,505 – $31,639 · median $14,519 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,861 – $35,367 · median $16,373 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,897 – $40,966 · median $19,158 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,507 – $26,145 · median $11,786 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,092 – $27,752 · median $12,585 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,278 – $20,015 · median $8,736 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,374 – $20,277 · median $8,867 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,282 – $31,027 · median $14,214 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,144 – $19,646 · median $8,553 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,594 – $48,383 · median $22,848 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,989 – $24,718 · median $11,076 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,550 – $34,513 · median $15,948 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,026 – $22,073 · median $9,760 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,631 – $29,235 · median $13,323 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,209 – $91,325 · median $44,209 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,677 – $48,611 · median $22,961 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,319 – $36,628 · median $17,000 | 18 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,344 – $80,695 · median $38,921 | 18 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,336 – $39,425 · median $18,392 | 18 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,382 – $28,551 · median $12,982 | 18 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,202 – $47,305 · median $22,312 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,898 – $29,969 · median $13,688 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,362 – $20,247 · median $8,851 | 18 plans |
| 149 | DYSEQUILIBRIUM | $7,023 – $19,314 · median $8,388 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $11,345 – $31,199 · median $14,300 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,892 – $18,953 · median $8,208 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,232 – $28,139 · median $12,777 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,923 – $19,039 · median $8,251 | 18 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,074 – $35,954 · median $16,665 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,252 – $22,694 · median $10,069 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,572 – $18,074 · median $7,771 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,216 – $39,095 · median $18,228 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,202 – $22,556 · median $10,000 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,702 – $18,431 · median $7,948 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,823 – $95,762 · median $46,416 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,232 – $55,638 · median $26,457 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,688 – $43,141 · median $20,240 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,277 – $80,512 · median $38,830 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,862 – $40,870 · median $19,110 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,605 – $31,914 · median $14,655 | 18 plans |
| 173 | Inpatient MS-DRG | $23,604 – $64,910 · median $31,069 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,659 – $32,062 · median $14,729 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,421 – $20,409 · median $8,932 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,068 – $35,937 · median $16,657 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,696 – $23,913 · median $10,675 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,049 – $19,384 · median $8,422 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,583 – $40,104 · median $18,729 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,404 – $25,860 · median $11,644 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,040 – $19,359 · median $8,410 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,824 – $35,265 · median $16,322 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,352 – $25,719 · median $11,573 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,283 – $20,029 · median $8,743 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,037 – $35,851 · median $16,614 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,793 – $24,182 · median $10,809 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,767 – $18,609 · median $8,037 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,629 – $29,229 · median $13,320 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,677 – $26,612 · median $12,018 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,704 – $21,187 · median $9,319 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,207 – $17,068 · median $7,270 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,218 – $30,848 · median $14,125 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,428 – $20,427 · median $8,941 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,106 – $16,791 · median $7,133 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,486 – $42,587 · median $19,965 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,495 – $23,362 · median $10,401 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,760 – $18,589 · median $8,027 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,569 – $40,065 · median $18,710 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,615 – $26,440 · median $11,932 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,751 – $18,566 · median $8,016 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,660 – $23,815 · median $10,626 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,415 – $17,642 · median $7,556 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,439 – $20,458 · median $8,956 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,068 – $41,436 · median $19,392 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,436 – $23,198 · median $10,320 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,377 – $135,786 · median $66,326 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,907 – $60,243 · median $28,748 | 18 plans |
| 209 | Inpatient MS-DRG | $85,775 – $238,114 · median $116,118 | 18 plans |
| 212 | Inpatient MS-DRG | $82,461 – $228,758 · median $111,584 | 18 plans |
