Mercy Health - St. Joseph Warren Hospital — Pricing
501 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 501 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 501
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Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 501 procedures
Procedures with negotiated rates only
These 501 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 |
|---|---|---|---|
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,150 – $20,603 · median $11,908 | 50 plans |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,MINOR | $5,019 – $34,544 · median $12,573 | 50 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,218 – $27,756 · median $10,220 | 50 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,036 – $35,686 · median $12,969 | 50 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,964 – $22,383 · median $8,356 | 50 plans |
| 191 | CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,MODERATE | $3,821 – $17,035 · median $6,502 | 50 plans |
| 192 | CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,MINOR | $4,352 – $15,651 · median $7,710 | 50 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,896 – $16,285 · median $6,242 | 50 plans |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR | $2,302 – $14,472 · median $5,613 | 50 plans |
| 199 | HYPERTENSION,MODERATE | $2,495 – $35,647 · median $12,956 | 50 plans |
| 207 | OTHER CIRCULATORY SYSTEM DIAGNOSES,MODERATE | $3,747 – $130,026 · median $45,682 | 50 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,032 – $57,600 · median $20,568 | 50 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,753 – $64,517 · median $22,966 | 50 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,404 – $43,059 · median $15,526 | 50 plans |
| 244 | DIVERTICULITIS AND DIVERTICULOSIS,MAJOR | $2,788 – $36,524 · median $13,260 | 50 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,050 – $52,449 · median $18,782 | 50 plans |
| 280 | ALCOHOLIC LIVER DISEASE,MAJOR | $5,562 – $32,414 · median $11,835 | 50 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,590 – $14,612 · median $5,706 | 50 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,325 – $40,026 · median $14,250 | 50 plans |
| 305 | AMPUTATION OF LOWER LIMB EXCEPT TOES,MODERATE | $5,651 – $15,258 · median $8,064 | 50 plans |
| 308 | HIP AND FEMUR FRACTURE REPAIR,MINOR | $7,262 – $24,329 · median $10,875 | 50 plans |
| 314 | FOOT AND TOE PROCEDURES,MAJOR | $6,549 – $42,136 · median $15,206 | 50 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,159 – $30,806 · median $11,277 | 50 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,879 – $39,650 · median $14,344 | 50 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,766 – $27,900 · median $10,269 | 50 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,110 – $31,974 · median $11,682 | 50 plans |
| 420 | DIABETES,EXTREME | $2,961 – $68,847 · median $24,468 | 50 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,232 – $44,211 · median $15,925 | 50 plans |
| 463 | KIDNEY AND URINARY TRACT INFECTIONS,MODERATE | $3,523 – $115,170 · median $40,531 | 50 plans |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MODERATE | $3,702 – $105,186 · median $37,068 | 50 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $4,120 – $55,529 · median $19,850 | 50 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,723 – $31,812 · median $11,626 | 50 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,365 – $39,802 · median $14,396 | 50 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,094 – $26,194 · median $9,678 | 50 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,289 – $20,773 · median $7,798 | 50 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,219 – $22,755 · median $8,485 | 50 plans |
| 561 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,MODERATE | $1,676 – $16,244 · median $6,228 | 50 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,508 – $31,192 · median $11,411 | 50 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $4,400 – $27,592 · median $11,212 | 50 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,722 – $19,529 · median $8,156 | 50 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,895 – $26,708 · median $9,856 | 50 plans |
| 663 | OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,MAJOR | $3,947 – $30,719 · median $11,247 | 50 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,222 – $18,554 · median $7,029 | 50 plans |
| 813 | COAGULATION DISORDERS | $3,516 – $30,822 · median $11,282 | 50 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,766 – $46,104 · median $16,582 | 50 plans |
| 951 | MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR | $4,269 – $13,003 · median $6,827 | 50 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,149 – $30,854 · median $11,342 | 49 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,444 – $19,017 · median $7,153 | 48 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,319 – $28,377 · median $10,480 | 48 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,049 – $63,672 · median $22,321 | 47 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,871 – $36,852 · median $13,430 | 47 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,012 – $76,270 · median $29,346 | 47 plans |