| 213 | Inpatient MS-DRG | $43,953 – $120,870 · median $58,906 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,626 – $209,465 · median $102,235 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,328 – $205,801 · median $100,459 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,424 – $138,667 · median $67,759 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,424 – $138,667 · median $67,759 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,644 – $161,528 · median $79,004 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,165 – $113,203 · median $55,092 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,984 – $107,206 · median $52,109 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,292 – $105,304 · median $51,163 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,894 – $68,457 · median $32,834 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,246 – $177,340 · median $86,666 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,603 – $128,160 · median $62,532 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,398 – $160,832 · median $78,666 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,133 – $115,865 · median $56,416 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,158 – $124,184 · median $60,554 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,639 – $89,757 · median $43,429 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,101 – $104,778 · median $50,901 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,665 – $62,330 · median $29,785 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,739 – $32,283 · median $14,839 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,216 – $69,345 · median $33,275 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,303 – $47,582 · median $22,449 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,892 – $40,954 · median $19,152 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,423 – $97,414 · median $47,238 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,687 – $48,640 · median $22,975 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,560 – $49,525 · median $18,965 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,419 – $75,401 · median $36,288 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,766 – $57,106 · median $27,187 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,700 – $40,425 · median $18,889 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,524 – $59,192 · median $28,225 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,076 – $38,708 · median $18,035 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,562 – $26,294 · median $11,860 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,839 – $68,306 · median $32,758 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,492 – $45,352 · median $21,340 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,663 – $70,575 · median $33,887 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,511 – $42,655 · median $19,998 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,569 – $37,314 · median $17,342 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,207 – $66,570 · median $31,895 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,318 – $72,374 · median $34,782 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $28,387 – $78,063 · median $37,612 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,094 – $129,508 · median $63,203 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,902 – $101,480 · median $49,260 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,680 – $144,869 · median $70,844 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,895 – $90,462 · median $43,780 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,744 – $112,045 · median $54,516 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,925 – $76,795 · median $36,981 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,448 – $56,233 · median $26,752 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,167 – $88,460 · median $42,784 | 18 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,953 – $71,372 · median $34,283 | 18 plans |
| 275 | Inpatient MS-DRG | $54,561 – $150,043 · median $73,418 | 18 plans |
| 276 | Inpatient MS-DRG | $46,186 – $127,012 · median $61,961 | 18 plans |
| 277 | Inpatient MS-DRG | $35,841 – $98,564 · median $47,810 | 18 plans |
| 278 | Inpatient MS-DRG | $42,904 – $117,986 · median $57,471 | 18 plans |
| 279 | Inpatient MS-DRG | $28,299 – $77,821 · median $37,492 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,377 – $36,786 · median $17,079 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,272 – $22,747 · median $10,095 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,811 – $21,861 · median $9,776 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,184 – $44,506 · median $20,919 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,581 – $18,097 · median $7,782 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,885 – $16,185 · median $6,831 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,913 – $49,260 · median $23,284 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,397 – $25,842 · median $13,876 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,590 – $59,372 · median $28,314 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,143 – $38,892 · median $18,127 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,351 – $22,964 · median $10,203 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,990 – $30,221 · median $13,813 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,749 – $21,310 · median $9,381 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,640 – $15,510 · median $6,495 | 18 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,062 – $35,921 · median $16,648 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,147 – $16,904 · median $7,189 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,814 – $13,238 · median $5,365 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,590 – $37,372 · median $17,370 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,378 – $25,788 · median $11,608 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,786 – $18,660 · median $8,062 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,340 – $28,434 · median $12,924 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,439 – $17,707 · median $7,588 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $10,290 – $28,299 · median $12,857 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,049 – $19,386 · median $8,423 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,166 – $36,206 · median $16,790 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,228 – $22,626 · median $10,035 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,395 – $28,586 · median $13,000 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,905 – $18,988 · median $8,226 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,641 – $15,512 · median $7,811 | 18 plans |
| 311 | ANGINA PECTORIS | $6,653 – $18,296 · median $7,881 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,918 – $21,773 · median $9,611 | 18 plans |
| 313 | CHEST PAIN | $6,788 – $18,666 · median $7,104 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,962 – $46,645 · median $21,983 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,601 – $23,653 · median $10,546 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,505 – $17,890 · median $7,679 | 18 plans |
| 317 | Inpatient MS-DRG | $51,253 – $140,946 · median $68,893 | 18 plans |
| 318 | Inpatient MS-DRG | $19,473 – $53,552 · median $25,419 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,682 – $95,375 · median $46,223 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,348 – $53,206 · median $25,247 | 18 plans |
| 321 | Inpatient MS-DRG | $21,699 – $59,672 · median $28,463 | 18 plans |
| 322 | Inpatient MS-DRG | $14,561 – $40,042 · median $18,699 | 18 plans |
| 323 | Inpatient MS-DRG | $33,672 – $92,598 · median $44,842 | 18 plans |
| 324 | Inpatient MS-DRG | $24,905 – $68,488 · median $32,849 | 18 plans |
| 325 | Inpatient MS-DRG | $25,347 – $69,706 · median $33,455 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,591 – $106,124 · median $51,571 | 18 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,637 – $54,003 · median $25,643 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,363 – $36,749 · median $17,060 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,677 – $98,113 · median $47,585 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,287 – $53,040 · median $25,164 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,964 – $38,401 · median $17,882 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,405 – $78,114 · median $37,637 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $18,877 – $51,912 · median $24,603 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,628 – $37,478 · median $17,423 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,034 – $77,094 · median $37,130 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,137 – $47,127 · median $22,223 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,862 – $35,369 · median $16,374 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,670 – $56,843 · median $27,056 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,636 – $34,748 · median $16,065 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,262 – $28,221 · median $12,818 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,530 – $50,957 · median $24,128 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,176 – $30,734 · median $14,068 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,910 – $21,753 · median $9,601 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,993 – $54,980 · median $26,130 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,783 – $35,154 · median $16,267 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,125 – $27,844 · median $12,631 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,049 – $63,385 · median $30,310 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,960 – $38,390 · median $17,877 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,446 – $31,475 · median $14,437 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,159 – $93,938 · median $45,509 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,753 – $51,570 · median $24,433 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,840 – $32,560 · median $14,977 | 18 plans |
| 359 | Inpatient MS-DRG | $27,048 – $74,382 · median $35,781 | 18 plans |
| 360 | Inpatient MS-DRG | $19,415 – $53,390 · median $25,338 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,286 – $36,535 · median $16,954 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,876 – $24,409 · median $10,922 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,645 – $18,273 · median $7,870 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,636 – $40,249 · median $18,802 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,031 – $24,835 · median $11,134 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,843 – $18,818 · median $8,141 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,361 – $47,742 · median $22,529 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,437 – $28,701 · median $13,057 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,310 – $22,853 · median $10,148 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,045 – $41,374 · median $19,361 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,731 – $24,009 · median $10,723 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,120 – $16,830 · median $7,152 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,045 – $44,125 · median $20,729 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,497 – $26,116 · median $11,771 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,388 – $20,318 · median $8,887 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,712 – $32,207 · median $14,801 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,792 – $21,429 · median $9,440 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,214 – $36,339 · median $16,856 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,698 – $23,919 · median $10,678 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,499 – $17,873 · median $7,671 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,428 – $34,177 · median $15,781 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,308 – $20,097 · median $8,777 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,476 – $15,059 · median $6,271 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,874 – $29,904 · median $13,655 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,232 – $19,888 · median $8,673 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,341 – $36,687 · median $17,030 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,395 – $23,087 · median $10,264 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,259 – $17,211 · median $7,342 | 18 plans |
| 397 | Inpatient MS-DRG | $19,270 – $52,992 · median $25,141 | 18 plans |
| 398 | Inpatient MS-DRG | $12,702 – $34,931 · median $16,156 | 18 plans |
| 399 | Inpatient MS-DRG | $9,953 – $27,370 · median $12,395 | 18 plans |
| 402 | Inpatient MS-DRG | $31,385 – $86,308 · median $41,713 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,191 – $116,025 · median $56,496 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,036 – $63,348 · median $30,292 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,964 – $49,400 · median $23,354 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,995 – $76,985 · median $37,076 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,648 – $48,533 · median $22,922 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,254 – $36,449 · median $16,911 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,040 – $71,610 · median $34,402 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,091 – $47,000 · median $22,160 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,797 – $37,941 · median $17,654 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,972 – $76,924 · median $37,045 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,824 – $46,266 · median $21,795 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,582 – $31,850 · median $14,624 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,207 – $52,818 · median $25,054 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,029 – $38,579 · median $17,971 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,601 – $31,902 · median $14,322 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,813 – $73,737 · median $35,460 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,371 – $39,519 · median $18,439 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,852 – $32,592 · median $14,993 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,372 – $89,024 · median $43,064 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,727 – $48,750 · median $23,030 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,603 – $34,658 · median $16,020 | 18 plans |
| 426 | Inpatient MS-DRG | $83,557 – $231,853 · median $113,084 | 18 plans |