| 894 | HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,MAJOR | $2,255 – $12,466 · median $5,452 | 47 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,968 – $18,572 · median $7,170 | 46 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,981 – $36,601 · median $20,506 | 43 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,533 – $46,943 · median $26,043 | 43 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,402 – $26,180 · median $14,928 | 43 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,545 – $55,713 · median $30,738 | 43 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $7,150 – $35,508 · median $12,962 | 43 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,150 – $40,636 · median $14,748 | 43 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,422 – $20,415 · median $11,842 | 43 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,160 – $13,830 · median $8,157 | 43 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,409 – $17,467 · median $10,264 | 43 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,964 – $33,641 · median $18,922 | 43 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,658 – $15,281 · median $7,150 | 43 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,545 – $32,418 · median $18,267 | 43 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,564 – $20,829 · median $12,063 | 43 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,718 – $38,747 · median $21,655 | 43 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,972 – $36,575 · median $20,492 | 43 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,098 – $28,205 · median $16,012 | 43 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,178 – $45,908 · median $25,489 | 43 plans |
| 088 | CONCUSSION WITH MCC | $9,792 – $27,316 · median $15,536 | 43 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,937 – $16,091 · median $9,491 | 43 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,477 – $72,984 · median $39,983 | 43 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,338 – $46,373 · median $25,738 | 43 plans |
| 100 | SEIZURES WITH MCC | $13,852 – $39,137 · median $21,864 | 43 plans |
| 101 | SEIZURES WITHOUT MCC | $6,675 – $18,239 · median $10,677 | 43 plans |
| 103 | HEADACHES WITHOUT MCC | $6,214 – $16,899 · median $7,150 | 43 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,739 – $15,515 · median $9,151 | 43 plans |
| 149 | DYSEQUILIBRIUM | $5,627 – $15,188 · median $8,958 | 43 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,261 – $31,594 · median $17,826 | 43 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,725 – $18,384 · median $10,755 | 43 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,499 – $90,564 · median $49,394 | 43 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,928 – $51,002 · median $28,216 | 43 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,351 – $75,528 · median $41,345 | 43 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,926 – $36,441 · median $20,421 | 43 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,997 – $16,267 · median $9,594 | 43 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,256 – $31,577 · median $17,817 | 43 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,184 – $19,722 · median $11,471 | 43 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,028 – $30,915 · median $17,462 | 43 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,227 – $31,493 · median $17,772 | 43 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,275 – $19,987 · median $11,612 | 43 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,984 – $24,964 · median $14,277 | 43 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,533 – $26,560 · median $15,131 | 43 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,772 – $12,700 · median $7,491 | 43 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,508 – $38,135 · median $21,327 | 43 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,150 – $22,214 · median $8,334 | 43 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,014 – $16,315 · median $9,623 | 43 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,487 – $55,543 · median $30,647 | 43 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,533 – $99,453 · median $54,153 | 43 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,131 – $54,506 · median $30,092 | 43 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,194 – $34,309 · median $19,280 | 43 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,595 – $67,504 · median $37,049 | 43 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,979 – $106,618 · median $57,989 | 43 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,768 – $44,714 · median $24,850 | 43 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,837 – $21,624 · median $12,489 | 43 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,192 – $54,684 · median $30,187 | 43 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,320 – $25,942 · median $14,800 | 43 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,303 – $17,156 · median $10,097 | 43 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,150 – $31,561 · median $11,588 | 43 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,742 – $32,992 · median $18,575 | 43 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,150 – $21,571 · median $8,110 | 43 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,405 – $14,543 · median $8,578 | 43 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,082 – $13,603 · median $7,150 | 43 plans |