| 427 | Inpatient MS-DRG | $55,219 – $151,858 · median $74,317 | 18 plans |
| 428 | Inpatient MS-DRG | $43,320 – $119,130 · median $58,040 | 18 plans |
| 429 | Inpatient MS-DRG | $68,566 – $189,535 · median $92,576 | 18 plans |
| 430 | Inpatient MS-DRG | $44,401 – $122,104 · median $59,519 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,090 – $44,248 · median $20,791 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,293 – $25,557 · median $11,493 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,732 – $18,513 · median $7,989 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,110 – $41,553 · median $19,450 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,852 – $27,092 · median $12,257 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,781 – $21,398 · median $9,424 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,571 – $37,320 · median $17,345 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,691 – $21,150 · median $9,301 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,053 – $16,646 · median $7,060 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,797 – $40,692 · median $19,022 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,616 – $23,694 · median $10,566 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,637 – $18,250 · median $7,859 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,874 – $38,155 · median $17,760 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,578 – $26,340 · median $11,882 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,587 – $20,866 · median $9,159 | 18 plans |
| 447 | Inpatient MS-DRG | $51,217 – $140,846 · median $68,843 | 18 plans |
| 448 | Inpatient MS-DRG | $33,027 – $90,823 · median $43,959 | 18 plans |
| 450 | Inpatient MS-DRG | $41,141 – $113,137 · median $55,059 | 18 plans |
| 451 | Inpatient MS-DRG | $25,497 – $70,116 · median $33,658 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,048 – $176,782 · median $86,396 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,862 – $126,120 · median $61,518 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,518 – $89,425 · median $43,264 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,582 – $117,101 · median $57,031 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,246 – $58,426 · median $27,843 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,897 – $120,718 · median $58,830 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,634 – $67,744 · median $32,479 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,013 – $41,286 · median $19,317 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,215 – $110,592 · median $53,793 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,704 – $76,186 · median $36,678 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,901 – $60,229 · median $28,740 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,027 – $66,074 · median $31,648 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,797 – $43,442 · median $22,857 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,408 – $102,872 · median $49,953 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,378 – $64,289 · median $30,760 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,616 – $53,943 · median $23,451 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,415 – $91,891 · median $44,490 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,382 – $50,550 · median $23,925 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,217 – $28,098 · median $12,757 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,167 – $74,710 · median $35,944 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,749 – $54,310 · median $25,796 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,275 – $42,007 · median $19,676 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,126 – $63,596 · median $30,415 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,031 – $46,836 · median $22,078 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,577 – $37,337 · median $17,353 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,080 – $60,719 · median $28,984 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,472 – $70,048 · median $33,625 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,006 – $46,766 · median $22,044 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,094 – $36,009 · median $16,692 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,605 – $40,163 · median $18,759 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,745 – $26,799 · median $12,111 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,785 – $79,158 · median $38,156 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,322 – $55,886 · median $26,580 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,375 – $45,032 · median $21,181 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,443 – $78,217 · median $37,688 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,866 – $40,880 · median $19,116 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,427 – $28,674 · median $13,044 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,905 – $65,738 · median $31,481 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,437 – $45,203 · median $21,266 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,008 – $68,771 · median $32,990 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,450 – $39,737 · median $18,547 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,452 – $31,494 · median $14,446 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,223 – $61,112 · median $29,180 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,352 – $42,219 · median $19,781 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,783 – $40,653 · median $19,002 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,477 – $31,562 · median $14,480 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,884 – $40,932 · median $19,141 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,708 – $34,947 · median $16,164 | 18 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,932 – $65,814 · median $31,519 | 18 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,919 – $46,526 · median $21,924 | 18 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,759 – $37,837 · median $17,602 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,154 – $36,175 · median $16,775 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,041 – $24,862 · median $11,147 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,172 – $69,224 · median $33,215 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,909 – $46,500 · median $21,911 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,874 – $35,404 · median $16,392 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,274 – $80,504 · median $38,826 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,328 – $44,903 · median $21,117 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,555 – $34,527 · median $15,955 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,812 – $62,733 · median $29,986 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,204 – $47,311 · median $22,315 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,105 – $36,040 · median $16,708 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,429 – $20,431 · median $8,943 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,976 – $30,184 · median $13,795 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,441 – $20,462 · median $8,959 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,534 – $23,468 · median $10,454 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,790 – $18,673 · median $8,069 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,101 – $44,278 · median $20,806 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,083 – $30,477 · median $13,941 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,290 – $20,048 · median $8,753 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,587 – $40,114 · median $18,734 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,083 – $24,979 · median $11,205 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,046 – $19,376 · median $8,418 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,917 – $54,771 · median $26,026 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,018 – $27,549 · median $12,484 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,654 – $21,048 · median $9,250 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,812 – $43,483 · median $20,410 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,419 – $28,651 · median $13,032 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,936 – $21,825 · median $9,636 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,913 – $38,261 · median $17,813 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,586 – $23,612 · median $10,525 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,083 – $30,477 · median $13,941 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,608 – $20,923 · median $9,188 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,273 – $31,000 · median $14,201 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,612 – $20,933 · median $9,193 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,503 – $34,384 · median $15,884 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,079 – $22,216 · median $9,831 | 18 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,320 – $42,130 · median $19,737 | 18 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,814 – $26,989 · median $12,206 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,413 – $20,386 · median $8,921 | 18 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,040 – $33,111 · median $15,251 | 18 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,096 – $22,263 · median $9,855 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,926 – $35,546 · median $16,462 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,684 – $23,880 · median $10,659 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,006 – $19,267 · median $8,364 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,341 – $64,186 · median $30,709 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,013 – $38,536 · median $17,949 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,965 – $27,403 · median $12,411 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,246 – $138,177 · median $67,515 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,293 – $75,055 · median $36,115 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,814 – $40,739 · median $19,045 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,948 – $104,357 · median $50,692 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,176 – $58,235 · median $27,749 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,394 – $36,833 · median $17,102 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,557 – $70,282 · median $33,741 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,300 – $39,325 · median $18,342 | 18 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,177 – $33,486 · median $15,437 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,780 – $43,395 · median $20,366 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,273 – $39,251 · median $18,305 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,376 – $47,783 · median $22,549 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,799 – $43,446 · median $20,392 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $15,845 – $43,573 · median $20,455 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $10,263 – $28,223 · median $12,819 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,882 – $21,675 · median $9,562 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,227 – $47,373 · median $22,345 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,489 – $26,096 · median $11,761 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,846 – $38,077 · median $17,721 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,853 – $27,096 · median $12,259 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,156 – $19,679 · median $8,569 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,185 – $25,257 · median $11,344 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,931 – $16,310 · median $6,893 | 18 plans |
| 602 | CELLULITIS WITH MCC | $12,014 – $33,039 · median $15,215 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,912 – $21,759 · median $9,604 | 18 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,393 – $34,080 · median $15,733 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,249 – $22,683 · median $10,064 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,699 – $34,923 · median $16,152 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,177 – $22,487 · median $9,966 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,756 – $48,830 · median $23,070 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,850 – $32,588 · median $14,991 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,412 – $75,383 · median $36,278 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,360 – $42,241 · median $19,793 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,992 – $32,978 · median $15,184 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,940 – $63,086 · median $30,162 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,348 – $36,708 · median $17,040 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,663 – $34,824 · median $16,103 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,947 – $76,854 · median $37,010 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,791 – $40,675 · median $19,014 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,752 – $29,567 · median $13,488 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,929 – $65,805 · median $31,514 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,596 – $34,640 · median $16,011 | 18 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,321 – $31,133 · median $14,267 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,196 – $80,289 · median $38,719 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,660 – $48,564 · median $22,938 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,299 – $33,822 · median $15,604 | 18 plans |
| 637 | DIABETES WITH MCC | $12,129 – $33,355 · median $15,372 | 18 plans |