| 304 | HYPERTENSION WITH MCC | $8,669 – $24,046 · median $13,786 | 43 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,516 – $14,866 · median $8,768 | 43 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,293 – $54,979 · median $30,345 | 43 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,646 – $35,625 · median $19,984 | 43 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,986 – $100,780 · median $54,864 | 43 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,374 – $49,390 · median $27,353 | 43 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,531 – $32,378 · median $18,246 | 43 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,290 – $92,881 · median $50,635 | 43 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,048 – $48,440 · median $26,844 | 43 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,090 – $34,006 · median $19,118 | 43 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,193 – $72,157 · median $39,541 | 43 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,045 – $42,611 · median $23,724 | 43 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,064 – $31,018 · median $17,518 | 43 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,643 – $23,970 · median $13,745 | 43 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,494 – $26,447 · median $15,071 | 43 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,705 – $50,354 · median $27,869 | 43 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,551 – $58,641 · median $32,305 | 43 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,087 – $33,996 · median $19,112 | 43 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,885 – $88,765 · median $48,432 | 43 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,550 – $46,991 · median $26,069 | 43 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,275 – $69,484 · median $38,110 | 43 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,166 – $48,786 · median $27,029 | 43 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,458 – $32,168 · median $18,133 | 43 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,352 – $20,211 · median $11,732 | 43 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,274 – $14,161 · median $8,353 | 43 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,716 – $35,829 · median $20,093 | 43 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,496 – $20,631 · median $11,958 | 43 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,459 – $14,699 · median $8,670 | 43 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,253 – $43,217 · median $24,048 | 43 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,805 – $24,442 · median $13,998 | 43 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,097 – $36,938 · median $20,687 | 43 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,217 – $19,817 · median $11,522 | 43 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,930 – $21,894 · median $12,634 | 43 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,967 – $16,178 · median $9,542 | 43 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,186 – $19,728 · median $11,474 | 43 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,139 – $13,767 · median $8,120 | 43 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,892 – $15,959 · median $9,413 | 43 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,186 – $10,993 · median $6,484 | 43 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,213 – $25,629 · median $14,633 | 43 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,821 – $15,753 · median $9,292 | 43 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,510 – $32,317 · median $18,213 | 43 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,904 – $18,908 · median $7,183 | 43 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,914 – $13,114 · median $7,735 | 43 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,032 – $48,394 · median $26,819 | 43 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,915 – $30,585 · median $17,286 | 43 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,355 – $23,131 · median $13,296 | 43 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,538 – $58,604 · median $32,286 | 43 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,157 – $72,050 · median $39,483 | 43 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,336 – $66,750 · median $36,646 | 43 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,150 – $34,182 · median $19,212 | 43 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,232 – $83,920 · median $45,838 | 43 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,070 – $39,771 · median $22,204 | 43 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,741 – $21,343 · median $12,338 | 43 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,355 – $14,397 · median $8,492 | 43 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,157 – $37,114 · median $20,781 | 43 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,260 – $22,856 · median $13,148 | 43 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,724 – $32,941 · median $18,547 | 43 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,248 – $16,998 · median $10,013 | 43 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,723 – $12,557 · median $7,406 | 43 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,866 – $36,266 · median $20,327 | 43 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,007 – $33,764 · median $18,988 | 43 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,006 – $22,115 · median $12,751 | 43 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,027 – $62,939 · median $34,606 | 43 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,886 – $71,262 · median $39,062 | 43 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,196 – $86,747 · median $47,351 | 43 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,204 – $45,985 · median $25,530 | 43 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,386 – $69,807 · median $38,283 | 43 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,478 – $49,693 · median $27,515 | 43 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,622 – $58,849 · median $32,416 | 43 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,947 – $42,324 · median $23,570 | 43 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,730 – $32,958 · median $18,556 | 43 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,648 – $56,012 · median $30,898 | 43 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,923 – $42,255 · median $23,533 | 43 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,892 – $74,192 · median $40,630 | 43 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,336 – $40,545 · median $22,618 | 43 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,930 – $36,451 · median $20,426 | 43 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,375 – $63,951 · median $35,148 | 43 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,751 – $27,197 · median $15,472 | 43 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,781 – $56,400 · median $31,105 | 43 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,383 – $37,771 · median $21,133 | 43 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,853 – $36,227 · median $20,306 | 43 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,947 – $36,502 · median $20,453 | 43 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,842 – $42,018 · median $23,407 | 43 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,505 – $20,658 · median $11,972 | 43 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,528 – $64,398 · median $35,387 | 43 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,833 – $41,992 · median $23,393 | 43 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,330 – $57,998 · median $31,961 | 43 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,108 – $42,792 · median $23,821 | 43 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,005 – $16,289 · median $9,608 | 43 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,308 – $25,905 · median $14,781 | 43 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,015 – $16,319 · median $9,625 | 43 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,409 – $14,555 · median $8,585 | 43 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,670 – $35,696 · median $20,022 | 43 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,647 – $15,248 · median $8,994 | 43 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,789 – $24,394 · median $13,972 | 43 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,043 – $33,869 · median $19,044 | 43 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,082 – $19,425 · median $11,312 | 43 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,407 – $26,194 · median $14,936 | 43 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,584 – $26,710 · median $15,211 | 43 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,730 – $30,046 · median $16,997 | 43 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,353 – $37,684 · median $21,086 | 43 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,299 – $28,791 · median $16,326 | 43 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,625 – $18,095 · median $10,600 | 43 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,173 – $19,690 · median $11,453 | 43 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,822 – $59,431 · median $32,728 | 43 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,136 – $34,140 · median $19,189 | 43 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,366 – $23,163 · median $13,313 | 43 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,886 – $65,440 · median $35,945 | 43 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,403 – $34,918 · median $19,605 | 43 plans |
| 593 | SKIN ULCERS WITH CC | $8,644 – $23,972 · median $13,746 | 43 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,262 – $22,860 · median $13,151 | 43 plans |
| 602 | CELLULITIS WITH MCC | $10,274 – $28,720 · median $16,288 | 43 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,455 – $17,598 · median $10,334 | 43 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,912 – $30,577 · median $17,282 | 43 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,701 – $18,316 · median $10,718 | 43 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,614 – $70,470 · median $38,637 | 43 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,391 – $37,793 · median $21,145 | 43 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,295 – $52,816 · median $21,528 | 43 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,517 – $29,273 · median $18,224 | 43 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,112 – $71,921 · median $39,414 | 43 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,860 – $36,249 · median $20,318 | 43 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,275 – $75,307 · median $41,227 | 43 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,532 – $44,027 · median $24,482 | 43 plans |
| 637 | DIABETES WITH MCC | $10,381 – $29,031 · median $16,454 | 43 plans |
| 638 | DIABETES WITH CC | $6,630 – $18,110 · median $10,608 | 43 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,811 – $15,725 · median $7,150 | 43 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,175 – $16,784 · median $9,898 | 43 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,835 – $33,263 · median $18,719 | 43 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,524 – $20,712 · median $12,001 | 43 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,742 – $15,525 · median $9,157 | 43 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,428 – $105,004 · median $57,124 | 43 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,838 – $56,565 · median $31,194 | 43 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,507 – $64,335 · median $35,353 | 43 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,045 – $51,344 · median $28,399 | 43 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,596 – $20,922 · median $12,113 | 43 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,676 – $59,004 · median $32,500 | 43 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,182 – $31,361 · median $17,702 | 43 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,567 – $84,902 · median $46,363 | 43 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,641 – $47,256 · median $26,210 | 43 plans |