| 638 | DIABETES WITH CC | $8,101 – $22,278 · median $9,862 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,052 – $16,642 · median $7,058 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,376 – $31,283 · median $14,341 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,222 – $19,859 · median $8,659 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,020 – $33,056 · median $15,223 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,690 – $37,646 · median $17,507 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,061 – $24,917 · median $11,175 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,148 – $19,656 · median $8,558 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,459 – $100,263 · median $48,655 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,039 – $79,859 · median $38,505 | 18 plans |
| 652 | KIDNEY TRANSPLANT | $25,490 – $70,097 · median $33,649 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,148 – $110,407 · median $53,701 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,284 – $61,280 · median $29,263 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,196 – $47,289 · median $22,303 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,149 – $69,160 · median $33,183 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,060 – $41,415 · median $19,382 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,987 – $35,714 · median $16,545 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,358 – $55,985 · median $26,629 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,272 – $30,998 · median $14,200 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,138 – $25,130 · median $11,281 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,238 – $66,654 · median $31,937 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,751 – $35,066 · median $16,223 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,224 – $25,366 · median $11,398 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,683 – $67,877 · median $32,545 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $14,459 – $39,761 · median $18,559 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,666 – $26,581 · median $12,003 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,183 – $63,754 · median $30,494 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,988 – $35,718 · median $16,548 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,705 – $23,940 · median $10,689 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,799 – $40,698 · median $19,025 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,467 – $26,034 · median $11,730 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,734 – $90,020 · median $43,560 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,850 – $51,839 · median $24,567 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,655 – $37,550 · median $17,459 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $12,459 – $34,263 · median $15,824 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $7,949 – $21,859 · median $9,654 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,896 – $16,213 · median $6,845 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,864 – $40,876 · median $19,114 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,231 – $25,385 · median $11,407 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,312 – $20,107 · median $8,782 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,069 – $27,690 · median $12,554 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,455 – $20,501 · median $8,978 | 18 plans |
| 693 | URINARY STONES WITH MCC | $11,442 – $31,465 · median $14,432 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,248 – $19,931 · median $8,694 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,946 – $27,352 · median $12,386 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,557 – $18,031 · median $7,749 | 18 plans |
| 697 | URETHRAL STRICTURE | $9,454 – $25,999 · median $11,713 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,751 – $37,816 · median $17,591 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,986 – $24,712 · median $11,073 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,564 – $18,050 · median $7,759 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,329 – $44,905 · median $21,118 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,856 – $35,353 · median $16,366 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,765 – $51,603 · median $24,449 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,864 – $32,627 · median $15,010 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,952 – $46,617 · median $21,969 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,618 – $26,448 · median $11,936 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,626 – $34,722 · median $16,052 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,302 – $25,581 · median $11,505 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,095 – $49,763 · median $23,534 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,385 – $34,058 · median $15,722 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,511 – $42,655 · median $19,998 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,431 – $31,437 · median $14,418 | 18 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,909 – $40,999 · median $19,175 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,938 – $27,329 · median $12,375 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,309 – $17,349 · median $7,410 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,143 – $27,893 · median $12,655 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,803 – $18,707 · median $8,086 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,473 – $34,302 · median $15,843 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,467 – $20,536 · median $8,995 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,312 – $25,608 · median $11,518 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,430 – $17,683 · median $7,576 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,296 – $47,564 · median $22,440 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,449 – $31,486 · median $14,442 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,061 – $77,168 · median $37,166 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,779 – $46,141 · median $21,733 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,366 – $34,007 · median $15,696 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,123 – $77,338 · median $37,251 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,908 – $40,997 · median $19,174 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,050 – $33,138 · median $15,264 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,096 – $41,514 · median $19,431 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,668 – $29,338 · median $13,374 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,693 – $45,905 · median $21,615 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,899 – $27,223 · median $12,322 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,368 – $39,511 · median $18,435 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,829 – $21,530 · median $9,490 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,761 – $32,342 · median $14,868 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,557 – $56,532 · median $26,901 