| 682 | RENAL FAILURE WITH MCC | $10,689 – $29,927 · median $16,933 | 43 plans |
| 683 | RENAL FAILURE WITH CC | $6,489 – $17,697 · median $10,387 | 43 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,576 – $12,130 · median $7,155 | 43 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,463 – $23,446 · median $13,464 | 43 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,028 – $16,358 · median $9,648 | 43 plans |
| 693 | URINARY STONES WITH MCC | $9,741 – $27,168 · median $15,457 | 43 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,892 – $33,430 · median $18,809 | 43 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,455 – $20,510 · median $11,893 | 43 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,198 – $13,941 · median $8,223 | 43 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,531 – $38,201 · median $21,363 | 43 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,341 – $23,091 · median $13,274 | 43 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,150 – $29,965 · median $11,033 | 43 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,040 – $16,392 · median $9,668 | 43 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,144 – $37,076 · median $20,761 | 43 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,021 – $25,071 · median $14,334 | 43 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,632 – $41,406 · median $23,079 | 43 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,466 – $35,102 · median $19,704 | 43 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,377 – $17,372 · median $10,213 | 43 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,205 – $19,783 · median $11,503 | 43 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,016 – $13,409 · median $7,909 | 43 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,370 – $11,528 · median $6,800 | 43 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,954 – $13,230 · median $7,150 | 43 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,960 – $49,610 · median $17,521 | 43 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,960 – $33,331 · median $11,965 | 43 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,960 – $22,567 · median $8,706 | 43 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,065 – $19,374 · median $7,960 | 43 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,012 – $23,041 · median $13,018 | 43 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,012 – $73,620 · median $41,580 | 43 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,012 – $74,247 · median $28,583 | 43 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,012 – $30,943 · median $17,481 | 43 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,012 – $26,997 · median $10,768 | 43 plans |
| 795 | NORMAL NEWBORN | $1,000 – $3,471 · median $1,983 | 43 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,061 – $80,507 · median $44,010 | 43 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,643 – $15,236 · median $7,960 | 43 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,734 – $44,615 · median $24,797 | 43 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,196 – $25,580 · median $14,607 | 43 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,170 – $42,974 · median $23,918 | 43 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,150 – $20,490 · median $7,734 | 43 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,797 – $12,771 · median $7,533 | 43 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,455 – $23,424 · median $13,452 | 43 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,378 – $17,376 · median $10,215 | 43 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,210 – $92,645 · median $50,508 | 43 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,134 – $45,781 · median $25,421 | 43 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,756 – $24,299 · median $13,921 | 43 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,418 – $14,581 · median $8,600 | 43 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,039 – $10,566 · median $6,232 | 43 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,886 – $42,148 · median $23,476 | 43 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,861 – $65,368 · median $35,906 | 43 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,255 – $40,309 · median $22,491 | 43 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,650 – $99,794 · median $54,336 | 43 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,278 – $40,376 · median $22,527 | 43 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,801 – $30,254 · median $17,109 | 43 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,961 – $91,916 · median $50,118 | 43 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,273 – $43,273 · median $24,078 | 43 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,067 – $36,852 · median $20,641 | 43 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,336 – $20,165 · median $11,708 | 43 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,571 – $17,938 · median $10,516 | 43 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,446 – $17,572 · median $7,150 | 43 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,259 – $139,667 · median $75,680 | 43 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,892 – $39,252 · median $21,926 | 43 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,512 – $20,678 · median $11,982 | 43 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,697 – $38,686 · median $21,623 | 43 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,056 – $77,581 · median $42,444 | 43 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,258 – $40,317 · median $22,496 | 43 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,081 – $33,980 · median $19,103 | 43 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,295 – $31,693 · median $17,879 | 43 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,117 – $36,995 · median $20,717 | 43 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,552 – $35,350 · median $19,837 | 43 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,473 – $20,565 · median $11,922 | 43 plans |