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,420 – $34,156 · median $15,771 | 18 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,147 – $41,655 · median $19,501 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,529 – $26,204 · median $11,815 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,580 – $23,595 · median $10,517 | 18 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,093 – $33,256 · median $15,323 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,718 – $23,975 · median $10,706 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,367 – $17,511 · median $7,490 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,930 – $24,559 · median $10,996 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,674 – $15,603 · median $6,541 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,408 – $25,872 · median $9,695 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,015 – $38,542 · median $17,952 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,895 – $24,460 · median $10,948 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,301 – $17,328 · median $7,400 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $7,692 – $21,152 · median $9,302 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,790 – $54,226 · median $20,014 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,322 – $25,637 · median $10,649 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,560 – $23,540 · median $10,261 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,790 – $37,716 · median $13,989 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,745 – $26,799 · median $10,865 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,567 – $23,561 · median $10,264 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,793 – $27,827 · median $10,321 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,877 – $24,413 · median $9,424 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,555 – $23,526 · median $9,259 | 18 plans |
| 799 | SPLENECTOMY WITH MCC | $35,174 – $96,727 · median $46,896 | 18 plans |
| 800 | SPLENECTOMY WITH CC | $22,359 – $61,487 · median $29,366 | 18 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,648 – $43,032 · median $20,186 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,113 – $85,562 · median $41,342 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,275 – $42,007 · median $19,676 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,528 – $31,701 · median $14,549 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,465 – $26,028 · median $9,724 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,041 – $19,363 · median $8,412 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,446 – $17,728 · median $7,599 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,876 – $49,160 · median $23,234 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,856 – $29,854 · median $13,631 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,222 – $25,360 · median $11,395 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,888 – $32,691 · median $15,042 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,265 – $22,728 · median $10,086 | 18 plans |
| 813 | COAGULATION DISORDERS | $12,789 – $35,171 · median $16,275 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,271 – $47,496 · median $22,406 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,979 – $24,692 · median $11,063 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,132 – $16,863 · median $7,168 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,426 – $50,670 · median $23,986 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,061 – $27,668 · median $12,543 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,830 – $21,534 · median $9,492 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,129 – $124,106 · median $60,516 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,105 – $49,789 · median $23,547 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,395 – $28,586 · median $13,000 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,590 – $97,873 · median $47,466 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,306 – $50,343 · median $23,823 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,478 – $31,566 · median $14,482 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,283 – $99,779 · median $48,414 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,646 – $51,277 · median $24,287 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,120 – $38,829 · median $18,095 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,972 – $68,673 · median $32,941 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,638 – $34,755 · median $16,068 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,384 – $28,555 · median $12,984 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,800 – $18,699 · median $8,082 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,319 – $14,627 · median $6,056 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $42,335 – $116,422 · median $56,693 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,966 – $46,658 · median $21,989 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,510 – $28,903 · median $13,158 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,226 – $102,372 · median $49,704 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,978 – $46,690 · median $22,006 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,183 – $33,502 · median $15,445 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,530 – $70,208 · median $33,704 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,580 – $37,345 · median $17,357 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,952 – $24,618 · median $11,026 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,288 – $44,793 · median $21,062 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,495 – $28,860 · median $13,136 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,769 – $21,364 · median $9,407 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,743 – $57,042 · median $27,155 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,171 – $30,721 · median $14,062 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,752 – $21,318 · median $9,385 | 18 plans |
| 849 | RADIOTHERAPY | $21,615 – $59,440 · median $28,348 | 18 plans |
| 850 | Inpatient MS-DRG | $65,957 – $182,170 · median $89,007 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,227 – $105,124 · median $51,073 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,313 – $44,860 · median $21,095 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,580 – $34,595 · median $15,989 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,321 – $97,133 · median $47,098 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,382 – $47,799 · median $22,557 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,803 – $32,457 · median $14,926 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,013 – $41,286 · median $19,317 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,859 – $24,362 · median $10,899 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,038 – $22,103 · median $9,775 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,588 – $34,617 · median $16,000 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,903 – $21,732 · median $9,591 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,022 – $46,809 · median $22,065 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,106 – $25,042 · median $11,237 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,860 – $18,865 · median $8,164 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,932 – $145,563 · median $71,189 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,898 – $43,721 · median $20,529 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,048 – $24,882 · median $11,158 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,225 – $83,119 · median $40,127 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,578 – $23,589 · median $10,514 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $8,434 – $23,194 · median $10,317 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,425 – $25,917 · median $11,672 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,076 – $44,209 · median $20,771 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,412 – $36,884 · median $17,128 | 18 plans |
| 885 | PSYCHOSES | $11,832 – $32,537 · median $14,965 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,888 – $46,443 · median $21,882 | 18 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,403 – $25,858 · median $11,643 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,019 – $16,554 · median $7,014 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,972 – $32,922 · median $15,157 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,427 – $39,675 · median $18,516 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,001 – $22,003 · median $9,725 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,697 – $89,917 · median $43,509 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,690 – $43,147 · median $20,243 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,138 – $27,881 · median $12,649 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,796 – $79,188 · median $38,172 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,477 – $34,312 · median $15,848 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,061 – $44,168 · median $20,751 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,034 – $82,595 · median $39,866 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,291 – $44,801 · median $21,066 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,205 – $30,813 · median $14,108 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,604 – $37,411 · median $17,390 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,021 – $22,058 · median $9,753 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,954 – $38,374 · median $17,869 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,388 – $17,566 · median $7,518 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,111 – $36,054 · median $16,715 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,810 – $21,476 · median $9,463 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,066 – $41,432 · median $19,390 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,892 – $24,452 · median $10,943 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,552 – $18,019 · median $7,743 | 18 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,459 – $39,763 · median $18,560 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,006 – $24,768 · median $11,100 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $160,536 – $449,150 · median $218,389 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,876 – $150,910 · median $73,849 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,425 – $69,919 · median $33,561 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,444 – $83,720 · median $40,426 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,897 – $49,215 · median $23,262 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $16,774 – $46,129 · median $21,726 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,463 – $78,274 · median $37,717 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,838 – $51,804 · median $24,549 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,533 – $45,467 · median $21,397 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,963 – $35,648 · median $16,513 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,969 – $27,413 · median $12,417 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,882 – $29,926 · median $13,666 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,388 – $20,316 · median $8,886 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,288 – $28,293 · median $12,854 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,100 – $16,775 · median $7,124 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,566 – $15,305 · median $6,394 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,585 – $141,860 · median $69,347 | 18 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,466 – $81,031 · median $39,088 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,209 – $160,300 · median $78,408 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,826 – $90,272 · median $43,685 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,363 – $64,248 · median $30,740 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,796 – $59,938 · median $28,596 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,844 – $35,320 · median $16,350 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,431 – $23,185 · median $10,313 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $47,041 – $129,363 · median $63,130 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,077 – $57,962 · median $27,613 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,930 – $63,057 · median $30,147 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,073 – $30,451 · median $13,927 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,149 – $22,411 · median $9,928 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,093 – $30,506 · median $13,955 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,388 – $100,066 · median $48,557 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,744 – $54,296 · median $25,789 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,196 – $39,038 · median $18,199 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,972 – $74,173 · median $35,677 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,671 – $37,595 · median $17,481 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,359 – $28,487 · median $12,951 | 18 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,853 – $40,845 · median $15,150 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,716 – $125,719 · median $46,630 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,672 – $87,097 · median $32,305 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,675 – $54,105 · median $20,068 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,496 – $89,364 · median $33,146 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,421 – $34,158 · median $12,670 | 17 plans |
| 795 | NORMAL NEWBORN | $2,911 – $8,005 · median $2,955 | 14 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $41,088 – $53,710 · median $44,714 | 4 plans |
No procedures match that keyword.