| 935 | NON-EXTENSIVE BURNS | $14,707 – $41,626 · median $23,197 | 43 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,629 – $47,222 · median $26,192 | 43 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,220 – $25,651 · median $14,645 | 43 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,527 – $76,039 · median $41,619 | 43 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,384 – $55,242 · median $30,485 | 43 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,047 – $30,969 · median $17,492 | 43 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,440 – $58,317 · median $32,132 | 43 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,398 – $26,168 · median $14,921 | 43 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,948 – $94,807 · median $51,666 | 43 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,473 – $49,679 · median $27,507 | 43 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,817 – $33,212 · median $18,692 | 43 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,150 – $34,182 · median $19,212 | 43 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,986 – $65,729 · median $30,137 | 42 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,434 – $87,444 · median $39,840 | 42 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,372 – $20,262 · median $7,621 | 42 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,226 – $32,511 · median $11,685 | 42 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,255 – $17,839 · median $6,911 | 42 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,204 – $69,278 · median $31,723 | 42 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,092 – $71,862 · median $26,372 | 41 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,205 – $110,211 · median $38,969 | 37 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,953 – $16,137 · median $7,150 | 37 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,373 – $55,251 · median $21,849 | 37 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,827 – $16,717 · median $6,295 | 36 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,495 – $15,117 · median $5,526 | 36 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,847 – $14,118 · median $8,024 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $6,249 – $17,000 · median $6,930 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,768 – $14,415 · median $7,974 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,058 – $14,415 · median $7,306 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,053 – $12,720 · median $7,301 | 36 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,900 – $14,211 · median $8,076 | 36 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,966 – $16,176 · median $6,783 | 36 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,261 – $201,201 · median $70,078 | 35 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,059 – $197,681 · median $68,863 | 35 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,938 – $132,867 · median $46,478 | 35 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,938 – $132,867 · median $46,478 | 35 plans |
| 881 | DEPRESSIVE NEUROSES | $1,226 – $19,013 · median $7,078 | 35 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,226 – $19,403 · median $7,211 | 34 plans |
| 885 | PSYCHOSES | $1,226 – $28,225 · median $10,223 | 34 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,908 – $29,371 · median $10,206 | 33 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,314 – $16,774 · median $6,630 | 33 plans |
| 313 | KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MAJOR | $5,201 – $14,416 · median $8,738 | 32 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,266 – $14,139 · median $5,604 | 32 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,223 – $26,835 · median $9,349 | 32 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,653 – $29,821 · median $14,091 | 32 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,188 – $13,911 · median $7,150 | 32 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,532 – $84,801 · median $46,627 | 31 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,874 – $13,419 · median $7,678 | 31 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,150 – $22,436 · median $7,836 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,724 – $19,445 · median $11,440 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,864 – $34,490 · median $13,079 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,312 – $37,563 · median $17,626 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,886 – $16,499 · median $7,956 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,907 – $18,510 · median $8,986 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,569 – $14,589 · median $7,150 | 30 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,138 – $34,146 · median $23,501 | 30 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,150 – $32,966 · median $12,077 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,150 – $20,253 · median $7,543 | 30 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,628 – $15,715 · median $8,884 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,243 – $13,539 · median $5,210 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,311 – $63,642 · median $28,198 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,750 – $19,524 · median $10,844 | 29 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,352 – $35,263 · median $12,625 | 29 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,150 – $20,732 · median $12,057 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,266 – $36,063 · median $16,308 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,739 – $16,897 · median $8,316 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,150 – $20,359 · median $7,801 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,227 – $17,875 · median $8,604 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,150 – $36,835 · median $19,983 | 27 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,663 – $18,865 · median $10,517 | 27 plans |
| 311 | ANGINA PECTORIS | $5,282 – $14,183 · median $7,150 | 27 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,426 – $29,161 · median $11,069 | 27 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,835 – $15,796 · median $9,317 | 27 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,043 – $39,693 · median $14,843 | 27 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,150 – $29,136 · median $15,948 | 27 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,150 – $21,583 · median $12,425 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,150 – $23,507 · median $13,395 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,384 – $26,940 · median $16,010 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,006 – $33,451 · median $19,730 | 25 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,609 – $18,049 · median $10,575 | 25 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,268 – $30,082 · median $14,188 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,515 – $23,598 · median $8,777 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,493 – $11,439 · median $7,037 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,342 – $27,383 · median $9,625 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $6,005 – $55,483 · median $21,508 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,098 – $16,141 · median $9,537 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,226 – $14,381 · median $8,953 | 22 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,600 – $17,612 · median $8,537 | 22 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,375 – $30,163 · median $17,084 | 22 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,089 – $12,012 · median $5,267 | 22 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,150 – $21,393 · median $7,701 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,452 – $17,592 · median $6,923 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,103 – $26,536 · median $11,953 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,150 – $19,625 · median $7,433 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,150 – $38,147 · median $13,356 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,592 – $15,553 · median $8,981 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,048 – $48,222 · median $23,387 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,394 – $48,517 · median $29,209 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,353 – $9,836 · median $7,571 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $96,120 – $279,895 · median $123,434 | 8 plans |
| 043 | MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE | $7,325 – $7,464 · median $7,325 | 7 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME | $4,839 – $13,424 · median $7,474 | 7 plans |
| 047 | TRANSIENT ISCHEMIA,MINOR | $2,423 – $2,469 · median $2,423 | 7 plans |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MAJOR | $3,099 – $6,175 · median $6,059 | 7 plans |
| 051 | VIRAL MENINGITIS,MINOR | $2,913 – $2,968 · median $2,913 | 7 plans |
| 053 | SEIZURE,MINOR | $2,975 – $10,586 · median $3,725 | 7 plans |
| 060 | HEAD TRAUMA WITH COMA < 1 HOUR,MODERATE | $7,959 – $8,110 · median $7,959 | 7 plans |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE | $3,277 – $4,696 · median $3,339 | 7 plans |
| 120 | MAJOR RESPIRATORY AND CHEST PROCEDURES,MAJOR | $18,071 – $18,416 · median $18,071 | 7 plans |
| 121 | OTHER RESPIRATORY AND CHEST PROCEDURES,MAJOR | $15,993 – $26,828 · median $16,298 | 7 plans |
| 133 | RESPIRATORY FAILURE,EXTREME | $4,261 – $10,823 · median $4,395 | 7 plans |
| 134 | PULMONARY EMBOLISM,MAJOR | $2,649 – $5,818 · median $5,709 | 7 plans |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA,MODERATE | — | 7 plans |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MAJOR | $5,150 – $8,338 · median $5,248 | 7 plans |
| 139 | OTHER PNEUMONIA,MODERATE | $3,343 – $7,564 · median $4,575 | 7 plans |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR | — | 7 plans |
| 141 | ASTHMA,MODERATE | $3,465 – $4,472 · median $3,531 | 7 plans |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MODERATE | — | 7 plans |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MODERATE | $10,488 – $10,688 · median $10,488 | 7 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,EXTREME | $8,133 – $15,603 · median $9,969 | 7 plans |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS,MAJOR | $4,774 – $4,865 · median $4,774 | 7 plans |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR | $2,538 – $2,586 · median $2,538 | 7 plans |
| 220 | MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MINOR | — | 7 plans |
| 222 | OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MAJOR | $10,489 – $10,689 · median $10,489 | 7 plans |
| 226 | ANAL AND PERINEAL PROCEDURES,MINOR | $4,490 – $4,576 · median $4,490 | 7 plans |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR | $6,203 – $6,321 · median $6,203 | 7 plans |
| 228 | INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES,EXTREME | $17,645 – $17,981 · median $17,645 | 7 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MAJOR | $7,206 – $16,116 · median $15,815 | 7 plans |
| 231 | MAJOR LARGE BOWEL PROCEDURES,MODERATE | — | 7 plans |
| 234 | APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,MINOR | — | 7 plans |
| 241 | PEPTIC ULCER AND GASTRITIS,MAJOR | $3,983 – $11,571 · median $5,753 | 7 plans |
| 245 | INFLAMMATORY BOWEL DISEASE,MODERATE | — | 7 plans |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY,MINOR | $3,228 – $3,289 · median $3,228 | 7 plans |
| 247 | INTESTINAL OBSTRUCTION,MODERATE | $2,721 – $3,968 · median $2,773 | 7 plans |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE | $3,706 – $5,777 · median $3,706 | 7 plans |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MODERATE | $4,073 – $11,926 · median $4,833 | 7 plans |
| 254 | OTHER DIGESTIVE SYSTEM DIAGNOSES,MAJOR | $3,542 – $6,861 · median $4,450 | 7 plans |
| 263 | CHOLECYSTECTOMY,MINOR | $5,000 – $8,037 · median $5,095 | 7 plans |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT,MODERATE | $3,116 – $6,115 · median $4,299 | 7 plans |
| 316 | HAND AND WRIST PROCEDURES,MINOR | $4,362 – $5,638 · median $4,362 | 7 plans |
| 342 | FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR | $2,624 – $3,405 · median $3,342 | 7 plans |
| 343 | MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MODERATE | $5,380 – $7,650 · median $5,482 | 7 plans |
| 344 | OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MAJOR | $4,748 – $6,605 · median $6,605 | 7 plans |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MINOR | — | 7 plans |
| 384 | CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE,MINOR | $2,581 – $2,631 · median $2,581 | 7 plans |
| 403 | PROCEDURES FOR OBESITY,MINOR | $7,016 – $7,763 · median $7,150 | 7 plans |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MODERATE | $3,494 – $3,561 · median $3,494 | 7 plans |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,EXTREME | $3,285 – $8,408 · median $8,251 | 7 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS,EXTREME | — | 7 plans |
| 518 | OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,MINOR | — | 7 plans |
| 519 | GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,MINOR | $4,710 – $4,799 · median $4,710 | 7 plans |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR | $2,701 – $3,438 · median $2,701 | 7 plans |
| 532 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE | $3,196 – $3,257 · median $3,196 | 7 plans |
| 541 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MINOR | $4,361 – $4,824 · median $4,361 | 7 plans |
| 625 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MODERATE | $11,853 – $12,079 · median $11,853 | 7 plans |
| 626 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MINOR | — | 7 plans |
| 633 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MODERATE | $1,824 – $7,459 · median $1,859 | 7 plans |
| 662 | SICKLE CELL ANEMIA CRISIS,MINOR | $4,379 – $5,817 · median $5,708 | 7 plans |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MAJOR | $6,861 – $27,873 · median $11,972 | 7 plans |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MODERATE | $8,020 – $8,172 · median $8,020 | 7 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE | $2,967 – $12,601 · median $3,831 | 7 plans |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR | $4,661 – $14,689 · median $7,681 | 7 plans |
| 722 | FEVER AND INFLAMMATORY CONDITIONS,MAJOR | $5,888 – $6,001 · median $5,888 | 7 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE,EXTREME | $3,638 – $13,903 · median $6,963 | 7 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE,MODERATE | $4,156 – $4,235 · median $4,156 | 7 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $3,817 – $7,956 · median $3,817 | 7 plans |
| 810 | HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,MINOR | $2,915 – $2,971 · median $2,915 | 7 plans |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE | $3,432 – $6,956 · median $4,221 | 7 plans |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MAJOR | $7,779 – $7,927 · median $7,779 | 7 plans |
| 930 | MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MAJOR | $3,872 – $6,071 · median $3,872 | 7 plans |
| 950 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MODERATE | $11,707 – $11,930 · median $11,707 | 7 plans |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR | $11,300 – $11,515 · median $11,300 | 7 plans |
| 251 | ABDOMINAL PAIN,MINOR | — | 6 plans |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MODERATE | $6,150 – $8,284 · median $6,150 | 6 plans |
| 340 | FRACTURE OF FEMUR,MODERATE | $3,274 – $3,336 · median $3,274 | 6 plans |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE | $5,080 – $5,176 · median $5,080 | 6 plans |
| 224 | PERITONEAL ADHESIOLYSIS,MINOR | $6,598 – $6,724 · median $6,598 | 5 plans |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MODERATE | $6,011 – $6,125 · median $6,011 | 5 plans |
| 753 | BIPOLAR DISORDERS,MODERATE | $5,343 – $5,445 · median $5,343 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $252,973 – $428,898 · median $321,201 | 3 plans |
No procedures match that keyword.